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FI Approvals Report + Printed on 22 de setiembre de 2023, Approved ACTION REQUIRED - Travel Authorization Request Hello, Please review the Travel Authorization Request (TAR) submitted by alitza maza TRAVEL DETAILS Traveler Name(s): alitza maza Purpose: visita Departure Date: 2023-09-22 Return Date: 2023-09-25 Traveling From: piura Travelling To: piura Destination Type: Onshore Field/Work Site Destination’s Risk Level: bajo Method(s) of Travel: {"Plane"] Approved Journey Management Plan: Not applicable Traveler's Acknowledgement: | agree with the "Declaration Statements" above and | declare that to the best of my knowledge my responses to this form (including information provided in any uploaded documentation) are true and accurate For international travel only: Are you vaccinated?: Have you completed the Prime Medical? Are you in the ‘at risk’ category?: ‘Aware of COVID-19 protocols and has a mitigation plant: ACKNOWLEDGEMENT By approving this request, you accept and acknowledge the following: 1.L will check-in at the designated times with the traveler 2.If cannot reach the traveler, | will contact HSSES 3.1 have reviewed the hazards/risks the worker(s) may be exposed to at site and while traveling 4.1 acknowledge the scope of work and activities the worker(s) will be performing on site 5. The traveling workers have a reasonable understanding of the hazards/risks that they may be exposed to 6. The Travel Details above appear correct and accurate to the best of my knowledge 7. This TAR will be routed to the appropriate HSSES representative for final approval ‘TO APPROVE/REJECT THIS REQUEST + Use the approve/reject buttons at the bottom of this email + You will have the option to provide a comment concerning your decision Request ID for reference: 836 Thank you, Wood HSSES ~ Final status: Approved Q Reem Maza, Alitza Se debe reportar constantemente al area de sst Q& weeny Maza, Alitza 22/09/2023 07:36:03 22/09/2023 07:33:35

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