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    Monthly Safety Report

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    Prakash Palai
    The University of Michigan Monthly Safety Report requires contractors to submit accident and safety data by the 7th of each month. This report summarizes the safety incidents, activities, and performance for a construction project over the past month and year-to-date. Contractors must provide details of any OSHA-recordable injuries, as well as recognize employees for safe work through the Safety First Contractor Safety Recognition Program. The goal is for all projects to have zero OSHA-recordable incidents, accidents resulting in days away from work, and lost workday incidents.

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    Monthly Safety Report

    Uploaded by

    Prakash Palai
    112 views2 pages
    The University of Michigan Monthly Safety Report requires contractors to submit accident and safety data by the 7th of each month. This report summarizes the safety incidents, activities, and performance for a construction project over the past month and year-to-date. Contractors must provide details of any OSHA-recordable injuries, as well as recognize employees for safe work through the Safety First Contractor Safety Recognition Program. The goal is for all projects to have zero OSHA-recordable incidents, accidents resulting in days away from work, and lost workday incidents.

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    Safety Report

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    The University of Michigan Monthly Safety Report requires contractors to submit accident and safety data by the 7th of each month. This report summarizes the safety incidents, activities, and performance for a construction project over the past month and year-to-date. Contractors must provide details of any OSHA-recordable injuries, as well as recognize employees for safe work through the Safety First Contractor Safety Recognition Program. The goal is for all projects to have zero OSHA-recordable incidents, accidents resulting in days away from work, and lost workday incidents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    112 views2 pages

    Monthly Safety Report

    Uploaded by

    Prakash Palai
    The University of Michigan Monthly Safety Report requires contractors to submit accident and safety data by the 7th of each month. This report summarizes the safety incidents, activities, and performance for a construction project over the past month and year-to-date. Contractors must provide details of any OSHA-recordable injuries, as well as recognize employees for safe work through the Safety First Contractor Safety Recognition Program. The goal is for all projects to have zero OSHA-recordable incidents, accidents resulting in days away from work, and lost workday incidents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    The University of Michigan

    Monthly Safety Report


    (Submit by the 7th of next month)

    Project Name: UM Project Number:


    Construction Start Date: Construction End Date:
    Data for Month of: Date Submitted:
    Check here if in the construction phase but not yet mobilized or if substantially complete with no activity on site.
    Data is not required; Project Manager may submit on behalf of contractor.
    Number of Cases Rates
    U-M Project
    Current Year to Project National Year to Total
    Goal
    INCIDENT TYPES Month Date to Date Average Date Project
    OSHA Recordable Incidents 0 3.1
    DART Incidents 0 1.8
    Lost Work Incidents 0 1.2
    Non-recordables, near misses, etc. 0 2017 BLS Construction Data
    OSHA RECORDABLE INCIDENTS: Current Year to Project
    Please classify Incident type below and also complete page 2 with details: Month Date to Date
    Fall (e.g., floors, platforms, roofs)
    Struck by/against(e.g., falling objects, vehicles)
    Caught in/between (e.g., cave-ins, unguarded machinery, equipment)
    Electrical (e.g., overhead power lines, power tools/cords, outlets, wiring)
    Overexertion
    Inhalation
    Heat
    Other (other items not covered above)
    EMPLOYMENT INFORMATION
    (includes contract workers)
    Average Daily Number of Employees (FTE’s)
    Total Hours Worked by Employees

    PROJECT SAFETY ACTIVITIES


    Safety Orientations Completed
    Safety Huddles/Tool Box/Similar Activities Completed
    Documented Safety Inspections/Observations Completed
    Disciplinary Actions
    Medical, Fire and Other Emergencies
    MIOSHA Visits
    Safety Recognition Events (lunches/giveaways)
    Safety Recognition Program Awardees (list names on Page 2)
    MIOSHA CITATIONS
    Total number (serious, repeat or willful)

    ____________________________________________________ ______
    Contractor Firm Name Reviewed by U-M Project Manager Date

    ____________________________________________________
    Contractor Representative Date

    Safety Report - Revised 12/18/2018 Page 1 of 2


    The University of Michigan
    Monthly Safety Report
    (Submit by the 7th of next month)

    DETAILS OF RECORDABLE INJURIES OR ILLNESSES: For all injuries and illnesses listed on page 1, include the date of the
    injury/illness and a paragraph with details describing the injury/illness, including if the injury/illness resulted in Lost Time
    or Restricted Work Activity/Transfer.
    Current Month:

    To Date:

    SAFETY FIRST CONTRACTOR SAFETY RECOGNITION PROGRAM AWARDEES: List names of employees recognized under
    GC/Trade Contractor’s Safety Recognition Program

    Date
    Name of Awardee Subcontractor/Trade Contractor (MM/YYYY)

    Safety Report - Revised 12/18/2018 Page 2 of 2

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