Scribd Logo
Upload

Welcome to Scribd!

    • 34 views

    HSE Violation Notice

    Uploaded by

    DLPS HSE
    This document is an HSE violation notice template. It contains sections for documenting employee and violation details like type of violation, number of offenses, and consequences. It outlines consequences that get more severe for repeat offenses, from verbal warnings to salary deductions to potential termination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    HSE Violation Notice

    Uploaded by

    DLPS HSE
    34 views1 page
    This document is an HSE violation notice template. It contains sections for documenting employee and violation details like type of violation, number of offenses, and consequences. It outlines consequences that get more severe for repeat offenses, from verbal warnings to salary deductions to potential termination.

    Original Title

    35. HSE Violation Notice

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an HSE violation notice template. It contains sections for documenting employee and violation details like type of violation, number of offenses, and consequences. It outlines consequences that get more severe for repeat offenses, from verbal warnings to salary deductions to potential termination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views1 page

    HSE Violation Notice

    Uploaded by

    DLPS HSE
    This document is an HSE violation notice template. It contains sections for documenting employee and violation details like type of violation, number of offenses, and consequences. It outlines consequences that get more severe for repeat offenses, from verbal warnings to salary deductions to potential termination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    HSE Violation Notice

    ‫مخالفات السالمة‬
    DLPS-HSE-035/00

    Date: ___________ Project: ________________________________________________________________


    Employee Name: Employee No.___________________
    Designation: Violation No. ☐1 ☐2
    Supervisor: ☐3 ☐4
    Direct Manager:

    Types of Violation: ‫نوع المخالفة‬

    ☐Traffic Violation (On Site) ‫☐ مخالفة مرورية‬


    ☐Not following the Safety Procedure ‫☐ عدم اتباع قوانين السالمة‬
    ☐Unsafe Working Attitude ‫☐ سلوك غير آمن‬
    ☐Not wearing of PPE ‫☐ عدم ارتداء معدات الوقاية الشخصية‬
    ‫☐ العمل من دون رخصة التشغيل‬
    ☐Working without Permit (PTW)
    ‫غير ذلك توضيح‬
    Other please specify:

    NON COMPLIANCE TO COMPANY SAFETY POLICY, PROCEDURES, RULES AND REGULATIONS

    ORDINARY WORKERS (Skilled workers and labors) Manager, Supervisor, Engineers, Foreman & Staff
    Verbal Warning + Issuance of 1st HSE Verbal Warning + Issuance of 1st HSE violation notice
    First Offense
    violation notice and documentation and documentation.
    Issuance of 2nd HSE notice + 1 day
    Second Offense Issuance of 2nd HSE notice + 2 day salary deduction.
    salary deduction.
    Issuance of 3rd HSE notice + 3 days
    Third Offense Issuance of 3rd HSE notice + 5 days salary deduction.
    salary deduction.
    Fourth Offense HR Recommendation/Termination HR Recommendation/Termination

    NON-REPORTING OF ACCIDENT or INCIDENT (for all)


    First Offense 1 Day suspension
    Second Offense 2 Day suspension
    Third Offense 3 Day suspension
    Fourth Offense HR Recommendation/Termination

    Prepared by: Employee Signature:


    Safety Manager/Supervisor/Officer Signature
    Noted by: Direct Manager:
    Project Manager Signature

    You might also like