Date:-Cost Centre: - Auditee: - Auditor

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Date:-

Cost Centre:- Auditee:- Auditor:-

Target date
Recommended Corrective action by
SI No. Unsafe Condition Observed the Auditee of Verification of corrective action Remarks
completion

Signature:-
Auditee:- Auditor:- P.M:-

Date:- Date:- Date:-


Rectification done on:-

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