DRILLING & WORKOVER SERVICES DEPARTMENT

CONTRACTOR INCIDENT REPORT

Week = 21 TO 27 MONTH = JANUARY 2011

DIVISON NAME : ON-JOB INJURIES ON-JOB

TRAFFIC EQUIPMENT MAN HOURS
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION FIRE NEAR MISS DAMAGE

AL-SHALAWI 203 6 2 - 8 16 - 3 - 5 2 14,210

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BREIF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC HEADACHE, TOOTH ACHE, COUGH.
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION OVER SPEED
FIRE -
NEAR MISS EXPLOSION OF TIRE WHILE WORKING, LOSE OF AIR BRAKES.
EQUIPMENT DAMAGE TIRE DAMAGE.

PREPARED BY : WELY BATOBALANI

PROJECT ENGINEER
 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT

Week = 28 TO 03 MONTH = FEBRUARY 2011

DIVISON NAME : ON-JOB INJURIES

ON-JOB
TRAFFIC EQUIPMENT MAN HOURS
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION FIRE NEAR MISS DAMAGE

AL-SHALAWI 231 3 3 - 1 - - 16,170

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC COUGH AND HEADACHE.
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION OVERSPEED
FIRE
NEAR MISS
EQUIPMENT DAMAGE

PREPARED BY : ARNOLD JHON JOVEN

SAFETY OFFICER

7 10
 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT

Week = 04 TO 10 MONTH = FEBRUARY 2011

DIVISON NAME : ON-JOB INJURIES

TRAFFIC
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION

AL-SHALAWI 235 4 4 -

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC FINGER CUT SKIN, COUGH AND HEADACHE.
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION
FIRE
NEAR MISS REAR TIRE BOOM WHILE WORKING "DUMPTRUCK"
EQUIPMENT DAMAGE TIRE

PREPARED BY : ARNOLD JHON JOVEN

SAFETY OFFICER

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EPARTMENT

Y 2011

ON-JOB
FIRE NEAR MISS EQUIPMENT MAN HOURS
DAMAGE

- 1 - 16,450

ENT-INCLUDE OFF JOB OR ON JOB

 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT

Week = 11 TO 17 MONTH = FEBRUARY 2011

DIVISON NAME : ON-JOB INJURIES

ON-JOB
TRAFFIC EQUIPMENT MAN HOURS
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION FIRE NEAR MISS DAMAGE

AL-SHALAWI 235 2 2 - - 1 - 16,450

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC COUGH AND HEADACHE.
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION
FIRE
NEAR MISS LOSE OF BRAKE
EQUIPMENT DAMAGE

PREPARED BY : ARNOLD JHON JOVEN

SAFETY OFFICER
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 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT

Week = 18 TO 24 MONTH = FEBRUARY 2011

DIVISON NAME : ON-JOB INJURIES

TRAFFIC
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION

AL-SHALAWI 240 3 3 -

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC TOOTHACHE, COUGH AND HEADACHE.
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION
FIRE
NEAR MISS DUMPING OF SAND
EQUIPMENT DAMAGE

PREPARED BY : ARNOLD JHON JOVEN

SAFETY OFFICER

7 10
EPARTMENT

Y 2011

ON-JOB
FIRE NEAR MISS EQUIPMENT MAN HOURS
DAMAGE

- 1 - 16,800

ENT-INCLUDE OFF JOB OR ON JOB

 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT

Week = 1 TO 52 MONTH = DECEMBER 2016

DIVISON NAME : ON-JOB INJURIES

ON-JOB
TRAFFIC EQUIPMENT MAN HOURS
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION FIRE NEAR MISS DAMAGE

COASTLINE GEOPHYSICAL SAUDI ARABIA LTD. 36 - - - 7,488

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION
FIRE
NEAR MISS
EQUIPMENT DAMAGE

PREPARED BY : RICHARD E. PASCULADO

SAFETY OFFICER
 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT

Week = 63 TO 68 MONTH = DECEMBER 2016

DIVISON NAME : ON-JOB INJURIES

TRAFFIC EQUIPMENT
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION FIRE NEAR MISS DAMAGE

COASTLINE GEOPHYSICAL SAUDI ARABIA LTD. 71 2 - - 1 -

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC COUGHS
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION
FIRE
NEAR MISS
EQUIPMENT DAMAGE

PREPARED BY : RICHARD E. PASCULADO

SAFETY OFFICER
 ON-JOB
MAN HOURS

-
 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT

Week = 58 TO 62 MONTH = NOVEMBER 2016

DIVISON NAME : ON-JOB INJURIES

TRAFFIC EQUIPMENT
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION FIRE NEAR MISS DAMAGE

COASTLINE GEOPHYSICAL SAUDI ARABIA LTD. 71 4 - - -

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC COUGHS, HEADACHE AND NOSEBLEED
RDI
LTI -
FAT
TRC -
MVA -
TRAFFIC VIOLATION
FIRE
NEAR MISS
EQUIPMENT DAMAGE

PREPARED BY : RICHARD ESTOMO PASCULADO

SAFETY OFFICER
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 ON-JOB
MAN HOURS
 DRILLING & WORKOVER SERVICES DEPARTMENT
CONTRACTOR INCIDENT REPORT
COASTLINE GEOPHYSICAL SAUDI ARABIA limited.
Week = 53 TO 57 MONTH = OCTOBER 2016

DIVISON NAME : ON-JOB INJURIES

TRAFFIC EQUIPMENT
Contractor HEADCOUNT MTC RDI LTI FAT TRC MVA VIOLATION FIRE NEAR MISS DAMAGE

COASTLINE GEOPHYSICAL SAUDI ARABIA ltd. 71 5

TOTAL SUM
INCIDENT SUMMARY: ON JOB- OFF JOB BRIEF DESCRIPTION FOR EACH INCIDENT-INCLUDE OFF JOB OR ON JOB
MTC FEVER AND FLUE, HEADACHE, COUGH AND COLDS.
RDI 0
LTI 0
FAT 0
TRC 0
MVA 0
TRAFFIC VIOLATION 0
FIRE 0
NEAR MISS 0
EQUIPMENT DAMAGE 0

PREPARED BY : RICHARD ESTOMO PASCULADO

SAFETY OFFICER
 ON-JOB
MAN HOURS