MONTHLY SAFETY REPORT

MANPOWER STATISTICS : S.M.NIRMAN INFRASTRUCTURE & DEVPLOPMENT PVT.LTD.

Month :
Project :
ATC.No :
Name of Project Manager / Project Incharge:

Name of HSE Officer :

SMN STAFF (MANHEADS) DURING THE MONTH

SMN STAFF (MANHOURS) DURING THE MONTH

SMN STAFF (MANHOURS - OT) DURING THE MONTH

LABOUR (MANHEADS) DURING THE MONTH

LABOUR (MANHOURS) DURING THE MONTH

LABOUR (MANHOURS - OT) DURING THE MONTH

TOTAL MANHOURS WORKED DURING THE MONTH

TOTAL MANHOURS WORKED SINCE COMMENCEMENT OF PROJECT

SAFE MANHOURS WORKED

Signature:

Name :

Designation :

Date:

Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018

 MONTHLY SAFETY REPORT

INCIDENT STATISTICS
Month :
Project :

Incident category Employee Contractor

Fatal
Serious injury
LTI (Lost Time Incident)
MTI (Medical Treatment Incident)
First Aid
Near Miss
Sickness
Fire
Property loss

TOTAL

Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018

 MONTHLY SAFETY REPORT

INCIDENT DETAILS : S.M.NIRMAN INFRASTRUCTURE & DEVPLOPMENT PVT.LTD.

Month :
Project :

Work
Sl. Date Location Name of the Time of Body part Mandays Corrective / Preventive By whom/ By
Category No DD/ MQ.No / Project person Age accident Description of the accident injured Lost Root Cause Actions When
MM/YY site
Fatal

Serious

LTI

MTI

First Aid

Near Miss

Sickness

Fire

Property loss

Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018

 MONTHLY SAFETY REPORT

Key Pro-Active Activities

Month :
Project :

Sl. No. Key Actions Status Remarks

Project / Plant Risk Assessment
1. Yes / No
1 1. Has the Risk Assessment been carried out
2. Yes / No
2. When was the Risk Assessment last revised

2 Annual Trg Program finalised Yes / No

3 Management Review plan finalised Yes / No

Safety Observation Tours carried out by Target Target :
4
Manager Group Done :
Plant head / Project Manager undergone Plant /
5 Yes / No
Project Management training (H&S)

Total annual target :

6 Road / Driving Safety
Covered :

Total annual target :

7 Electrical Safety Training
Covered :
Safety Alert' Actions
1. Have all Safety Alerts been communicated
to the target audience 1. Yes / No
8 2. Yes / No
2. Are 'Action Plan' with Learnings in place

Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018

 MONTHLY SAFETY REPORT

SAFETY ACTIVITIES
Month :
Project :

No of
Sessions
Sl No Activity Project Contents Conducted by Attended by persons
conducted
attended

1 Induction Training

Safety awareness Training to

2 workers

Safety awareness Training to

3 MTC staff

4 In-House safety training

5 External safety training

6 Safety Meetings

7 Tool Box Meetings

8 First Aid Training

9 Mock drill

10 Demonstration

12 Site visit by HSE Officer

13 Project Managers training

Safety Audits (By MTC HSE

14 Coordinator)

Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018

 MONTHLY SAFETY REPORT

TRAINING RECORD : S.M.NIRMAN INFRASTRUCTURE & DEVPLOPMENT PVT.LTD.

Month : 01.04.2024
Project : SMN ALL SITE
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
Item Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos
Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions
attended attended attended attended attended attended attended attended attended attended attended attended

Induction Training 0
Safety awareness training
to workers 0

Safety awareness training

to MTC staff 0

In-House safety training 0

External safety training 0

Safety Meetings 0

Tool Box Meetings 0

First Aid Training 0

Mock drill 0

Demonstration 0

Site visit by HSE Officer 0

Project Managers
Training 0

Safety Audits (By MTC

Coordinator) 0

Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ref: MTC-IMS-FO-14A Rev: 00 Date: 01-08-2019

 MONTHLY SAFETY REPORT

Total
Nos
attended

Ref: MTC-IMS-FO-14A Rev: 00 Date: 01-08-2019