MONTHLY SAFETY REPORT
MANPOWER STATISTICS : S.M.NIRMAN INFRASTRUCTURE & DEVPLOPMENT PVT.LTD.
Month :
Project :
ATC.No :
Name of Project Manager / Project Incharge:
Name of HSE Officer :
SMN STAFF (MANHEADS) DURING THE MONTH
SMN STAFF (MANHOURS) DURING THE MONTH
SMN STAFF (MANHOURS - OT) DURING THE MONTH
LABOUR (MANHEADS) DURING THE MONTH
LABOUR (MANHOURS) DURING THE MONTH
LABOUR (MANHOURS - OT) DURING THE MONTH
TOTAL MANHOURS WORKED DURING THE MONTH
TOTAL MANHOURS WORKED SINCE COMMENCEMENT OF PROJECT
SAFE MANHOURS WORKED
Signature:
Name :
Designation :
Date:
Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018
MONTHLY SAFETY REPORT
INCIDENT STATISTICS
Month :
Project :
Incident category Employee Contractor
Fatal
Serious injury
LTI (Lost Time Incident)
MTI (Medical Treatment Incident)
First Aid
Near Miss
Sickness
Fire
Property loss
TOTAL
Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018
MONTHLY SAFETY REPORT
INCIDENT DETAILS : S.M.NIRMAN INFRASTRUCTURE & DEVPLOPMENT PVT.LTD.
Month :
Project :
Work
Sl. Date Location Name of the Time of Body part Mandays Corrective / Preventive By whom/ By
Category No DD/ MQ.No / Project person Age accident Description of the accident injured Lost Root Cause Actions When
MM/YY site
Fatal
Serious
LTI
MTI
First Aid
Near Miss
Sickness
Fire
Property loss
Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018
MONTHLY SAFETY REPORT
Key Pro-Active Activities
Month :
Project :
Sl. No. Key Actions Status Remarks
Project / Plant Risk Assessment
1. Yes / No
1 1. Has the Risk Assessment been carried out
2. Yes / No
2. When was the Risk Assessment last revised
2 Annual Trg Program finalised Yes / No
3 Management Review plan finalised Yes / No
Safety Observation Tours carried out by Target Target :
4
Manager Group Done :
Plant head / Project Manager undergone Plant /
5 Yes / No
Project Management training (H&S)
Total annual target :
6 Road / Driving Safety
Covered :
Total annual target :
7 Electrical Safety Training
Covered :
Safety Alert' Actions
1. Have all Safety Alerts been communicated
to the target audience 1. Yes / No
8 2. Yes / No
2. Are 'Action Plan' with Learnings in place
Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018
MONTHLY SAFETY REPORT
SAFETY ACTIVITIES
Month :
Project :
No of
Sessions
Sl No Activity Project Contents Conducted by Attended by persons
conducted
attended
1 Induction Training
Safety awareness Training to
2 workers
Safety awareness Training to
3 MTC staff
4 In-House safety training
5 External safety training
6 Safety Meetings
7 Tool Box Meetings
8 First Aid Training
9 Mock drill
10 Demonstration
12 Site visit by HSE Officer
13 Project Managers training
Safety Audits (By MTC HSE
14 Coordinator)
Ref: MQ-IMS-FO-14A Rev: 00 Date: 01-12-2018
MONTHLY SAFETY REPORT
TRAINING RECORD : S.M.NIRMAN INFRASTRUCTURE & DEVPLOPMENT PVT.LTD.
Month : 01.04.2024
Project : SMN ALL SITE
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
Item Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos Nos
Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions Sessions
attended attended attended attended attended attended attended attended attended attended attended attended
Induction Training 0
Safety awareness training
to workers 0
Safety awareness training
to MTC staff 0
In-House safety training 0
External safety training 0
Safety Meetings 0
Tool Box Meetings 0
First Aid Training 0
Mock drill 0
Demonstration 0
Site visit by HSE Officer 0
Project Managers
Training 0
Safety Audits (By MTC
Coordinator) 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ref: MTC-IMS-FO-14A Rev: 00 Date: 01-08-2019
MONTHLY SAFETY REPORT
Total
Nos
attended
Ref: MTC-IMS-FO-14A Rev: 00 Date: 01-08-2019
