HSE FRM-12 Weekly HSE Report

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WEEKLY HSE REPORT

Project Title: ________________________________________________ Project No.: _______________ Report No.: _______________ Week No.: ________________

Period From _________________________ To _________________________ Date : ______________________

Project Todate Days Away from Medical MT's First Aid Near Todate
Man-hours LTI's LTI's (PTD) RWI's RWI's (PTD) First Aid Incidents Incidnets (PTD)
Man-hours Work Treatment (PTD) (PTD) Miss NM

HIGHLIGHTS:

Trainings Conducted Yes No Topic No. of Participants

Audits Carried out Yes No Todate Issued Todate Closed Within Target Closed After Target Date Still Open
Corrective Action Report Form
(QA&QC/FRM-08) & Preventive No. of CARs
Action Report Form No. of PARs
(QA&QC/FRM 10)

Key Activities in Progress:

Support Required from Head Office :

Comments, Weekly HSE Data Analysis:

NOTE: * Please attach relevant data sheets to support this report.

- In case of reported NM / FA / Injuries cases attach NM/FA/Injuries record sheets. Attachments: 1)

- Please note that score become nil after an LTI recorded. 2)

- Training Record to be attached. 3)

4)

5)

Incharge Site HSE Site Manager

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