SHE DAILY RECORD

Date & Day: 11 May 2011 (Wednesday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury/Incident/Illness Reports:- No any case of Injury, Incident or Illness

today.

Today's Survillance:- Found Mohammad Kauser Ali (Machinist) holding some

flat bars without wearing Gloves and busy in rolling it through small rolling
Machine. This is after my many individual instruction to him regarding the usage
of PPE.

Image/Footage:- Kauser's Image taken.

Today's Total Manpower:- 57

Today's Total Manhours:- 546
 SHE DAILY RECORD

Date & Day: 12 May 2011 (Thursday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury / Incidents / Illness Reports:- No any.

Today's Survillance:- After several warning 'Madrid' (Fabricator) and 'Jemico'

(Helper) again today working without wearing coverall.

Images / Footage:- Images of Madrid & Jemico (Withot Coverall)

Today's Total Manpower:- 56

Today's Total Manhours:- 504
 SHE DAILY RECORD

Date & Day: 13 May 2011 (Friday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury / Incidents / Illness Reports:- No any.

Today's Survillance:- Since its Friday, holiday for me.

Images / Footage:-

Today's Total Manpower:- 23

Today's Total Manhours:- 135
 SHE DAILY RECORD

Date & Day: 14 May 2011 (Saturday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer Yes Abdul Haque Ali

Injury/Incidents/Illness Reports:- Sher Naz (Asst. Fabricator) has acute nose

bleeding. Few drops of blood came out through his nose. Instructed him to put cold
water on his head and take a few minutes rest. He did so and lateron felt well and
resume working.

Today's Survillance:- Found people working using proper PPE.

Images/Footage:- Picture of Abdul Haque Ali (Hire), Good SHE Performer of the day.
(Except a Hard Hat he, is wearing all PPE during grinding work.)

Today's Total Manpower:- 51

Today's Total Manhours:- 460
 SHE DAILY RECORD

Date & Day: 15 May 2011 (Sunday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury/Incidents/Illness Reports:- No any

Today's Survillance:- Very worse condition of housekeeping inside the workshop.

Images/Footage:- Worse storage of used bottles, and Access block of fire

extinguisher cylinder.

Today's Total Manpower:- 54

Today's Total Manhours:- 503
 SHE DAILY RECORD

Date & Day: 16 May 2011 (Monday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury/Incidents/Illness Reports:- No any

Today's Survillance:- Workers' Messhall has not been cleaned since many weeks. A
layer of dust has come on the table & floor. Cigarette's and other rubbish are lying
every where.

Images/Footage:- Images of Workers' Messhall.

Today's Total Manpower:- 54

Today's Total Manhours:- 524
 SHE DAILY RECORD

Date & Day: 17 May 2011 (Tuesday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury/Incidents/Illness Reports:-

Today's Survillance:- Found Mohammad Qabeel (Rigger) lifting a saddle without wearing
gloves, instructed him to wear, but after 2 hours again found him working without gloves.

Images/Footage:- Image of Mohammad Qabeel (Rigger).

Today's Total Manpower:- 54

Today's Total Manhours:- 524
 SHE DAILY RECORD

Date & Day: 18 May 2011 (Wednesday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury/Incidents/Illness Reports:- No any.

Today's Survillance:- Water bottle with water is lying on the control panel of the Bending
Machine, Used bottles and canes are lying down, Electrical cables also lying useless in
workshop.

Images/Footage:- Survillance Images attached.

Today's Total Manpower:- 53

Today's Total Manhours:- 511
 SHE DAILY RECORD

Date & Day: 19 May 2011 (Thursday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury/Incidents/Illness Reports:- Noany.

Today's Survillance:- After a lots of instruction regarding usage of gloves to Saidalavi

(Rigger), again today I found him lifting SS plates, holding sharp edge with naked hand.

Images/Footage:- Image of Saidalavi (Rigger).

Today's Total Manpower:- 51

Today's Total Manhours:- 478
 SHE DAILY RECORD

Date & Day: 20 May 2011 (Friday)

S.No. Description Yes/No Employee Name Remarks

1 Injury / First Aid No
2 Injury / Medical Treatment No
3 Injury / Restricted Work No
4 Illness / Medical Aid Provided No
5 Fire / Incidents No
6 Unsafe Act No
7 Unsafe Condition No
8 Fatality No
9 Good SHE Performer

Injury / Incidents / Illness Reports:- No any.

Today's Survillance:- Since its Friday, holiday for me.

Images / Footage:- Nil

Today's Total Manpower:- 31

Today's Total Manhours:- 211
 Rawae Al Amal Industrial Services

INCIDENT / ACCEIDENT REPORT (I - G1 Attachment)

Report No.: Date :

Location of Incident / Accident :

Sl.No. Investigation Team Members Position

Details of Injured Person

Workers Name Position

Workers Address Mobile No.

Employed Since Date of Birth

Date and Time Incident Occurred Date : Time :

Date and Time Incident Reported Date : Time :

Who was the Incident Reported to Name: Position:

Witness / Others Involed

Sl.No. Witness Name Involvement Mobile No.

Description of the Incident / Accident

Describe the Incident

Describe the actual task being

performed at the time of an
Incident

Was there any other work

around ara being performed
when the accident occurred
What equipment, tools and
materials were being used

Idnetify the primary cause,

hazardous condition or unsafe
act that caused this incident.

Any Additional Information

Report Issued by Supervisor of Injured Worker

Name

Signature

Position

Mobile No.

Date

Time