John Otieno HSE

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Field Data Collection Form Project Name: Calibration Client Name: Kokonetwork LTD

Project Date: 14.06.24 Project Start Date: 14.06.24 Estimated End Time: 14.06.24
Technician John Otieno Report Author: John Otieno Location: KISUMU
WORK STATISTICS
STATUS OF COMPLETION
ACTIVITY Remarks (Progress against Prog
Total BQ Total done in the day Total done to Date Cumulative Total Cumulative %
Calibration 0 #DIV/0!
kp----2969--- Mama To 100 100 100 100% Complete
kp--- 2783 ---- Graci 100 100 100 100% complete
kp--- 2660 ---- Mama F 100 100 100 100% complete
kp--- 3454 --- Jaseme 100 100 100 100% complete
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!
0 #DIV/0!

HSE STATISTICS
Project Cumulative Incident/Accident Reports
Fatality 0
Lost Time Incidents
Restricted Work Case 0
Medical Treatment Case 0
INCIDENTS

First Aid Case 1


Motor Vehicle Case 0
Nearmiss
Property Damage Incidents 0
Environmental Spills 0
Occupational Illnesses 0
Hazard ID
Violation Reports 0

POB Hours Worked


Systems Group 2 8
MAN HOUR CUMULATIVE

Sub-Contracxtors/Others 1
Total 8

Training Sessions
Inductions 2
First Aid 1
Fire Team 1
Waste Mamnagement
Visitors
Toolbox
MAN HOUR CUMULATIVE

HSE Inspection

Additional Comments
Task Completed
Remarks (Progress against Programme - Delays / On time)
Project Name Project Date Project Start Date Estimated End Time Client Nam Technician Report Auth
Calibration 14.06.24 14.06.24 14.06.24 KokonetworJohn Otien John Otien
Calibration
Calibration
Calibration
Calibration
Calibration
Calibration
Calibration
Calibration
Location ACTIVITY Total done in the day Total done to Date Cumulative Total Cumulative %
KISUMU Calibration 0 0 0 #DIV/0!
kp----2969- 0 100 100 100%
kp--- 2783 0 100 100 100%
kp--- 2660 0 100 100 100%
kp--- 3454 0 100 100 100%
0 0 0 0 #DIV/0!
0 0 0 0 #DIV/0!
0 0 0 0 #DIV/0!
0 0 0 0 #DIV/0!
hours worked on Systems Group Hours worked on sub-contractors Total hours worked Fatality
8 0 8 0
Lost Time Incidents Restricted Work Case Medical Treatment Case First Aid Ca
0 0 0 1
Motor Vehicle Case Nearmiss Property Damage Incidents
0 0 0
Environmental Spills Occupational Illnesses Hazard ID Violation Reports
0 0 0 0

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