Professional Documents
Culture Documents
Project Sr. No
Name of the work Date
Name of Contractor Job No.
Indicate actions taken, if status of any of the above items is found “No”……………………………………………………...
………………………………………………………………………………………………………………………………………………...
Specific Safety guidelines / precautions, if any (communicated thro’ TBT)…………………………………………………..
………………………………………………………………………………………………………………………………………………...
Above conditions and PPE compliances are checked by undersigned and correct status are indicated after
verification
Prepared by Verification By
Contractor Site Engineer Contractor Safety Officer