To Confined Space
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Weekly Time - out
Date : Vessel : Conducted by: Company : Signature :
Take care of each other in your buddy group.
STOP your buddy on any unsafe act. "Safety Starts With Me ~ Together we care"
Alert attendant/supervisor whenever you leave or enter the confined space
No. 1 2 3 4 5 6 7 8 9 10
I, the undersigned, acknowledge that I understand the above information. Name NRIC/WP No: Signature
Date : Vessel : Conducted by: Company : Signature :
Take care of each other in your buddy group.
STOP your buddy on any unsafe act. "Safety Starts With Me ~ Together we care"
Alert attendant/supervisor whenever you leave or enter the confined space
No. 1 2 3 4 5 6 7 8 9 10
I, the undersigned, acknowledge that I understand the above information. Name NRIC/WP No: Signature
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