OCCUPATIONAL HEALTH & SAFETY

MANAGEMENT SYSTEM
Ref. No. : SP4.5.3.1/6
Document Title: Rev. No./Issue : 1 / 12
MONTHLY SUMMARY REPORT ON
DAMAGE TO MOTOR VEHICLE

1.Report No. ALF/MV/19 2. Date 0 6 07 2 0 1 5

3. REPORT FOR THE MONTH OF June -2015

4. NAME OF PROJECT Petro Rabigh II, CP 3&4 Project

5. PROJECT NO. PC-111

6. LOCATION / SITE Rabigh

7. Date / 10. 11. Estimated

8. Brief Description 9. Injury to Persons
Time of Description Cost of 12. Remarks
of Accident (Yes / No)
Accident of Damage Damage
NO DAMAGE TO MOTOR VEHICLE

N/A N/A NIL N/A N/A No Accident

13.
Signature of the Safety Manager:

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