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  • Weekly Incident Report

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    Saravana Kumar
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    This weekly incident report summarizes any injuries, incidents, or near misses that occurred during the reporting period. It records relevant details like the type of injury or incident, affected employee, cause, and actions taken. Injury types included loss time injuries, restricted work, medical treatment, and first aid cases. Incident types were property damage, motor vehicle accidents, heavy equipment damage, fires or explosions, and near misses. The report is distributed to relevant safety departments and origins for record and any follow up needed.

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    This weekly incident report summarizes any injuries, incidents, or near misses that occurred during the reporting period. It records relevant details like the type of injury or incident, affected employee, cause, and actions taken. Injury types included loss time injuries, restricted work, medical treatment, and first aid cases. Incident types were property damage, motor vehicle accidents, heavy equipment damage, fires or explosions, and near misses. The report is distributed to relevant safety departments and origins for record and any follow up needed.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Weekly Incident Report

    Uploaded by

    Saravana Kumar
    This weekly incident report summarizes any injuries, incidents, or near misses that occurred during the reporting period. It records relevant details like the type of injury or incident, affected employee, cause, and actions taken. Injury types included loss time injuries, restricted work, medical treatment, and first aid cases. Incident types were property damage, motor vehicle accidents, heavy equipment damage, fires or explosions, and near misses. The report is distributed to relevant safety departments and origins for record and any follow up needed.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    WEEKLY INCIDENT REPORT

    Project / Div. / Dept. / Office: ________________________________________________ CRC: _________________________ Date: From _______________To _______________

    INJURIES
    Injury Type Non-
    Project/ Work Risk Matrix
    Date Emp. No. LTIC RWDC MTC FAC Cause of the Injury Action Taken Work
    Support CRC Related Categorisation
    Related

    LTI – Loss Time Injury RWDC – Restricted Work Day Case MTC – Medical Treatment Case FAC – First Aid Case
    INCIDENTS
    EQP / Incident Type
    Project / Vehicle Work Non-Work
    Date Cause of the Incident Action Taken
    Support CRC No. / Emp. PD MVA HED FE NM Related Related
    No.

    PD – Property Damage MVA – Motor Vehicle Accident HED – Heavy Equipment Damage FE – Fire and Explosion NM – Near Miss

    MAN-HOURS
    Week (Saturday - Thursday): Cumulative:

    Prepared by: _______________________ Concurred by: ________________________________________________


    Name & Signature of HSE Staff Name & Signature of PM / PIC / Div. / Dept. / Office
    DISTRIBUTION: HSE Department Originator
    NOTE: 1. Week coverage (Thursday – Wednesday) 2. To be completed and sent weekly – every Wednesday (afternoon / evening)

    Revision No. Page No. 1 of 1 Doc. No. IS-HSE-R


    Prepared by: Management Representative Issued Date: 19th February 2023
    Reviewed by: Project Manager Approved by: Operation Manager

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