Form No.

: WKR-HS-03
Rev.: 0
HSE PERFORMANCE REPORT Date: 22 August 2017
Page: 1 of 2

REPORTING
FREQUENCY OF REPORTING: / weekly monthly 23– 28 August 2017
PERIOD:

PROJECT TITLE: EURO 4 M HENGYUAN REFINING COMPANY PROJECT NO.: E1275

PREPARED BY: SANTOSH SINGH SHARMA DATE: 28 August 2017

1 INCIDENT Previous Report This Report Cumulative

LOST TIME INJURIES (LTI) CASE

Fatality 0 0 0

Permanent Total Disability 0 0 0

Permanent Partial Disability 0 0 0

Lost Time Injury 0 0 0

NON-LOST TIME INJURIES CASE

Restricted Work 0 0 0

Medical Treatment 0 0 0

First Aid 0 0 0

NON-INJURIOUS INCIDENT

Near Miss 0 0 0

Fire 0 0 0

Property / Equipment Damage or Lost 0 0 0

Occupational Illness 0 0 0

No. of Chemical / Oil Spills / Pollution 0 0 0

UNSAFE ACT & CONDITION

Unsafe Act 4 5 11

Unsafe Condition 1 1 9

Good Observations 0 2 2

SUMMARY OF FINDINGS FOR THE WEEK

1. PTW all in order and in place (Good Observation)
2. Unauthorised entry through the barricades during bore piling works (unsafe act) (closed)
3. Not using ear plugs during piling works. (unsafe act) (closed)
4. Good preparation and maintaining of barricades (Good Observation)
5. Workers working in the rain without raincoats. (unsafe condition) (closed)
6. Attendance of toolbox meeting slacked due to transportation. (unsafe act) (closed)
7. Worker found not using safety glasses. Claimed it fogs up (unsafe act) (closed)
8. Signalman not following guy rope length procedure. (unsafe act) closed.

2 SUMMARY Previous Report This Report Cumulative

Workdays Without LTI 6 5 24
Days Away from Work 0 0 0
LTI Frequency Rate 0
LTI Severity Rate 0
TH ND RD
MANHOUR WORKED BREAKDOWN 16 TO 22 AUG 23 TO 28TH AUG AS from 24TH JULY
 Form No.: WKR-HS-03
Rev.: 0
HSE PERFORMANCE REPORT Date: 22 August 2017
Page: 2 of 2

TBKSSB Indirect 696 740 2968

TBKSSB Direct (SITE) 2144 2160 9616
Total Manhours Worked 2840 2900 12584
TH ND RD TH
MANPOWER BREAKDOWN 16 TO 22 AUG 23 TO 28 AUG AS from 24TH JULY
TBKSSB Indirect 72 74 324
TBKSSB Direct 222 216 986
Total Manpower 294 290 1310

DESCRIPTION OF THE LOST TIME INJURIES CASE

3
(Please include date, location, root cause, action taken, etc)

DESCRIPTION OF THE NON-LOST TIME INJURIES CASE AND NON-INJURIOUS INCIDENT

4
(Please include date, location, root cause, action taken, etc)
NIL
HSE HIGHLIGHTS
5 (Significant Safety Achievement, Safety Training, Safety Awareness Program undertaken during the
month, etc)
1. 23-8-17 PRE START BRIEFING FOR PILING TEAM PRIOR TO WORK
CONDUCTED IN TA VILLAGE OFFICE

2. 23-8-17 DAILY TOOLBOX MEETING CONDUCTED AT SITE EVERY

WORKING DAY

3. 23-8-17 FIRST PILE CARRIED OUT AT AREA 5 EURO 4 M PLOT.