Please do not merge cells, please do not change Contractor/

cells' format Work No. of

Obsv Date of event Event Observer Area/Location Task Hazard Kind of Priority Description/Comments/Immediate action Reccomended Corrective Actions Work Target Date Corrective Actions (description) Status of Closure Date Addition Information
Subcontr stoppage Corrective
Involvement observation taken stoppage period Actions Obs. (if any)

Working with electrical devices while there

Company HSE ZMDEI-Electrical was water spill in the area that may cause Removing the water level using hand tools,
1 2/1/2022 Joint Co/Cntr ABG co. Other (see comments) Electrical hazard UC H electrical shock furthermore electrical socket Y < 1h 4/1/2022 replacing the electric line with a safer one 1 closed 5/1/2022
Superv/inspection Substation was without cover that increase the possibility with tight locks
of electrical hazards.

Company HSE ZMDEI-Electrical Rebar was observed showing up after rain that Carefully remove and cleaning the area and
2 2/1/2022 Joint Co/Cntr ABG co. Other (see comments) Fall,Trip,Slip UC H N 4/1/2022 1 Closed 5/1/2022
Superv/inspection Substation means it was hided by the soil Send it to the metal dirt area

Worker was using the drilling device and was

3 2/1/2022 Company HSE Joint Co/Cntr ABG co. ZMDEI-Electrical Tools/Equipment Fall,Trip,Slip UC H standing on unsafe ladder and putting the N 4/1/2022 Changing the ladder and using a safer one, 1 Closed 5/1/2022
Superv/inspection Substation giving TBT about the dangers of falling
electrical socket on the top of it as well.

Company HSE ZMDEI-Electrical Electrical Panel was inspected and cover for A warning sign has been placed, identified
4 7/1/2022 Joint Co/Cntr ABG co. Tools/Equipment Electrical hazard PO H protection from rain and other weather N 6/1/2022 2 Closed 8/1/2022
Superv/inspection Substation conditions and wrapped with a rainproof material

Continuous cleaning and removal of all

5 7/1/2022 Company HSE Joint Co/Cntr ABG co. ZMDEI-Electrical Housekeeping Fire hazard PO M Positive housekeeping was observed around N 6/1/2022 work equipment to its designated place 1 Closed 8/1/2022
Superv/inspection Substation worksite after completion of its use

Chemical substance that reported previously

Company HSE ZMDEI-Electrical Other (see was used without MSDS furthermore same
6 14/1/2022 Joint Co/Cntr ABG co. Chemical products UC H issue with new substance and workers were Y < 1h 15/1/2022 find (MSDS) and prepare (PPE) 1 Closed 17/1/2022
Superv/inspection Substation comments) not wearing (safety gloves, proper mask and
disposable coverall).

Pipes and other materials were observed

Company HSE ZMDEI-Electrical The equipment has been removed to the
7 14/01/2022 Superv/inspection Joint Co/Cntr ABG co. Substation Tools/Equipment Fall,Trip,Slip UC H obstructing the walkway that may cause trip N 15/1/2022 storage area 1 Closed 15/1/2022
and fall hazards

Till now the insolation chemical material is

8 14/01/2022 Company HSE Joint Co/Cntr ABG co. ZMDEI-Electrical Chemical products Other (see UC H without MDSD and stored improperly that N 15/1/2022 Completeness of personal protavrive 1 Closed 16/1/2022
Superv/inspection Substation comments) may cause cancer to workers who work inside equipment(PPE) and presence (MSDS)
the building all day due to its tiny fibers

Worker was using unsafe method to work at

9 22/1/2022 Company HSE Company ABG co. ZMDEI-Electrical Working at Height Fall from height UA H height instead of just using the ladder with N 22/1/2022 Ladder was used with assistant 1 Closed 23/1/2022
Superv/inspection Substation
assistant to hold it

Riggers was touching the load instead of using

Company HSE ZMDEI-Electrical taglines (note: photo was not very clearly After been instructed riggers were doing
10 22/1/2022 Superv/inspection Company ABG co. Substation Lifting Struck by/Hit by UA H describe the unsafe act but before a second of N 22/1/2022 the safe way 1 Closed 23/1/2022
the photo the load was touched).

11 22/1/2022 Company HSE Company ABG co. ZMDEI-Electrical Lifting Struck by/Hit by UA H Riggers was staying in the lorry body while N 22/1/2022 Rigger has left the lorry after finish slinging 1 Closed 23/1/2022
Superv/inspection Substation load been lifted.
Lack of lighting inside the building that may
ZMDEI-Electrical
12 22/1/2022 Joint HSE Walk down Joint Co/Cntr ABG co. Substation Other (see comments) N/A UC H cause injury due to trip and fall hazards N 22/1/2022 add more lighte on workplace 1 Closed 23/1/2022
because of the lack of lighting.

Contractor was instructed before to

13 22/1/2022 Company Management Joint Co/Cntr ABG co. ZMDEI-Electrical Scaffolds/Ladders Cought by collapse UC H dismantle this scaffold and re-erect it due to N 24/1/2022 1 Closed 9/2/2022
visit Substation
the tilting of the scaffold.
Company HSE ZMDEI-Electrical Vehicle/Machinery The movement of the vehicle was directed
14 26/1/2022 Superv/inspection Company ABG co. Substation Movement PO H and regulated by A flag man 1 Closed 24/2/2022

Scaffold that reported previously was not

Company HSE ZMDEI-Electrical Contractor was instructed before to fixed but blocked and not used until a new
15 26/1/2022 Company ABG co. Scaffolds/Ladders Cought by collapse UA H dismantle this scaffold and re-erect it due to Y < 1h 23/1/2022 1 Closed 24/1/2022
Superv/inspection Substation scaffold materials will be provided because
the tilting of the scaffold current ones already damaged

Company HSE ZMDEI-Electrical Temperature measurement device was not Battery was changed and device was
16 26/1/2022 Superv/inspection Company ABG co. Substation Covid19 management Covid19 UC H working and the register was filled with fake N 26/1/2022 operated 1 Closed 26/1/2022
records
Company HSE ZMDEI-Electrical Flowchart that was attached with all PTWs
17 26/1/2022 Superv/inspection Company ABG co. Substation PTW N/A UA H was not the last updated one. N 26/1/2022 ubdate flowchart 1 Closed 27/1/2022

Company HSE ZMDEI-Electrical Workers were not wearing proper PPE ABL HSE MGR. Was instructed to provide
18 6/2/2022 Superv/inspection Company ABG co. Substation PPE Chemical hazard UA H (disposable coverall, respirator mask) for the N 6/2/2022 the crew with proper PPE ASAP 1 Closed 7/2/2022
task.

The scaffold was not re-inspected moreover ABL HSE MGR was informed to remove the
Company HSE ZMDEI-Electrical green tag and install barricades around the
19 6/2/2022 Superv/inspection Company ABG co. Substation Working at Height Fall from height PO H tag was not updated at the main cables trench N 6/2/2022 scaffold access way till reinspect by the 1 Closed 7/2/2022
outside the substation.
scaffold inspector.

Company HSE ZMDEI-Electrical Transporting waste to the sanitary landfill

20 6/2/2022 Superv/inspection Company ABG co. Substation Housekeeping N/A PO N/A Collect a lot of different waste N 6/2/2022 area 1 Closed 7/2/2022

Electrical cables were left on the ground ABL HSE SPV was instructed to use a cables
Company HSE ZMDEI-Electrical
21 6/2/2022 Superv/inspection Company ABG co. Substation Other (see comments) Electrical hazard PO H randomly without sleeves or cables hangers at N 6/2/2022 hanger with isolation and lift it from the 1 Closed 7/2/2022
the cable’s trays area. ground to avoid an electrical hazard

The battery of the power generator is placed

22 7/2/2022 Company HSE Company ABG co. ZMDEI-Electrical Other (see comments) Electrical hazard UC H N 7/2/2022 ABL HSE MGR was instructed to removed 1 Closed 8/2/2022
outside the power generator. Moreover, the
Superv/inspection Substation poles of the battery do not contain protection the battery inside the generator ASAP.

Company HSE ZMDEI-Electrical The scaffold is slant on the second floor of the ABL HSE MGR was instructed to dismantle
23 7/2/2022 Company ABG co. Scaffolds/Ladders Fall from height UC H building and needs immediate dismantling and Y > 24h 7/2/2022 the scaffold tower (by today or tomorrow) 1 Closed 9/2/2022
Superv/inspection Substation
re-erecting and not allow anyone to use the scaffold

ZMDEI-Electrical Full commitment to wear all equipment

24 7/2/2022 Joint HSE Walk down Contractor ABG co. Substation PPE Covid19 PO N/A Safety awareness was conducted by ENI HSE SPV and ABL N 7/2/2022 and full attendance of all employees 1 Closed 8/2/2022
HSE MGR to the crew to explain the two important
subjects (PPE and COVID -19).

Company HSE ZMDEI-Electrical The main cable trench area was barricaded
25 9/2/2022 Contractor ABG co. Other (see comments) Fall,Trip,Slip PO H N 9/2/2022 and adequate safety signs were instilled 1 Closed 10/2/2022
Superv/inspection Substation along the trench area

ABL HSE SPV was instructed to remove all

26 9/2/2022 Company HSE Contractor ABG co. ZMDEI-Electrical Working at Height Electrical hazard PO H Live electrical cables were left on the ground N 9/2/2022 cables from the ground and use the (cables 1 Closed 10/2/2022
Superv/inspection Substation without protection inside the cables trench
hanger).

Company HSE ZMDEI-Electrical Poor housekeeping around the equipment

27 9/2/2022 Joint Co/Cntr ABG co. Health-Hygiene Fall,Trip,Slip UC H boxes moreover the empty boxes need to N 9/2/2022 1 Closed 11/2/2022
Superv/inspection Substation remove from site location.

All ladders were used at the site during

Company HSE ZMDEI-Electrical working at height activities without inspection Check (the ladder) and use, the scaffold is
28 9/2/2022 Company ABG co. Working at Height Fall from height UC H N 9/2/2022 1 Closed 11/2/2022
Superv/inspection Substation furthermore some ladders were contented safe
damaged steps and not contained an anti-slip.

29 11/2/2022 Company HSE Contractor ABG co. ZMDEI-Electrical PPE Chemical hazard PO H A worker was wearing full proper PPE during N 11/2/2022 Commitment as described in ( MSDS ) 1 Closed 12/2/2022
Superv/inspection Substation dealing with Add sealant for joints of concrete.

Company HSE ZMDEI-Electrical Despite the scaffold having been inspected, Stop using it and put a ( Do not oprate ) sign for
30 11/2/2022 Company ABG co. Working at Height Fall from height UC H the scaffold ladder contains broken steps as N 11/2/2022 The ladder is replaced 1 Closed 12/2/2022
Superv/inspection Substation shown in red marks. the next inspaction day

Scaffold materials and other materials need to ABL HSE MGR was instructed to arrange
31 11/2/2022 Company HSE Company ABG co. ZMDEI-Electrical Housekeeping Fall,Trip,Slip UC H be arranged properly furthermore the area did N 11/2/2022 the materials and use both safety signs and 2 Closed 12/2/2022
Superv/inspection Substation
not have proper barriers and safety signs. barricades by today.

Company HSE ZMDEI-Electrical The working area was clean and tidy and all
32 13/2/2022 Contractor ABG co. Housekeeping Fall,Trip,Slip PO M temporary storage materials were barricaded N 13/2/2022 1 Closed 14/2/2022
Superv/inspection Substation properly.

ABL HSE SPV was instructed to remove the

Company HSE ZMDEI-Electrical Other (see An oil spill was found on the ground at a contaminated soil and use the insolation
33 13/2/2022 Superv/inspection Company ABG co. Substation Working at Height comments) UC H firefighting pipes fabrication workshop N 13/2/2022 sheet (plastic cover with sandbags) under 1 Closed 14/2/2022
the fabrication machine

Workers were working at the switchgear

electrical room while the gypsum board ABL HSE MGR was informed to remove all
Company HSE ZMDEI-Electrical frames from the working area immediately
34 13/2/2022 Superv/inspection Company ABG co. Substation Other (see comments) Cought by collapse UC H frames were not tightened enough and N 13/2/2022 after that they must reinstall it in a proper 1 Closed 14/2/2022
(contain damaged parts) around the working way
area as shown in the pictures

Both ABG HSE MGR and HSE SPV were

35 14/2/2022 Company HSE Joint Co/Cntr ABG co. ZMDEI-Electrical Other (see comments) Injury (generic) UC M The cable trays columns contained N 14/2/2022 instructed to protect the sharp by using 1 Closed 14/2/2022
Superv/inspection Substation unprotected sharp edges rubber to protect the edges of the cable
trays or cutting the edge properly

Some of the places inside the cables trays area ABG HSE MGR was instructed to increase
36 14/2/2022 Company HSE Joint Co/Cntr ABG co. ZMDEI-Electrical Lifting Other (see UC H inside the substation did not have sufficient N 14/2/2022 the number of lighting devices or changed 1 Closed 15/2/2022
Superv/inspection Substation comments) the lighting devices' location according to
lighting during the daily activity activities.

The lifting operation was carried out according

37 14/2/2022 Company HSE Joint Co/Cntr ABG co. ZMDEI-Electrical Lifting Other (see PO N/A to the lifting plan and all crew responsible for N 14/2/2022 PTW +All attached is cleare 1 Closed 15/2/2022
Superv/inspection Substation comments)
lifting were present at the lifting area.

38 16/2/2022 Joint HSE Walk down Contractor ABG co. ZMDEI-Electrical Working at Height Fall from height UA N/A Workers were not unsafe action on scaffolding N 16/2/2022 ABL HSE MGR. Was instructed to provide 1 Closed 16/2/2022
Substation Use another base for sourcing

ZMDEI-Electrical The workplace Workers upon completion of ABL HSE MGR was informed to remove the
39 16/2/2022 Joint HSE Walk down Contractor ABG co. Substation Housekeeping Fall,Trip,Slip UC H previous work did not remove work materials N 16/2/2022 materials and good housekeeping
1 Closed 16/2/2022

For the requirements of health and safety,

40 16/2/2022 Joint HSE Walk down Contractor ABG co. ZMDEI-Electrical Health-Hygiene Health UC H Using the cutting machine in the lower exposed area N 16/2/2022 it was directed by the HSE manager that 1 Closed 16/2/2022
Substation
this machine be placed above and used safely

The location of cables trays activity inside the ABG HSE MGR was instructed to increase
Company HSE ZMDEI-Electrical Other (see the number of lighting devices or changed
41 17/2/2022 Contractor ABG co. Other (see comments) UC H substation did not have sufficient lighting N 17/2/2022 1 Closed 18/2/2022
Superv/inspection Substation comments) during the daily activity. the lighting devices' location according to
activities immediately

The power cable was left on the ground ABG HSE MGR was instructed to install and
Company HSE ZMDEI-Electrical
42 17/2/2022 Superv/inspection Contractor ABG co. Substation Lifting Electrical hazard UC H without any protection during performing the N 17/2/2022 increase the number of (cables hanger) at a 1 Closed 18/2/2022
task work location

Company HSE ZMDEI-Electrical The (top rail) of the scaffold was not erected
43 17/2/2022 Superv/inspection Contractor ABG co. Substation Working at Height Fall from height UC H on the first floor of the substation N 1 Open

44
Please do not merge cells, please do not change cells' format Windows User:
If any, describe kind of
No. Date of event Event Notes Report details
report
1 16/1/2022 Company Management visit Lifting Operations HSE Site visit report
2 7/2/2022 Company Management visit TBT INDECTION (MR. MOHHAMED HATHAL ) HSE Site visit report Windows User:
3 Free text, describe
event
4
5
Please do not merge cells, please do not change cells' format
Contractor/ Dpt
Incident Date of Area/
Subcontr Involvem Task Type of Incident Priority
No. event Location
Involvement ent

ZMDEI-
Tools/
Electrical
1 26/01/2022 ABG co. A Equipmen First Aid Case H
Substatio
t
n
 Description/Comments Immediate Action taken

During a drill activity, the worker Driller machine was not used properly by the worker
lost control of the tool which and gloves was not proper for the job
hooked and punctured the glove
and injured the PI in the thumb.
Fortunately, the tendon damage
and abrasions were minimal.
 Work
Work
Reccomended corrective actions stoppage Target Date
stoppage
period

Worker was sent directly to the site clinic N 26/01/2022

and first-aid treatment was done to him,
furthermore 1 day rest was given to him in
order to assess his condition and state of
health.
 No. of
Status of
Corrective action (description) Correctiv Closure Date Notes
Obs.
e Actions

Awareness of the dangers of using this

machine / and wearing the 1 Closed 27/01/2022
appropriate equipment
Please, custom your lists filling and completing lists below. Contact EIBV HSE coord
Contractor/Subcontr Dpt accountability Area/Location
Accountability (accountable) (deptaccountable) (area)

ABG co. A ZMDEI-Electrical Substation

Subcontractor 1 B C
Subcontractor 2 C D
Subcontractor 3 A E
Subcontractor 4 B T
Subcontractor 5 C Y
Subcontractor 6 A U
Subcontractor 7 B I
C O
A P
B
C
A
B
ct EIBV HSE coordinators if other blocked lists need any modification
THIS SHEET IS PROTECTED BY PASSWORD
Type of Work Work
Incident Priority stoppage stoppage observation Report
Observer Event Task Hazards Kind of observation status
(inciden (pr) status period (status) status
t) (stop) (stopper)

Company Contractor HSE Superv/inspection Access/Egress Biological hazard PO Near Mis H Y < 30 min Open N/A
Contractor Company HSE Superv/inspection Awareness/Behaviours Chemical hazard UA Damage to M N < 1h Closed Closed
Joint Co/Cntr Joint HSE Walk down Chemical products Cought by collapse UC Damage tL N/A < 5h N/A Draft
Other (see comments) Company Management visit Confined Space Covid19 Damage to N/A < 12h
Contractor Management visit Covid19 management Electrical hazard Fatality < 24h
Audit/Assesment Driving Fall from height First Aid Case > 24h
Drill/Exercises Energized System Fall,Trip,Slip Lost Time Injury
Health & Hygiene Insp. Excavation/Trenching Fire hazard Lost Workday Case
Firefighting Health Medical Treatment Case
Health-Hygiene Hearing hazard Restr Workday Case
Heat/cold environment Heat stroke/dehydration
Housekeeping Infection hazard
HSE MS Injury (generic)
Illumination Musculoskeletal Disease
Lifting Noise hazard
Lone working Pressure hazard
Manual Handling Struck by/Hit by
PPE Vibration hazard
PTW N/A
Re-Fuelling Other (see comments)
Safety signals/Barricades
Scaffolds/Ladders
SIMOPS
Tools/Equipment
Vehicle/Machinery Movement
Welding/Cutting
Working at Height
Other (see comments)

Confined space entry

Chemical cleaning
Excavation
Painting / sand blasting
Machinery
Kind of observation - all -

Count of Obsv Status of Obs.

Event (empty) ClosedOpen Total Result
Company HSE Superv/inspection 36 1 37
(empty) 8 8
Joint HSE Walk down 5 5
Company Management visit 1 1
Total Result 8 42 1 51
 45
40
Count of osafety observations vs. events
35 years 2020-2021
30
25
20
15
Status of Obs. (empty)
10
5 Closed
0
on y) n
i si
t
ul
t
cti pt ow tv
s
e
(e
m kd n Re
sp al e ta
l
/ in W e m
To
rv E ag
pe HS an
Su in
t M
SE Jo ny
yH pa
n m
pa Co
m
Co
ons vs. events
1

Status of Obs. (empty)

Closed
Years - all -
Quarters - all -
Months - multiple - ‫اإلجمالي‬
Days - all - 1.2

Event Count of No. 1

Company Managemen 1
0.8
Total Result 1
0.6

0.4

0.2

0
Company Management visit
‫اإل‬

Count of No.

visit
TABLE FOR WEEKLY REPORT, FILL THEM FROM GREEN LABELLED SHEETS

UNSAFE ACTS/CONDITIONS (No. of)

Event Total Closed Total Open Total
Company HSE Superv/inspection 29 0 29
Contractor HSE Superv/inspection 1 1
Company Management visit 2 2

SPECIAL EVENTS (No. of)

Event Total Last week
Drill/Exercises 0 0
Company Management visit 1 0

INCIDENTS (No. of)

Event Total Last week
Lost Time Injury
Lost Workday Case
Restr Workday Case
Medical Treatment Case
First Aid Case
Damage to asset
Damage to environment
Damage to reputation
Near Miss
BELLED SHEETS

NS (No. of)
Last week
0
0
Years - all -
Quarters - all -
Months - all - ‫اإلجمالي‬
Days - all - 1.2

Type of IncidentCount of Incident No. 1

(empty)
0.8
First Aid Case 1
Total Result 1
0.6

0.4

0.2

0
(empty) First Aid Case
‫اإلجمالي‬

Count of Incident No.

First Aid Case

Date of event - all -

Count of Obsv Kind of observation

Event PO UC UA Total Result
Company HSE Superv/inspection 11 20 6 37
Joint HSE Walk down 1 3 1 5
Company Management visit 1 1
Total Result 12 24 7 43
 Safety Observations vs events 2020
30

25

20

15

10

0
Company HSE Superv/ Joint HSE Walk down Company Management visit
inspection
ervations vs events 2020-2021

Kind of observation PO
UC
UA

Company Management visit Total Result

Date of event - all -

Kind of observati Status of Obs. Count of Obsv

PO
Closed 12
UC
Closed 23
Open 1
UA
Closed 7
Total Result 43
 ‫اإلجمالي‬
12

10

8
Status of Obs.
6

0
PO UC UA
 ‫اإلجمالي‬

Date of event - all -

Observer Count of Obsv

(empty) 8
Total Result 8

Total Result
50%
‫اإلجمالي‬

‫)‪(empty‬‬
‫‪50%‬‬
Kind of observation UA
Priority - multiple -
Date of event - all -

Task Count of Obsv

Lifting 2
PPE 1
PTW 1
Scaffolds/Ladders 1
Working at Height 1
Total Result 6

Total Result
50%
 Safety observations vs. Tasks
Priority: all
June-July 2021

Lifting
17%

PPE
8%

otal Result
50%

PTW
8%

Scaffolds/Ladders
8%

Working at Height
8%
asks