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Weekly HSE Report

This weekly HSE report from PT Nihon Globaltech covers health, safety, and environmental observations from a construction project. It contains 18 questions about safety practices and housekeeping that are answered yes, no, or not applicable. Any accidents or incidents are also reported. The report is signed by the HSE officer and site manager, who note any necessary actions and completion dates.

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Jeremia Samosir
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Download as XLSX, PDF, TXT or read online on Scribd
1K views

Weekly HSE Report

This weekly HSE report from PT Nihon Globaltech covers health, safety, and environmental observations from a construction project. It contains 18 questions about safety practices and housekeeping that are answered yes, no, or not applicable. Any accidents or incidents are also reported. The report is signed by the HSE officer and site manager, who note any necessary actions and completion dates.

Uploaded by

Jeremia Samosir
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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WEEKLY HSE REPORT

PT Nihon Globaltech
Date/ Period :
Project Name:
Location :

No Observations Yes No NA

1 Is tool box talk conducting every day ?


Is the Personal Protective Equipment such as safety
2 helmet, safety glasses, safety shoes, ear plug wearpack
etc already used properly ?
Is the condition if scaffolding, ladders, and work
3 platforms satisfactory ?

Are openings and other potential fall points


4 appropriately protected or barricaded and marked ?
Are earth leakage circuit breaker (ELCBs) installed (if
5 required) ?
6 Are electric equipment earthed properly
Are distribution and switch boards propery insulated/
7 locked ?
Are electric connections proper and without bare
8 conductors visible ?
9 Is the condition of cables satisfactory ?
Are combustible and inflammable materials properly
10 stocked to prevent fire hazard ?
11 Traffic signs and hazard sign installed ?
Are first-aid room adequately equipped and medic
12 available ?

Is fire fighting equipment adequate and serviceable and


13 fire extinguisher tags checked regulary ?

Is any accident/ incident reported ? If "YES" then attach


14 the report's copy
15 Is site and office toilets are clean ?

16 Is house keeping in site offices being taken care of ?

17 Is house keeping in site being taken care of ?


Is house keeping in accomodation and dining hall being
18 taking care of ?

Other Site Information ?


Signed by :

HSE Officer
REPORT
baltech

Responsible Complete
Action Taken Person Date
Site Manager

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