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Safety Debit Note

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TATA PROJECTS LIMITED, SERVICES SBG-IPMS

SAFETY VIOLATION DEBIT NOTE


Document No:TPL/IPMS/SAFETY/SVDN/005 Rev:00

PROJECT: Report No:


Name of Contractor: Date:
Tower:
Location:
DESCRIPTION OF VIOLATION / DEBIT
Working without permit
Using unsafe Tools/Equipments
Safety regulation ignored
Removing safety device
Unsafe loading/Unloading
Distraction/Horseplay
Failure to properly secure
Consumed Alcohol/Drugs
Taking shortcuts
Unhygienic site
DESCRIPTION OF VIOLATION

Prepared by: Approved by: Accepted by:


PMC CLIENT CONTRACTOR

Name

Designation

Signature

Date

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