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N° OD-PRO-HSE-037
MONTHLY SAFETY STATISTICAL REPORT
Form N° OD-HSE-014
PRO-ACTIVE INDICATORS Report N°
Month: Company: Compiled by: Date:
Year: Drilling Rig / Base:
Total since the
Total since the Total since the
GENERAL SUMMARY Monthly total beginning
Monthly total Monthly total beginning beginning
(Saipem & of the year
(Saipem) (Sub-Contractor) of the year of the year
PRO-ACTIVE INDICATORS Sub-Contractor) (Saipem &
(Saipem) (Sub-Contractor)
Sub-Contractor)

N° of HSE Training Hours

N° of HSE Management Visits

N° of Tool-box Talks

N° of Job Safety Analysis

N° of HSE Meetings

N° of HSE Inspections

N° of Hazard Observation Cards

REMARKS: Safety Officer Toolpusher Project Manager