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HSE Violation

An employee violated safety rules at a worksite on November 27, 2020. The report documents the violation, statements from the employee and supervisor, and consequences which included a warning, suspension, or termination. Safety protocols like proper personal protective equipment or restricted area access were not followed, putting the employee at risk.

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Brian Gidudu
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951 views1 page

HSE Violation

An employee violated safety rules at a worksite on November 27, 2020. The report documents the violation, statements from the employee and supervisor, and consequences which included a warning, suspension, or termination. Safety protocols like proper personal protective equipment or restricted area access were not followed, putting the employee at risk.

Uploaded by

Brian Gidudu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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27th November 2020.

Safety Department.

HSE VIOLATION REPORT-WRITTEN


Name: Date:
Craft: Supervisor:
Location: Time:
Violation of Rules
No PPE In a restricted area
Improper Use of equipment
Control of hazardous energy
Improper use of fall protection
Powered industrial trucks
Improper guards

What occurred

Employee statement

Warned Suspended Discharged

Date of previous warning

Days suspended Date of suspension

Discharged Effective when

Employee signature Date

Supervisor signature Date

Safety signature Date

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