KRCC Form
Name:- Contact No.:-
Email. ID:- Employee Code:-
Employer:- _________________________Quess______________________________________________________________
Male Female Other Blood Group:-
Gender
Date of Birth :- Date Of Joining:-
Mode Of Commute
2-Wheeler 4-Wheeler Pedestrian Public Transport
Company provided Other:-
Driving License No.:- Driving License Validity:-
Vehicle Reg. No.:-
Valid Insurance:- Yes No
Insurance Validity date:-
Valid PUC:- Yes No
PUC Validity date:-
Training
HSW Induction:- Yes DDT Training:- Yes
C2 – Vodafone Idea Internal
01.03.24
Declaration Form
I will always wear seatbelt while driving and ensure that all other
passengers wear seatbelt in front and rear seat
I will never exceed speed limits while riding/driving.
I will always wear a full faced ISI helmet with chin strap while
riding a two-wheeler and ensure that pillion rider wear it too
I will never use mobile phone including hands-free, Bluetooth,
speaker phone, while driving /riding. etc.
I will never work / drive / ride under the influence of alcohol or
illegal substance.
I will never carryout work on electrical equipments, circuits and
gear unless i am qualified and authorized
While working at height I will always ensure training, wear
protective gear, attach a safety harness and use fall protection
equipment.
I will never undertake street or underground work activities
unless competent to do so.
I will always wear reflective clothing and also ensure reflective
wear is worn by pillion rider as well on two-wheeler while
travelling for work.
I am aware of HSW standards and policy and reach out to HSW
SPOC /Contract coordinator in case of any additional clarification
required.
I am aware that the compliance to HSW norms is a condition of employment and in case
of any non-compliances, employer may take punitive action against me.
Name:- Sign:-
Place:- Date:-
C2 – Vodafone Idea Internal
01.03.24
