DATE 08.11.

2019
SR. NO. ` SECTION Topic

1 Ratna Project Near Miss Reporting

2 Sameer Vora Civil & Febrication Near Miss Reporting

3 SIS Security Security Near Miss Reporting

4 Avon Facility House keeping Near Miss Reporting

5 Pratham packers Production & Maint Near Miss Reporting

6 Roshni Co. FORKLIFT Near Miss Reporting

7 Heena Loader loading & unloading Near Miss Reporting

8 Shakti association Boiler operation Near Miss Reporting

9 Chokhani Civil & Febrication Near Miss Reporting

10 Royal Tarry Scrap yard Near Miss Reporting

11 Vishnu indu Febrication Near Miss Reporting

12 System Design Febrication & Service Near Miss Reporting

13 Ravi electrical Cabling work Near Miss Reporting

14 Yellow Line Service Near Miss Reporting

15 Pest Termination Service Near Miss Reporting

16 Concept india Mechanical work Near Miss Reporting

17 Floor Cell Electrical services Near Miss Reporting

18 R B Buildcon Civil & Febrication Near Miss Reporting

19 Shree balaji Enterprises Maintainance Near Miss Reporting

20 Ali Hussin Mechanical work Near Miss Reporting

21 Gaffar Khan Service Near Miss Reporting

22 GEAR forklift operation Shipping Near Miss Reporting

23 Nets N spike QA Near Miss Reporting

24 Ghanshayam Engg. Services Near Miss Reporting

25 Diversey Service Near Miss Reporting

26 KRS Isulation Maintainance Near Miss Reporting

27 Sunil engineering Maintainance Near Miss Reporting

28 Unicorn Maintainance Near Miss Reporting

29 Samarth Construction Service Near Miss Reporting

30 Dalai fabrication Maintainance Near Miss Reporting

31 Suresh M Bharvad Process Near Miss Reporting

32 Dynatron Services Near Miss Reporting

33 Ganeshas Limes Services Near Miss Reporting

34 Sahil Enterprises Painting Near Miss Reporting

35 911 Support Services Near Miss Reporting

36 Blank Corporation Services Near Miss Reporting

37 Leap India Services Near Miss Reporting

38 SICGIL Maintainance Near Miss Reporting

39 Unicorn Maintainance Near Miss Reporting

40 Jyoti Enterprise Services Near Miss Reporting

41

42

43

44
Total strength No Of Man Covered No Of TBT tc/ts

0 0 0 #DIV/0!

8 8 1 100%

56 18 1 32%

66 0 0 0%

217 96 7 44%

19 0 0 0%

33 22 2 67%

7 8 1 114%

0 0 0 #DIV/0!

0 0 0 #DIV/0!

2 2 1 100%

0 0 0 #DIV/0!

0 0 0 #DIV/0!

0 0 0 #DIV/0!

5 5 1 100%

0 0 0 #DIV/0!

0 0 0 #DIV/0!

0 0 0 #DIV/0!

14 14 1 100%

0 0 0 #DIV/0!

9 9 1 100%
0 0 0 #DIV/0!

0 0 0 #DIV/0!

0 0 0 #DIV/0!

0 0 0 #DIV/0!

0 0 0 #DIV/0!

0 0 0 #DIV/0!

0 0 0 #DIV/0!

7 7 1 100%

7 7 1 100%

0 0 0 #DIV/0!

0 0 0 #DIV/0!

4 4 1 100%

0 0 0 #DIV/0!

6 6 1 100%

0 0 0 #DIV/0!

6 6 1 100%

0 0 0 #DIV/0!

0 0 0 #DIV/0!

3 3 1 100%

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

469 215 22 46%

 Date 08.11.2019

SR.NO Contractor name

3. In the bottom row calculate average percentage of PPE compliance for each type of

Date 08.11.2019

Sr.no. Name of the person

1 Shambhu

2 Altaf

3 Umed Gohel
4 Rashmi

5 Jigar

6 Bharat

7 Arjun

8 Raj suthar

9 Imran

10 Monil

11 Mahesh

12 Aftab

13 Suresh

14 Babu

15 Sanjay

16 Pradip

17 Shakti waghela

18 Mehul

19 Ajay
20 Mahendra

21 Bhavin

22 Dipak

23 nitin

24 pratik

25 dharmendra

26 rajesh

27 pruthvi

28 kanu rabari

29 pkka Bhai

30

31

32

33

34

35

36
37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53
54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69
70

71

72

73

74

75

76

77

78

79

80
 Total No. of
Operation /Activity Safety Shoes %
Workmen Present

Tetra pack line 0 0

Tetra pack line 0 0

Tetra pack 0 0

ge percentage of PPE compliance for each type of PPE for all the contractors on a day.

PPE NON COMPLIANCE REPORT

Contractor Name Loacation Safety Shoes

avon PT-40

avon PT-50

Pratham PT-40
 Pratham RGB-2

Pratham RGB-2

Pratham RGB-2

Pratham Raw syrup

Employee PT-40

Chilling Plant Samir Vohra

Tetra pak Shree balaji

Toilet AVON

PT-20 AVON

RGB-2 AVON

PT_20 Pratham

PT-40 Pratham

PT-50 Pratham

RGB-2 Pratham

PT-20 palletizer Employee

Pt-40 filler Employee

PT-40 palletizer Employee

PT-50 Filler Employee

Pt-50 palletizer Employee

RGB-2 filler Employee

Bottle washer Employee

ICCA matic Employee

Palletizer Employee

RGB-2 Employee

Shipping Employee

Shipping Employee
0
 % PPE COMPLIANCE OBSERVED
Safety Shoes % Goggle /Face Sheild %

0 0 0
#DIV/0! #DIV/0!
0 0 0
#DIV/0! #DIV/0!
0 0 0
#DIV/0! #DIV/0!

ntractors on a day.

COMPLIANCE REPORT

Reason for non Compliance

Goggle/Face Hand Gloves Helmet Reflective JKT mask

Sheild

Yes
Yes

Yes

Yes

Yes

Yes
Yes

Yes
0 3 4 0 1
D
Hand Gloves % Helmet %

0 0 0
#DIV/0!
0 0 0
#DIV/0!
0 0 0
#DIV/0!

on Compliance

Full body safety

ear plug seat belt Botton light
belt

Yes

Yes
Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes
Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes
21 0 2 0
Helmet % Reflective JKT %

0 0 0
#DIV/0! #DIV/0!
0 0 0
#DIV/0! #DIV/0!
0 0 0
#DIV/0! #DIV/0!

face shield

Shoes 100%

Goggle 100%

Hand Gloves 93%

 Helmet 83%

Reflective 100%
jacket

Mask 67%

Ear plug 45%

Safety Belt &

seat Belt 67%
0
 mask Ear plug % full body ha

0 0 0 0 0
#DIV/0! #DIV/0!
0 0 0 0 0
#DIV/0! #DIV/0!
0 0 0 0 0
#DIV/0! #DIV/0!
full body harness & seat belt Total Observed

0 0
#DIV/0!
0 0
#DIV/0!
0 0
#DIV/0!
Total Compliance Average %

0
#DIV/0!
0
#DIV/0!
0
#DIV/0!
 Department

Tetra pack line

Tetra pack line

Tetra pack line

Security / HR

Shipping

Environment

QA

Stores

Maintenance

RGB line

Pet 10

Pet 20

Pet 30
 Pet 40

Pet 50

Project

Tetra Pack
96%

99%

100%

94%

98%

99%

80%

100%

88%

83%
66%

75%

100%

0%
 Date 08.11.2019 KPI_2-Daily-Obs
Person Reporting
S.NO Date Designation Area Description of Event
(Name)

6
7

10
 KPI_2-Daily-Observation Minor
Category
Unsafe Person (Electrical /
Action taken condition/violation Responsible for Closing Due Date Mechanical / Civil/ Severity
/Unsafe act QA Production )
Unsafe condition
 Serious Cardinal
Risk level
Likelihood Risk Ratings (L-Low
M-Medium STATUS Ratings Probability / Likelihood
H-High)

0 Medium OPEN 1 1-Remote

0 High OPEN 3 3-Unlikely

25 Medium OPEN 5 5-Possible

25 Medium CLOSED 7 7-Likely

0 Low OPEN 7 7-Likely

0 Medium OPEN 7 7-Likely

0 7 7-Likely

0 7 7-Likely

0
Ratings Seriousness of accident / incident Risk level

1 1-First Aid incident or near miss Low

3 3-Medical Treatment case (beyond first aid but no time off) Medium

7 7-Lost Time Incident - minor High

10 10-Lost Time Incident - major

10 10-Lost Time Incident - major

10 10-Lost Time Incident - major

10 10-Lost Time Incident - major

10 10-Lost Time Incident - major

Low

Medium

Medium

Medium
Medium

Medium

Medium

Medium
 Identified Concern Details

Sr No. Reference No. Submitted Date

1 UC/Goblej/2019-20/537 8-Nov-19

2 UC/Goblej/2019-20/538 8-Nov-19

3 UC/Goblej/2019-20/539 8-Nov-19

4 UC/Goblej/2019-20/540 8-Nov-19

5 UC/Goblej/2019-20/541 8-Nov-19

6 UC/Goblej/2019-20/542 8-Nov-19

7 UC/Goblej/2019-20/543 8-Nov-19

8 UC/Goblej/2019-20/544 8-Nov-19

9 UC/Goblej/2019-20/545 8-Nov-19
10 UC/Goblej/2019-20/546 8-Nov-19

11 UC/Goblej/2019-20/520 7-Nov-19

12 UC/Goblej/2019-20/521 7-Nov-19

13 UC/Goblej/2019-20/522 7-Nov-19

14 UC/Goblej/2019-20/523 7-Nov-19

15 UC/Goblej/2019-20/524 7-Nov-19

16 UC/Goblej/2019-20/525 7-Nov-19

17 UC/Goblej/2019-20/526 7-Nov-19

18 UC/Goblej/2019-20/527 7-Nov-19

19 UC/Goblej/2019-20/528 7-Nov-19
20 UC/Goblej/2019-20/529 7-Nov-19

21 UC/Goblej/2019-20/530 7-Nov-19

22 UC/Goblej/2019-20/531 7-Nov-19

23 UC/Goblej/2019-20/532 7-Nov-19

24 UC/Goblej/2019-20/533 7-Nov-19

25 UC/Goblej/2019-20/534 7-Nov-19

26 UC/Goblej/2019-20/535 7-Nov-19

27 UC/Goblej/2019-20/536 7-Nov-19
Observation Date Observation Time

8-Nov-19 4:16

8-Nov-19 4:12

8-Nov-19 4:20

8-Nov-19 4:23

8-Nov-19 4:27

8-Nov-19 4:40

8-Nov-19 4:45

8-Nov-19 3:41

8-Nov-19 5:43
8-Nov-19 4:50

7-Nov-19 3:22

7-Nov-19 4:23

7-Nov-19 3:26

7-Nov-19 4:27

7-Nov-19 4:33

7-Nov-19 6:30

7-Nov-19 5:31

7-Nov-19 5:38

7-Nov-19 4:40
7-Nov-19 5:42

6-Nov-19 12:10

6-Nov-19 11:20

6-Nov-19 10:30

6-Nov-19 12:30

6-Nov-19 12:00

6-Nov-19 11:25

7-Nov-19 11:30
 Job / Activity

TSP To KT divider conveyor motor cover was in damaged

condition.

Behind the Plant office drainage cover was found in open

Condition.

Blow mold machine room L-05 rejected ladder was found

inside room.

Electrical JB was found in damaged Condition.

L-06 a type ladder was found without ladder tag,

sugar silo 1 motor chain cover was removed.

PT-50 preform dumping room near fire extinguisher hook

was found in damaged condition.

Vehicle GJ27T 4556 was parked without wheel choke.

Vehicle Gj07UU 9816 was parked with out wheel choke

Vehicle GJ4AT 7958 was parked without wheel choke.

Electrical Panel was found in Open Condition.

Blending room inside PPE's box damaged

PT-40 PPE's Box handle was found in damaged Condition.

Feed motor pump Earthing was found in damaged

condition.

Vacuum motor pump earthing was found in damaged

condition

Service water pump earthing was also damaged.

Vehicle GJ07 UU 9820 was found without wheel choke.

Vehicle GJ19 T 5803 was found without wheel choke.

CIP- 4 Room Eye shower was found in damaged

condition.
Vehicle GJ23 Y 6588 was found without wheel choke.

Out side Maintainance work shop electrical panel not

lock with key

HRSCC area guitar cover found in open condition

Gaffar khan contractor work site found damage safety

helmet

Inside rain maker drainage cover found in damage

condition

Dalai fabricator worker was stacking welding machine on

chemical drum

Inside rainmaker at Ravi electrical work site found drill

machine without plug

Inside PT-30 filler ELCB missing from extension board

 Observation

TSP To KT divider conveyor motor cover was in damaged

condition.

Behind the Plant office drainage cover was found in open

Condition.

Blow mold machine room L-05 rejected ladder was found

inside room.

Electrical JB was found in damaged Condition.

L-06 a type ladder was found without ladder tag,

sugar silo 1 motor chain cover was removed.

preform dumping room near fire extinguisher hook was

found in damaged condition.

Vehicle GJ27T 4556 was parked without wheel choke.

Vehicle Gj07UU 9816 was parked with out wheel choke

Vehicle GJ4AT 7958 was parked without wheel choke.

Electrical Panel was found in Open Condition.

Blending room inside PPE's box damaged

PT-40 PPE's Box handle was found in damaged Condition.

Feed motor pump Earthing was found in damaged

condition.

Vacuum motor pump earthing was found in damaged

condition

Service water pump earthing was also damaged.

Vehicle GJ07 UU 9820 was found without wheel choke.

Vehicle GJ19 T 5803 was found without wheel choke.

CIP- 4 Room Eye shower was found in damaged condition.

Vehicle GJ23 Y 6588 was found without wheel choke.

Out side Maintainance work shop electrical panel not lock

with key

HRSCC area guitar cover found in open condition

Gaffar khan contractor work site found damage safety

helmet

Inside rain maker drainage cover found in damage

condition

Dalai fabricator worker was stacking welding machine on

chemical drum

Inside rainmaker at Ravi electrical work site found drill

machine without plug

Inside PT-30 filler ELCB missing from extension board

 Suggestive Corrective Action Severity Status

Already inform to Sandeep & Rajat Low Open

Inform to Avon Supervisor to closed it Low Open

already inform to jagdish to remove from Low Open

location to ladder parking area.

information given to the area executive. Moderate Open

immediately provide the new Tag. Moderate Open

inform to operator to close the same. Moderate Open

Inform to CMC team & Chintan Vyas to Correct Moderate Open

it.

inform to nearest security to put the wheel Low Open

choke.

inform to nearest security to close the same. Low Open

Inform to nearest security to close the same. Low Open

inform to are operator to close it. Moderate Open

already inform to Laxman singh. Low Open

inform to area incharge Mr. Rajat Low Open

Inform to area incharge Mr. Satish wahagade. Low Open

Inform to Satish wahagade. Moderate Open

Inform to Satish wahagade. Moderate Open

Inform to nearest security person to put the Low Open

wheel choke

Inform to security Person to put the wheel Moderate Open

choke.

inform to area incharge. Moderate Open

Inform to security to close the same. Low Open

Inform to electrical dept. to need to proper key High Open

lock of electrical panel

Inform area incharge & correction done High Open

Take it & scraped & inform supervisor to provide High Open

net helmet

Inform area incharge to correct the same High Open

Stop the work & correction done at site Low Open

Inform permit issuer & supervisor to install plug High Open

in it then allow to work

Inform area incharge Sanu paul to closes the High Open

same
 DAILY-INDUCTION AND TRAINING AT SITE
DATE 08.11.2019
SR.NO. AGENCY NUMBER OF WORKERS CATEGORY

INDUCTION

1 911 Support 1 Yes

2 SCS 1 Yes
3 Puja Engineering 1

4 Samir Vohra 1
5 Chokhani 1
6 Avon 1
7 911 support 3
8 911 support
9 911 support
10 Insta Lift 2

11 Insta Lift

12

13

14

15

16

17

18
19

20

21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
NG AT SITE Equipment tagging Number :
Induction details
CATEGORY Access Card -NO 1.Total number of Access card issuer to contract workers at site

RE-INDUCTION 2.Total no of workers completed induction/training

15358
15359 Re-induction 9 Do not entry data
Yes 14856 Induction 2 Do not entry data

Yes 12285 Total 11 Do not entry data

Yes 14554
Yes 6574 Remarks:-12700 TO 12900 given to ASSP project on Ju

Yes 14675
Yes 14678
Yes 14906 Remarks:-Date 21.09.2017 Equipment Tag No 2601 to 2800 give

Yes 14988

Yes 14959
d
 4014
on details ID.No.
ct workers at site 15359
ning 15359

Do not entry data

Do not entry data

Do not entry data

to ASSP project on July 2, 2018

Tag No 2601 to 2800 given to project

`
 KPI-4- DAILY WOR
Sr. NO. Permit NO. Date

1 66418 11/8/2019

2 67177 11/8/2019

3 67178 11/8/2019

4 67179 11/8/2019

5 67180 11/8/2019
6 67181 11/8/2019

2 67182 11/8/2019

8 67183 11/8/2019

9 67184 11/8/2019

10 67185 11/8/2019
11 67186 11/8/2019

12 67187 11/8/2019

13 67188 11/8/2019

14 67189 11/8/2019

15 67190 11/8/2019
16 67191 11/8/2019

17 67192 11/8/2019

18 67193 11/8/2019

19 67194 11/8/2019

20 67195 11/8/2019
21 67196 11/8/2019

22 67197 11/8/2019

23 67198 11/8/2019

24 67199 11/8/2019

25 67200 11/8/2019
26 67201 11/8/2019

27 67202 11/8/2019

28 67203 11/8/2019

29 67204 11/8/2019

30 67205 11/8/2019
31 67206 11/8/2019

32 67207 11/8/2019

33 67208 11/8/2019

34 67209 11/8/2019

34 67210 11/8/2019
36 67211 11/8/2019

37 67212 11/8/2019

38 67213 11/8/2019

39 67214 11/8/2019

40 67215 11/8/2019
41 67216 11/8/2019

42 67217 11/8/2019

43 67218 11/8/2019

44 67219 11/8/2019

45 67220 11/8/2019
46 67221 11/8/2019

47 67222 11/8/2019

48 67223 11/8/2019

49 67224 11/8/2019

50 67225 11/8/2019
4- DAILY WORK PERMIT.
Issuer

Ketul Parikh

Jaydeep

Jaydeep

Ronak Seth

Ashish
 Ashish

Shanu Paul

Milan Shah

Gaurav Tripathi

Cancelled
 Viram Mer

Satish wahagade

Sachin Chaudhary

Sachin Chaudhary

Sapnil Deshmukh
Sapnil Deshmukh

Mukund Jha

Viram Mer

Viram Mer

Manthan
 Manthan

Mukund Jha

Sachin Chaudhary

Mukund Jha

Cancelled
 Ashish

Laxman Singh

Laxman Singh

Cancelled

Rupesh Vaity
Sapnil Deshmukh

Mukund Jha

Manthan

Mukund Jha

Cancelled
 Sapnil Deshmukh

Manthan

Sachidanand Mishra

Sachidanand Mishra

Mukund Jha
Viram Mer

Jayprakash

Mukund Jha

Cancelled

Milan Shah
 Ruchit

Sachin Chaudhary

Apurva

Apurva

Rupesh Vaity
PERMIT.
Type of work Permit Validity (In Hrs.)

General & loading & unloading 14:30 to 17:30

of Hazardous material work

General & Height & Hazardous 07:30 to 15:00

energy control work

General & Height & Hazardous 08:15 to 15:30

energy control work

General & Hot work 09:00 to 17:30

General & Height work 09:30 to 17:30

 General & Height work 10:00 to 17:30

General & Hazardous Energy 10:00 to 17:30

Control work

General work 09:30 to 17:30

General work 09:30 to 17:30

 General & Hot work 10:00 to 17:30

General work 09:30 to 17:30

General & Hot work 09:00 to 17:30

General work 09:30 to 17:30

General & Height work 09:35 to 17:15

 General & Height work 09:30 to 17:15

General work 10:00 to 17:30

General work 10:00 to 17:15

General work 10:00 to 17:15

General & height & hot work 10:30 to 17:30

General & height & hot work 15:00 to 17:30

General & Hot work 09:30 to 17:30

General & Height & Hot work 09:30 to 17:30

General work 10:00 to 17:15

 General work 09:45 to 19:30

General & height work 10:23 to 17:30

General & height & hot work 10:40 to 17:30

General & height work 11:00 to 15:00

General & Hot work 10:10 to 17:15

General work 10:00 to 17:15

General work 10:00 to 17:30

General work 10:26 to 17:30

 General work 10:00 to 17:15

General work 10:30 to 17:15

General & hot work 10:11 to 17:30

General & hot work 10:11 to 17:30

General & hot work 11:30 to 17:30

 General & hot work 12:00 to 17:30

General & hot work 13:00 to 01:90

General work 13:01 TO 17:30

General & loading & unloading 14:30 to 17:30

of material work
 General & hazardous Energy 14:00 to 15:00
control work

General & hot work 15:00 to 17:30

General & Height & Hazardous 15:00 to 22:00

energy control work

General & Height & Hazardous 15:00 to 22:00

energy control work

General & loading &unloading 15:00 to 17:00

of material
 Total Permit 45
Ok 40
Not Ok 5
Permit compliance 89%
Issuing Dept. Issued to

Store Blech chem

Shipping Maintainance- Harmin

Shipping ACTIW

Production Maintainance- Shankar

QA Gaffar Khan
 QA Gaffar Khan

Production Production- Arjun

Electrical AVON Facility

QA QA- Hemant
Electrical Gaffar Khan

QA Samarth construction

QA Samarth construction

QA Samarth construction

Electrical Ravi Electrical

 Electrical Ravi Electrical

Maintainance Maintainance- harnish

Electrical Chokhani

Electrical Chokhani

Maintainance Maintainance- Vijay

Maintainance Maintainance- Vijay

Maintainance Dalai Fabrication

QA Dalai Fabrication

Maintainance Samir Vohra

QA Jogmaya

QA QA- Junaid

QA Maintainance- Ranjit

QA SRC
 Electrical Ravi Electrical

Maintainance Production - Mukesh

Maintainance Ganeshas limes

Maintainance Kaushik m shah

 Electrical Ravi Electrical

Electrical Jyoti Enterprise

QA Ghanshtam Engineer

QA Ghanshtam Engineer

Maintainance Vishnu Ind.

 Electrical Shree Balaji Enterprise

Electrical Vishnu Ind.

Maintainance Maintainance- surya

Electrical Laxmi crane

Production Production- Harish

QA Dalai Fabrication

Shipping Maintainance- Darshan

Shipping ACTIW

QA Nets & Spike

Name of Dep.

Maintainance
QA
Electrical

Production

Shipping
store
 Job location

Caustic area

ASRS

ASRS

Maintainance room

DE-Alklizer Area
ETP Lab

PT-30

66KV SS

WTP-2
 All Plant

Rainmaker

WTP-2

Chemical Room Empty yard

All Plant
 All Plant

Chilling Plant

Clinic ASRS

Security Cabin ASRS

ETP
HOT water generation 8 T
Boiler

Chilling Plant

HRSCC Tank

Store near Road

 ETP

Blending Room

Pulp cutting & Blending

Room

ASRS Area
Beside 4T Fo boiler

CIP-5

VAM area

All Plant
 All Plant

Utility

Blower Room

500 KL water tank

Sugar warehouse
 BBD Area

PT-30

Chilling Plant

66 KV area
RGB -2 palletizer

HRSCC Clear to ETP

ASRS

ASRS

VAM area
PTW Compliance

100%
98%
98%

95%

100%
95%
 Description of job

Caustic unloading

DLT CAT Conveyor Maintainance

DLT CAT Conveyor Maintainance

Warmer belt exchanger welding work

Struchure Painting work

Painting work

AOH Maintainance of PT-30

Grass Cutting

Carbon unloading of HF lead beg

Zebra Crossing painting work

Material handling

Breaking work, tiles fitting, steel binding

Roof Sheet removing work

Light Stickering
Light Installation & Earthing work

PT-20 Chilled water circulation pump

cleaning

Bricks work

Barrication work

Biogas balloon locking from top side

Exhaust fabrication work of hot water
generation

C/T4 piping work cutting welding

grinding

Feed Pump line grinding welding

bolting

floor breaking & Civil work

De- watering from green belt.

Spray Ball cleaning of blending room

Cutting & welding work(clamp fitting

work )

Board fixing
Cable tray laying, gland termination
error

Duct repair

Insulation work

safety Belt Anchorage point

certification
Cable tray Earthing strips laying

Floor Epoxy coating

MS Door Repairing

lock Knob Installation

Boom lift repairing work

Rack cutting work

PT-30 operation Parka

3-W/A cooling tower Repairing work

CTPT shifting by hydra

Wooden clamp bolt loose nd replace
with new one

Tractor engine guard & Fixing work

DLT, CAT, conveyor VTL Maintainance

DLT CAT Conveyor Maintainance

Boom lift lifting

 Hazard Isolation PPE use
identified

YES NA YES

YES YES YES

YES YES YES

YES NA YES

YES NA YES
YES NA YES

YES YES YES

YES NA YES

YES YES YES

YES NA YES

YES NA YES

YES NA YES

YES NA YES

YES NA YES
YES NA YES

YES YES YES

YES NA YES

YES NA YES

YES NA YES
YES NA YES

YES YES YES

YES NA YES

YES NA YES
YES NA YES

YES NA YES

YES NA YES

YES NA YES
YES NA YES

YES NA YES

YES NA YES

YES NA YES
YES NA YES

YES NA YES

YES YES YES

YES YES YES

YES YES YES

YES NA YES

YES NA YES

YES NA YES

YES NA YES
YES NA YES

YES NA YES

YES YES YES

YES YES YES

YES NA YES
Precaution Authorization Acceptance
checklist

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES NOT OK NOT OK

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES NOT OK YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES NOT OK YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

YES YES YES

Completion Name of employee and
and closure their sign

YES YES

YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES
YES YES

YES YES

YES YES

YES YES

YES YES
Status (Ok/Not
Ok)

NOT OK

OK

OK

OK

OK
 OK

OK

NOT OK

OK
OK

OK

OK

OK

OK
OK

OK

OK

OK

OK
OK

OK

OK

OK
 OK

OK

OK

NOT OK
OK

OK

OK

OK
NOT OK

OK

OK

OK

OK
OK

OK

OK

OK
NOT OK

OK

OK

OK

OK
 Remarks

1-Yellow permit not submitted

1- cross dept. sign pending, 2- permit acceptor sign
pending.
1. Boom lift checklist not submitted
1- issued to dept. pending.
1- work completed without safety dept. sign, 2- cross
dept. sign pending.
 Permit Available man over time after
Extension power 05.30pm

0 1 0

0 5 0

0 5 0

0 3 0

0 5 0
18:00 to 2 4.5
22:00

0 3 0

0 2 0

17:30 to 4 2
19:30
17:30 to 5 4.5
22:00

0 5 0

0 7 0

0 5 0

0 2 0
0 2 0

0 3 0

0 2 0

0 3 0

0 8 0
0 4 0

0 4 0

0 5 0

0 3 0
0 2 0

0 2 0

0 2 0

0 2 0
0 3 0

0 1 0

0 4 0

0 1 0
0 1 0

0 2 0

0 3 0

0 3 0

0 3 0
17:15 to 3 4
21:00

0 4 0

0 1 0

0 1 0
 0 1 0

17:30 to 4 2
19:30

0 1 0

0 1 0

0 1 0
 Isolation

Total hours Total m/p Electrical

0 1 NA

fuse removed, Isolator

Put off & locked Tested
0 5 non-operative,Tagout to
be done

fuse removed, Isolator

Put off & locked Tested
0 5 non-operative,Tagout to
be done

0 3 NA

0 5 NA
1.125 3.125 NA

fuse removed, Isolator

Put off & locked Tested
0 3 non-operative,Tagout to
be done

0 2 NA

1 5 NA
2.8125 7.8125 NA

0 5 NA

0 7 NA

0 5 NA

0 2 NA
0 2 NA

0 3 NA

0 2 NA

0 3 NA

0 8 NA
0 4 NA

0 4 NA

0 5 NA

0 3 NA
0 2 NA

0 2 NA

0 2 NA

0 2 NA
0 3 NA

0 1 NA

0 4 NA

0 1 NA
0 1 NA

0 2 NA

0 3 NA

0 3 NA

0 3 NA
1.5 4.5 NA

0 4 NA

0 1 NA

0 1 NA
 fuse removed, Isolator
Put off & locked Tested
0 1 non-operative,Tagout to
be done

1 5 NA

fuse removed, Isolator

Put off & locked Tested
0 1 non-operative,Tagout to
be done

fuse removed, Isolator

Put off & locked Tested
0 1 non-operative,Tagout to
be done

0 1 NA
Isolation required

Service process

NA NA

NA NA

NA NA

NA NA

NA NA
NA NA

NA NA

NA NA

valve closed & Tagged,

line blanked, line
NA disconnected, material
drained, Flushed &
blind Provided.
NA NA

NA NA

NA NA

NA NA

NA NA
NA NA

NA NA

NA NA

NA NA

NA NA
NA NA

valve closed & Tagged,

line blanked, line
NA disconnected, material
drained, Flushed &
blind Provided.

NA NA

NA NA
NA NA

NA NA

NA NA

NA NA
NA NA

NA NA

NA NA

NA NA
NA NA

NA NA

NA NA

NA NA

NA NA
NA NA

NA NA

NA NA

NA NA
NA NA

NA NA

NA NA

NA NA

NA NA
 Scaffolding
Tag number Ladder NO used

LOTO-1237 Fixed ladder

LOTO-1237 Fixed ladder

L-3902/3758
 L-3759

Loto-
1214/1216/121
7/1221/1219/1
222
Fixed ladder/ fall
celling
 L-3789

hydra-
3918/Boom Lift-
4000
 Boom Lift-4000

Loto-1241

L-3798
Fixed Platform

L-24

Boom lift-3987
GS- 4006

Fixed platform

Hydra 3918
Loto-1240

LOTO-1237 Fixed ladder

LOTO-1237 Fixed ladder

hydra-3918
Number of PTW checking Average %
compliance point

18 19 95%

19 19 100%

19 19 100%

19 19 100%

19 19 100%
19 19 100%

19 19 100%

17 19 89%

19 19 100%
19 19 100%

19 19 100%

19 19 100%

19 19 100%

19 19 100%
19 19 100%

19 19 100%

19 19 100%

19 19 100%

19 19 100%
19 19 100%

19 19 100%

19 19 100%

19 19 100%
17 19 89%

19 19 100%

18 19 95%

18 19 95%
19 19 100%

19 19 100%

19 19 100%

19 19 100%
18 19 95%

19 19 100%

19 19 100%

19 19 100%

19 19 100%
19 19 100%

19 19 100%

19 19 100%

19 19 100%
17 19 89%

19 19 100%

19 19 100%

19 19 100%

19 19 100%
CRM meeting TBT Observation If any
attending submitted
 Name of Dep. PPE compliance
Environment 100% 120%
Pet 10 100%
Project
100% 100% 100%
100% 100%
99%

Shipping 99%
Maintenance 99% 80%

Stores 98% 60%

Security / HR 96%
QA 94% 40%

Pet 20 88%
Pet 30 83% 20%

RGB line 80% 0%

Pet 50 75%
Pet 40 66%
Tetra Pack 0%

PTW
Name of Dep. Compliance
Shipping 100% 100%

Maintainance 98%
98%
QA 98%
Electrical 98%
Production 95%
store 95%
Shipping Maintainance
Shipping Maintainance
 PPE Compliance

100% 100% 100% 99% 99% 98% 96% 94%

88%
83%
80%
75%
66%

0%

PTW Compliance

100%

98% 98% 98%

95% 95%

Shipping Maintainance QA Electrical Production store

Shipping Maintainance QA Electrical Production store
%

0%
DATE 08.11.2019

SR.NO. AGENCY NAME OF THE INJURED PERSON UIN No In experience

NA NA NA NA NA

08.11.2019 NO Incident

`
 DAILY INJURY ROLLING MASTER

Reason FAC MTC LTI FATALITY

PPE
-noncompliance Violation of SOP Unawareness

NA NA NA NA NA NA NA
ER

Training / PPEs
BODY PART Store System
Description How injury occurred Induction issued
INVOLVED Stock Failure
given Y/N Y/N

NA NA NA NA NA NA
Behaviour
Failure

NA
 1 to 8 Nov-TBT report
Contractor SECTION TYPE %
Name
SIS Security Security 9%
Avon Facility House keeping 0%
Pratham packers Production & Maint 11%
Stafcon FORKLIFT 0%
Henna loader loading & unloading 57%
Sashi Canteen 0%
Actiw ASRS 0%

Shakti association Boiler operation 36%

 DATE 08.11.2019
SR. NO. Contractor Name SECTION TYPE TBT Topic

1 Ratna Project Near Miss Reporting

2 Sameer Vora Civil & Febrication Near Miss Reporting

Total

Grou

3 SIS Security Security Near Miss Reporting

4 Avon Facility House keeping Near Miss Reporting

5 Pratham packers Production & Maint Near Miss Reporting

6 Stafcon FORKLIFT Near Miss Reporting

7 Henna loader loading & unloading Near Miss Reporting

8 Sashi Canteen Near Miss Reporting

9 Actiw ASRS Near Miss Reporting

10 Shakti association Boiler operation Near Miss Reporting

Total

Group 3 : IRREGUL
10 Chokhani Civil & Febrication Near Miss Reporting

11 Royal Tarry Scrap yard Near Miss Reporting

12 Vishnu indu Febrication Near Miss Reporting

13 System Design Febrication & Service Near Miss Reporting

14 Ravi electrical Cabling work Near Miss Reporting

16 Yellow Line Service Near Miss Reporting

17 Pest Termination Service Near Miss Reporting

20 Kenvin Enterprice Service Near Miss Reporting

21 Floor Cell Electrical services Near Miss Reporting

22 R B Buildcon Civil & Febrication Near Miss Reporting

34 Shree balaji Enterprises Maintainance Near Miss Reporting

24 Ali Hussin Mechanical work Near Miss Reporting

27 Gaffar Khan Service Near Miss Reporting

28 GEAR forklift operation Shipping Near Miss Reporting

29 Nets N spike QA Near Miss Reporting

30 Ghanshayam Engg. Services Near Miss Reporting

31 Diversey Service Near Miss Reporting

32 KRS Isulation Maintainance Near Miss Reporting

33 Sunil engineering Maintainance Near Miss Reporting

34 Unicorn Maintainance Near Miss Reporting

35 Samarth Construction Civil & Febrication Near Miss Reporting

36 Dalai fabrication Maintainance Near Miss Reporting

36 Suresh M Bharvad Process Near Miss Reporting

37 Dynatron Services Near Miss Reporting

38 Ganesha lime Services Near Miss Reporting

39 Sahil Enterprises Painting Near Miss Reporting

40 911 Support Services Near Miss Reporting

41 Blank Corporation Services Near Miss Reporting

42 Leap India Services Near Miss Reporting

42 SICGIL Services Near Miss Reporting

42 Unicorn Febrication & Service Near Miss Reporting

43 Tetra Pak Maintainance Near Miss Reporting

44 Vruksh Enterprises Maintainance Near Miss Reporting

45 Rochem Maintainance Near Miss Reporting

46 Smart Air Febrication & Service Near Miss Reporting

47 Jyoti Enterprises Maintainance Near Miss Reporting

Total

Grand Total

Tool box talks Calendar

Discussion date Discussion point
1&2 BASICS OF SAFETY

3&4 FUNDAMENTAL PRINCIPLES OF ACCIDENT PREVENTION

5&6 OSH POLICY

7&8 NEAR MISS REPORTING
9&10 SAFETY PERMFORMANCE MEASURES
11&12 HOUSE KEEPING
13&14 MACHINE SAFETY
15&16 PROTECTIVE CLOTHING & EQUIPMENT
17&18 WORK PERMIT
19&20 CONFINED SPACE
21&22 WELDING AND CUTTING
23&24 WORKING AT HEIGHT
25&26 SLIP TRIP & FALL
27&28 WARNING: READ THE SIGNS!
29&30 UNSAFE ACTS
 KPI-5-Daily - Contractor -TBT
No Of
AM PAM TAM Previous Total Previous
Workers

Present Prev.Av.Men Total Av.Men Present Strength Strength TBTs

Group 1 : Regular Project Contractors

0 0

8 18 26 8 18 26 4

8 18 26 8 18 26 4
Group 2 : Regular SERVICE Contractors

56 357 413 18 33 51 2

66 487 553 0

217 1216 1433 96 129 225 12

19 112 131 0

33 182 215 22 103 125 10

27 181 208 0

6 31 37 0

7 53 60 8 19 27 3

431 2619 3050 144 284 428 27

Group 3 : IRREGULAR PROJECT , SERVICE & MISCELLANEOUS CONTRACTORS
 9 9 9 9 3

0 0

2 3 5 2 3 5 1

0 0

33 33 33 33 5

0 0

5 29 34 5 29 34 7

0 0

0 0

0 0

14 64 78 14 64 78 5

0 0

9 63 72 9 63 72 8

0 0

0 0

0 0

1 1 1 1 1

0 0
 0 0

0 0

7 15 22 7 15 22 3

7 49 56 7 49 56 7

21 21 21 21 4

0 0

4 10 14 4 10 14 2

0 0

6 5 11 6 5 11 1

0 0

6 6 6 6

0 0

0 0

0 0

0 0

0 0

0 0
 3 3 6 3 3 6 1

63 305 368 63 305 368 48

502 2942 3444 215 607 822 79

Daily % 233%
No of Talks Total % Compliance % Coverage

Given TBT Cum.TBTS Width Depth

0 0 #DIV/0!

1 5 63 100%

1 5 63 100%

1 3 13 12%

0 0 0%

7 19 79 16%

0 0 0%

2 12 50 58%

0 0 0%

0 0 0%

1 4 17 45%

11 38 158 14%
 3 38 100%

0 0 #DIV/0!

1 2 25 100%

0 0 #DIV/0!

5 63 100%

0 0 #DIV/0!

1 8 100 100%

0 0 #DIV/0!

0 0 #DIV/0!

0 0 #DIV/0!

1 6 75 100%

0 0 #DIV/0!

1 9 113 100%

0 0 #DIV/0!

0 0 #DIV/0!

0 0 #DIV/0!

1 13 100%

0 0 #DIV/0!
 0 0 #DIV/0!

0 0 #DIV/0!

1 4 50 100%

1 8 100 100%

4 50 100%

0 0 #DIV/0!

1 3 38 100%

0 0 #DIV/0!

1 2 25 100%

0 0 #DIV/0!

1 1 13 100%

0 0 #DIV/0!

0 0 #DIV/0!

0 0 #DIV/0!

0 0 #DIV/0!

0 0 #DIV/0!

0 0 #DIV/0!
1 2 25 100%

10 58 725 100%
22 101 1263 21%
 CONTRACTOR REVIEW MEETING-1-11-2019 to 7-11-2019
Sr.no Contractor Name %
1 Avon facility 29%
2 Henna Loader 29%
3 SIS Security 29%
4 Pratham Packer 71%
5 SCS ( Canteen ) 0%
6 Stafcon -Forklift 0%
7 Shakti Associate 14%
8 Royal Tarry 0%
9 Actiw 0%
10 GEAR FROKLIFT OPT 0%
11 Shree Balaji Enterprise 100%
12 Sameer Vahora 43%
14 Ravi Electricals 86%
16 Pest Terminator 100%
18 Chokhani 43%
21 Gaffar Khan 100%
28 Dalai Febrication 100%
29 Diversey 43%
31 Jyoti enterprice 29%
33 Ganeshas Limes 14%
34 Samarth construction 57%
35 Suresh M Bharvad 0%
38 Leap India 29%
 CONTRACTOR REVIEW
Daily morning review meeting for 15 min conducted with the project safety supervisor

Present for the meeting

Sr.no Contractor Name Yes/No/NA Present

1 Avon facility NO

2 Henna Loader YES 1

3 SIS Security YES 1

4 Pratham Packer YES 1

5 SCS ( Canteen ) NO

6 Stafcon -Forklift NO

7 Shakti Associate YES 1

8 Royal Tarry NO

9 Actiw NO

10 GEAR FROKLIFT OPT NO

11 Shree Balaji Enterprise YES 1

12 Sameer Vahora YES 1

13 Ratna NA

14 Ravi Electricals YES 1

15 Vishnu Industry YES

16 Pest Terminator YES 1

17 Concept india NA
18 Chokhani NO

19 Nets N Spikes YES 1

20 Ghansham Engg NA

21 Gaffar Khan YES 1

22 Ali Hasan NA

23 R B Buildcon NA

24 Kanvin NA

25 Swastika Enterprises NA

26 Toyota NA

27 TMHIN NA

28 Dalai Febrication YES 1

29 Diversey NA

30 KRS Insulation NA

31 Jyoti enterprice YES 1

32 Dynatron NA

33 Ganeshas Limes YES 1

34 Samarth construction YES 1

35 Suresh M Bharvad NO

36 911 Support NA

37 Blank Corporation NA
38 Leap India NO 1

39 Domino NA

40 Unicorn NA

41 Jogmaya NA

42 Vruksh Enterprises NA

43 Rochem NA

44 Smart Air NO

15

Total numbers of Contractor present in plant 24

Today Present 15
% Complaince 63%
NOTE
1.If any contrector not preset In company then mention NA
2.If any contrector preset In company but not presnt in CRM then mention NO
3.If any contrector preset In company and presnt in CRM then mention YES
CTOR REVIEW MEETING
ject safety supervisor 08.11.2019

Cumulative attendance
Previous Data from 1st day of the month
% compliance

2 2 25%

2 3 38%

2 3 38%

5 6 75%

0 0%

0 0%

1 2 25%

0 0%

0 0%

0 0%

7 8 100%

3 4 50%

0 0%

6 7 88%

0 0%

7 8 100%

0 0%
3 3 38%

1 13%

0 0%

7 8 100%

0 0%

0 0%

0 0%

0 0%

0 0%

0 0%

7 8 100%

3 3 38%

0 0%

2 3 38%

0 0%

1 2 25%

4 5 63%

0 0%

0 0%

0 0%
 2 3 38%

0 0%

0 0%

0 0%

0 0%

0 0%

0 0%

64 79 81%

mention NO
Remark
 Vehicle Marshalling
DATE : 08.11.2019
Sir no. Checking point %

1 Wheel chock required 2 no's in all vehicle 74%

2 Traffic marshal Self PPE 100%

3 Arm belt / Reflective Jackets 100%

4 forklift Driver PPE Helmet & Jacket 75%

5 FLK speed 100%

6 Barricading inside walk all person 93%

7 Reverse during use reverse horn forklift & truck. 100%

8 Loading unloading time safety belt wearing 100%

9 Loading unloading time helmet wearing 100%

Satafcon 100%

10 Forklift seat belt Yantraman 100%

Employee 75%

11 Ware house safe unsafe condition reporting #DIV/0!

12 Traffic marshal use botton light #DIV/0!

Vehicle Marshalling

Observation TO TC

GJ27 X 9299, RJ 06 GC 5358, GJ16 AJ 9968, GJ01 HT 19 14

3922, GJ07 UU 9719

10 10

4 4

Kanu rabari, Pka bhai, 8 6

7 7

Imran 15 14

5 5

5 5

5 5

4 4

2 2

Kanu rabari, Pka bhai, 8 6

92 82

AVERAGE 89%
 SAFETY DEPARTMENT DMS SHEET
Date
Attended by:- Chintan Vyas
08.11.2019

Tool Box Talk, Gemba walk or if any Near Miss -

Safety Incident /Safety concerns Analysis Action Points Responsibility & Target Date Compliance

1 Shoes 100%
1

2 Goggle 100%

3 Hand Gloves 93%

RCA Top Two Problem Analysis Action Points Responsibility Helmet 83%

A Reflective jacket 100%

B Mask 67%

C Earplug 45%

D Safety Belt & seat Belt 67%

Department Compliance % Name of PPE Name of Persons Responsibility Over all PPE'S comp- 82%

Security / HR 96% NA NA Bijal Vaniya Near Miss

Shipping 99% Seat Belt Reflective jacket, helmet kanu, nayan, paka bhai arvind Nikhil Harsh Injury 0

Environment 100% Helmet, hand gloves Sachin Chaudhry, Rasik Ashish Sharma Site PTW Com 89%

QA 94% Hand gloves, helmet, mask, ear plug, vijay, kanu Rupesh Vaity Cardinal Rules Com 96%

Stores 98% NA NA B.D Sharma Re-induction 9

Maintenance 99% Helmet, Mask,Helmet,Googles,Jacket Irfan, Adil,Javed Manoj Pal Induction 2

3 PPEs Compliance RGB line 80% Hand gloves,Ear plug Kanti Bhai,Chandu,Lal singh,Pramod,Bhupat Gaurav Patel 82%

Pet 10 88% NA NA Gaurav Patel

Pet 20 100% Ear Plug, Ramesh, HR

Pet 30 83% Ear Plug Bharat,Himmat, T. Shyam

Pet 40 66% Ear Plug Altab, Bipin, Rajat, Alesh, Raj suthar Dilip Mandal

Pet 50 75% Hand gloves Altab, Bipin, Rajat, Alesh, Raj suthar Dileep Madala

Tetra pack 100% NA NA T. Shyam

IT Err:509 NA NA NA

Elements Compliance % Non Compliance Name of Persons / Vehicle Responsibility

Safety Induction at gate 100% NA NA NA

Vehicle Marshal 89% Bijal Vaniya

Work Permit
Compliance 89% All Permit Issuer
Cardinal Rules
4
Compliance

Safety Clouse with PO 100%

DDT 100%

Motor Guarding 96%

Machine Interlocks 100%

Weekly Gemba Walk 100%

Area PH BOD TSS Department Owner

ETP and STP Parameters

6 TO 9 ` <50 O&G
5
Compliance ETP
<10

STP

AREA MAINTENANCE QA SHIPPING HR

OPEN POINTS
AUDIT AND MEETING
6
POINTS COMPLIANCE
CLOSED POINTS

COMPLIANCE %

Open Space: Over All Compliance--- %

Daily PPE Compliance 91%

Tool Box Talks 101

Total Covered Workers 822

Total Permits 45

Total Permit Compliance 89%

Total CRM 79

Total Induction 15359

Total Equipment Tagging 4014

 Date Safety Shoes TC Goggle TC

08.11.2019 174 174 2 2

Total 174 174 2 2

% 100% 100%

Date AM PM TALKS

08.11.2019 502 215 22

Hand Gloves Reflective JKT
TC Helmet TC TC

42 39 24 20 50 50

42 39 24 20 50 50

93% 83% 100%

DO NOT TOCTH THIS SH

 Full body
Mask TC Ear plug TC TC
harness

3 2 38 17 6 4

3 2 38 17 6 4

67% 45% 67%

THIS SHEET
Permit Shipping Vehicle Marshalling

89% 100% 89%

89% 100% 89%