MM/YYYY
Emami Infrastructure
SAFETY INSPECTION REPORT
Limited
From: Inspector to Head Safety
HIGHLIGHTS:
1.
2.
3.
4.
5.
STOCK OF PPEs:
S PPE Stock held S No PPE Stock held
No
1 Safety Helmets 2 Safety Boots size 9
3 Safety Boots size 8 4 Safety Boots size 7
5 Safety Belts 6 Reflective Jackets
PENALTIES:
A penalty of Rs. Has been imposed vide voucher no.. dated
Name of Contractor: - Date:-
S No Photograph Observation Inferenc Action NCR Action
e required / taken
Penal by
ties
Signed by:
(Inspector)
Name:
Date & Time:
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