Safety Case

Note

DETAILS OF THE COMPANY

DETAILS OF FACILITY / PREMISE / ACTIVITY

I, declare that all particulars and information provided in this application and the documents attached hereto are true to the best of my knowledge and belief, and I understand the Safety, Health and Environment National Authority (SHENA) reserves the right to reject this application if, at any stage, the information provided is false and incorrect. SHould verification be required on any information provided in this application, I hereby authorise SHENA to carry out the necessary investigation.

Declaration of Complainant

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