Doc.

N° OD-PRO-HSE-037
MONTHLY SAFETY STATISTICAL REPORT
Form N° OD-HSE-013
SAFETY 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
SAFETY INDICATORS Sub-Contractor) (Saipem &
(Saipem) (Sub-Contractor)
Sub-Contractor)
Average Manpower
Total Worked Man-hours
N° of Fatal Accidents
N° of Lost Time Injuries
N° of Work Restricted Cases
N° of Medical Treatment Cases
N° of First Aid Cases
N° of Commuting Injuries
N° of Near Misses
N° of Lost Work Days
N° of Road Traffic Accidents (RTA)
km Driven
N° of Restricted Work Days
Lost Time Injury Frequency Rate (LTIFR)
Total Recordable Incident Frequency Rate (TRIFR)
Severity Rate (SR)
REMARKS: Safety Officer Toolpusher Project Manager