HSE Documents Report
HSE Documents Report
0, 08/06/2009
Signed by:
Refrigerator is maintained at or
5
below 40 degrees and the freezer
at 0 degree Fahrenheit.
12 Lights Conduction.
13 Tables/Chairs arrangement.
Inspected By:
Company Health Representative Company Safety Representative Site Engineer
Document No. Form (HSE-3), Rev.0, 08/06/2009
2 Accidents / Incidents
- Zero Accident/Incident
- No Near Miss Reported
3 Statistics
3.1 Project HSE&S Targets
Project Target Month 2009
Hours this month -
Total hours worked -
LTIR 0
(Lost Time Injury Rate) Lost
Time Incidents: 0 Formula:
200000/worked hours*Lost time Incidents
Signed by:
- Generator
- Engine
- Diesel Tank
- Elec. Connections
- Regulators
- Hose Clamps
- Log Book/Records
- Rigging Codes/directions
- Reversing/Slewing Indicator
- Out Riggers
- Handles/Ladders
- Mushroomed Heads
Date:
Safety Representative
Document No. Form (HSE-3C), Rev.0, 08/06/2009
Date:
Safety Representative
Document No. Form (HSE-10), Rev.0, 08/06/2009
Probability
Probability
Risk Rating
Risk Rating
Consequence
Consequence
Who or What
Description of Work Hazard Description & Preventive and
Step No. might be Alarm Level
Sequence Effect Precautionary Measures
affected?
Relevant Guidelines/Procedure:
_______________________________ _______________________________
Prepared by Approved by
JSA-00/
Consequence:1,2,3 (From low to high) Probability: A,B,C (From low to high) Risk Rating: L,M,H (From low to high)
Document No. Form (HSE-20), Rev.0, 08/06/2009
2) 2) 2)
3) 3) 3)
4) 4) 4)
Note: This document must be faxed/emailed within 24 hours to the HSE Manager, Project Manager and General Manager (Technical).
Document No. Form (HSE-21), Rev.0, 08/06/2009
[] 8.Abuse or misuse
Document No. Form (HSE-50), Rev.0, 08/06/2009
Following HSE non-compliance has been observed at site, please take immediate corrective action and reply.
Description:
cc : - HSE Manager
- Project Manager
Action Taken
Date:
The above mentioned non-compliance has been corrected accordingly at _______________ hrs. on _______________.
Description:
Reported by: Site Engineer cc : - HSE Manager
- Project Manager