Project No :
HSE MONTHLY MONITORING REPORT Project Name :
F-915-003
Month & Year:
Cumulative
Current Format of
[Link] upto Responsibility Remarks
Month Record
the month
OCCUPATIONAL HEALTH
1 No of workers examined for pre-medical test for fitness certification as per BOCW rules.
No of workers examined for breathing and BP tests in order to working at height activities as per BOCW
2
rules.
PM/ RCM/
3 No of operators, drivers and riggers of lifting devices & construction machinery examined for vision test. Safety Officer
No of free Medical Camps conducted at Site for workers Once in 6 month.
4 (Attach report)
5 No of workers protected by a vaccination due to communicable disease [Link], cholera.
SAFETY
1 No of fatal Incident. (Attach report)
No of Lost time (reportable -Man Hours lost exceeds 48 hrs as per BOCW rules).
2
Copy of Statutory Report to chief Inspector
3 No of first aid incidents. (Attach report)
4 No of property damage cases. (Attach report)
5 No of Dangerous Occurance ( Ref: BOCW Rules). (Attach report)
6 No of Man Days lost.
7 No of Near Miss Incidents. (Attach report)
Frequency Rate: (Number of Lost time Injury x 1000000)
8
( Total Manhours worked)
Severity Rate: (Mandays Lost due to Lost Time injury x 1000000)
9
( Total Manhours worked)
10 First aid incident rate (FAC*200000/ Total manhours).
11 Lost time frequency incident rate (LTC*200000/ Total manhours).
12 Work days lost incident rate (Severity) (WDL*200000/ Total manhours).
13 Total No of Wabag Employees + JV Role employees.
14 Total No of Contractor Employees including staff.
15 Total No of Manhours for Wabag employees + JV employee. PM/ RCM/
Safety Officer
16 Total No of Manhours for contractors Employees including staff.
No of Internal Audit conducted and open & closure status report .
17
(Attach copy of report & implementation)
No of HSE Committee meetings conducted at site.
18
(Attach the copy of minutes of meeting)
No of Near miss Committee meetings conducted at site.
19
(Attach the copy of minutes of meeting)
No of Safety walkthroughs conducted at site.
20
(Attach the copy of minutes of meeting)
No of HSE Inspections jointly conducted by RCM / Client with Contractors.
21
(Attach the inspection report)
22 No of HIRA document is prepared or reviewed for high risk activities & reviewed by HO CHE.
No of PPE Inspection conducted among contractors and wabag employees.
23
(Attach the inspection report)
No of Vehicle Inspections conducted for storage of materials at store and site.
24
(Attach the inspection report)
No of HSE Inspection conducted for storage of materials at store and site.
25
(Attach the inspection report)
No of Mass Housekeeping conducted at various locations at site.
26
(Attach Housekeeping report)
No of worker feedbacks received.
27
(Attach Feedback report)
HSE - TRAINING
HSE Induction Training for Wabag employees.
Total No of HSE Induction training programmes conducted.
28
Training given to Wabag employees.
PM/RCM/
Total No of training hours.
SAFETY OFFICER
Total No HSE Induction Training for Contractors' employees.
29 Total No of HSE trainings conducted for contractor workers.
Total No of HSE training hours.
Cumulative Format of
[Link] Description Current Month Responsibility Remarks
upto the month Record
HSE - TRAINING - Contd.,
HEALTH related tool box talks conducted at site.
Total No of tool box talks conducted.
30
No of wabag + Contractors employees participated.
Total No of hours for tool box talks.
SAFETY related tool box talks conducted at site.
Total No of tool box talks conducted.
31
No of wabag + Contractors employees participated.
Total No of hours for tool box talks.
ENVIRONMENT related tool box talks conducted.
Total No of tool box talks conducted.
32 PM/ RCM/
No of wabag + Contractors employees participated. Safety Officer
Total No of hours for tool box talks.
HSE Specific training for wabag employees: Specify Title: General Safety Rules Regulation & identified
unsafe condition & Action.
Total No of specific training conducted.
33
No of wabag employees participated.
Total No of hours for specific training.
HSE Specific training for contractors employees: Specify Title:
Total No of specific training conducted.
34
No of contractors employees participated.
Total No of hours for specific training.
Receipt of
35 Quanity of wastes are disposed at designated place as advised by client.
Delivery
36 Electrical energy consumed in KWH approx. reading. Energy meter
37 Qty. of water consumed in L. Log book
38 Qty. of Diesel used in KL. Log book
39 Diesel Generator Running in Hours. Energy meter
40 Quantity of Cement used in Bags. Store's Register
41 Cement Waste generated in Bags. PM/RCM/ Store's Register
SAFETY OFFICER
42 Quantity of Steel used in Matric Tonns. Store's Register
43 Quantity of Steel Scrap generated in Tonns. Store's Register
44 Ambient Air Quality Monitoring Once in a year. Analysis Report
45 Drinking Water Analysis (IS 10500) Once in 6 month. Analysis Report
46 Noise monitoring Once in a year. Analysis Report
47 DG Set Stack Monitoring Once in a year. Analysis Report
[Link] Mockdrill conducted at site /Scanerio (eg., fire, working at height, electrical and confinedpace) Mock drill
48
(Once in 6 months) Report
Comments on HSE Implementations by Client / Visitors
HSE OFFICER DGM