permanent parmanent Number of Time Injury Frequency Time injury Severity Rectricted

NO. OF MANPOWER (PER Observations Number of Occupat. Illness Lost work Rate (LTI x Rate (1 WD x work case
Working Hours Fatality total partial injuries with Lost LTI days
WEEK) (No.)
diasbility diability workdays (No.)
with Lost
(days)
1000000/working 1000000/working (RWC)
workdays (No.) hours) hours) (No.)

Menasco Sub-con. Total MENASCO SUB-CON TOTAL

current
cumulative
Points
 Envoirn.
Medical Serious Envoirnme Risk Impact Unsafe Unsafe Induction HSE
Treatment Dangerous Equipment/ First Aid ntal Assessmen assessmen Planned conditions acts Safety PTW Issued Sessions training HSE audits internal Safety Safety HSE Meetings Emergency Drills
Case Property Near Miss Cases t inspections sessions & external Violations internal & conducted (No.)
(MTC)
Occurance Damage (No.)
(No.)
incidents ts
conducted conducted (No.)
Reported Reported Observations (No.) conducted
conducted conducted (No.) Awards (No.) external (No.)
s (No.) (No.) (No.) (No.) (No.)
(No.) (No.) (No.) (No.)
Tool box talks
conducted
(No.)