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
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

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

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

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

Total man
Hours
280
0
240
256
280
288
304
264
0
288
296
280
7536

Remarks
SUNDAY

SUNDAY

SAFE WORKING HOURS FOR MONTH OF DEC-2012 IS- TOTAL 7536 Hours
Signature of Safety Officer