Monthly HSE Performance Report

Health , Safety & Environment Performance Summary Quarterly Report

KPI Name & Definition Unit JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC YTD Q1 Q2 Q3 Q4
Company 0 0 0 0 0
No. of Employees No. Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Man-hours worked hrs Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lost Workdays (LWD): Company 0 0 0 0 0
The total number of scheduled workdays or shift lost as a result of Occupational injuries / illness excluding the Day(s) Contractor 0 0 0 0 0
incident day .in case of death or permanent total Disability, No Lost Workday shall be recorded. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total Training hours : Company 0 0 0 0 0
hrs
Total number of organized activities aimed at imparting information and/or instructions to improve the recipient‘s Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
No of Inspections : Company 0 0 0 0 0
No.
Total number of Physical on-site verifications that work is performed and equipment is maintained in accordance Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
No. of Audits : Company 0 0 0 0 0
No.
Total number of a systematic , independent and documented processes for obtaining audit evidence and evaluating Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fatality Company 0 0 0 0 0
Report

within
able

Work-Related Fatality is a death resulting from an injury or illness, regardless of the time intervening No. Contractor 0 0 0 0 0
between injury and death. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Permanent Partial Disability Company 0 0 0 0 0
Any work-related injury, which results in the complete loss, or permanent loss of use, of any part of the No. Contractor 0 0 0 0 0
body or any permanent impairment of function of parts of the body, regardless of any pre-existing Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Reportable within 3 working Days

Permanent Total Disability Company 0 0 0 0 0

Any work related injury which permanently incapacitates an employee and results in termination of No. Contractor 0 0 0 0 0
employment. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serious Injury Company 0 0 0 0 0
List of serious injuries that must be reported to the relevant authorities .Refer to Schedule B (Mechanism No. Contractor 0 0 0 0 0
11 VER3/3.1 OSHAD-SF) Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serious Dangerous Occurrence Company 0 0 0 0 0
A significant incident arising out of or in the course of work that did not result in injuries and/or fatalities No. Contractor 0 0 0 0 0
but had the potential to have done so. Refer to Schedule A (Mechanism 11 VER3/3.1 OSHAD-SF). Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serious Occupational illness/Disease Company 0 0 0 0 0
Any work-related abnormal condition or disorder, other than an injury, which is mainly caused by exposure No. Contractor 0 0 0 0 0
to environmental factors associated with the employment. Refer to Schedule C (Mechanism 11 VER 3/3.1 Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lost Workday Cases (LWDC): Company 0 0 0 0 0
A work-related injury or illness that results in an injured person temporarily unable to perform any regular No. Contractor 0 0 0 0 0
job or restricted work activity on a subsequent scheduled workday or shift, supported by a medical report Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Environment - Major Company 0 0 0 0 0
within 24 hours
Reportable

An incident where irreversible or long term environmental impacts have occurred or are likely to occur to No. Contractor 0 0 0 0 0
the environment and/or there is a significant health risk to workers and/or the community. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Environment - Moderate Company 0 0 0 0 0
An incident where moderate reversible environmental impact has occurred or is likely to occur to the No. Contractor 0 0 0 0 0
environment and/or there is a moderate health risk to workers and/or the community. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Environment - Minor
No. Contractor 0 0 0 0 0
An incident where minor, reversible damage requiring little or no remediation has occurred.
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Restricted Workday Cases (RWC) Company 0 0 0 0 0
A work-related injury or illness that results in limitations on work activity that prevent an individual from No. Contractor 0 0 0 0 0
doing any task of his/her normal job of from doing all of the job for any part of the day. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Recordable Incidents

Medical Treatment Case (MTC): Company 0 0 0 0 0

A work-related injury or illness that calls for medication, treatment, or medical check that is administered No. Contractor 0 0 0 0 0
by a health-care professional and that goes beyond first aid case. Medical Treatment case does not result in Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
First Aid Injury : Company 0 0 0 0 0
A minor work-related injury or illness that calls for only simple “First Aid” treatment and does not call for No. Contractor 0 0 0 0 0
follow-up treatment by a health-care professional. First Aid injuries don not result in lost time from work or Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Equipment/Property Damage Company 0 0 0 0 0
An Incident that has occurred as a result of entity activities that has resulted in damage to property, No. Contractor 0 0 0 0 0
buildings, vehicles, plant and equipment that has HSE significance. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Near Misses Company 0 0 0 0 0
An unplanned event, event series or condition that occurred at the workplace which, although not resulting No. Contractor 0 0 0 0 0
in any injury, illness or environmental damage, had the potential to do so. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lost Time Injury ( LTI) Company 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Any absence from work resulting from work related Fatalities, Permanente Total Disabilities, Permanent No. Contractor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Partial Disabilities and Lost Workday Cases. Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Incident Rates / Frequencies

Lost Time Injury Frequency Rate (LTIFR) Company 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
The total number of Lost Time Injuries per million hours of working during the period. LTIFR=No. of LTI's x Contractor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1,000,000/ Working Hours. Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Lost Time Injury Severity Rate (LTISR): Company 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
The total number of lost Workdays per million hours of working during the period. LTISR=No. of Workdays Contractor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Lost x 1,000,000/ Working Hours. In case of Death( Fatality) or Permental Total Disability, No Lost workday Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Reported Cases (TRC) Company 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
The sum of Fatalities, Permanent Total Disabilities, Permanent Partial Disabilities, Lost Workday Cases, No. Company 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Restricted Work Cases and Medical Treatment Cases. Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Reportable Case Frequency (TRCF) Company 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
The total reportable incidents per million hours worked during the period. Contractor 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TRCF=TRC x 1,000,000/ Working Hours. Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Spill / Release / Discharge to Land KG Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Spill / Release / Discharge to Water, including Groundwater KG Contractor 0 0 0 0 0
Consequences of Environment incidents

Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Release / Discharge to Atmosphere No. Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Environmental Noise/Vibration No. Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Unauthorized / Accidental Vegetation Removal or Harm No. Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Harm to Animal Species No. Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Unauthorized / Accidental Damage to Heritage Site / Item No. Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Company 0 0 0 0 0
Other (Provide Details)___ No. Contractor 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0