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Cv shahid hussain_hse manager

More than 17 years of professional experience in the implementation & monitoring of Health, Safety and Environment management system and procedures as per OHSAS18001 and ISO 14001requirements. J3.Project Reliance Refinery Jamnagar (Gujarat) Pipe rack, LIN & LOX Tank. S.S Spool , U.G Pipe line. DIL 2X300 MW Power Project Chandrapur (Chimeney 275 m height , cooling tower, T.G, Boiler etc). AL Munnera, AL Raha project Abudhabi , UAE (Construction of Multistoried buildings, Circular Residential Towers, Town houses & Villas). DUBAL, DX. Technology Development Project (Bus bar, Pot line) Dubai (UAE). Emirates Aluminum smelter complex Project, (Cast House) Abudhabi. DUBAI FESTIVAL CITY (High rise Building, Shopping Mall, tunnel, Culvert etc.). BPCL Refinery India CRUDE DISTILLATION & VACUUM DISTILLATION UNIT HEAT EXCHANGER, SRU, LPG & FIRE WATER VALVE SYST.Lafarge cement Plant. Fabrication, Erection & Maintenance of all TATA STEEL PLANTS, i.e. G.C.P, Gas holder, Hot strip mill, Cold rolling Mill wire and Rod mill & Power Plant. Power plant Maintenance work.

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CURRICULAM VITAE
SHAHID HUSSAIN
Email: shahidhussain3@rediffmail.com
Mobile No.: +91 9833650531 / 7562841904
Date of Birth: January 03, 1973
Nationality: Indian
Driving license: Valid UAE driving license No. 1471670 (Exp. 09/08/2019)
Post Applied For- HS&E MANAGER
Summary of Key Skill and Experiences:
More than 17 years of professional experience in the implementation & monitoring of
Health, Safety and Environment management system and procedures as per OHSAS18001
and ISO 14001 requirements.
Language – English, Hindi, Urdu, Arabic, Bengali & Punjabi
Professional & Educational Qualification:
 Master programme in Chemical Engineering (MCE) From CIMS India. Apr-014
 B. SC (Chemistry Hon) 1st class From Magadh Univ. India. 1995
 Diploma in Industrial Safety Management, Patna University, India – Oct-2001
 IOSH Managing Safely (UK) from Euro link safety services, UAE.
 Internal auditor course OHSAS 18001:2007, ISO14001: 2004 & ISO 9001:2000 From Euro link.
Training Course:
 Fire Prevention, Fire Protection and Fire Fighting from Patliputra School of Fire &
Safety, Ind.
 One month attachment training in Safety practice TATA Engineering (TELCO).
 Mechanical Hazard Prevention from B. Engineering College (Patna) India.
 Successfully completed 3 days programme on work permit, authorised to sign Fire
Permit, Safety, Health & Env. Programme conducted by Fire and Safety Dept. BPCL
Refinery India.
 First Aid Course , St. John Ambulance Association Red Cross Society, India
 Successfully completed Rescue from Height Training
 Successfully completed 4 days Basic Scaffolding Supervisory / Inspector. Safety
Awareness training from RIL Refinery.
Certification from EUROLINK Safety Services, UAE:
 Basic First Aid Course ( CPR Included)
 Confined Space Entry/ Rescue
 Gas Testing for hazardous atmosphere
 Emergency Response
 Working safely at height & Safety Harness Inspection.
 Fire Warden/ Fire Marshal Training
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 Abrasive wheels & grinding safety.
 Rigging, Lifting & Slinging banks man Course
Professional Affiliation:
 Member of National Safety Council India.
Computer Exposure:
 Working knowledge of MS Office, Power point, Excel, Internet & Intranet.
PROFESSIONAL EXPERIENCE:
1. June, 2011 To July, 2016
Organization: Punj Lloyd LTD
Position: Health, Safety & Environment Manager
a) Project : - J3 Reliance Refinery Jamnagar (Gujarat).
Consultant : - FLUOR.
Duration : - Nov, 2013. To uly, 2016.
 Liaise with clients, consultants, and construction teams relating to HSE issues
 Liaise with statutory bodies, certification agencies and consultants
 Attend important client meetings where safety is an item on the agenda
 Investigate all accidents and recommend appropriate corrective action/
measures
 Keep abreast of ILO safety guidelines and other internationally recognized
HSE organizations.
I’worked with a World’s Largest Refining Complex for their construction division as a HSE Manager I’m
mainly responsible for implementation of construction HSE systems and overall HSE procedures of the
company.
We are the main contractor and so many subcontractors are working under PLL. My responsibilities are to
development & implementation of HSE Systems, Plans and overall HSE aspects of the company. I am
mainly responsible to lead the team of 46 HSE staff engaged for monitoring of subcontractor activities,
Preparation & Implementation of Risk Assessments,Auditing Internal HSE Audit once a month, monitor &
control the implemented work Permit System, Identify, prepare & conduct various HSE trainings,
coordinate & arrange special trainings with Reliance trainers, Accident analysis, investigations by using,
root cause analysis, run motivational programs, Prepare & Implement the emergency evacuation / rescue
plans, Heat stress management plans, etc. Review the JSA, procedures before it is being implemented,
review, & monitor the implementation of the various rigging / lifting plans, monitoring the Labour Camps,
site First Aid facilities. Record keeping and generation of the reports was the part of the responsibilities
b) Project : - DIL 2X300 MWPower Project Chandrapur (MH).
Consultant : - RPG.
Duration : - June, 2011. To Oct, 2013.
Reviewing of project specific HSE plans & Emergency Evacuation plans along with monitoring the
implementation of Project Safety Plan and HSE manual. Reviewing and approving risk assessments.
Drafting correspondence with client, consultant and subcontractors
coordinating / attending safety meetings with client/ consultants.
Ensuring safety documents are maintained at all times & handling Chimney 200m height, Cooling
3
tower, Boiler & the erection work of T.G columns for Power plant project.
Collecting and analyzing injury, claim, and safety survey statistical data to write technical reports and
making presentations to sub- contractors and management regarding contractor performance.
2. July. 2005 to Sept 2010
Organization: AL-FUTTAIM CARILLION L.L.C. DUBAI.
Position: Health, Safety & Environment Manager
a) Project : - AL Munnera – AL Raha project Abudhabi , UAE (Construction ofMulti
Storied buildings, Circular Residential Towers, Town houses & Villas)
b) Project : - DX. Technology Development Project(Bus bar, Pot line) Dubai (UAE)
Client : - DUBAL, Dubai, (UAE)
c) Project :- Emirates Aluminium smelter complex Project, (Cast House) Abudhabi
Consultant : - SNC.LAVALIN, WORLEYPARSONS.
d) Project :- Naptha Hydro Treater Reformer Project
Consultant :- Foster Wheeler Management Operations Ltd. (Uk)
Client : - EPCL (ENOC) REFINERY, JEBEL ALI (JAFZA), DUBAI, (UAE)
e) Project : - DUBAI FESTIVAL CITY (High rise Building, Shopping Mall, tunnel,Culvert etc.)
ISO 14001 & OSHAS 18001 Construction Company and winner Gulf safety award, ROSPA - Royal
Societies for the Prevention of Accidents has awarded Carillion Property Services a Gold award for the
third consecutive year and International Safety Award by the British Safety Council (BSC).
Consultant: Hyder & HOK, Mott Mac Donald, Foster wheeler, Worley parsons and SNC Lavalin.
Accountability:
Ensure that safety and sustainability are integrated into management and work practices and formed part
of the culture to accomplish program objectives and ensure worker and public health and safety.
Monitor program activities in the field and ensue that the deliverables and outcomes associated with a
program are technically adequate.
Handling weekly HSE reports, reviewing project HSE & emergency evacuation plan, method statement,
risk assessment.
Developing and delivering in house training presentation / courses on health, safety and environmental
topics on visual display units VDU including working at height, abrasive wheel operation, confined space,
Rigging lifting, safe driving practices for contractors employees crane lifting procedures, manual handling
technique & display screen equipments.
Monitoring Work Permit System.
Handling the erection work of Pre-Engineered Steel Structures and Roof Thermal Insulated Cladding,
culvert, tunnel Cast house.
Attainments:
Represented the safety team that completed 10 Millions Safe Man Hours with the largest & prestigious
project at Dubai Festival City in March 2006.
3. Oct. 2003 to July.2005
Organization: : - BPCL RefineryMumbai India (M/S. Gopinath Engg Co.)
Position: : - HSE Engineer.
a) Project : - Crude Distillation & Vacuum Distillation Unit, Tankes,
Heat Exchanger, Sru, Lpg & Fire Water Valve Syst.
b) Project : - Fabrication, Erection & Maint. ofall Polymers CO. i.e. Gas phasing Reactor.
Client : - ABUDHABI POLYMERS CO.LTD BOROUGE (ADNOC)
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4. Oct. 2002 to Oct. 2003
Organization: Lafarge cement Plant (M/S. Vishal Engg.) Jamshed Pur INDIA.
Position: Safety Officer.
Oct. 2001 to Sept. 2002
Organization: TATA STEEL (Gouri Shankar & Co.) Jamshed Pur INDIA
Position: Safety Officer.
Project : - Fabrication, Erection & Maintenance ofall TATA STEEL PLANT, i.e. G.C.P,
Gas holder, Hot strip mill (HSM), Cold rolling Mill (CRM), wire and Rod mill.
July. 1995 to Dec 1999
Organization: Gouri Shankar & Co. (TATA Power Plant Rahar Gora Jhar Khand)
Position: Safety Officer.
Project : - TATA Power plant Maintenance work.(Jamshed Pur)
Responsibilities:-
 Prepare monthly and weekly HSE performance statistics.
 Preparation of weekly and monthly safety report.
 Advise management on the following:
1. Ways to prevent injury to personnel, damage to plant and equipment.
2. Ways to improve existing work methods.
3. Legal and contractual requirements effecting safety, health and welfare as per
ministerial orders. Federal law and municipality regulations.
4. Changes in safety requirements.
 Foster within the company the understanding that injury prevention and damage control
is an integral part of business and operational efficiency.
 Monitor site operations to see that only safe work methods are being carried out and that
health safety requirements are being observed, welfare and first aid facilities are
adequate and properly maintained.
 Determine the cause of any accident (dangerous occurrence) and recommend means of
preventing recurrence of such an incident.
 Imparting specialized in-house safety training to site Engineers and Supervisors.
 Keep up-to-date with recommended codes of practice and safety literature and circulate
information applicable to each level of Employee.
 Attend job progress meeting where safety is first on the agenda.
 Inspection of workshops, Stores and Labour camp to fulfil Health and safety reqt.
 Monitor the effectiveness of subcontractor’s HSE Policies and procedure.
 Conduct safety Induction, weekly Tool Box Talk & monthly HSE training to Staff.
 Carrying out Site safety inspection and audit at various sites.
 Carrying out accident investigation and reporting to the management about accident
trends.
 Monitoring of subcontractors for safety compliance.
 Permit to work (Hot work, Cold work, Excavation, Safe entry & Electrical)
coordination.
 Authorize permit to work (PTW) and checking specified safety precautions.
 Heavy equipment/ Vehicle & Construction equipment inspections.
 Review of lifting equipment and on site inspection of crane operations.
5
 Imparting initial safety induction and routine, fire and safety training to all workers.
 Assessing internal safety audit & job safety analysis (JSA) for critical activities.
 Organizing safety committee meeting.
 Conducting incident/accident, near miss, unsafe act, unsafe condition and fire
investigations and recommending appropriate corrective measures.
 Planning procurement, inspection and maintenance of fire fighting equipment and
PPE.
 Co-ordinate mock drills for various Emergency situations, e.g. fire, Gas, Evacuation,
Major accident, Natural disasters as far as possible disseminate of all knowledge gained.
 Organizing & conducting training for supervisors, safety representatives, employees
and for motivational training to own and subcontractor employees.
 Co-ordinating during safety committee meeting, preparation of agenda, minutes of
meeting etc.
 Daily inspection of work sites for locating hazards and issuing report, following up
implementation (that is conducting daily micro safety audit).
 Organizing tool box talk meeting before starting job for briefing. About likelihood of
risk, method statement and measures required for prevention & control.
 Periodic quarterly half-yearly, annually, HSE performance appraisal based on accident
statistics, cost of safety & cost of accident ratio, etc.
 According to MSDS preparing COSHH risk assessment & COSHH permit.
 Conducting internal training for waste management and work permit system, storage
and transportation of chemicals and hazardous materials.
 Dispose the waste according to municipality requirements.
 Maintain chemicals register.
 To give Induction Training and briefing of Site Safety norms to all new comers and
visitors.
 Developing and implementing safety programmes, incentive programmes, safety
competitions and other activities which will develop & sustain the interest of the
workers.
 Developing safety posters, signs, slogans, bulletins, publications, etc. and distributing.
 Coordination of inspection of lifting tackles and heavy lifting equipment by third party
and routine inspections of above at work site and yards.
PermanentAddress
Vill: Khairanti P.O. – HussainganJ Dist: Siwan, Bihar- Pin 841237, INDIA.
Mob. No.: 0091 – 8804564379 Mob. No: 0091- 7562841904
PassportDetails
Passport No: L9601899
Place of Issue: Patna
Date of Issue: 19/05/2014
Date of Expiry: 18/05/2024 (F)
Declaration: I do hereby declare that all the above mentioned information are
true and correct to the best of my knowledge and belief.
Date: …………………. Place: Mumbai (INDIA) Signature.

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Cv shahid hussain_hse manager

  • 1. 1 CURRICULAM VITAE SHAHID HUSSAIN Email: shahidhussain3@rediffmail.com Mobile No.: +91 9833650531 / 7562841904 Date of Birth: January 03, 1973 Nationality: Indian Driving license: Valid UAE driving license No. 1471670 (Exp. 09/08/2019) Post Applied For- HS&E MANAGER Summary of Key Skill and Experiences: More than 17 years of professional experience in the implementation & monitoring of Health, Safety and Environment management system and procedures as per OHSAS18001 and ISO 14001 requirements. Language – English, Hindi, Urdu, Arabic, Bengali & Punjabi Professional & Educational Qualification:  Master programme in Chemical Engineering (MCE) From CIMS India. Apr-014  B. SC (Chemistry Hon) 1st class From Magadh Univ. India. 1995  Diploma in Industrial Safety Management, Patna University, India – Oct-2001  IOSH Managing Safely (UK) from Euro link safety services, UAE.  Internal auditor course OHSAS 18001:2007, ISO14001: 2004 & ISO 9001:2000 From Euro link. Training Course:  Fire Prevention, Fire Protection and Fire Fighting from Patliputra School of Fire & Safety, Ind.  One month attachment training in Safety practice TATA Engineering (TELCO).  Mechanical Hazard Prevention from B. Engineering College (Patna) India.  Successfully completed 3 days programme on work permit, authorised to sign Fire Permit, Safety, Health & Env. Programme conducted by Fire and Safety Dept. BPCL Refinery India.  First Aid Course , St. John Ambulance Association Red Cross Society, India  Successfully completed Rescue from Height Training  Successfully completed 4 days Basic Scaffolding Supervisory / Inspector. Safety Awareness training from RIL Refinery. Certification from EUROLINK Safety Services, UAE:  Basic First Aid Course ( CPR Included)  Confined Space Entry/ Rescue  Gas Testing for hazardous atmosphere  Emergency Response  Working safely at height & Safety Harness Inspection.  Fire Warden/ Fire Marshal Training
  • 2. 2  Abrasive wheels & grinding safety.  Rigging, Lifting & Slinging banks man Course Professional Affiliation:  Member of National Safety Council India. Computer Exposure:  Working knowledge of MS Office, Power point, Excel, Internet & Intranet. PROFESSIONAL EXPERIENCE: 1. June, 2011 To July, 2016 Organization: Punj Lloyd LTD Position: Health, Safety & Environment Manager a) Project : - J3 Reliance Refinery Jamnagar (Gujarat). Consultant : - FLUOR. Duration : - Nov, 2013. To uly, 2016.  Liaise with clients, consultants, and construction teams relating to HSE issues  Liaise with statutory bodies, certification agencies and consultants  Attend important client meetings where safety is an item on the agenda  Investigate all accidents and recommend appropriate corrective action/ measures  Keep abreast of ILO safety guidelines and other internationally recognized HSE organizations. I’worked with a World’s Largest Refining Complex for their construction division as a HSE Manager I’m mainly responsible for implementation of construction HSE systems and overall HSE procedures of the company. We are the main contractor and so many subcontractors are working under PLL. My responsibilities are to development & implementation of HSE Systems, Plans and overall HSE aspects of the company. I am mainly responsible to lead the team of 46 HSE staff engaged for monitoring of subcontractor activities, Preparation & Implementation of Risk Assessments,Auditing Internal HSE Audit once a month, monitor & control the implemented work Permit System, Identify, prepare & conduct various HSE trainings, coordinate & arrange special trainings with Reliance trainers, Accident analysis, investigations by using, root cause analysis, run motivational programs, Prepare & Implement the emergency evacuation / rescue plans, Heat stress management plans, etc. Review the JSA, procedures before it is being implemented, review, & monitor the implementation of the various rigging / lifting plans, monitoring the Labour Camps, site First Aid facilities. Record keeping and generation of the reports was the part of the responsibilities b) Project : - DIL 2X300 MWPower Project Chandrapur (MH). Consultant : - RPG. Duration : - June, 2011. To Oct, 2013. Reviewing of project specific HSE plans & Emergency Evacuation plans along with monitoring the implementation of Project Safety Plan and HSE manual. Reviewing and approving risk assessments. Drafting correspondence with client, consultant and subcontractors coordinating / attending safety meetings with client/ consultants. Ensuring safety documents are maintained at all times & handling Chimney 200m height, Cooling
  • 3. 3 tower, Boiler & the erection work of T.G columns for Power plant project. Collecting and analyzing injury, claim, and safety survey statistical data to write technical reports and making presentations to sub- contractors and management regarding contractor performance. 2. July. 2005 to Sept 2010 Organization: AL-FUTTAIM CARILLION L.L.C. DUBAI. Position: Health, Safety & Environment Manager a) Project : - AL Munnera – AL Raha project Abudhabi , UAE (Construction ofMulti Storied buildings, Circular Residential Towers, Town houses & Villas) b) Project : - DX. Technology Development Project(Bus bar, Pot line) Dubai (UAE) Client : - DUBAL, Dubai, (UAE) c) Project :- Emirates Aluminium smelter complex Project, (Cast House) Abudhabi Consultant : - SNC.LAVALIN, WORLEYPARSONS. d) Project :- Naptha Hydro Treater Reformer Project Consultant :- Foster Wheeler Management Operations Ltd. (Uk) Client : - EPCL (ENOC) REFINERY, JEBEL ALI (JAFZA), DUBAI, (UAE) e) Project : - DUBAI FESTIVAL CITY (High rise Building, Shopping Mall, tunnel,Culvert etc.) ISO 14001 & OSHAS 18001 Construction Company and winner Gulf safety award, ROSPA - Royal Societies for the Prevention of Accidents has awarded Carillion Property Services a Gold award for the third consecutive year and International Safety Award by the British Safety Council (BSC). Consultant: Hyder & HOK, Mott Mac Donald, Foster wheeler, Worley parsons and SNC Lavalin. Accountability: Ensure that safety and sustainability are integrated into management and work practices and formed part of the culture to accomplish program objectives and ensure worker and public health and safety. Monitor program activities in the field and ensue that the deliverables and outcomes associated with a program are technically adequate. Handling weekly HSE reports, reviewing project HSE & emergency evacuation plan, method statement, risk assessment. Developing and delivering in house training presentation / courses on health, safety and environmental topics on visual display units VDU including working at height, abrasive wheel operation, confined space, Rigging lifting, safe driving practices for contractors employees crane lifting procedures, manual handling technique & display screen equipments. Monitoring Work Permit System. Handling the erection work of Pre-Engineered Steel Structures and Roof Thermal Insulated Cladding, culvert, tunnel Cast house. Attainments: Represented the safety team that completed 10 Millions Safe Man Hours with the largest & prestigious project at Dubai Festival City in March 2006. 3. Oct. 2003 to July.2005 Organization: : - BPCL RefineryMumbai India (M/S. Gopinath Engg Co.) Position: : - HSE Engineer. a) Project : - Crude Distillation & Vacuum Distillation Unit, Tankes, Heat Exchanger, Sru, Lpg & Fire Water Valve Syst. b) Project : - Fabrication, Erection & Maint. ofall Polymers CO. i.e. Gas phasing Reactor. Client : - ABUDHABI POLYMERS CO.LTD BOROUGE (ADNOC)
  • 4. 4 4. Oct. 2002 to Oct. 2003 Organization: Lafarge cement Plant (M/S. Vishal Engg.) Jamshed Pur INDIA. Position: Safety Officer. Oct. 2001 to Sept. 2002 Organization: TATA STEEL (Gouri Shankar & Co.) Jamshed Pur INDIA Position: Safety Officer. Project : - Fabrication, Erection & Maintenance ofall TATA STEEL PLANT, i.e. G.C.P, Gas holder, Hot strip mill (HSM), Cold rolling Mill (CRM), wire and Rod mill. July. 1995 to Dec 1999 Organization: Gouri Shankar & Co. (TATA Power Plant Rahar Gora Jhar Khand) Position: Safety Officer. Project : - TATA Power plant Maintenance work.(Jamshed Pur) Responsibilities:-  Prepare monthly and weekly HSE performance statistics.  Preparation of weekly and monthly safety report.  Advise management on the following: 1. Ways to prevent injury to personnel, damage to plant and equipment. 2. Ways to improve existing work methods. 3. Legal and contractual requirements effecting safety, health and welfare as per ministerial orders. Federal law and municipality regulations. 4. Changes in safety requirements.  Foster within the company the understanding that injury prevention and damage control is an integral part of business and operational efficiency.  Monitor site operations to see that only safe work methods are being carried out and that health safety requirements are being observed, welfare and first aid facilities are adequate and properly maintained.  Determine the cause of any accident (dangerous occurrence) and recommend means of preventing recurrence of such an incident.  Imparting specialized in-house safety training to site Engineers and Supervisors.  Keep up-to-date with recommended codes of practice and safety literature and circulate information applicable to each level of Employee.  Attend job progress meeting where safety is first on the agenda.  Inspection of workshops, Stores and Labour camp to fulfil Health and safety reqt.  Monitor the effectiveness of subcontractor’s HSE Policies and procedure.  Conduct safety Induction, weekly Tool Box Talk & monthly HSE training to Staff.  Carrying out Site safety inspection and audit at various sites.  Carrying out accident investigation and reporting to the management about accident trends.  Monitoring of subcontractors for safety compliance.  Permit to work (Hot work, Cold work, Excavation, Safe entry & Electrical) coordination.  Authorize permit to work (PTW) and checking specified safety precautions.  Heavy equipment/ Vehicle & Construction equipment inspections.  Review of lifting equipment and on site inspection of crane operations.
  • 5. 5  Imparting initial safety induction and routine, fire and safety training to all workers.  Assessing internal safety audit & job safety analysis (JSA) for critical activities.  Organizing safety committee meeting.  Conducting incident/accident, near miss, unsafe act, unsafe condition and fire investigations and recommending appropriate corrective measures.  Planning procurement, inspection and maintenance of fire fighting equipment and PPE.  Co-ordinate mock drills for various Emergency situations, e.g. fire, Gas, Evacuation, Major accident, Natural disasters as far as possible disseminate of all knowledge gained.  Organizing & conducting training for supervisors, safety representatives, employees and for motivational training to own and subcontractor employees.  Co-ordinating during safety committee meeting, preparation of agenda, minutes of meeting etc.  Daily inspection of work sites for locating hazards and issuing report, following up implementation (that is conducting daily micro safety audit).  Organizing tool box talk meeting before starting job for briefing. About likelihood of risk, method statement and measures required for prevention & control.  Periodic quarterly half-yearly, annually, HSE performance appraisal based on accident statistics, cost of safety & cost of accident ratio, etc.  According to MSDS preparing COSHH risk assessment & COSHH permit.  Conducting internal training for waste management and work permit system, storage and transportation of chemicals and hazardous materials.  Dispose the waste according to municipality requirements.  Maintain chemicals register.  To give Induction Training and briefing of Site Safety norms to all new comers and visitors.  Developing and implementing safety programmes, incentive programmes, safety competitions and other activities which will develop & sustain the interest of the workers.  Developing safety posters, signs, slogans, bulletins, publications, etc. and distributing.  Coordination of inspection of lifting tackles and heavy lifting equipment by third party and routine inspections of above at work site and yards. PermanentAddress Vill: Khairanti P.O. – HussainganJ Dist: Siwan, Bihar- Pin 841237, INDIA. Mob. No.: 0091 – 8804564379 Mob. No: 0091- 7562841904 PassportDetails Passport No: L9601899 Place of Issue: Patna Date of Issue: 19/05/2014 Date of Expiry: 18/05/2024 (F) Declaration: I do hereby declare that all the above mentioned information are true and correct to the best of my knowledge and belief. Date: …………………. Place: Mumbai (INDIA) Signature.