30th Jan. 2023 EIL Monthly HSE Report .

THREE OUT SYSTEM DETAILS
(To be submitted by 3rd of every month with Monthly HSE Report)

Format No.: EIL/ B224/HSE/19
Name of Contractor: Toyo Engineering India Pvt. Limited For the month of: December, 2020
Scope of work: DHDT-HGU Status as on: 31st December, 2020.
Instance of
Induction card warnings
S. NO Date Name of the violator Designation Gate pass number Violation
No.
(1st , 2nd & 3rd )
Mr. Baijnath found without Full Body

1 05.12.2022 Baijnath Tanti Supervisor HBDH/LI/IN.445 N.A Harness approx 4mtr at PR-4 DHDT.
1st
HBDH/LI/IN.405 Mr. Sonu using improper hand tools

2 22.12.2022 Sonu Kumar Helper N.A 1st
while elevation work.
Mr. Chandan has mis-communicate
3 22.12.2022 Chandan Kumar Helper HBDH/LI/IN.484 N.A with another respective while 1st
elevation work.
Cumulative Status:
For the Month Cumulative

1st Out
2nd Out
3rd Out
Total
Certified that all above details are correct.
Contractor’s Safety Officer Contractor’s RCM/Site In-charge
Signature: Signature:
Name: Radhekisan Name: Mohan Tarune
Date: 03.01.2021 Date: 03.01.2021

Recorded by
Radhakishan
Devendra Kr.
Devendra Kr.
une
DETAILS OF WORKMEN ACCOMODATION
Contractor / Address of Accommodation In- No. of workmen Adequate and Safe

No. of bath
Sr. No. Sub- Accommodatio charge Name & contact in the No. of rooms No. of toilets No. of urinals Drinking Water
rooms
contractor Name n number accommodation Facility (Yes / No)
Behind HP Petrol
1 Lloyd insulation pump Madina Pokar Ram 135 20 10 10 10 Yes
Pachhpadra
Name: Radhakishan Name: Mohan Tarune
Date: 03.01.2021 Date: 03.01.2021

DETAILS OF DRINKING WATER FACILITIES AT SITE
Portability Facilities
Identification no. of water Water Logging
Sl. No. Location checked or not adequate or Remarks
tank provided (Yes / No)
(Yes / No) not (Yes / No)
1 LLOYD /Water Tank /01 DHDT Fabrication yard Yes Yes No
Name: Radhekishan Name: Mohan Tarune
Date: 03.01.2021 Date: 03.01.2021

STATUS OF CALIBRATION CERTIFICATES (Safety Related Measuring / Testing Equipment’s)
Name of Contractor:Toyo Engineering India Pvt. Limited For the month of: December, 2020.
Scope of work: DHDT-HGU Status as on: 31, December,2020.
Name of Toilets /Urinal (nos.) Labour Rest Shed

Sr. Contractor / Drinking Water
Remarks
No. Approved Sub Points (nos.)
contractor
Identification
Man Woman Area (m2)
No.
1 Lloyd Insulation 1 0 0 Rest Shed-1 10m2

Date: 03.01.2021 Date: 03.01.2021
DETAILS OF DEPLYOMENT OF SAFETY PERSONNEL
Sr. Experience (in Qualification (HSC / Diploma /

Name Designation Contact No.
No. years) Degree with discipline + DIS with name of Institute)
1 RADHAKISHAN HSE SUPERVISOR 9588033142 9 BA + DIPLOMA IN INDUSTRIAL SAFETY
2 HARINDRA KUMAR HSE LEADS 8191932035 7
BITECH + ADVANCE DIPLOMA IN INDUSTRIAL SAFETY
3 GOVINDA JAISWAL HSE SUPERVISOR 8858238727 4.6 BSC + DIPLOMA IN INDUSTRIAL SAFETY
4 Devendra kumar HSE SUPERVISOR 9815886359 7 DIPLOMA IN MECHANICAL + DIPLOMA IN INDUSTRIAL SAFETY
10
11
12
13
14
15
16
17
18
Name: RADHAKISHAN Name: MOHAN TARUNE
Date: 03.01.2021 Date:

14
2020
020.
Date of
Deployment at
HRRP Site
22 Sep.2022
6 Dec.2022
MOHAN TARUNE
03.01.2021
STATUS OF CALIBRATION CERTIFICATES (Safety Related Measuring / Testing Equipment’s)
Name of Contractor:Toyo Engineering India Pvt. Limited For the month of: December, 2020.
Sr. Equipment Serial Calibration Due

Name of Equipment Identification Calibration Agency Name Calibration Certificate No. Calibration Date Remarks
No. Date
No.
1 Multi Gas Detector 210702521 VAROSA ENGG PVT LTD VAR-CAL-230-03/31 3/30/2022 3/29/2023 LLOYD
2 Coating Thickness Meter CES/F02 CALTECH ENGINEERING SERVICES CES/21-22/1374 3/4/2022 3/3/2023 LLOYD
3 HARDNESS TESTER 290920 CALTECH ENGINEERING SERVICES CES/21-22-1375 3/4/2022 3/3/2023 LLOYD

Date: 03.01.2021 Date: 03.01.2021
DETAILS OF TEMPORARY ELECTRICAL BOOTH / INSTALLATION & DG SET
Types of Electrical Identification No. Physical Earthing Fire

ELCB Status
Sr. No. Installation Capacity Identification No. tagged/punched Condition Provided Extinguisher(Y Remarks
(OK/ NOT OK)
(DG & DB) (YES/NO) (OK/NOT OK) (YES/NO) ES/NO)
1 DG 30KWA/415V LLOYD/DG/01 YES OK OK YES YES DHDT
2 DG 30KWA/415V LLOYD/DG/02 YES OK OK YES YES DHDT
3 PDB 440 VOLTS LLOYD/PDB/03 YES OK OK YES YES DHDT

LLOYD/EXTENSION
6 Extension Board YES OK OK NO YES DHDT
BOARD/01
LLOYD/EXTENSION
7 Extension Board YES OK OK NO YES DHDT
BOARD/02
8
10
11
12
13
14
15
16
17
18
19
20
21
Contractor’s Safety Officer
Signature:
Name:
Contractor’s RCM/Site In-charge
Date:
Signature:
Radhakishan Name: Mohan Tarune
03.01.2021 Date: 03.01.2021

LIST OF LIFTING TOOLS/ TACKLES
Scope of work: DHDT-HGU Status as on: 31st december, 2020.
Sr. No. Name of Types of Lifting Capacity Identification No. Registration Physical Date of Date of Remarks
Contractor / Equipment / Tools & (Regn. No. / Serial No.) No. /Serial No. Condition Inspection Validity (TPI)
Approved Tackles / Pressure plate available (OK/NOT OK) (TPI)
Subcontractor Vessel (YES/NO)
1
LLOYD Single Rope Pulley-01 1 Ton SGP-1 OK 06.08.2022 05.08.2023
2
3
4
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
Certified that all above documents are valid and duly inspected by us.

Name: Jayanta Ghosh Name: Anand Sundararajan
Date: 03.01.2021 Date: 03.01.2021

LIST OF VEHICLES / EQUIPMENTS
Scope of work: DHDT-HGU Status as on: 31th December, 2020.

Equipment / Valid Till Date License Valid Till Date
S. No. Agency Identification No. Driver Name Type Remarks
Vehicle Type FC PUC Insurance Road Tax Permit License Eye Test
30/06/2028(NT)
1 M/s Lloyd Ins Mahindra Bol-Camper RJ04-GB 0509 12/6/2024 1/6/2024 26/06/2023 27/06/2023 Rajasthan Permt Ganga Ram NT+T 23/09/2024(T) 2/12/2022
RJ2021-SC-0056A- 12/07/2037(NT)
2 M/s Lloyd Ins Bus RJ01-PA-4382 11/1/2023 10/7/2022 10/1/2023 NT+T 15/06/2022
252 Mula Ram 29/12/2025(T)
05/12/2036(NT)
3 M/s Lloyd Ins Bolero Pickup RJ04-GC-1647 7/8/2023 5/2/2023 25/07/2023 31/03/2043 NA Prema Ram NT+T 22/03/2027(T) 8/6/2022
09/05/2033(NT)
4 M/s Lloyd Ins Croser RJ39-TA-0599 4/10/2024 4/10/2023 4/10/2023 Lift Time Tax 16/10/2027 Pokra Ram NT+T 16/12/2025(T)
27/10/2030(NT)
5 M/s Lloyd Ins TATA407 RJ04-GB-6657 5/9/2023 9/3/2023 15/07/2023 15/07/2033 Rajasthan Permt Purkha Ram NT+T 7/6/2022
02/08/2027(T)
6
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
Certified that all above documents are valid and duly inspected by us.
Contractor’s Safety Officer
Contractor’s RCM/Site In-charge
Signature:
Signature:
Name: Radhakishan
Name: Mohan Tarune
Date: 03.01.2021
Date: 03.01.2021
STATUS OF STATUTORY DOCUMENTS
Name of Contractor: Toyo Engineering India Pvt. Limited For the month of: December,2020.
Scope of work: DHDT-HGU Status as on: 31st December, 2020
Description Document / Policy No. Document / Policy Document / Policy Remarks

Issue Date Validity No. of
Sr. No. persons
covered
Labour License
30042203043628 03.05.2022 17.04.2023 125 M/s Lloyd Ins
Migrant Labour License

2 NA NA NA NA NA
Registration under BOCW Act
a. Fire Proofing UNDER PROCESS NA NA NA M/s Lloyd Ins
b. Insulation a. BOCW/ALCJODHPUR/2022/R-38 a.08/01/2022 NA a.125
b. BOCW/ALCJODHPUR/2022/R-52 M/s Lloyd Ins
b.200
3 b.05/08/2022
Registration under PF Act
GJ/SRT/30384
3/9/1996 NA NA M/s Lloyd Ins
4
Registration under ESI Act
5
Registration under ESI Act
15310166710011000
17/12/2020 NA NA M/s Lloyd Ins
5
Employee Compensation Insurance 2280077369

12/5/2022 11/5/2023 500 M/s Lloyd Ins
Contractor All Risk (CAR) Policy (EAR)

7 NA NA NA NA M/s Lloyd Ins
Third Party Liability Insurance NA NA NA NA M/s Lloyd Ins
Date: 03.01.2021 Date: 03.01.2021

DETAILS OF MOTIVATIONAL PROGRAM
Name of Contractor: Toyo Engineering India Pvt. Limited For the month of: November,2022.
Scope of work: DHDT-HGU Status as on: 30th November, 2022
Sr. No. Date Name Gate Pass/ Induction No. Designation Reason for Selection Remarks
1 03.12.2022 Manoj Yadav 173 Mason for good work practice. LLYOD
2 03.12.2022 Kunjush mukhiya 435 Asst. mason for best PPE's used at work place. LLYOD
3 03.12.2022 Prabhu Paswan 504 Helper for good work practice. LLYOD
4 03.12.2022 Ajit Kr. Singh 244 Helper Good housekeeping maintain at work place. LLYOD
5 03.12.2022 Phulchan Kumar 503 Helper for good work practice. LLYOD
6 03.12.2022 Chandan Kumar 484 Helper for best PPE's used at work place. LLYOD
7 03.12.2022 Deepak Sah 27 Fitter for good work practice. LLYOD
10
18
Unsafe Act Unsafe Conditions
S. No Hazard Categories Till Last Current Till Last Current
Total Total
Month Month Month Month
1 Personal Protective Equipment 33 33 0 0
2 Housekeeping 1 1 19 19
3 Working at Height 0 0 3 3
4 Scaffold 16 16 27 27
5 Confined Space 2 2 1 1
6 Excavation 0 0 0 0
7 Tools & Equipment 0 0 3 3
8 Work Permit 2 2 0 0
9 Hazardous Materials 0 0 11 11
10 Lifting & Rigging 1 1 0 0
11 Electricity 0 0 16 16
12 Traffic & Road Safety 9 9 1 1
13 Environmental Protection 0 0 0 0
14 Fire Protection 0 0 0 0
15 Others 0 0 0 0
TOTAL 0 64 64 0 81 81
Note: Observation Register(s) are to be maintained at the site which will be periodically
reviewed by EIL Engineers.
Unsafe Acts Unsafe Conditions
Total Month
Detected Complied Pending Detected Complied Pending
Till Last
33 Month
Current
20 Month 64 64 0 81 81 0
3 TOTAL 0 0 0 0 0 0
43
3 #REF! #REF!
0
3 #REF! #REF! #REF! #REF!
2
11 #REF! #REF! #REF! #REF!
1
16
#REF! #REF! #REF! #REF!
10
0
#REF! #REF! #REF!
0
0
145

30th Jan. 2023 EIL Monthly HSE Report .

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

30th Jan. 2023 EIL Monthly HSE Report .

Uploaded by

Copyright:

Available Formats

THREE OUT SYSTEM DETAILS

(To be submitted by 3rd of every month with Monthly HSE Report)

Scope of work: DHDT-HGU Status as on: 31st December, 2020.

(1st , 2nd & 3rd )

Mr. Baijnath found without Full Body

HBDH/LI/IN.405 Mr. Sonu using improper hand tools

For the Month Cumulative

Contractor’s Safety Officer Contractor’s RCM/Site In-charge

Date: 03.01.2021 Date: 03.01.2021

Scope of work: DHDT-HGU Status as on: 31st December, 2020.

Contractor / Address of Accommodation In- No. of workmen Adequate and Safe

Certified that all above details are correct.

Contractor’s Safety Officer Contractor’s RCM/Site In-charge

Name: Radhakishan Name: Mohan Tarune

Date: 03.01.2021 Date: 03.01.2021

Scope of work: DHDT-HGU Status as on: 31st December, 2020.

1 LLOYD /Water Tank /01 DHDT Fabrication yard Yes Yes No

Certified that all above details are correct.

Contractor’s Safety Officer Contractor’s RCM/Site In-charge

Name: Radhekishan Name: Mohan Tarune

Date: 03.01.2021 Date: 03.01.2021

Scope of work: DHDT-HGU Status as on: 31, December,2020.

Name of Toilets /Urinal (nos.) Labour Rest Shed

1 Lloyd Insulation 1 0 0 Rest Shed-1 10m2

Certified that all above details are correct.

Contractor’s Safety Officer Contractor’s RCM/Site In-charge

Name: Radhakishan Name: Mohan Tarune

Scope of work: DHDT-HGU Status as on: 31st December, 2020.

Sr. Experience (in Qualification (HSC / Diploma /

Certified that all above details are correct.

Contractor’s Safety Officer Contractor’s RCM/Site In-charge

Name: RADHAKISHAN Name: MOHAN TARUNE

Date: 03.01.2021 Date:

Scope of work: DHDT-HGU Status as on: 31st December, 2020.

Sr. Equipment Serial Calibration Due

Certified that all above details are correct.

Contractor’s Safety Officer Contractor’s RCM/Site In-charge

Name: Radhakishan Name: Mohan Tarune

Scope of work: DHDT-HGU Status as on: 31st December, 2020.

Types of Electrical Identification No. Physical Earthing Fire

1 DG 30KWA/415V LLOYD/DG/01 YES OK OK YES YES DHDT

2 DG 30KWA/415V LLOYD/DG/02 YES OK OK YES YES DHDT

3 PDB 440 VOLTS LLOYD/PDB/03 YES OK OK YES YES DHDT

4 PDB 440 VOLTS LLOYD/PDB/02 YES OK OK YES YES DHDT

5 PDB 440 VOLTS LLOYD/PDB/01 YES OK OK YES YES DHDT

Certified that all above details are correct.

Contractor’s Safety Officer

Radhakishan Name: Mohan Tarune

03.01.2021 Date: 03.01.2021

Scope of work: DHDT-HGU Status as on: 31st december, 2020.

Contractor’s Safety Officer Contractor’s RCM/Site In-charge

Name: Jayanta Ghosh Name: Anand Sundararajan

Date: 03.01.2021 Date: 03.01.2021

Scope of work: DHDT-HGU Status as on: 31th December, 2020.

Contractor’s Safety Officer

Contractor’s RCM/Site In-charge

Scope of work: DHDT-HGU Status as on: 31st December, 2020

Description Document / Policy No. Document / Policy Document / Policy Remarks

Migrant Labour License

Registration under PF Act

Registration under ESI Act

Employee Compensation Insurance 2280077369