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WEEKLY HSE REPORT

Project Title:
Project No.: Report No.: Week No.:

Period From To Date :

Project Todate Days Away from Medical MT's First Aid Near Todate
Man-hours LTI's LTI's (PTD) RWI's RWI's (PTD) First Aid Incidents Incidnets (PTD)
Man-hours Work Treatment (PTD) (PTD) Miss NM

HIGHLIGHTS:

Trainings Conducted Yes Topic No. of Participants


No

Audits Carried out Yes Todate Issued Todate Closed Within Target Closed After Target Date Still Open
No
Corrective Action Report Form
(QA&QC/FRM-08) & Preventive No. of CARs
Action Report Form
No. of PARs

Key Activities in Progress:

Support Required from Head Office :

Comments, Weekly HSE Data Analysis:

NOTE: * Please attach relevant data sheets to support this report.

- In case of reported NM / FA / Injuries cases attach NM/FA/Injuries record sheets. Attachments: 1)

- Please note that score become nil after an LTI recorded. 2)

- Training Record to be attached. 3)

4)

5)

Incharge Site HSE Site Manager

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