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Violation Ticket

The document is a safety non-conformance ticket issued by Ardi Development & Construction, Inc. to an employee citing violations of multiple safety rules and regulations. The ticket lists over 20 violations including not wearing a uniform, smoking in prohibited areas, driving without a license, sleeping in unsafe locations, improper use of personal protective equipment, and possession of weapons. The employee must sign the ticket to acknowledge receipt and a copy is provided to their supervisor, security, and the plant manager.

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John Paul Bañaria
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813 views1 page

Violation Ticket

The document is a safety non-conformance ticket issued by Ardi Development & Construction, Inc. to an employee citing violations of multiple safety rules and regulations. The ticket lists over 20 violations including not wearing a uniform, smoking in prohibited areas, driving without a license, sleeping in unsafe locations, improper use of personal protective equipment, and possession of weapons. The employee must sign the ticket to acknowledge receipt and a copy is provided to their supervisor, security, and the plant manager.

Uploaded by

John Paul Bañaria
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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ARDI DEVELOPMENT & CONSTRUCTION, INC.

SAFETY NON-CONFORMANCE TICKET


DATE : __________________ TIME : ________________
NAME OF EMPLOYEE:
DEPARTMENT:

YOU ARE HEREBY CITED FOR COMMITING VIOLATIONS TO THE FOLLOWING


SAFETY RULES & REGULATIONS:

NOT WEARING PRESCRIBED UNIFORM


NO ID
UNREGISTERED (TRUCK/DRIVER)
INCOMPLETE/NO TIRE CHOCK
IMPROPER CHOCKING
NON-OBSERVANCE TO PEDESTRIAN LANE POLICY
SMOKING
SPITTING
URINATING AT IMPROPER PLACE
DRIVING W/ EXPIRED DRIVER'S LICENSE/TVR & TCT/TOP
DRIVING WITHOUT LICENSE
NON-OBSERVANCE OF CELLPHONE POLICIES
SLEEPING IN PARKING/LOADING/UNLOADING AREA (INSIDE/UNDER TRUCK)
SLEEPING IN LYING POSITION AT DRIVER'S LOUNGE
WEARING TORN PANTS & SHIRTS
WEARING OPEN SHOES, SANDALS & SLIPPERS
POSSESSION OF DEADLY WEAPON, FIREARMS AND EXPLOSIVES
GAMBLING
DRIVING UNDER THE INFLUENCE OF ALCOHOL
SMOKE BELCHING
OVER-SPEEDING
PROVOKING A FIGHT (W/ OR W/OUT PHYSICAL CONTACT)
STEALING OR ATTEMPTING TO STEAL ANY PROPERTY
POSSESION / USING OF PROHIBITED DRUGS
BRIBERY
NO DEFENSIVE DRIVING TRAINING
NO SAFETY VEST
NO SAFETY SHOES
OTHERS, PLEASE SPECIFY : ___________________________________

REMARKS :

ISSUED BY : CONFORME :
____________________ _____________________
APPREHENDING OFFICER VIOLATOR 'S SIGNATURE
OVER PRINTED NAME

CC: SUPERVISOR
SECURITY
Plant Manager

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