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WEEKLY HEALTH, SAFETY & ENVIRONMENT

PERFORMANCE STATISTICS
Month: Week No: 01 Name of the Contractor:
S. No. Data / Particulars This Week Cumulative

1 No. of Employees (Average)


2 Man Hours worked
3 LTI Free Man hoursMan-hours Since LAST LTI
4 Fatalities
5 First Aid Injuries
6 Lost Time Injuries (LTI)
7 Days Lost due to LTI
8 Restricted Work Day Cases (RWDC)
9 Medical Treatment Cases (MTC)
10 Heat stress related cases
11 Hazards Observation
12 Near Misses
13 High Potential Near misses
14 Damage to Property
15 Vehicle Incidents
16 Fire Incidents
17 Oil Spill Incidents
18 Chemical Spill Incidents
19 Accidents involving Third Parties
20 HSE Management System Audits
21 Camp Audits/ Inspection
22 Behavioral Audits
23 Site HSE Inspections
24 HSE Meetings
25 Municipal waste (Tons)
26 Hazardous waste (Tons)
27 Risk Assessments
28 Drills (Evacuation / Fire / Gas release)
Induction conducted
Employees Inducted
29 Trainings:
Safety Trainings
Employees Trained
Water (m3 )
30 Energy Consumption: Power (KWH)
Diesel (KL)

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