@

*Set yearly target for the KPI's in the data sheet

*Do not delte any formula in the data sheet, only add
data in the white section,blue highlighted section
will be updated automatically.

Workforce Status

TBT conducted Trainings OHS Meetings OHS Inspections

OHS Rewards OHS Audits Safety Alerts Mock Drill

LTIFR LTIFR
LTISR TRCF FAFR
YTD YTD
YTD YTD YTD

Prepared by AMC OHS Team

 Write Company Name here
Company XYZ Project Name XYZ Reporting Year 2021 Prepared by Target Setting

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec YTD PYTD Indicator Target

Manhours 0 TBT Conducted 120

Manpower 0 Trainings 150

Safety inductions 0 OHS Meetings 123

TBT conducted 1 2 2 1 6 OHS Inspections 100

Trainings 2 1 3 OHS Rewards 15

OHS Meetings 3 1 4 OHS Audits 20

OHS Inspections 0 Safety Alerts 12

OHS Campaigns 1 2 2 5 Mock Drill 12

OHS Rewards 1 2 2 2 7

OHS Audits 1 2 22 25

Safety Alerts 2 2 2 6

Mock Drill 2 2 4

Property damage 2 2 2 6

First Aid Cases 2 2 4

Medical Treatment Case 2 2

Restricted Work Days 0

Permanent Partial Disabilities 0

Permanent Total Disabilities 0

Lost Work Day Cases 0

Lost Work Days 0

Fatalities 0

Dangerous Occurances: 0

Immediate Reportable Injuries 0

Lost Time Injury Frequency Rate (LTIFR) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Lost Time Injury Severity Rate (LTISR) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Total Reportable Case Frequency (TRCF) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Fatal Accident Frequency Rate (FAFR) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
* Frequency Calculated based on 1 million Man-hours
*Do not delete any formula in the blue highlitgted area
Projects Month Quarter Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Site 1 Jan Quarter 1
Site 2 Feb Quarter 2
Site 3 Mar Quarter 3
Site 4 Apr Quarter 4
Site 5 May
Site 6 Jun
Site 7 Jul
Site 8 Aug
Site 9 Sep
Site 10 Oct
Site 11 Nov
Site 12 Dec
 #N/A
Jan2021 Feb2021 Mar2021
Site 1 Site 1 Site 1
Manhours
Manpower
Safety inductions
TBT conducted
Trainings
OHS Meetings
OHS Inspections
OHS Campaigns
OHS Rewards
OHS Audits
Safety Alerts
Mock Drill
Property damage
First Aid Cases
Medical Treatment Case
Restricted Work Days
Permanent Partial Disabilities
Permanent Total Disabilities
Lost Work Day Cases
Lost Work Days
Fatalities
Dangerous Occurances:
Immediate Reportable Injuries
Lost Time Injury Frequency Rate (LTIFR)
Lost Time Injury Severity Rate (LTISR)
Total Reportable Case Frequency (TRCF)
Fatal Accident Frequency Rate (FAFR)
YTD Rolling (LTIFR)
 Jan2021 Feb2021 Mar2021
Manhours 0 0 0
Manpower 0 0 0
Safety inductions 0 0 0
TBT conducted 1 2 2
Trainings 2 0 0
OHS Meetings 0 3 0
OHS Inspections 0 0 0
OHS Campaigns 1 2 0
OHS Rewards 1 2 0
OHS Audits 1 2 0
Safety Alerts 0 0 2
Mock Drill 0 0 0
Property damage 0 0 0
First Aid Cases 0 0 0
Medical Treatment Case 0 0 0
Restricted Work Days 0 0 0
Permanent Partial Disabilities 0 0 0
Permanent Total Disabilities 0 0 0
Lost Work Day Cases 0 0 0
Lost Work Days 0 0 0
Fatalities 0 0 0
Dangerous Occurances: 0 0 0
Immediate Reportable Injuries 0 0 0
Lost Time Injury Frequency Rate (LTIFR) 0.00 0.00 0.00
Lost Time Injury Severity Rate (LTISR) 0.00 0.00 0.00
Total Reportable Case Frequency (TRCF) 0.00 0.00 0.00
Fatal Accident Frequency Rate (FAFR) 0.00 0.00 0.00
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
 1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0.1
0 0
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
2 02 202 202 202 202 202 202 202 202 202 202 202 202 2 02 202 202 202 202 202 202 202 202 202
n b r r y n Jul g p ct v ec TD n b r r y n Jul g p ct
Ja Fe Ma Ap Ma Ju Au Se O No D Y Ja Fe Ma Ap Ma Ju Au Se O No

7 6
6 First Aid Cases
5
4 4
3 2 2 2
2 2 2 2
1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

1
0.8 Lost Work Days
0.6 0.8
0.4
0.4
0.2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0

1 1
0.8 0.8
0.6 0.6
0.4 0.4
0.2 0.2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
 1 1
0.8 0.8
0.6 0.6
0.4 0.4
0.2 0.2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0

Lost Time Injury Frequency Rate (LTIFR)

Lost Work Day Cases Lost Time Injury Severity Rate (LTISR)
0.8 Total Reportable Case Frequency (TRCF)
0.4 Fatal Accident Frequency Rate (FAFR)
0 0 0 0 0 0 0 0 0 0 0 0 0
0

#NAME?
Apr2021 May2021 Jun2021 Jul2021
Site 1 Site 1 Site 1 Site 1
Apr2021 May2021 Jun2021 Jul2021
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 0 0 0
2 0 0 2
0 2 0 2
0 2 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00

Safety inductions
1
0.8
0.6
0.4
 Safety inductions
1
0.8
0.6
0.4
0.2
0 0 0 0 0 0 0 0 0 0 0 0 0
0
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
2 02 202 202 202 202 202 202 202 2 02 202 202 202 202 202 202 202 202 202 202 202 202
l t r l ct
un Ju Aug Sep Oc Nov Dec YTD n b r
Ja Fe Ma Ap Ma Ju
y n Ju g p
Au Se O No D
v ec TD
Y

rst Aid Cases Medical Treatment Case

4 2 2 2

2 2 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

st Work Days Dangerous Occurances

0.8

0.4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0

1
0.8
0.6
0.4
0.2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
 1
0.8
0.6
0.4
0.2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0

ncy Rate (LTIFR) 0.00

y Rate (LTISR) 0.00
Frequency (TRCF) 0.00
cy Rate (FAFR) 0.00
Aug2021 Sep2021 Oct2021 Nov2021
Site 1 Site 1 Site 1 Site 1
Aug2021 Sep2021 Oct2021 Nov2021
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 1
0 0 0 0
0 0 0 2
0 0 2 2
0 0 22 0
0 2 2 0
0 2 0 0
2 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
Dec2021 YTD2021
Site 1 Site 1
Dec2021 YTD2021
0 0
0 0
0 0
1 6
0 3
0 4
0 0
0 5
0 7
0 25
0 6
0 4
0 6
0 4
0 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
 STRONG PLANT INFR
JOB SAFETY ANALYSIS ( JSA
Activity :- vertical lode test and test PILE
Sr.no.l Sub - Activity
ANT INFRASTRUCTURE PVT.LT
ALYSIS ( JSA ) PILE LODE TEST ACTIVITIE
PVT.LTD
ACTIVITIES.