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MONTHLY HEALTH, SAFETY & ENVIRONMENT (HSE) REPORT

Project Name:
Report No: 08
Location:
Name of the Work:
Sino
ITEM
1
Total Strength (Staff+ Workmen)
2
Number of HSE Meeting organized at site
3
Number of HSE awareness Programs conduction at site
4
Whether Workmen compensation policy taken
5
Whether Workmen compensation policy is valid
6
Whether Workmen registered under ESI Act.
7
Number of Fatal Accidents.
8
Number of Loss Time Accidents (Other then Fatal)
9
Other accidents (Non Loss Time)
10
Total No of Accidents
11
Total Man-Hours Worked
12
Man-hour loss due to Fire & Accidents
13
Compensation cases raised with Insurance
14
Compensation cases resolved and paid to workmen
Remarks if any: -

------------------------Project Engineer

Month of: DEC-2013


Status as on: 31/12/2012
Name of the Safety Officer:
THIS MONTH

CUMULATIVE

40
22
03
NA
NA
YES
00
00
0
0
7536
00
00
00

40
22
03
NA
NA
00
00
0
0
7536
00
00
00

--------------------------Safety Officer

MONTHLY MAN HOURS REPORT


Project Name:

Si No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total

Date
01/12/2012
02/12/2012
03/12/2012
04/12/2012
05/12/2012
06/12/2012
07/12/2012
08/12/2012
09/12/2012
10/12/2012
11/12/2012
12/12/2012
13/12/2012
14/12/2012
15/12/2012
16/12/2012
17/12/2012
18/12/2012
19/12/2012
20/12/2012
21/12/2012
22/12/2012
23/12/2012
24/12/2012
25/12/2012
26/12/2012
27/12/2012
28/12/2012
29/12/2012
30/12/2012
31/12/2012

Month:DEC-2013
Location:
No. of
Staff
06
0
06
05
06
06
06
05
0
06
05
06
06
06
06
0
05
05
06
06
05
06
0
06
0
06
06
06
06
0
05

No. of
Total
workmen Strength
29
35
0
0
24
30
27
32
29
35
30
36
32
38
28
33
0
0
30
36
32
37
29
35
31
37
35
41
35
41
0
0
38
43
36
41
39
45
38
44
36
41
36
42
0
0
22
28
0
0
32
38
27
33
36
42
36
42
0
0
32
37

Working
Hours
08
0
08
08
08
08
08
08
0
08
08
08
08
08
08
0
08
08
08
08
08
08
0
08
0
08
08
08
08
0
08

Total man
Hours
280
0
240
256
280
288
304
264
0
288
296
280
296
328
328
0
344
328
360
352
328
336
0
224
0
304
264
336
336
0
296
7536

Remarks
SUNDAY

SUNDAY

SUNDAY

SUNDAY
HOLIDAY

SUNDAY

SAFE WORKING HOURS FOR MONTH OF DEC-2012 IS- TOTAL 7536 Hours
Signature of Safety Officer
1. Induction Training: When people are entering the site at first time they should
be given Induction Training.

Sub:
1. Use of various PPE (Shoes, Helmet etc).
2. Drinking water Facility.
3. Food facility.
4. Rest facility if any
5. Importance of Safety.
6. Importances of accident free Site.
7. First aid facility.
8. Hospital Facility.
9. Reporting to whom when meet with an accident.
10. Penalty Clause: if Safety not observed.
11. Urinal/ Toilet facility

2 .Tool Box talk: Job related training to be given to the people at various intervals
..SubjectHOT WORK- Welding, Grinding, Gas cutting
COLD WORK- Loading, Unloading Heavy Materials all type of Rigging work, painting All
Type of Insulation work
Work On Height Ducting Work above 2Mtr Height, chilled water pipe support and
installation

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