Sie sind auf Seite 1von 2

SAFETY & HEALTH OFFICER REPORT

MONTH OF

To :
From: 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 2 2.1 3 4 Safety & Health statistic. (Regulation 19 sub clause c) Man-hours work (No. LTI) : LTI case : No LTI (minor injury) : In-plant contractor accident : In-plant near miss : In-plant fire/smoke incident : Traffic accident (out-plant & in-plant) : Others incident : Frequency rate (LTI). : Frequency rate (No LTI) : Severity rate (LTI) : Machinery, equipment, processes with have the potential to cause an injury to employees. (Regulation 19 sub clause d) Machine transfer & new machine installation:Accident occurred in the work place. (Regulation 19 sub clause c)

Date :

References/Comment

Work conducted related to Occupational Health & safety to improve the safety & health at the work place. (Regulation 19 sub clause g) To Establish & Maintain healthy & safe working condition. (Regulation 19 sub clause b) Proposal for arrangement the works place and structure to improve the safety & health for the workers. (Regulation 19 sub clause f) Action by the employer to comply with law and regulations. (Regulation 19 sub clause a) Outstanding matters arising from previous report. (Regulation 19 sub clause h) OTHERS. (Regulation 19 sub clause i) CEO/MD/ COMMENT & RECOMMENDATION Signature: Date : CEO/MD/ COMMENT & RECOMMENDATION

5 6

7 8 9 10

PREPARED BY :

[ As refered in Occupational Safety and Health Act 1994 under OSH(Safety and Health Officer) Regulation 1997 Part V Sub Regulation 20(1), 20(2) and 20(3). ]

Das könnte Ihnen auch gefallen