Information
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Job Address
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Issued to
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Date
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Company
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Personnel
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Purpose: to bring unsafe work practices to the attention of subcontractors or suppliers for corrective action
This Safety Non-Conformance Notice relates to:
You are required to take the following Corrective and Preventative Action
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Action Time
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Corrective Action Approval (Devine Homes representative)
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Select date
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Acknowledgement (Subcontractor supervisor or leading hand to which the Safety Non-Conformance was issued)
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Select date
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Verification that (when) Corrective Action is completed / effective (Site Manager)
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Select date
ONCE COMPLETED FORWARD THIS SAFETY NON-CONFORMANCE NOTICE TO THE NATIONAL EHS MANAGER
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Safety Non-Conformance Review (National EHS Manager)
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Select date
