Académique Documents
Professionnel Documents
Culture Documents
/ Site No
Monthly Site HSE Performance Report Client
Consultant
Total HSE
HSE Performance Report for the Month of - Staff at Site
Avg
Cumulative
Mandatory Manpower Man hours
Trade/Desgn Nos Trade/Desgn Nos Nos Man hours till
Certified Personnel for the Current Month
Last Month
Month
Confined Space
Ganger Operators
Workers
Induction Training (All Employees absent above 14 days from site to be reinducted)
H-F-07
Revision 01
24-01-2016
No of Persons Newly Joined No. of person joined after 14 days No. Induction sessions conducted
Initial Induction Re-Induction
continous absence during the month
Tool Box Training Total Number of tool box conducted across the Project during the mon
Total Hours Taken For Induction Total Hours Taken For TBT Total Hours Taken For Internal Trainings
Total Training Hours For Induction, TBT & Trainings for the Month 0
Accident (LTI) / Near Miss Incident (NM) / First Aid (FA)/ Vehicular accident (VA)/ Property Damage(PD)Service DamageDetails(SD
H-F-07
Revision 01
24-01-2016
Description
S/No Date Incident Type Part of the body Injured / damage incase of Causative Factor
vehicle
Risk Assessment:
H-F-07
Revision 01
24-01-2016
Client / Consultant Inspection or Audit :
HSE Awards/Appreciation
H-F-07
Revision 01
24-01-2016
Cumulative Man Hrs from the start of Year 2015
m site to be reinducted)
H-F-07
Revision 01
24-01-2016
Number of People Inducted from the start of Project
Initial Reinduction
No. of person
Training Topic covered
Attended
D)Service DamageDetails(SD)
H-F-07
Revision 01
24-01-2016
Learning
Corrective & Preventive Action Taken
Points
Remarks
H-F-07
Revision 01
24-01-2016
Specify the Open / Pending Observations
Remarks
Date Of Expiry
Singature of P.M
e safety committee members
H-F-07
Revision 01
24-01-2016
PROJECT ENVIRONMENTAL REPORT -
Site Number & Name.: Client Name:
Report prepared
Consultant Name: by:
1. Environmental Training
Description of Environmental Tool Box Talk / Regular Trainings
2. Monitoring
Date of
Nature of Monitoring (Air/Water/Noise, etc) Monitoring
No of Skips
Waste Contractor assigned for the project
present
Disposal
Volume of Each Skip
Frequency
Food
Concrete
Metal
Wood
Nails
Waste Oil
Used
Batteries
Paper
Toners
Plastic
Bitustick
Hazardous
Waste
Asphalt
Other -
specify
5. Effluent Waste Management
Disposal Frequency
Type of Waste Quantity Removed this Month Disposed as per CWM Norms (Loca
Liquid Effluent
Liquid - Other
Other - specify
6. Consumption
Quantity of fuel used on site: Litres
Quantity of potable water used on site: Litres
Electricity : kWH
7.Environmental Rewards/Fines
Fines
8. Other
Status of
Status of CEMP with Status of Env. Aspects & Env. Concrete
No of Drip Trays
Rev No Impacts Objectives & Washout Area
Targets
I hereby confirm that all details furnished above are true and can be verified
Name Signature
RT -
rainings
Attendees Remarks
al Non-Conformances Raised
Remarks
Recycling
Company Landfill-
Facility-
Truck No. Location
Location
ed as per CWM Norms (Location)
No of Spill
No of Drip Trays
kits/Arrangements
can be verified
Date
Month
Year
11 No. of Inductions
12 No. of Re-Inductions
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
TOTAL NO OF CO2 =
TOTAL NO OF DCP =
TOTAL NO OF FOAM =
GRAND TOTAL =
0
2
4
6
8
No. of unsafe acts & condtions
No. of Fatalities
No. of Inductions
No. of Re-Inductions
No. of NCR'S
No. of unsafe acts
No.
No. of Occupati
No. of
No. o
No. of R
No. of Intern
No. of Extern
No. of Empowerment t
No. o
No. of
No. of Go
No. of Fines
O
No. of HSE Awards
No. of NCR'S
No. of Go
No. of Fines
No. of
0
2
4
6
8
10
12
No. of unsafe acts & condtions
No. of Fatalities
No. of Inductions
No. of Re-Inductions
No. of NCR'S
No. of closed u
No. of outstanding Un
No. of LTI'
No.
No. of M
No. of
No. of Equipme
No.
No. of Empo
No. of HS