Line Walk Report Checklist, Rev-01

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Kewla prasadiRISE

pandey& Brothers
INDIA PVT LTD
Doc. No.iRISE/HSMS/LW/ 001 Rev.No.00 Effective date.21/04/2021
Line Walk Report

Conduted By :

Date :

Time :

Location :

Observed :
1

7
Action Plan :
1

Signature of Site inharge Signature (Safety) Signature (Site Supervisor)

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