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Counseling Letter

This is to certify that Mr.___________________ of department


_______________employed by _______________ has been
counseled for the following safety Issue and will not repeat the
same in future.
Safety
Issue:_______________________________________________
___________________________
Also, If he repeats the same, then a warning letter will be
issued and will be penalized as per the penalty matrix.

Name: Counseling done by-


Date
Signature Verified By-
Counseling Letter
This is to hereby certify that Mr.___________________ of department _______________employed by
_______________ has be counseled for the following safety Issue and will not repeat the same in future.

Also, If repeated then a warning letter will be issued.

Safety Issue:__________________________________________________________________________

Name: Counseling done by-

Date

Signature Verified By-

Counselling Letter
This is to hereby certify that Mr.___________________ of department _______________employed by
_______________ has be counseled for the following safety Issue and will not repeat the same in future.

Also,If repeated then a warning letter will be issued.

Safety Issue:__________________________________________________________________________

Name: Counselling done by-

Date
Signature Verified By-

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