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Format For First Aid Analysis Report Name of The Project: TPSP Year: 2019 Sr. No. Causative Wise First Aid Cases Number of Cases

This document provides a first aid analysis report for the month of April 2019 for the TPSP project. It includes 25 categories of potential first aid cases and records that there were 0 cases of first aid treatment for any of the categories listed. It also includes a blank for calculating the first aid incidence rate, to be filled in by the Project HSE Engineer and approved by the Project Manager.

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Bhagat Deepak
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135 views3 pages

Format For First Aid Analysis Report Name of The Project: TPSP Year: 2019 Sr. No. Causative Wise First Aid Cases Number of Cases

This document provides a first aid analysis report for the month of April 2019 for the TPSP project. It includes 25 categories of potential first aid cases and records that there were 0 cases of first aid treatment for any of the categories listed. It also includes a blank for calculating the first aid incidence rate, to be filled in by the Project HSE Engineer and approved by the Project Manager.

Uploaded by

Bhagat Deepak
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

Format for First Aid Analysis Report

Name of the Project: TPSP Month: APRIL


Year: 2019
Sr. No. Causative wise First Aid cases Number of cases

1 Fall of material 0
2 Slip & fall on level 0
3 Hit by objects 0
4 Pressed between objects 0
5 Fall into pit/ depth 0
6 Contact with moving parts 0
7 Soil collapse 0
8 Road accidents (Vehicle/ Equipment) 0
9 Foreign body into eye 0
10 Welding flash in eye 0
11 Gas poisoning 0
12 Using of defective tools/ tackles 0
13 Electrocution 0
14 Burn injury due to electrical 0
15 Burn injury due to gas cutting/ welding 0
16 Chemical burns 0
17 Suffocation 0
18 Breaking of grinding wheel 0
19 Blasting of detonator 0
20 Drowning 0
21 Contact with hot objects 0
22 Rock fall 0
23 Material handling 0
24 Ill health(Occupational diseases only) 0
25 Others (Specify) 0

Total

First Aid Incidence Rate = Number of First Aid cases X 1000


Average number of workers

= ____________________
_______________ _______________
Project HSE Engineer Project Manager

Format No.: HCC F 001 15 091, Rev.01, Rev date: 06.09.11 Page 1of 1

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