MONTHLY HEALTH, SAFETY & ENVIRONMENT (HSE) REPORT

Project Name: Month of:

Report No: Status as on:
Location: Name of the Safety Officer:
Name of the Work:

No ITEM THIS CUMULATIVE

MONTH
1 Total Strength Staff and Wokerman
2 Number of HSE Meeting organized at site
3 Number of HSE awareness Programs conduction at site
4 Whether Workmen compensation policy taken
5 Whether Workmen compensation policy is valid
6 Whether Workmen registered employment
7 Number of Fatal Accidents.
8 Number of Loss Time Accidents (Other then Fatal)
9 Other accidents (Non Loss Time)
10 Total No of Accidents
11 Total Man-Hours Worked
12 Man-hour loss due to Fire & Accidents
13 Compensation cases raised with Insurance
14 Compensation cases resolved and paid to workmen
Remarks if any: -

Project Manager Safety Officer

 MONTHLY MAN HOURS REPORT

Project Name: Month:

Location:

No Date No. of No. of Total Working Total man Remarks

Staff workmen Strength Hours Hours
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
27
28
29
30
31
Total

SAFE WORKING HOURS FOR MONTH OF DEC-2012 IS- TOTAL 7536 Hours

Signature of Safety Officer