Scaffolding Format

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PSC Infracon Pvt. Ltd.

Payslip for the month of Aug-2018


Name : Gurav Shripatrao Dattatray EmpCode :
CostCenter : Park Avenue Designation :
PFAccNo : PUPUN03017070000000010380 Bank :
Paid Days : 31 Account No
Category : Employee CTC :
UAN : 101265855626
Earnings Rate Monthly Deductions
BASIC SALARY 14851.00 14851.00 Provident Fund
Special Allowance 9131.00 9131.00 Provident Tax
Gross Earning 23982.00 23982.00 Gross Deduction

Net Amount 22000.00


Net Pay in words : Twenty Two Thousand Only
283
safety officer
Axis BANK
918010013128363
324.015.00

Monthly
1782.00
200.00
1982.00

For PSC Infracon Pvt. Ltd.

Authorised Signatory
PSC Infracon Pvt. Ltd.
Payslip for the month of Jun-2018
Name : Gurav Shripatrao Dattatray EmpCode : 283
CostCenter : Park Avenue Designation : safety officer
PFAccNo : PUPUN03017070000000010380 Bank : Axis BANK
Paid Days : 5 Account No 918010013128363
Category : Employee CTC : 324.015.00
UAN : 101265855626
Earnings Rate Monthly Deductions Monthly
BASIC SALARY 4682.00 4682.00 Provident Fund 1782.00
Special Allowance 1000.00 1000.00 Provident Tax 200.00
Gross Earning 5682.00 5682.00 Gross Deduction 1982.00
Net Amount 3700.00
Net Pay in words :Rs Three thousand Seven hundred Only
For PSC Infracon Pvt. Ltd.

Authorised Signatory
fracon Pvt. Ltd.

d Signatory
PSC Infracon Pvt. Ltd.
Payslip for the month - May-2018
Name : Dhamal Sachin Sudhakar EmpCode :
CostCenter : 9 Sadashiv Designation :
PFAccNo : PUPUN03017070000000320 Bank :
Paid Days : 31 Account No
Category : Employee CTC :
UAN : 100842979282
Earnings Rate Monthly Deductions
BASIC SALARY 32504.00 32504.00 Provident Fund
MEDICAL ALLOWANCE 1250.00 1250.00 Professional Tax
CONVEYANCE ALLOWANCE 1600.00 1600.00
Special Allowance 11887.00 11887.00
Gross Earning 47241.00 47241.00 Gross Deduction

Net Amount 45241.00


Net Pay in words : Fourty Five Thousand Two Hundred Forty One Only
200
Sr. Engineer
ICICI BANK
187601500561
614,133.00

Monthly
1800.00
200.00
614133

2000.00

For PSC Infracon Pvt. Ltd.

Authorised Signatory
Scaffold insoecation checklist
Company name: Sacffold location
Completed by: Date: Time:
Sr.no. Safety Checks YES NO Coments

1 scaffold componets , planking in good condituion

planks graded scaffold?

2 All scaffold components in place & no defects ?

3 Competent person in charge of erection / in specation ?

4 screw jacks being used to level & scaffold when requried ?

5 Base plates & screw jacks in firm contact with mudsills & frame

6 scaffold is level plumb?

7 scaffolding brace properly attachead?

8 guard relling in place on all open site & ends?

9 scaffolding secured to structure to prevnt movement ?

10 brackets tube and clamp accessories?

11 proprly plesed with tightened?

12 area around scaffold has been secured /roped of?

13 proper access to lader secured in place?

14 scaffold contol tag has been sigened to apporled?

15 if insepction reveals scaffold is unsafe to

use has"DO NOT USE "tag?

Contracter safety / scaffolding incharge Claints safety officer Project manager sign.

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