THE PETROLEUM PROJECTS & ‫ﺷﺮﻛﺔ ﺍﻟﻤﺸﺮﻭﻋﺎﺕ ﺍﻟﺒﺘﺮﻭﻟﻴﺔ ﻭ ﺍﻹﺳﺘﺸﺎﺭﺍﺕ ﺍﻟﻔﻨﻴﺔ‬

TECHNICAL CONSULTATIONS CO. ‫ﺍﻹﺩﺍﺭﺓ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺴﻼﻣﺔ ﻭﺍﻟﺼﺤﺔ ﺍﻟﻤﻬﻨﻴﺔ‬

HSE General Department ‫ﻭﺣﻤﺎﻳﺔ ﺍﻟﺒﻴﺌﺔ‬
‫ﺑﺗـــﺭﻭﺟــــــﺕ‬
MEDICAL TREATMENT WEEKLY REPORT
PTJ Site Clinic Weekly Statistics Date From : ……………………………… To: ……………………………….…………….

Dr. Name: ………………………………… Project : …………………………………….

CAMP
Common Resp. T1 Back pain Mystic Gastritis Gastroenteritis Eye Ear Renal Skin Dental Chronic Others
Disease Disease Disease Disease Disease
Cold URT1 LRT1

Comments / details of others etc.

Site – injuries (Type of accident)

Machinery Fall Struck by Trip Handling Other Finger & Hand Arm Lower Back Other
thumb limb

Site – injuries (Type of injury)

Fracture Laceration Incision Puncture Contusion Burn Superficial Sprain strain F/B Eye Epistemic Others
wound wound wound STI

Illness Injuries Totals

Totals – Petrojet
Totals – S/C's & Vendors
Totals – PTJ & S/C's
PTJ Dr. Sign :
Date Company Type of accident Body part Type of injury Remarks

Issue No. (3) Issue Date: March2014 Revision No. (1) PJ-HSEMSF-4.5.3.1- 04