Health, Safety & Environment

HSE Violation Fine Form

Date:________
Fine for Staff: Safety shoes/Helmet/Uniform /FBH/Smoking 500 Rs/violation

Fine for Labour: 200/Violation

Name of violator: ________ ______

Fine Violater Signature

01: usman scaffolder 500 Mild Steel

02: javed Scaffolder 200 Mild Steel

03: imran Scaffolder 200 IKAN

04: Zafer Scaffolder 200 IKAN

05: Amanullah Driver 200 IKAN

06: Faisal Painter 200 Sohna Khan

07:

Detail of Violation:

______________________________________________________________________________
_____________________________________________________________________________

Action against Violator:

______________________________________________________________________________
__________________________

HSE Department: Civil Department:

Note: In case of any asset loss of IKAN than Person will be pay the total amount of those item.