Note: The term "Project" as used on this form shall mean "Office" when form is completed and submitted

for an Office.

Current Reporting Period: Jan-07 Project Closed: This is the Last MIER
SECTION A - PROJECT INFORMATION
SAP / Payroll Project Number: Client Name/Type of Business:

Project Name: Fluor Business Unit/Group:

PROJECT NAME
Project Location:
Port Kembla (County-U.S. Only) - New South Wales (Country) Australia
Mailing Address (Post Office): Physical/Shipping Address:

Fluor Glabal Services Pty Ltd - 7/11 Flagstaff Road, Port Kembla NSW 2505

HSE Manager: Phone Number: Fax Number: E-mail address:

Site Manager: Phone Number: Fax Number: E-mail address:

Construction Operations Manager: Manager of Projects: Date of last Corporate HSE Audit: Project Start Date and Estimated End Date:

Project Safe Work Hours To Date: Start Date For Safe Work Hours: Is this a Union site? Number of Fluor Craft Employees this month:

SECTION B - SELF PERFORM PROJECT SAFETY STATISTICS

CURRENT MONTH FY TO DATE PROJECT TO DATE CURRENT MONTH FY TO DATE PROJECT TO DATE

1. No. of Fluor Employees 0 7. DART - R (Restricted Workday Case) 0 0 0

2. Work Hours 0 0 0 8. Days of Restricted Work 0 0 0
3. Fatalities 0 0 0 9. Medical Treatment Cases 0 0 0
4. DART - L (Lost Time Injury) 0 0 0 10. Total Case Incident - - -
5. Days Away From Work 0 0 0 11. First Aid Cases 0 0 0
6. DART 0 0 0 12. Near Miss Cases 0 0 0

SECTION C - SUMMARY OF SUBCONTRACTOR SAFETY STATISTICS

CURRENT MONTH FY TO DATE PROJECT TO DATE CURRENT MONTH FY TO DATE PROJECT TO DATE

1. No. of Subcontractor Employees 0 6. DART - R (Restricted Workday Case) 0 0 0

2. Work Hours 0 0 0 8. Days of Restricted Work 0 0 0
3. Fatalities 0 0 0 9. Medical Treatment Cases 0 0 0
4. DART - L (Lost Time Injury) 0 0 0 10. Total Case Incident - - -
5. Days Away From Work 0 0 0 11. First Aid Cases 0 0 0
6. DART 0 0 0 12. Near Miss Cases 0 0 0

SECTION D - PROJECT HSE STATISTICS* (SELF-PERFORM & SUBCONTRACTORS)

CURRENT MONTH FY TO DATE PROJECT TO DATE CURRENT MONTH FY TO DATE PROJECT TO DATE

1. Vehicle Accident (Fluor owned/leased - - - 7. Regulatory Agency Involvement (unplanne - - -

Damage > $1000 0 0 0 OSHA 0 0 0
Damage < $1000 0 0 0 EPA 0 0 0
2. Property Damage (non-vehicular) - - - Other National 0 0 0
Fluor Property 0 0 0 State/Territory 0 0 0
Client Property 0 0 0 Local/County/City 0 0 0
Third Party 0 0 0 8. Encounter with Contaminated Soil (unplanned)

3. Spill/Release - - - Resulted in work stoppage > 1 day 0 0 0

> 1 gallon 0 0 0 9. Incident Involving EMS Response - - -
> Reportable Quantity 0 0 0 Fire 0 0 0
4. Fire (unplanned) 0 0 1 Ambulance 0 0 0
5. Potential Chemical Exposure (unplan - - - Police 0 0 0
Asbestos 0 0 0 10. Notice of Deficiency or Violation (Describ - - -
Welding Fumes 0 0 0 Air Polllution 0 0 0
Refractory Ceramic Fibers (RCFs) 0 0 0 Water Pollution 0 0 0
Silica 0 0 0 Solid Waste Disposal 0 0 0
Nuisance Dust 0 0 0 Hazardous Waste Disposal 0 0 0
Other 0 0 0 Other 0 0 0

6. External (non-Fluor) HSE awards

Comments:

Note!!! This form is referenced in:Procedure 995 653 8120, FORM 995 653 F0117
Procedure 995 653 8145, and
Procedure 995 653 8160.

Page 1 of 2
MONTHLY SUBCONTRACTOR INCIDENT SUMMARY REPORT
(CONSTRUCTION MANAGEMENT / SELF PERFORM)

PROJECT NAME : LOCATION: PROJECT NO.: FLUOR BUSINESS GROUP: DATE:

January-07

SUBCONTRACTORS DART-L LOST DART-R DAYS OF MEDICAL

LABOR EMPLOYEE DAYS AWAY TOTAL CASE FIRST AID
(Include Tier Subcontractors) NO. OF DART WORK RESTRICTED RESTRICTED TREATMENT
POSTURE HOURS FROM WORK INCIDENT CASES
*You may enter the total number of subs as EMPL. DAY CASES WORK CASES WORK CASES
opposed to individual subs here
UNION NON MONTH FYTD MONTH FYTD MONTH FYTD MONTH FYTD MONTH FYTD MONTH FYTD MONTH FYTD MONTH FYTD MONTH FYTD

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 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 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 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 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 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

TOTAL UNION STATISTICS 0 0 0

TOTAL NON-UNION STATISTICS 0 0 0
TOTAL PROJECT SUBCONTRACTOR
STATISTICS
0 0 0

Has the site experienced a fatality this year? If yes, please provide details.

PREPARED BY: PHONE NO.: REVIEWED & APPROVED BY: DATE:

1-Jan-07
FORM 995 653 F1034