Document ID:
OSHE-F-007
Project: AL DAHRA 1.8MW Solar PV
 Rev : 0 
Panel Installation
 Issue Date
 20/Aug/2023
OSHE Disciplinary Notice  Date:20/8/2023

Name of Offender ___ Emp.No ___ Date:_ _

Employer: Golden Falcon-Complete
Project: AL DAHRA
Energy
OSH Breaches (tick appropriate)
󠄍Failure to safely manage work activities under your
control.
󠄍Failure to safely supervise work activities under your
control.
󠄍Failure to discharge your safety responsibilities.
󠄍Failure to report an accident, incident, near miss, or
environmental incident to the EHS Dep. immediately.
󠄍Failure to provide and maintain adequate welfare
facilities.
󠄍Carrying out an unsafe act.
󠄍Creating an unsafe condition.
󠄍Failure to use and wear the correct PPE or RPE.
󠄍Failure to use fall protection where appropriate.
󠄍Working without a “valid permit to work” for hot work.
󠄍Failure to operate plant and equipment or vehicles in a
safe manner.
White Card First Warning
DN No. : 1
Time:_ __
Location: Abu Dhabi/Kizad
󠄍Operating plant equipment and transport without license or
permission.
󠄍Failure to carry out a lifting operation in a safe manner.
󠄍Failure to use the designated safe access and egress routes.
󠄍Failure to use portable electrical appliances safely.
󠄍Working on an unsafe work platform.
󠄍Failure to follow site rules and procedures in relation to
road safety.
󠄍Failure to use color coded lifting gear.
󠄍Removing any safety device from equipment.
󠄍Assault on a person or property.
󠄍Working without induction.
󠄍Failure to implement a direct safety instruction from
Manager, Supervisor, or Safety Engineer.
󠄍Failure to follow agreed safety rules and procedures.
Verbal Warning

Yellow Card Second Warning 3 Days Basic Salary will be deducted

5 Days Basic Salary will be deducted /
Red Card Third warning
Remove from site
Brief description of OSH Breach:

_____

Action required by offender

______

Offender: I hereby accept the Disciplinary Notice served

Name: ___ Designation: ___

Signature: ___ Date Received: ___

Issued By: Esmat Designation: OSH Officer

Signature: ___ Date of Issue: ___

Cc: 1) PD: 2) PM: 3) CM: 4) HR 5) Other (Specify)

(Tick for applicable parties)