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Employee Number or Subcontractor Trainee's name Position

Completed by Job Position Name Surname Signature Date Training Subject Confined Space Entry Emergency Response Excavation Fire Extinguisher Use Heat Stress Provider / Trainer Approved by Job Position Name Surname Signature Date Job Position Distribution List Name Surname Kitchen Hygiene Task Safety Analysis (TSA) Welding & Cutting Working at Height Work Over Water Crane Operation Crane Inspection Decompression Chamber Defensive Driving Elevated Platform Operator Hilti Tools Incident Investigation Inspection of Scaffolding IOSH for Supervisors Marine Vessels Operators NEBOSH / OSHA30 / OSHA10 Spill Response Off-Shore Lifting and Rigging Operation Lifting Equipment Inspections Other

IMS (HSE Aspects) Awareness around Lifting Operations Banksman Compressed Gas Cylinders

FORM HSE Training History

Housekeeping HS & Environmental Awareness for Supervisors HSE Guidelines in the Offices HSE Induction HSE Risk Assessment / Hazard Identification Incident Reporting & Investigation Ladders & Stairways LockOut TagOut Man Overboard Manual Handling Permit to Work (PTW) Personal Protective Equipment (Job Specific) [respirators, noise, safety harness, life jacket, etc) Power & Hand Tools Pre-Task Meetings Rules on the Road (Marine) Safety Representative Spill Response On-Shore STAR (Safe Tasks Accident Reduction) Tool Box Talk (Job specific - as per TBT schedule)

ARCHIRODON GROUP NV

Integrated Management System

Issue For

Serial No. Page

Reference No.

Erection of scaffolding Fire Fighting First Aid Forklift Operation Hazardous Atmosphere Testing Heavy Plant & Equipment Operation

General Use

Health, Safety & Environment (HSE)

HSE-PRO-04-F04

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Internal Auditor 14001 Internal Auditor 18001 Lead Auditor Training for ISO 14001 Lead Auditor Training for ISO 18001

Rev 0.0

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