Subursaba Sdn Bhd (426851-A)

No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion Concrete Road at Lavang Estate Main Road, From Lavang

Estate Main Gate to Lavang Mill, Bintulu, Sarawak (Package A)

Construction Start Date: 01.08.2022 Construction End Date: 01.06.2023

Month of: September Year: 2022

Date Submitted: 30/09/2022

MONTHLY HS&E PERFORMANCE

Leading Indicators This Total Remarks
Month
Toolbox Talks 8 19
Safety Meetings 1 4
HSE Inductions 0 0
HSE Inspections/Observations 0 0
Corrective Actions Completed 0 0

Lagging Indicators This Total Remarks

Month
Near Miss 0 0
First Aid Case (FAC) 0 0
Medical Treatment Case (MTC) 0 0
Lost Time Injury (LTI) 0 0
Incidents 0 0
Asset Damage/Fire Incident 0 0

REGULATORY ACTIONS OR INSPECTIONS

*Did your company experience any regulatory actions or [ ] YES [ / ] NO
inspections this month? If yes, provide regulatory agency or
supported documents.

Safety Report Verified By:

Site Safety 30/09/2022

Cynthia Chua Signature: Date:
Supervisor
Site Engineer Olyvia Mina Signature: Date: 30/09/2022