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  • 00 - BS01 - FM - 026.01 - 02 HSSE Contractors Violation Form For Fine Report

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    muhammad.younis
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    1) This document is a form used to record health, safety, environmental and industrial security violations by contractors working on water quality improvement programs in the Eastern Region of Dammam, Saudi Arabia. 2) It records violation details such as date, location, contractor, type of violation, minimum and maximum fines, and signatures of the contractor's representative and the safety specialist issuing the violation. 3) The form provides fields to describe the violation such as number, description, whether it was rectified, and time limit to rectify if applicable. It also records the final fine amount for the violation.

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    00_BS01_FM_026.01_02 HSSE Contractors Violation Form for Fine Report

    Original Title

    00_BS01_FM_026.01_02 HSSE Contractors Violation Form for Fine Report

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    1) This document is a form used to record health, safety, environmental and industrial security violations by contractors working on water quality improvement programs in the Eastern Region of Dammam, Saudi Arabia. 2) It records violation details such as date, location, contractor, type of violation, minimum and maximum fines, and signatures of the contractor's representative and the safety specialist issuing the violation. 3) The form provides fields to describe the violation such as number, description, whether it was rectified, and time limit to rectify if applicable. It also records the final fine amount for the violation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views1 page

    00 - BS01 - FM - 026.01 - 02 HSSE Contractors Violation Form For Fine Report

    Uploaded by

    muhammad.younis
    1) This document is a form used to record health, safety, environmental and industrial security violations by contractors working on water quality improvement programs in the Eastern Region of Dammam, Saudi Arabia. 2) It records violation details such as date, location, contractor, type of violation, minimum and maximum fines, and signatures of the contractor's representative and the safety specialist issuing the violation. 3) The form provides fields to describe the violation such as number, description, whether it was rectified, and time limit to rectify if applicable. It also records the final fine amount for the violation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    ‫نموذج ضبط وإثبات مخالفات اشتراطات السالمة والصحة المهنية واألمن الصناعي والبيئة‬

    HSSE Contractors Violation Form for Fine Graces

    13-08-2023 Date ‫التاريخ‬ Sunday Day ‫اليوم‬


    Easter Cluster Cluster ‫القطاع‬ 10:00 Time ‫الوقت‬
    Dammam City ‫المدينة‬ Eastern Region-Dammam BU ‫وحدة األعمال‬
    Al Dahya Street ‫الشارع‬ Al Dahya District ‫الحي‬
    ‫اسم المشروع‬
    WATER QUALITY IMPROVEMENT PROGRAM
    Project name
    ‫اإلدارة الفنية المشرفة‬ ‫المقاول‬
    ILF CWC
    Supervision Contractor

    ‫القيمة النهائية‬ ‫هل تم معالجة‬ ‫رقم‬


    )‫مدة المهلة (يوم‬ ‫الحد األدنى الحد األعلى‬ ‫نوع المخالفة‬
    ‫للمخالفة‬ ‫المخالفة؟‬ ‫البند‬
    Time limited Max. Fine Min. Fine Violation
    Final Fine Rectify #

    Contractor Representative ‫مندوب المقاول‬ Safety Specialist ‫ضابط المخالفة‬


    Name ‫االسم‬ Muhammad Younis Khan Name ‫االسم‬
    ID ‫رقم الهوية اإلقامة‬ 2533419251 ID ‫الرقم الوظيفي‬
    Title ‫مسمى الوظيفة‬ HSE Engineer Title ‫مسمى الوظيفة‬
    .Sign ‫التوقيع‬ .Sign ‫التوقيع‬
    10:00 Date ‫التاريخ‬ 10:00 Date ‫التاريخ‬

    735704956.docx 1 of 1

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