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ARCHIRODON GROUP NV Integrated Management System

Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F08 Serial No. Page 1 of 1

FORM

0.0

HSE Equipment Inspection Register

Item Category (Tick Applicable Box Below) Body Harness Lanyards Inertial Reels Fire Extinguisher Fire Alarm Others Spill Kit Smoke / Heat Detectors

No.

Type / Serial Number

Location

Pass / Fail

Comment

Completed by Job Position Name Surname Signature Date

Approved by Job Position HSE Manager Name Surname Signature Date

Distribution List Job Position Name Surname HSE Manager

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