Daily Health, Safety & Environment Report

1. PERSONAL DETAIL/REPORTING AREA:

2. ACTIVITIES PERFORMED FOR THE PROJECT:

3. MANPOWER LOADING:

4. HSE STATISTIC:

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Daily Health, Safety & Environment Report
5. PERMIT TO WORK ISSUED (By TECHNOFIT or by client/others:

Permit To Work Issuance: Quantity

HOT Work Permit COLD Work Permit: CSE Permit:

PTW Non-Conformance:

6. OTHER ACTIVITIES

RESULT
DESCRIPTION YES / NO DETAILS Satisfactory /
NO
Observation /
Reject / Penalty
1 Safety Induction
2 Tool Box Talk Refer Below para 9
3 Emergency Drill
4 Total Safety Task Instruction
5 Drug & Alcohol
6 Training (In house / OJT) Refer Below para 9
7 Site Walkabout
8 HIRARC Compliances
9 PPE Quality Randomly Check
10 IC / Passport
11 Machineries
12 Tools
13 Equipment
14 Lifting Gears
15 Scaffolding
Working at Height Safety
16
(Harness Usage etc.)
17 Forklift & Driver
18 Tele Handler & Driver
19 Crane & Driver
20 Lorry & Driver
21 Isolation / LOTO
22 POWRA
23 House Keeping
24 Waste Containers
25 Lifting Compliance
26 Access Areas
27 Safety Barriers
28 Signage
29 Confined Space Standby Person
Confined Space Authorised
30
Entry
31 Ventilation Equipment
32 Visibility / Lighting
Administration Control at
33
Confined Space Entry
34 Fire Extinguisher
35 First Aid Boxes
Atmospheric Test (O2, Toxic,
36
Explosion)
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7. RESULT DETAILS (Provide Evidence) Observation / Reject / Penalty

STATUS
DESCRIPTION NAME COMPANY Open Close

8. NARRATION OF OBSERVATIONS/INCIDENTS/INCIDENTS/NON-CONFORMANCE/GOOD FINDINGS ETC.

Specify time, location and areas

9. TOOLBOX TOPICS / ON JOB TRAINING

NO TOPIC HOURS PERSONNEL INVOLVED REMARK

Prepared by SSS Verified by SHO

Name: Name:
Position: Position:
Date: Date:

TSB-F-QHSE-18-40 R02