BYCO PETROLEUM PAKISTAN LIMITED

FORM

SAFETY TALK AND GROUP DISCUSSION Document No: BPPL-EHS-F-10 Page No: 1 of 1

Issue Date: 12-Nov-2012 Revision No: 02

Shift: Team Leader: Date:

Topic of Discussion:

Shift Team:

Incidents:

Operating Procedures:

Other:

Group Discussion Comments/ Feedback/ Suggestion:

S. No Employee Name Employee No Department Signature

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Action: Immediate attention required by the Refinery Manager ORC-I Yes / No

Action Completion Date: ___________________

Safety Team Leader Head of Department