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    Form Subcontractor Daily HSE Statistics Report

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    aditya
    This daily HSE statistics report from subcontractor PT ABC provides safety metrics for their civil works from September 2019 to February 2020. Key information includes there were no lost time injuries or medical incidents reported. A total of 1,000 manhours were worked safely over 200 working days. Standard HSE activities such as toolbox meetings, inspections, and alcohol testing were conducted during the reporting period.

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    Form Subcontractor Daily HSE Statistics Report

    Uploaded by

    aditya
    96 views2 pages
    This daily HSE statistics report from subcontractor PT ABC provides safety metrics for their civil works from September 2019 to February 2020. Key information includes there were no lost time injuries or medical incidents reported. A total of 1,000 manhours were worked safely over 200 working days. Standard HSE activities such as toolbox meetings, inspections, and alcohol testing were conducted during the reporting period.

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    This daily HSE statistics report from subcontractor PT ABC provides safety metrics for their civil works from September 2019 to February 2020. Key information includes there were no lost time injuries or medical incidents reported. A total of 1,000 manhours were worked safely over 200 working days. Standard HSE activities such as toolbox meetings, inspections, and alcohol testing were conducted during the reporting period.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    96 views2 pages

    Form Subcontractor Daily HSE Statistics Report

    Uploaded by

    aditya
    This daily HSE statistics report from subcontractor PT ABC provides safety metrics for their civil works from September 2019 to February 2020. Key information includes there were no lost time injuries or medical incidents reported. A total of 1,000 manhours were worked safely over 200 working days. Standard HSE activities such as toolbox meetings, inspections, and alcohol testing were conducted during the reporting period.

    Copyright:

    © All Rights Reserved
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    of 2

    Doc.

    Number 26071-JO-HSE-F-002
    Subcontractor
    Logo Effective Date 28-Feb-20
    Subcontractor Daily HSE Statistics Report No. of Revision 000
    Page 1/1

    Subcontractor Name : PT ABC Total Working Days : 200 Prepared By Approved By


    Scope of Work : Civil Work Package 21 Safe Working Days : 200
    PO No. / Subcontractor No. : 26071-100-xxx Total Manhour YTD : 1,000
    Starting Date 01-Sep-19 Total Safe Manhour : 1,000
    Reported Date 19-Mar-20 Without LTI HSE Coord. Project Manager

    Cummulative
    Item UOM 28-Feb-20
    Year To Date WEATHER REPORT

    INCIDENT Time Status Time Status


    Fatality Number of Case - 07:00 - 08:00 sunny 18.00 - 19.00
    Lost Time Injury (LTI) Number of Case - 08:00 - 09:00 sunny 19.00 - 20.00
    Restricted Work Case Number of Case - 09:00 - 10:00 sunny …..
    Medical Treatment Case Number of Case - 10:00 - 11:00 sunny
    Incident impact to environmental pollution Number of Case - 11:00 - 12:00 sunny
    Incident impact to fire / asset damage Number of Case - 12:00 - 13:00 rainy
    Environmental Damage Number of Case - 13:00 - 14:00 sunny
    First Aid Case Number of Case - 14:00 - 15:00 sunny
    Nearmiss Number of Case - 15:00 - 16:00 sunny
    Emergency Evacuation Number of Case - 16:00 - 17:00 sunny
    17:00 - 18:00 sunny
    LTIFR 0.00
    LTISR 0.00
    TRIR 0.00

    POB & Manhour HSE Activity


    No. of Total HSE Personnel person 3 1 Toolbox meeting
    Day Shift 2 Premob Inspection Crane 50 T
    POB Direct person 20
    POB Indirect person 30
    POB Total person 50
    Working Hour hour 10
    MH day shift 500
    Extended Work
    POB Extended Work person 5
    Working Hour hour 2
    MH Extended Work 10
    Total MH Day Shift 510
    POB Night Shift
    POB Direct person -
    POB Indirect person -
    POB Total -
    Working Hour hour -
    MH NIght shift -
    No. of Register Equipment
    Light Vehicle Number 5
    Heavy Vehicle Number 2
    Crane Number 2
    Heavy Equipment Number 2
    Electrical Tools Number 5
    Genset Number 3
    Total KM Driven KM 10,000
    Total HM Run hour 6,000
    ID Badge
    ID Badge Issued Number 10 100
    ID Badge Out Number 2
    OTHER
    PTW Number 3
    e-COP Number 2
    HSE Periodic Inspections conducted Object number 6
    Premob Inspection conducted Object number 1
    Random Alcohol Test Person 1
    Submit MCU Record Person 13
    General HSE Talk Number 1
    Toolbox Meeting Number 2

    ACTIVITY (Picture & Caption)

    diisi dengan foto kegiatan, caption sesuai dengan kolom "HSE Activity"
    Doc. Number 26071-JO-HSE-F-002
    Effective Date 28-Feb-20
    Subcontractor Daily HSE Statistics Report No. of Revision 000
    Page 1/1

    Subcontractor Name : PT. Enviromate Technology Intl. Total Working Days : Prepared By Approved By
    Scope of Work : Material Agregat supply Safe Working Days :
    PO No. / Subcontractor No. : Total Manhour YTD : 58,761
    Starting Date 01-Sep-19 Total Safe Manhour : 58,761
    Reported Date 03-Apr-20 Without LTI HSE Coord. Project Manager

    Cummulative
    Item UOM 28-Feb-20
    Year To Date WEATHER REPORT

    INCIDENT Time Status Time Status


    Fatality Number of case - 07:00 - 08:00 Sunny 18.00 - 19.00
    Lost Time Injury (LTI) Number of case - 08:00 - 09:00 Sunny 19.00 - 20.00
    Restricted Work Case Number of case - 09:00 - 10:00 Sunny …..
    Medical Treatment Case Number of case - 10:00 - 11:00 Sunny
    Incident impact to environmental pollution Number of case - 11:00 - 12:00 Sunny
    Incident impact to fire / asset damage Number of case - 12:00 - 13:00 Sunny
    Environmental Damage Number of case - 13:00 - 14:00 Sunny
    First Aid Case Number of case - 14:00 - 15:00 Sunny
    Nearmiss Number of case - 15:00 - 16:00 Sunny
    Emergency Evacuation Number of case - 16:00 - 17:00
    17:00 - 18:00
    LTIFR 0.00
    LTISR 0.00
    TRIR 0.00

    POB & Manhour HSE Activity


    No. of Total HSE Personnel person 2 07.00- 07.15 TBM and Prepare Jetty and Laydown Area
    Day Shift 07.15-07.30 Work Assignment by SPV Mr. Tunis
    POB Direct person 11 07.30-11.30 Unloading Material Agregate to laydown Area
    POB Indirect person 23 11.31-13.00 Take a Rest
    POB Total person 34 13.01-17.30 Continue Unloading Material Aggregate
    Working Hour hour 8 17.31-18-00 Finished Unloading and Continue Housekeeping
    MH day shift 272
    Extended Work
    POB Extended Work person -
    Working Hour hour -
    MH Extended Work -
    Total MH Day Shift 272
    POB Night Shift
    POB Direct person -
    POB Indirect person -
    POB Total -
    Working Hour hour -
    MH NIght shift -
    No. of Register Equipment
    Light Vehicle Number 2
    Heavy Vehicle Number 15
    Crane Number -
    Heavy Equipment Number 4
    Electrical Tools Number 1
    Genset Number 1
    Total KM Driven KM
    Total HM Run hour
    ID Badge
    ID Badge Issued Number 39
    ID Badge Out Number -
    OTHER
    PTW Number 5
    e-COP Number 98
    HSE Periodic Inspections conducted Object number
    Premob Inspection conducted Object number 2
    Random Alcohol Test Person 4
    Submit MCU Record Person 39
    General HSE Talk Number 4
    Toolbox Meeting Number 118

    ACTIVITY (Picture & Caption)

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