Q-HSE DEPARTMENT

Q-HSE Weekly Report

HSE-F-0531 Rev 01

Country: Entity: Week:

WEATHER DISTRIBUTION
Sunny Cloudy Windy Rainy

STAFF
Staff MANAGEMENT OTHER STAFF TOTAL
XXX 0
Subcontractors 0
Temps 0

Q-HSE staff deployment

EQUIPMENT OPERATIONS
Equipment Capacity Nb Available Certified/calibrated Daily operations conducted and recorded

Number and details of the equipment not available for service or fault Planned operations

Number and details of equipment in operations

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HSE
Accidents / Incidents HSE activities
Fatality Alcohol testing
Lost Time Injury Forklift Check-list
Medical Treatment Injury Crane Check-list
Restricted Work Injury Truck Checklist
Incidents HSE meeting
Number of Workdays Lost Toolbox Meeting
Total Number (excluding incidents) 0 HSE Inspection / Audit
Permit to Work
Nb of days without accident SET CARD
Record achieved JSA

Reporting Pre-Employment
Near-miss Medical screening
First aid HSE briefing
Dangerous situation HSE induction
Spillage
Total 0 Trained staff
Nb of first aiders
Medical Nb of advanced first aiders
Malaria Nb of firefighters
Fever Nb of advanced firefighters
HTA Gestures and postures
Blunt traum Lashing technique
Open Trauma
Headaches Clearance / Trainings
Influenza Defensive driving
Dental algie Road risk prevention
Body aches Crane operator
Deworming Manœuvre
Asthenia Forklift driver
Total 0
Extinguishers
Miscellaneous Location Number
Fire case
Day Medevac
Night Medevac
Man Over Board

HSE comments

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SET CARDS

Unsafe actions

Safe Actions

Poor performance
Falling object
11
Equipment under pressure 10
Work at Height 9
Lifting operation 8
Communication 7
Slip 6
Simultaneous operations 5
PPE 4
Manuel / mechanical handling 3
Lifting gears / equipment 2
Housekeeping 1
Tools / equipment 0
ct ur
e
gh
t on n ip on
s E g
en
t ng en
t
od
s ts en
t ea en
t
je ss ei ati tio Sl PP dl
in pi en ar
Dangerous Goods ob e H er i ca r ati an pm ee pm Go m pm k pm
g pr at op un pe lh ui ek ui us cu ui or ui
l lin r m so ca eq us eq ro do eq W eq
Procedures & documents Fa de or
k
in
g m i / o / e & l g
un Co ou n
ar
s H ol
s ng es ica
rin
t W Lift e ha Da ur tr su
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Electrical equipment ul
t ed El ea
pm /m in
g
oc M
ui Si
m el Lift Pr
Work area Eq an
u
M
Measuring equipment

Good performance
Falling object 11
Equipment under pressure 10
Work at Height 9
Lifting operation 8
Communication 7
Slip 6
Simultaneous operations 5
PPE 4
Manuel / mechanical handling 3
Lifting gears / equipment 2
Housekeeping 1
Tools / equipment
0
ct ur
e
gh
t on n ip on
s E g
en
t ng en
t
od
s ts en
t ea en
t
je ss ei ati tio Sl PP dl
in pi en ar
Dangerous Goods ob e H er i ca r ati an pm ee pm Go m pm k pm
g pr at op un pe lh ui ek ui us cu ui or ui
l lin r m so eq us eq ro do eq W eq
Fa de or
k
in
g m ica / o / e & l g
Procedures & documents un Co ou an ar
s H ol
s ng es ica rin
t W Lift ne ch Da ur tr su
en ta e ge To ec
ul ed El ea
Electrical equipment pm /m in
g
oc M
ui Si
m
ue
l
Lift Pr
Eq an
Work area M
Measuring equipment

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PICTURES

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