Professional Documents
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EHS Observation Report Format
EHS Observation Report Format
Name/ Staff No/ Designation: Preej .J/114928/HSEO Name/ Staff No: Mohammed Moussa/171716/Project Manager
ETAASCONSTARGROUPOFCOMPANIES
Doc. No:
DAILY HSE REPORT
Revision No: 0
Report No: HSE/PJ/DHR/ 111 Date: 27/08/14 Page No. 01
Name of the Project/ Factory/ Workshop/ Job No: Akoya by Damac Service Removal And Bulk Earth Works R155Division/ Area: Ascon Road Construction / Dubai
Name of the Project Director/ Site/ Workshop Manager: Mohammed Moussa Staff No :171716
SECTION A: Project HSE Lead
No of employees
worked
136Nos No. of LTI Nil No. of Man days lost Nil No. of Hospital Ref. cases Nil
Man-hours worked 1360Hrs
No. of First
Aid cases
Nil
No. of Near Miss
Incidents reported
Nil
No. of HSE Meeting
conducted
Nil
SECTION B: Project HSE Officer/Engineer
Sl.
No.
Data
type
Equipment/
Doc Ref.
Observations Hazard
Danger
Level
(LXSXE)
Danger
code
Remedial Action Proposed/
Additional control measure /
Applicable Legal requirement to
comply
Action By with
Staff No & Name.
Target
date
Action taken
on
1 UC
Mini roller being lifted with rope
hooked to the excavator bucket teeth
was noticed.Reg no E89415
Failure of
rope,
Failure of
equipment,
Personnel
Injury
100 A
a)Third part certified web sling to
be used for lifting the load.
b) Excavator are used as lifting
equipment slings should be
connected to manufacture
designed and recommended lifting
point and lifting with bucket teeth is
strictly prohibited.
Mr.Naser
Alaadin
179457
27/08/14 27/08/14
2 UC
Un protected manhole observed in
under passage demolition area.
Fall of person 100 A
Provide hard barrication for the
manhole with sign boards.
Mr.Naser
Alaadin
179457
27/08/14 27/08/14
3 UC
Observed compressed gas cylinder
being laid on ground.
subjected to
impact, Fire
100 A
Remove the excess compressed
gas cylinders from the work place
and cylinder should be keep in
trolley securing with chain.
Mr.Naser
Alaadin
179457
27/08/14 27/08/14