Document No.

KEC/IMS/EHS/07/F/16

Issue. No. 02 Rev. No. 00

EHS VIOLATION MEMO
Issue. Date 08-12-2018 Rev. Date 00-00-00

Page No. 1

Business Unit : <Mention BU> Date: <Mention Date>

Site/Unit location : < Mention > Company Employee
Memo no : <Mention No> Contractor
Violation by: <NEME>, <POSITION> Contractor Worker
Issued by : < NEME> Others
Brief Description:

Action plan:
Level 1 Level 2 Level 3
Counselling Counselling Suspension
Coaching & Training Coaching & Training Black Ribbon
Written warning Written warning Termination
Financial penalties Financial penalties
Fines & penalties: cc to finance, State CC: BU head Financial penalty of Rupees only to
head, Plant Head/ Vertical Head/ EHS Vertical head contractor ( not for any individual)
Warning / Suspension /Termination/ HR ............................................
Black ribbon letters - cc to HR , Plant Others for info or high light the ............................................
Head/ Vertical Head/ EHS head /Others process Imposed to (Name of agency with
brief) ........................................
Repetition of Violation Suspension period This is only for Indian operation.

In case of Denial reason: Escalation to senior management including EHS head

Remarks & Comments for further improvements: