Master Annual HSE Report - PAMABBSO NOVEMBER 2016

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MONTHLY HSE PERFORMANCE REPORT

Project
Location : PAMA BBSO
Period Nopember
Contract :

1 MANHOURS Total Man Power 31 Total Working Day 30


Manhours for this month 31 Last YTD 31
Manhours Additional 0 Total YTD 30
Last Manhours YTD 31
Manhours YTD 62

2 Kilometer Driven Amount of / Vehicle 89595 Amount of Heavy Equipment 12


Km driven this month 89595
Last KM Driven 88125

Total KM Driven YTD

3 Reportable incident

Personal injury This month Last Month Total Y T D Environmental This month last month Total Y T D
a First aid Case 1 0 0 a. Evironmental damage on site 3 0 3

b. Medical Treatment 0 0 0 b. Nearmiss 0 0 0

c. Restricted Work Case 0 0 0 c. Other 0 0 0

d. Lost Time Injury 0 0 0 Motor / Vehicle / Accident

e. Fatality 0 0 0 a. Report > US $ 100 0 0 0


TOTAL REPORTABLE CASE b. Non Reportale < US $ 100 0 0 0

4 Communication and Education (Manhours)


a. Safety Orentation ( Induction ) This Month 0 Last YTD 0 Total YTD 0
b. Safety Meeting This Month 0 Last YTD 0 Total YTD 0
c. Toolbox Meeting This Month 0 Last YTD 0 Total YTD 0
d. Safety Bulletin This Month 0 Last YTD 0 Total YTD 0

e. Training Program This Month last YTD Total YTD This Month last YTD Total YTD

1 HES Orientation 0 0 0 5 Housekeeping 0 0 0

2 PPE awareness 0 0 0 6 Hazid 0 0 0

3 Food Safety 0 0 0 7 Basic Fire Fighting 0 0 0

4 ISO 14001 0 0 0 8 HACCP 0 0 0

f. HSE Management Visit This Month 0 Last YTD 0 Total YTD 0

5 Inspection / Audit
a. Internal Inspection/audit This Month 7 Last YTD 0 Total YTD 0
b. External Inspection/audit This Month 0 Last YTD 0 Total YTD 0
c. Client Inspection This Month 1 Last YTD 0 Total YTD 0
d. Light Vehicle Inspection This Month 0 Last YTD 0 Total YTD 0

6 Emergency Response Plan


Emergency Drill This Month 0 Last YTD 0 Total YTD 0

Prepared By Approved by : Acknowledge by :


Contractor Name : Contractor Name :

HSE Representative ISS ISS Representative Client Representatif


ERFORMANCE REPORT

Total Y T D

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