Form No.

: WKR-HS-03
Rev.: 1
HSE PERFORMANCE REPORT Date: 22 August 2017
Page: 1 of 2

REPORTING
FREQUENCY OF REPORTING: / weekly monthly 16– 22 August 2017
PERIOD:

PROJECT TITLE: EURO 4 M HENGYUAN REFINING COMPANY PROJECT NO.: E1275

PREPARED BY: SANTOSH SINGH SHARMA DATE: 22 August 2017

1 INCIDENT Previous Report This Report Cumulative

LOST TIME INJURIES (LTI) CASE

Fatality 0 0 0

Permanent Total Disability 0 0 0

Permanent Partial Disability 0 0 0

Lost Time Injury 0 0 0

NON-LOST TIME INJURIES CASE

Restricted Work 0 0 0

Medical Treatment 0 0 0

First Aid 0 0 0

NON-INJURIOUS INCIDENT

Near Miss 0 0 0

Fire 0 0 0

Property / Equipment Damage or Lost 0 0 0

Occupational Illness 0 0 0

No. of Chemical / Oil Spills / Pollution 0 0 0

UNSAFE ACT & CONDITION

Unsafe Act 2 4 6

Unsafe Condition 2 1 8

SUMMARY OF FINDINGS FOR THE WEEK

1. INADEQUATE PRESENCE OF TRAFFIC CONTROLLERS AND FLAGMAN.(CLOSED)
2. RESTING SHELTER NEED CONSISTENT REMOVAL OF RUBBISH FROM BIN. (CLOSED)
3. WORK AREA FULL OF DISCARDED NAILS. (CLOSED)
4. OXYGEN/ ACETELYNE TANKS AND CUTTING TORCH WITHOUT FLASHBACK ARRESTORS. (CLOSED)
5. DAMAGED SLING DISCOVERED IN CRAWLER CRANE. (CLOSED)

2 SUMMARY Previous Report This Report Cumulative

Workdays Without LTI 6 6 19
Days Away from Work 0 0 0
LTI Frequency Rate 0
LTI Severity Rate 0
TH TH TH
MANHOUR WORKED BREAKDOWN 9 TO 15 AUG 16 TO 22ND AUG AS OF 24TH JULY
TBKSSB Indirect 696 696 2228
TBKSSB Direct (SITE) 2278 2144 7456
Total Manhours Worked 2974 2840 9684
TH TH TH ND
MANPOWER BREAKDOWN 9 TO 15 AUG 16 TO 22 AUG AS OF 24TH JULY
 Form No.: WKR-HS-03
Rev.: 1
HSE PERFORMANCE REPORT Date: 22 August 2017
Page: 2 of 2

TBKSSB Indirect 72 72 250

TBKSSB Direct 235 222 770
Total Manpower 379 294 1020

DESCRIPTION OF THE LOST TIME INJURIES CASE

3
(Please include date, location, root cause, action taken, etc)

DESCRIPTION OF THE NON-LOST TIME INJURIES CASE AND NON-INJURIOUS INCIDENT

4
(Please include date, location, root cause, action taken, etc)
NIL
HSE HIGHLIGHTS
5 (Significant Safety Achievement, Safety Training, Safety Awareness Program undertaken during the
month, etc)
1. 15-8-2017. 11 WORKERS FOR FIRE WATCHER TRAINING CONDUCTED
BY HRC FIRE DEPARTMENT.
2. 15-8-2017. ARRIVAL OF 2 UNITS OF PORTABLE TOILETS
3. 21-8-2017. DOSH INSPECTION FOR 2 UNITS OF CRAWLER CRANES

4. 22-8-2017. SUCCESFUL SITTING OF BORE PILING JOB HAZARD

ANALYSIS.