HSE ACTIVITIES MONTHLY REPORT

Project Title : ______________________________________________________ Date : ___________________________

Project CRC : ______________________________________________________ Month : ___________________________

CURRENT YEAR
STATISTICS OF RECORDED ACTIVITIES MONTH TODATE
(Must be substantiated with the supporting reports)
A. TRAINING
1. No. of employees attended the HSE Orientation
2. No. of tool box meetings held / No. of personnel attended
3. No. of Project HSE Committee meetings attended
4. No. of Staff HSE meetings held
5. No. of HSE Seminars conducted
No. of personnel attended HSE sessions (work permit, standby
6.
man etc.)
7. Others
B. INSPECTION/AUDIT
1. No. of fire extinguishers inspected
2. No. of scaffolding inspections conducted
3. No. of rigging accessories / lifting tackles inspected
4. No. of safety audits (checklist) conducted
5. No. of inspections made by HSE committee
6. No. of ambulance inspections
7. No. of inspections conducted in the camp
8. Others
C. VIOLATIONS/RECOMMENDATIONS
1. No. of hazards reported
2. No. of PPE non-compliance cited
3. No. of traffic violation cited and tickets initiated
D. ACCIDENT INVESTIGATIONS
1. No. of Motor Vehicle Accidents
2. No. of Heavy Equipment Accidents
3. No. of Fire or Explosion Incidents
4. No. of Dangerous Occurrences
E. OCCUPATIONAL INJURIES INVESTIGATIONS
1. No. of Loss Time Injuries
2. No. of Restricted Day Cases
3. No. of Medical Treatment Cases
4. No. of First Aid Cases

____________________________ ________________________________
Project HSE Staff Project Manager/In-charge

DISTRIBUTION : Project Manager HSE Manager Originator

Revision No. 04 Page No. 1 of 1 Doc. No. IS-HSE-R27

Prepared by: Management Representative Issued Date: 21st January 2018
Reviewed by: General Manager Approved by: Chief Executive Officer