Delta Company Ltd.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HEALTH SAFETY and ENVIRONMENT REPORT

• Project Name:

  Select Al Maather Al Hazem 69KV Al Waha Hindawiah Murjan Mahjar Al Lieth Bawat Taima Khatam Hail Khuzam

  • Al Maather
  • Al Hazem
  • 69KV
  • Al Waha
  • Hindawiah
  • Murjan
  • Mahjar
  • Al Lieth
  • Bawat
  • Taima
  • Khatam
  • Hail
  • Khuzam

• Project No.:

• Date

  Date

OBSERVATION

Observation

• What observation

  Unsafe Act

  Unsafe Condition

• What Deviation:

• Date of Observation

  Date

• Whose Responsible

  Select Project Engineer Project Manager Site Manager Foreman Safety Officer

  • Project Engineer
  • Project Manager
  • Site Manager
  • Foreman
  • Safety Officer

• Corrective Action/Recommendation

• Target Date

  Date

• Status

  Select Open Close

  • Open
  • Close

• What date of closing

  Date

Signature and Name

• Safety Officer

  Sign

• Name of Safety Officer

  Select Bahar Ali Muhammad Shindarth Khrisnan Abu Thomas Amal Muraly Michael Dave Herrero Bryce Cyril Besinga Darwin Llantada Ryan Cabarlo Allan Rey Rizalde Archie Pulmano Charlie Villanueva Charles Subong Jaafar Lagayan

  • Bahar Ali Muhammad
  • Shindarth Khrisnan
  • Abu Thomas
  • Amal Muraly
  • Michael Dave Herrero
  • Bryce Cyril Besinga
  • Darwin Llantada
  • Ryan Cabarlo
  • Allan Rey Rizalde
  • Archie Pulmano
  • Charlie Villanueva
  • Charles Subong
  • Jaafar Lagayan