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  • HSE Award Assessment Form Sifat Hossain

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    This document is an HSE reward assessment form for an employee named MD Sifat Hussain. It assesses their performance on health and safety metrics for the month of November 2023. The employee is assessed on near miss reporting, hazard recognition, and outstanding safe actions. They received high marks in these categories. Additional parameters like HSE awareness, PPE usage, training attendance, and following policies are also marked as "YES". Based on meeting all criteria, the employee is found to be "FIT FOR AWARD" and eligible for a health and safety reward. The form is signed off by the EHS Officer, Site Manager, and Project Manager.

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    HSE Award Assessment Form Sifat Hossain

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    This document is an HSE reward assessment form for an employee named MD Sifat Hussain. It assesses their performance on health and safety metrics for the month of November 2023. The employee is assessed on near miss reporting, hazard recognition, and outstanding safe actions. They received high marks in these categories. Additional parameters like HSE awareness, PPE usage, training attendance, and following policies are also marked as "YES". Based on meeting all criteria, the employee is found to be "FIT FOR AWARD" and eligible for a health and safety reward. The form is signed off by the EHS Officer, Site Manager, and Project Manager.

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    © All Rights Reserved
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    3 views2 pages

    HSE Award Assessment Form Sifat Hossain

    Uploaded by

    rehanhussain0333
    This document is an HSE reward assessment form for an employee named MD Sifat Hussain. It assesses their performance on health and safety metrics for the month of November 2023. The employee is assessed on near miss reporting, hazard recognition, and outstanding safe actions. They received high marks in these categories. Additional parameters like HSE awareness, PPE usage, training attendance, and following policies are also marked as "YES". Based on meeting all criteria, the employee is found to be "FIT FOR AWARD" and eligible for a health and safety reward. The form is signed off by the EHS Officer, Site Manager, and Project Manager.

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    © All Rights Reserved
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    of 2

    OCCUPATIONAL HEALTH & SAFETY

    Ref. No. : TSM-SR-8.1-11.1


    MANAGEMENT SYSTEM
    Document Title: Rev. No. : 02
    HSE REWARD ASSESSMENT FORM Issuing Date : 15-12-2019

    MD Sifat Hussain
    NAME: FILE NO. 67531

    Labor
    Category: Period / Month Nov.2023

    Skill to be Awarded Remarks


    Sr# Weightage of Assessment
    Assessed Marks (If any)

    Low Med High


    1 Near Miss Report Potential Potential Potential
    1 - 10 11 - 15 16 - 20
    14

    Hazard 16
    Recognition /
    Good Very Good Outstanding
    2 Health, Safety & 1 - 10 11 - 15 16 - 20
    Environment
    Measures
    17
    Prevention of Prevention of
    Saving of Life &
    Outstanding Safe potential injury / any Heavy
    3 loss of property Loss
    Disaster
    Action 16 - 20
    1 - 10 11 - 15

    Important Health & Safety parameters to be assessed further:


    Sr# Employee attitude YES NO Remarks (If any)
    1 HSE Awareness YES

    2 Usage of provided PPEs YES Full compliance of Provided PPE


    90% or more attendance in HSE trainings / YES
    3
    meetings.
    Positive attitude to follow OHS policy & YES
    4
    procedures.
    5 NO Safety violation. YES

    ** All above FIVE conditions must be “YES”

    FIT FOR AWARD YES NOT FIT FOR AWARD

    EHS Officer / Engineer Site Manager Project Manager


    (Name & Signature) (Name & Signature) (Name & Signature)

    Zia Ullah Khan Ammar Fathy AbdelAzeem Morsy

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