Health, Safety and Environment (HSE) Monthly Report

(Submit by the 5th of preceding month)

Month of : FEBRUARY 2018 Year of :_____2018___________

Site / Building : BUILDING Reported by : IRFANDI ABIDIN

Designation : SAFETY SUPERVISOR

Business / Project : SIGNATURE TOWER K.L

No Man-hour and Loss Time Injury ( LTI ) ** Total No. Cases Note
1. No. of workers 178 -
2. Total Man-hours works 39,872 -
3. No. of LTI cases - -
4. No. of LTI days - -
5. No. of no LTI ( minor injury ) - -
6. No. of near-miss Incident - -
7. No. of dangerous occurrences - -
8. No. of occupational disease / poisoning - -
Please refer calculation of LTI in safety statistic**

1.2 Summary Causes of Bodily Injury

( Reg. 19 ( 2 ) sub clause d ) – Machinery, plant, equipment, process which have potential to cause
bodily injury
No Category** Total No. YTD Machine Plant Equip Process Control Measure (s)
1. First Aid Cases Nil

2. Minor Nil
( < 4 days MC )
3. Serious Nil
( > 4 days MC )
4. Fatal Nil

Please refer JKKP 8 or attached recorded**

Section 2.0 Regulatory Compliance

( Action to be taken by employer to comply ( Reg. 19( 2 ) sub clause a)
2.1 Legal Compliances
No. Authority** Date Non-Compliances ( Notice ACT CAPA
no. )
1. Department of Safety and
Health ( DOSH ) ( OSHA Nil
1994, Factories and Machinery
Act 1967 )
2. Department of Environment ( Nil
DOE ) ( Environment Quality
Act 1967 )
3. Suruhanjaya Tenaga Nil
(Electricity Supply Act 1990 )

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 4. Fire and Rescue Department Nil
(Fire Service Act 1988 )
5. Local Authority and Other
Regulatory bodies ( Uniform
Building By Laws ( UBBL ) Nil
1984 ),
( Street, Drainage and
Building Act 1974 ), ( Food
Act 1983 )
Please refer Attachment compliances of OSHA**

2.2 Permit and Licenses

No. Item Date Non-Compliances ACT CAPA
Expired
1. PMA, PMT, PMD Nil

2. Fire Certificate / LPTA / 29/3/18 Nil

Fire Extinguisher
3. Others Nil

Section 3.0 HSE Promotion, Program & Activities

( Establish and maintain safety and health working condition including safety promotion, training,
audit
And meeting ( Reg. 19 ( 2 ) sub clause b and g )
3.1 HSE Event and Training
No. Activities Date Locations Participants Comment
1. Safety Induction / 1- Gate 2 33
Orientation 28/2/18
2. Forklift Awareness 30/1/18 P5 5 Monthly
Inspection
3. First Aid & CPR
4. Fire Extinguisher
5. Cutting Machine Safety
6. PPE & Safety Harness
7. Step Ladder safety
8. Mobile scaffold safety
9. Electrical Safety
10. Environment / Green
11. NADOPOD
12. Accident Investigation
13. Ergonomic
14. Safety & Health campaign
15. Workplace Health
16. Road Safety
17. Safety Awareness
Medical Surveillance

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3.2 Process / Procedure / Practices

No. Activities Date Locations Participants/QTY Comment

1.
2. Tools Inspection 1-28/2/18 Store/site 34 Nos
3. Permit to work 1-28/2/18 TOWER 4 Hot work
permit
4. First Aid Box update 28/2/18 Site office/store 3 Nos
P5
5. Fire Evacuation / Drill
3.3 Safety and Health Committee Meeting
No. Activities Date Locations Participants Comment
1. Safety Committee 26/2/18 CSCEC Meeting 27 Monthly
meeting Room
2. Tool Box Briefing 1-28/2/18 P4 178

3. HSE Fit Out Safety Every Mulia Meeting 9

Meeting Friday Room
3.4 Accidents Investigation
1. Analysis trend Nil

3.5 Analyzing Accident Trend

1. Analysis trend Nil

3,6 Others HSE matters

1. Analysis trend
Section 4.0 HSE Audit & Inspection*
No Date Type Location Finding and No of NCR CAPA / Warning
Minor Major Observation Verbal Written

Please refer CAR report attachment or Inspection report*

Section 5.0 HSE Policy and Arrangement

( Structure or arrangement at workplace to improve safety and health ( Reg. 19 ( 2 ) sub clause f)
No. Items Date Activities Remarks
1. HSE Policy Statement 01/01/2017
2. HSE Manual 01/01/2017

3. HSE Procedure 01/01/2017

4. HSE Instruction 01/01/2017

5. HSE Form, Record and 01/01/2017

Report
6. Other Relevant 01/01/2017
document associated with HSE
7. Health,Safety And 01/05/2017
Environment Plan
8. Safe Work Method Statement 17/10/2017
For Lintel Installation

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Section 6.0 Construction Machinery at Site
Machinery, plant, equipment, appliances or PPE required to minimized the risk ( Reg. 19 ( 2 ) sub
clause e )
No. Type machine Unit No. PMT/JPJ Expiry date
Reg.
1. Backhoe
2. Excavator
3. Forklift 1
4. Damper
5. Genset
6. Metal Cutting machine
7. Bent steel machine
8. Crawler Crane
9. Boring Rig (Hydraulic)

10 Air Compressor
Type of Plant Unit No. PMA Expiry date PMA

No. Type of Equipment Unit No. PMA Expiry date PMA

No. Type of PPE Equipment Unit No. PMA Expiry date PMA

Section 7.0 Outstanding matter arising from previous report

NIL

Section 9.0 Comments / Suggestions

NIL
Prepared by Approved by
Name : IRFANDI ABIDIN Name : GOH KIEN CHUAN
Position: SAFETY SUPERVISOR Position: PROJECT DIRECTOR
Date: 28/2/2018 Date: 28/2/2018

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