Contractors SH&E Monthly Report

PROJECT MONTHLY SH&E REPORT

Project: Report for month:

Project No.: Report prepared

by:
Note: All submissions may be validated during audits
1. Manpower Details This Month 12 Month Rolling Inception to
Date

Man Hours worked

# Field Managers (Construction) N/A N/A

# Fields Engineers N/A N/A

# Supervisors & Foreman N/A N/A

# Workers N/A N/A

# Work Crews/Areas N/A N/A

# SH&E Employees N/A N/A

2. SH&E Leading Indicators Planned Actual % Completed

Training Delivered

Pre Start Meetings

Site Inspections

3. S&H Incidents and Near Misses This Month 12 Month Rolling Inception to
Date

Near Misses:

Property Damage:

First Aid Case:

Medical Treatment Case:

Restricted Work Day Cases:

Restricted Work Days:

Permanent Partial Disabilities:

Permanent Total Disabilities:

Lost Work Day Cases:

Lost Work Days:

Form QPMO-700-00-FM-036 Contractors SH&E Monthly Report “Uncontrolled when printed” Rev 0 Effective 20/12/17
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 Contractors SH&E Monthly Report
Fatalities:

Dangerous Occurrences:

Immediate Reportable Injuries:

This Month 12 Month Rolling Inception to

4. Environmental Incidents
Date

Environmental Pollution Incidents Minor

Environmental Pollution Incidents Moderate

Environmental Pollution Incidents Major

Spill/Release/Discharge to Land

Spill/Release/Discharge to Water, including

Groundwater

Spill/Release/Discharge to Atmosphere

Unauthorized/Accidental Vegetation Removal

or Harm

Accidental Harm to Animal Species

Unauthorized/Accidental Damage to Heritage

Site/Item

Environment Incident - Other

5. Environmental Monitoring Required Actual % Completed

Water Monitoring

Air Quality

Noise Monitoring

This Month 12 Month Rolling Inception to

6. Waste Management
Date

Waste Produced (Total Tons)

Waste Recycled (Total Tons)

Hazardous Waste Produced (Total Tons)

Metal Waste Recycled (Total Tons)

Paper Waste Recycled (Total Tons)

Glass Recycled (Total Tons)

Timber Waste Recycled (Total Tons)

Concrete Waste Recycled (Total Tons)

Form QPMO-700-00-FM-036 Contractors SH&E Monthly Report “Uncontrolled when printed” Rev 0 Effective 20/12/17
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 Contractors SH&E Monthly Report
Waste Effluent Produced (units of 10000
Gallons)

Form QPMO-700-00-FM-036 Contractors SH&E Monthly Report “Uncontrolled when printed” Rev 0 Effective 20/12/17
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