Sr.No Name of Site Division No. Of Workers No.

of Staff
(Power/Cement) Avilable at site

1
No. of Safety Officer +
Safety Stewards No. of Male Nurse No. of Man days Total Man hours Total Safe days
available at site. during the Month
 Ayoki Fabricon Pvt. Ltd.
Safety,Health And Environment Dept.
MIS Report
For the Month of ………………………………

Total man hours lost (if Any) No. of First Aid Cases No. of Near miss No. of Minor
(on account of Lost Time Injury) Insident Injuries
 icon Pvt. Ltd.
d Environment Dept.
Report
Date:………………………………..

Frequency Rate
No. of Lost Time Injury Accidents x 10,00,000
No. of Major Fatal Accident Total Nos. of Man Hours Worked

(Lost Time Injury) (If Any) (As per Bureau of Indian Standards (BIS)
Code 3786-1983, Reaffirmed 2002)

Rev.00, Dated 20-11-2016

 Severity Rate
Total Nos. of Man Days Lost x 10,00,000 No. of Tool Box No. of Induction
Total Nos. of Man Hours Worked Meeting Training conducted
(As per Bureau of Indian Standards (BIS) held at site at site
Code 3786-1983, Reaffirmed 2002)
Total No. of Training No. of safety committee meeting Additional Information
Hours during (Mandatory once in a month (If any) Remarks
the month. and Date of meeting.)