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‫‪:‬اﻟﻤﻮﻗﻊ ‪Site‬‬ ‫‪:‬اﻟﺘﺎرﯾﺦ ‪Date‬‬

‫)‪Dept (s‬‬
‫‪Objective‬‬ ‫‪Target‬‬ ‫‪Start Date‬‬ ‫‪End Date‬‬
‫‪Ser‬‬ ‫اﻟﻘﻄﺎع)ات(‬
‫اﻟﮭﺪف اﻟﻌﺎم‬ ‫اﻟﮭﺪف اﻟﺪﻗﯿﻖ‬ ‫ﺗﺎرﯾﺦ اﻟﺒﺪء‬ ‫ﺗﺎرﯾﺦ اﻻﻧﺘﮭﺎء‬
‫اﻟﻤﺴﺌﻮل)ة( ﻋﻦ اﻟﺘﻨﻔﯿﺬ‬

‫( ‪Prepared by‬‬ ‫)‬ ‫( ‪Site HSE Mgr.‬‬ ‫( ‪) Management Rep.‬‬ ‫)‬


‫( إﻋﺪاد‬ ‫)‬ ‫( ﻣﺪﯾﺮ اﻟﺴﻼﻣﺔ واﻟﺒﯿﺌﺔ ﺑﺎﻟﻤﻮﻗﻊ‬ ‫)‬ ‫( ﻣﻤﺜﻞ اﻹدارة اﻟﻌﻠﯿﺎ‬ ‫)‬

‫‪ISSUE NO:‬‬ ‫‪4‬‬ ‫‪PAGE‬‬ ‫‪OF‬‬


‫‪ISSUE DATE:‬‬ ‫‪06/03/2018‬‬ ‫‪1‬‬ ‫‪1‬‬

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