DAILY HSE REPORT

Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 01-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 45 450

2 NMR WORKERS 50 500

3 SUB CONTRACTOR WORKERS 270 2700

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 377 3770

PREVIOUS MAN HOURS 837330

CUMULATIVE MAN HOURS 841100

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 02-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 0 0

2 NMR WORKERS 0 0

3 SUB CONTRACTOR WORKERS 0 0

4 SECURITY 0 0

5 OTHERS 0 0

TOTAL 0 0

PREVIOUS MAN HOURS 841100

CUMULATIVE MAN HOURS 841100

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 03-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 58 580

2 NMR WORKERS 63 630

3 SUB CONTRACTOR WORKERS 293 2930

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 426 4260

PREVIOUS MAN HOURS 841100

CUMULATIVE MAN HOURS 845360

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 04-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 57 570

2 NMR WORKERS 70 700

3 SUB CONTRACTOR WORKERS 309 3090

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 448 4480

PREVIOUS MAN HOURS 845360

CUMULATIVE MAN HOURS 849840

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 05-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 59 590

2 NMR WORKERS 67 670

3 SUB CONTRACTOR WORKERS 327 3270

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 465 4650

PREVIOUS MAN HOURS 849840

CUMULATIVE MAN HOURS 854490

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 06-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 60 600

2 NMR WORKERS 62 620

3 SUB CONTRACTOR WORKERS 342 3420

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 476 4760

PREVIOUS MAN HOURS 854490

CUMULATIVE MAN HOURS 859250

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 07-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 62 620

2 NMR WORKERS 74 740

3 SUB CONTRACTOR WORKERS 373 3730

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 521 5210

PREVIOUS MAN HOURS 859250

CUMULATIVE MAN HOURS 864460

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 08-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 59 590

2 NMR WORKERS 71 710

3 SUB CONTRACTOR WORKERS 404 4040

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 546 5460

PREVIOUS MAN HOURS 864460

CUMULATIVE MAN HOURS 869920

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 09-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 0 0

2 NMR WORKERS 0 0

3 SUB CONTRACTOR WORKERS 0 0

4 SECURITY 0 0

5 OTHERS 0 0

TOTAL 0 0

PREVIOUS MAN HOURS 869920

CUMULATIVE MAN HOURS 869920

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 10-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 61 610

2 NMR WORKERS 75 750

3 SUB CONTRACTOR WORKERS 472 4720

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 620 6200

PREVIOUS MAN HOURS 869920

CUMULATIVE MAN HOURS 876120

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 11-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 62 620

2 NMR WORKERS 90 900

3 SUB CONTRACTOR WORKERS 485 4850

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 649 6490

PREVIOUS MAN HOURS 876120

CUMULATIVE MAN HOURS 882610

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 12-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 62 620

2 NMR WORKERS 91 910

3 SUB CONTRACTOR WORKERS 507 5070

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 672 6720

PREVIOUS MAN HOURS 882610

CUMULATIVE MAN HOURS 889330

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 13-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 65 650

2 NMR WORKERS 89 890

3 SUB CONTRACTOR WORKERS 520 5200

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 686 6860

PREVIOUS MAN HOURS 889330

CUMULATIVE MAN HOURS 896190

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 14-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 51 510

2 NMR WORKERS 61 610

3 SUB CONTRACTOR WORKERS 495 4950

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 619 6190

PREVIOUS MAN HOURS 896190

CUMULATIVE MAN HOURS 902380

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 15-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 48 480

2 NMR WORKERS 36 360

3 SUB CONTRACTOR WORKERS 480 4800

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 576 5760

PREVIOUS MAN HOURS 902380

CUMULATIVE MAN HOURS 908140

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 16-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 44 440

2 NMR WORKERS 62 620

3 SUB CONTRACTOR WORKERS 515 5150

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 633 6330

PREVIOUS MAN HOURS 908140

CUMULATIVE MAN HOURS 914470

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 17-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 59 590

2 NMR WORKERS 128 1280

3 SUB CONTRACTOR WORKERS 585 5850

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 784 7840

PREVIOUS MAN HOURS 914470

CUMULATIVE MAN HOURS 922310

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 18-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 63 630

2 NMR WORKERS 129 1290

3 SUB CONTRACTOR WORKERS 596 5960

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 800 8000

PREVIOUS MAN HOURS 922310

CUMULATIVE MAN HOURS 930310

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 19-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 69 690

2 NMR WORKERS 120 1200

3 SUB CONTRACTOR WORKERS 635 6350

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 836 8360

PREVIOUS MAN HOURS 930310

CUMULATIVE MAN HOURS 938670

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 20-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 65 650

2 NMR WORKERS 124 1240

3 SUB CONTRACTOR WORKERS 694 6940

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 895 8950

PREVIOUS MAN HOURS 938670

CUMULATIVE MAN HOURS 947620

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 21-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 60 600

2 NMR WORKERS 128 1280

3 SUB CONTRACTOR WORKERS 731 7310

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 931 9310

PREVIOUS MAN HOURS 947620

CUMULATIVE MAN HOURS 956930

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 22-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 62 620

2 NMR WORKERS 129 1290

3 SUB CONTRACTOR WORKERS 672 6720

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 875 8750

PREVIOUS MAN HOURS 956930

CUMULATIVE MAN HOURS 965680

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 23-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 58 580

2 NMR WORKERS 111 1110

3 SUB CONTRACTOR WORKERS 585 5850

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 766 7660

PREVIOUS MAN HOURS 965680

CUMULATIVE MAN HOURS 973340

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 24-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 70 700

2 NMR WORKERS 102 1020

3 SUB CONTRACTOR WORKERS 695 6950

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 879 8790

PREVIOUS MAN HOURS 973340

CUMULATIVE MAN HOURS 982130

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 25-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 68 680

2 NMR WORKERS 125 1250

3 SUB CONTRACTOR WORKERS 694 6940

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 899 8990

PREVIOUS MAN HOURS 982130

CUMULATIVE MAN HOURS 991120

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 26-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 0 0

2 NMR WORKERS 0 0

3 SUB CONTRACTOR WORKERS 0 0

4 SECURITY 0 0

5 OTHERS 0 0

TOTAL 0 0

PREVIOUS MAN HOURS 991120

CUMULATIVE MAN HOURS 991120

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 27-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 73 730

2 NMR WORKERS 139 1390

3 SUB CONTRACTOR WORKERS 896 8960

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 1120 11200

PREVIOUS MAN HOURS 991120

CUMULATIVE MAN HOURS 1002320

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV

 DAILY HSE REPORT
Doc. No. KMV/HSE/F7, Rev. No. : 03, Date: 21.01.2021

Project Name: 1082 & 1084,APTIDCO,GUDIWADA. Date: 28-01-2022

S.No Department Man Power Man Hours Remarks

1 KMV STAFF 67 670

2 NMR WORKERS 148 1480

3 SUB CONTRACTOR WORKERS 862 8620

4 SECURITY 12 120

5 OTHERS 0 0

TOTAL 1089 10890

PREVIOUS MAN HOURS 1002320

CUMULATIVE MAN HOURS 1013210

S.No Type of Incident / Accident and Nearmiss Description Time Department /Location

Block Incharge or supervisor Name Signature

CUMULATIVE NO OF INCIDENTS / ACCIDENTS

Accidents/
S.NO First Aid Cases Nearmiss Incidents Fatal Accidents Fire Incident Man Days Lost

1 Today 0 0 0 0 0 0
2 Previous 0 0 0 0 0 0
3 Cumulative 0 0 0 0 0 0
STATUS OF P&M
S.NO Miller Excavator JCB Tower crane Bomm Placer Hydra TM Tractor Water Tanker
1 0 1 2+1(BULL LOADER) 0 1 1 3 3 1

STATUS OF TRAININGS

TBT PEP TALK INDUCTION HSE AWARENESS TRAININGS

S.NO TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS TRAININGS PARTICIPANTS

1 TODAY 0 0 0 0 0 0 0 0

2 PREVIOUS 202 3629 18 128 63 663 35 1222

3 CUMULATIVE 202 3629 18 128 63 663 35 1222

OBSERVATIONS OF UNSAFE ACTS / UNSAFE CONDITIONS / GOOD PRACTICES

No.of workers given for Safety activities 0 Activity description:-

Report prepared by Sr.Project Manager

(Name& Signature)

LET SAFETY PREVAIL – ALWAYS AT KMV