Debit note
PROJECT : Mv2, Falcon Project Report No: Sap-0002
Name of Contractor: Date :
Project Manager : Mohd. Irfan Time:
Location : Siemens, Verna
DESCRIPTION OF VIOLATION / DEBIT
Working without permit Dropping Materials from Height Failure to use PPE
Using Unsafe Tools/Equipment Unsafe loading/ placing Working in dangerous area
Using Cable Without Plug and Sockets Distraction / Horseplay Unauthorized entry
Safety regulation ignored Failure to properly secure Improper lifting
Using equipment /Tools improperly Using Alcohol / Drugs Working on unsafe Scaffold
Not Using/Not Hooking Safety Harness Taking Shortcuts Smoking / urinating at Site
Removing Safety Device Unhygienic site Creating fire hazard
Improper stacking of materials Substandard Housekeeping Working without Induction
Any Other
Description of Violation
We are Issuing Rs. 500 /- as a Debit note for the Violating of Health & Safety Rules.
Signature
Persons involved : (Truck Driver)
Contractor Supervisor :
Site Supervisor :
Safety Officer : Shadab
Project Manager : Mohd. Irfan