MONTHLY HSE REPORT

1.Summary
Incident:

Activities:

2.Inputs

Contractor Work Average Safety Total Total No. of Yellow Red First Record- Lost Fatality
Category No. of Training Man- Non- card card Aid able Work
Worker/ Hours hours Compliance injury Case
day Worked
1.
2.
3.
4.
5.
6.
7.

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec YTD
Total No. of Worker
Total Hours Worked

Safety Training Hours

Total No. of non-compliance

Yellow card

Red Card

First Aids

Recordable injury case

Recordable injury case rate

Lost work case

Lost Work Case Rate

Fatality

HSE-07
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