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1St, Warning 2Nd, Warning Penalty

This document is a safety violation notice issued to a project manager or contractor. It lists penalties for unsafe acts or conditions observed during a safety inspection. The recipient is required to take corrective action within a specified timeframe. It documents the reason for the notice, required actions, any monetary penalty, and includes a signature block for the recipient to acknowledge receiving the notice. The notice is routed through various departments for tracking of the safety issue.

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Vikas Yamagar
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178 views1 page

1St, Warning 2Nd, Warning Penalty

This document is a safety violation notice issued to a project manager or contractor. It lists penalties for unsafe acts or conditions observed during a safety inspection. The recipient is required to take corrective action within a specified timeframe. It documents the reason for the notice, required actions, any monetary penalty, and includes a signature block for the recipient to acknowledge receiving the notice. The notice is routed through various departments for tracking of the safety issue.

Uploaded by

Vikas Yamagar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Project:- Date:-

Cost Centre:- Inspected by:-

1st, Warning 2nd, Warning Penalty

Kind Attention-PM/ACE- Mr
………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………

During the Safety inspection / cheeking at site date……………………………….. Following unsafe act / unsafe
conditions / violation were observed. You are required to rectify / comply within……………………….. Day from
the date of issued notice.

Reason of the Notice:-

Action Required:-

Penalty (Due to above violation) Rs:-


(In words)

Employee / Contractor / Sub-Contractor Acknowledgement-


I Undersigned have received this OHS (Safety) Violation warning letter, and I Understand the content.

Received On:- Name & Signature:-

Safety Dept. PM / ACE VP-Construction VP-Vendor Management

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