SYRIAN GAS COMPANY DTGD-HOMS

ARAB GAS P/L PROJECT- PHASE I EXHIBIT –F

PROJECT EXECUTION ANDADMINISTRATION
APPENDEX -6

PEA APPENDIX 6

MONTHLY SAFETY REPORT FORMAT

Please find below the suggested monthly safety report format.

The information is the minimum standard information which shall be highlighted in the CONTRACTOR’s

monthly progress report.

REPORT FORM for --------------------Month

CONTRACTOR: -------------- Date : ------

Contract no. :--------------

CONTRACTORS SUBCONTRACTORS COMBINED

ACTIVITY THIS TOTAL THIS TOTAL THIS TOTAL

MONTH TO DATE MONTH TO DATE MONTH TO

DATE

MAN-HOURS WORKED

KMS DRIVEN:

LV (light vehicles)

MV (medium vehicles)

HV (heavy vehicles)

LTI’s

MTC’s

RTA’s

SPILLS

SAFETY TRAINING:
-------------------------------------------------------------
-------------------------------------------------------------
OTHER SAFETY TOPICS:
-------------------------------------------------------------
-------------------------------------------------------------
NOTES :

LTI's : Lost Time Incidents

RTA's : Road Traffic Incidents/Accidents

MTC's : Medical Treatment Cases

Spills : Any significant environmental pollution/spill

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