Doc. No.

:CONST/PK/HSE/FRM-01
Rev.: 00

HSE ORIENTATION RECORD

PROJECT TITLE : ____________________________

TIME DURATION : FROM ______hrs.

SR.

NAME OF

NO.

EMPLOYEE

CONDUCTED BY

Date of Rev: July 1st, 2016

Page : 1 of 1

PROJECT NO. ___________

Date :

TO ______hrs.

EMP.NO.

DESIGN.

CRAFT

D.O.J.

DESCON /
SUBCONTRACTOR

EMP. SIGNATURE

INCHARGE HSE (SITE / BU)

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