Doc.

n° FORM_GR-GROUP-HSE-005-E

HSE TRAINING Rev. 02 Date 07/08/2020

REGISTRATION FORM Page 1 of 1

Ref. Doc. no. STD_GR-GROUP-HSE-002-E

MANUAL HANDLING - S211

TRAINING TITLE AND DELPHI CODE PEOPLE LEARNING CODE: SASC026S
(Refresher Training)
TRAINING DELIVERY LANGUAGE ENGLISH / HINDI DURATION [hours] 2 hrs.
DATE (DAY/MONTH/YEAR of courses delivery) 11/APRIL/2022 TRAINING LOCATION: SAIPEM TCF3, HARADH
(if applicable)

PROJECT SGCP PIPELINES NAME OF TRAINING CENTRE SGCP TRAINING CENTER

(if applicable)

WORKSITE HARADH SGCPPD DIVISION Pipe line Project

COUNTRY SAUDI ARABIA CLIENT ARAMCO

TRAINING METHODS:
☐ Verbal explanation ☐ DELPHI Power Point presentation ☐ Practice ☐ Other (specify):
☐ Video ☐ Other Power Point presentation ☐ Simulation
COURSE CONTENTS (if other than DELPHI contents):

1 Recognized Safe Lifting and Handling Techniques

2 Some examples of back pathologies
3 Risk factors of low back pain
4 Basic rules of Manual Handling
5 Examples of Manual Handling
6 Demonstration
ASSESSMENT METHODS:
☐ Informal during training ☐ Written test ☐ Product evidence
☐ Verbal questions ☐ Practical exercise ☐ Other (specify)

(SUB) CONTRACTOR PERSONNEL / PARTNERS

IQAMA/PASSPORT JOB
ID NAME COMPANY SIGNATURE KNOWLEDGE ASSESSMENT
NUMBER POSITION
1 Ali Sami J AlSurayj 11079914093 FCC WPR ☐PASS ☐ FAIL ☐ ABSENT
2 Muhammad Waseem 2490077522 FCC Safety Officer ☐PASS ☐ FAIL ☐ ABSENT
3 MD Jabed Hossain 2408402290 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
4 Mohammad Abdullah 2508416688 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
5 Mohammed Masud Miah 2513205217 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
6 MD Jasimuddin Khalifa 2505301933 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
7 Hridoy Chandra Das 2505299863 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
8 Shakib MD Israil 2506801121 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
9 Mohammad Firoz 2511399954 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
10 MD Motaleb Hossen 2505300679 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
11 Faisal Ahmmed 2506801873 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
12 Ahmmad Oli 2506884580 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
13 Rubel Miah 2510278415 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
14 Mohammad Jasim Uddin 2506883970 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
15 Liton Mia 2511399327 FCC Helper ☐PASS ☐ FAIL ☐ ABSENT
16 ☐PASS ☐ FAIL ☐ ABSENT
17 ☐PASS ☐ FAIL ☐ ABSENT
18 ☐PASS ☐ FAIL ☐ ABSENT
19 ☐PASS ☐ FAIL ☐ ABSENT
20 ☐PASS ☐ FAIL ☐ ABSENT
21 ☐PASS ☐ FAIL ☐ ABSENT

TRAINERS SECTION
Actions taken for failure of knowledge assessment (please indicate the participant ID number):
BADGE NUMBER NAME OF ORGANIZATION
TRAINER NAME SURNAME SIGNATURE
(if internal) (if external)
☐ INTERNAL
1 MOHAMMAD SHAHID RAZA SP12574
☐ EXTERNAL

Notes:
• Scan the signed form and send it to: corporate.hse.training@saipem.com • Fill in this form digitally in capital letters
• Only signed participations are considered valid • Mandatory: insert badge numbers for Saipem personnel