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NOMINATION OF SAFETY AWARD
Project Title _______ ________________________ Month ___________
Worker Nominated: Company Name: Plot No: Induction No: Trade of Work:
CRITERIA
Proper entire & wearing of PPE
Safety awareness all the time at the site Obeying of Safety Instruction Positive working attitude Attendance for Daily Tool Box Safety behaviours on site Meeting Awareness of risk assessment of the Received any violation imposed jobs Safety Contribution Follow the SWP Co-operative effort with other Able to communicate and coordinate workers with all level Able to encourage other workers Report any hazardous environment or to follow safety rules & work unsafe work procedures safely Good housekeeping behaviours Vigilance supervision
Legends: = OK X = Not OK NA = Not Applicable
Selection & Approved Committee:
Selected by Reviewed by Acknowledgement by Approved By
HSE Engineer HSE Manager Construction Manager Project Manager /Director