Form: B-0214-C-EN-G-GE-IN-001-A0

Environmental Observation Report Form

Issue date: 20/10/2020

Day/Night shift
Project: HPP Rogun LOT2 Date:
dd-mm-yyyy
Action
Observatio Departm
N Locatio Immediate Actions to s to be Reporte Deadlin
n Description Responsible ent/Secti Company Photo
o n Actions taken be taken taken d by e
Category Supervisor on
by

Environmental Officer: Signature:

 All plants and conveyors

 Workshop
 Warehouse / Fuel Station
 Camps
 Main Clinic, First Aid Post
Rogun LOT2 - Environmental Control Plan  Laboratory
B-0214-C-EN-G-GE-OPC-001-A0  Generators
 Dam and Tunnel Excavation and Embankment
 Concrete Works
 HV and LV Driving and operation
 Site and tunnel Dewatering
 Spoil disposal
 Form: B-0214-C-EN-G-GE-IN-001-A0
Environmental Observation Report Form
Issue date: 20/10/2020

Photos to confirm Discrepancies/Violations/ Non-Compliances of HSE regulations requirements /

Фотоматериалы, подтверждающие нарушения требований правил по ОЗТиОС
Photo 1 Photo 2

Safety Violation/ Нарушение правил ТБ - SV Unsafe Act/ Небезопасные действия - UA

Health Protection Violation / Нарушение правил Охраны Здоровья- HPV Unsafe Condition/ Небезопасные условия - UC
Environmental Violation / Нарушение правил Охраны Окружающей Среды- EV Positive Observation/Позитивное наблюдение -PO
Traffic Management / Управление Безопасным Движением -TM