Professional Documents
Culture Documents
SL No. Gate Pass No. Name of Contractor Incident Date Name of Reporting Person Incident Time (Hrs and Min)
SL No. Gate Pass No. Name of Contractor Incident Date Name of Reporting Person Incident Time (Hrs and Min)
Sl No. Person Gate Pass no. Name of Contractor Incident Date ( Hrs and Min)
4 Mr. Hemant Sharma 10082275 M/s DTH Infra Engineers 23.11.2021 12:35 PM
P Ltd.
Baby roller (compactor) rotation part found open condition Not Not
Two people (Subash & Bablu ) going to height wihtout safety belt
Not Yes
during column ring fixing work
Ramjuwari (Civil Sup ) found wihtout boiler suit (Dangri) Not Yes
Remove from site and inform to Mr. Parveen maurya & Mr.
Yes Open
Azad Singh
Unsafe Condition
Congestion/restrictive area
Defective equipment
Defective PPEs
Fall of objects
Inadequate illuminations
Ladder/work platform/scaffolding
Leakage /spillage
Poor housekeeping
Slippery floors
Others
Is It Near Miss? *
Yes
No