AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 10.5a Rev No :00
Monthly HSE Statistics Report Rev. Date: Page 1 of 1
Project Title Ain Dar SS#8456 Contractor ABC
Sub contractors RCC/Al Dosary Co./ARCO Contract Number 4400018456
For the Month Feb-25 Date From 1-Feb-25 To 28-Feb-25
Description Monthly Yearly Cumulative
Total Manpower Worked 4837
Total Man-hours Worked 45464
Man-hours worked since last LTI 45464
Number of First Aid Cases 1
Number of Medical Treatment Cases 0
Number of Lost Time Injury Cases 0
Lagging Indicators
Number of Man hours lost due to LTI 0
Number of Serious Injury Cases 0
Number of Occupational Illness 0
Number of Fatality 0
Number of Near miss Reported 4
Number of Near miss Acted 4
Number of Vehicle Accident 0
Number of Property Damage 0
Number of Fire Incidents 0
Number of Environmental Incidents 0
HSE Induction 44
Number of employees received In-house Training 105
Training Hours accumulated for the above Trainings 105
Number of Tool Box Talk Conducted 115
Leading Indicators
Number of Employees attended during Tool Box Talk 1320
HSE Committee Meetings conducted 1
Internal Audit conducted 0
Number of HSE Observation Reported 44
Number of HSE Observation Acted 44
Number of Nonconformity Reported 0
Number of Corrective Action Taken 0
Number of Risk Assessment Done 1
Number of Job Safety Practices Done 1
Name Designation Date
Report Prepared By
CHANDAN KUMAR SINGH HSE ENGINEER 28/02/2025
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
HSE Observation Register
Project Name EXPANSION OF AINDAR SUB-30 380/115KV BSP
Category (Housekeeping, material
S.No Ref. No Date Department Stacking, Electrical, Tools, Observation
Environment etc.,)
During water filling for leakege testing of pump house
attendence got slightly slip near to opening but he
1 ABC/28/01 01 Feb. 2025 CIVIL Barrication balance himself to hold hard barriction so no any
injury happened.
2 ABC/28/01 01 Feb. 2025 FOD Electrical Connections Using rebar instead of earth rod for equipment grounding.
3 ABC/28/01 01 Feb. 2025 CIVIL Tools & Equipment DA Cylinder found without of trolley at working location.
4 ABC/28/01 01 Feb. 2025 MECH Access/Egress Ladder not provided for safely access to excavated area.
5 ABC/28/01 01 Feb. 2025 CIVIL Work At Height Outrigger not provided to the scaffold.
6 ABC/28/01 CIVIL Material Stacking Temporrary storage of grouting material not provided with fire-
01 Feb. 2025 extingusher & signage
7 ABC/28/01 CIVIL Housekeeping Poor house-keeping and material storage in improper way in
01 Feb. 2025 gantery area.
8 ABC/28/01 CIVIL Barrication Excavated area found without of proper hard barrication near to
01 Feb. 2025 access way.
9 ABC/28/01 CIVIL Other No plank provided to safely movement for rebar binding &
01 Feb. 2025 fixation.
10 ABC/28/01 CIVIL Access/Egress
Expose pointing rebar found near to access way towards
01 Feb. 2025 transformer area.
11 ABC/28/01 01 Feb. 2025 CIVIL Material Stacking Other unrelevent material store in dip tray.
12 ABC/04/02 CIVIL Electrical Connections Improper position hard barrication which have possibility to fall
08 Feb. 2025 into excavation.
13 ABC/04/02 CIVIL Barrication Lifting work in progress without of area barricaded and sign
08 Feb. 2025 board not displayed.
14 ABC/04/02 CIVIL Other Duct hose not installed with blower for proper dust control
08 Feb. 2025 during buffing work.
15 ABC/04/02 CIVIL Material Stacking Bulk storage of Paint/chemical at working location, even not
08 Feb. 2025 kept inside dip tray also not available of spill kit
16 ABC/04/02 08 Feb. 2025 CIVIL Material Stacking Hose clamp is missing .
17 ABC/04/02 08 Feb. 2025 CIVIL Work At Height Excavation hard barrication pipe found missing.
18 ABC/04/02 08 Feb. 2025 CIVIL Other DA Cylinder kept in unsafe manner.
19 ABC/04/02 08 Feb. 2025 CIVIL Barrication DB Power cable found in expose position in the access way.
20 ABC/04/02 08 Feb. 2025 CIVIL Floor Openings Lifting in work in progress without barricading the area.
21 ABC/04/02 08 Feb. 2025 FOD Material Stacking Transformer oil found without of dip tray.
22 ABC/04/02 CIVIL Electrical Connections Excavated area not barricaded properly and poor house-
08 Feb. 2025 keeping found.
23 ABC/11/03 CIVIL Floor Openings Concrete barrier found improper condition due to soil level rise
15 Feb. 2025 up..
24 ABC/11/03 15 Feb. 2025 CIVIL Material Stacking No ladder stand provided in sub- contractor storage area.
25 ABC/11/03 CIVIL Other Sub-con drinking water storage area not provided with
15 Feb. 2025 inspection checklist.
26 ABC/11/03 15 Feb. 2025 CIVIL Work At Height Loose plank, no outrigger & toe- board.
27 ABC/11/03 15 Feb. 2025 CIVIL Housekeeping Shuttering material not removed after completion of work.
28 ABC/11/03 CIVIL Housekeeping Poor house-keeping and concrete waste not removed on timely
15 Feb. 2025 manner.
29 ABC/11/03 FOD Material Stacking Idel scaffold, loose electrical cable & other material in control
15 Feb. 2025 building working area.
30 ABC/11/03 15 Feb. 2025 FOD Barrication GIS material without barricading near access.
31 ABC/11/03 CIVIL Barrication
Material Inside building needed barricading & proper
15 Feb. 2025 identification signage
32 ABC/11/03 15 Feb. 2025 CIVIL Work At Height Scaffolding tag need to be updated.
33 ABC/11/03 CIVIL Housekeeping
No visibility to forklift operator & shifting GIS material from
15 Feb. 2025 store to GIS building.
34 ABC/18/04 23 Feb. 2025 CIVIL Work At Height Scaffold found tilt one side due to surface
not levelled.
35 ABC/18/04 23 Feb. 2025 CIVIL Work At Height Material kept at workplace without required arrangement.
36 ABC/18/04 23 Feb. 2025 CIVIL Housekeeping General waste dumped out-side of waste bin.
37 ABC/18/04 23 Feb. 2025 CIVIL Barrication Gap found in stair case hard barrication.
38 ABC/18/04 23 Feb. 2025 CIVIL Work At Height Used of rebar instead of scaffold joint pin lock.
39 ABC/18/04 23 Feb. 2025 FOD Tools & Equipment Man-lift working area provided with barrication & sign board.
40 ABC/18/04 23 Feb. 2025 FOD Housekeeping Shuttering material not removed after complition of work.
41 ABC/18/04 23 Feb. 2025 CIVIL Other Not using mask & hand-glvoes while doing painiting activity.
42 ABC/18/04 23 Feb. 2025 CIVIL Housekeeping
Unrelevent material kept inside Dip-tray with chemical.
43 ABC/18/04 23 Feb. 2025 CIVIL Access/Egress
Pathway not closed towards excavated area.
44 ABC/18/04 23 Feb. 2025 CIVIL Housekeeping
Improper discarded of fire hazardous waste.
Other CIVIL
Tools & Equipment FOD
Floor Openings MECH
PPE TESTING
Equipment Certification OTHER
Access/Egress
Work At Height
Barrication
Welfare Facilities
Material Stacking
Electrical Connections
Housekeeping
NG COMPANY
Arabia
Doc no: FM.HSE – 10.5b Rev No :00
Rev. Date: Page 1 of 1
Target
Recommendation Acted/ Not
Date
Provided full body harness and conducted TBT. 06 Feb. 2025
Acted
Earth rod has been installed for proper body earth of equipment
06 Feb. 2025
& house- keeping has been done. Acted
Trolley has bee provided & another cylinder sent back to storage
06 Feb. 2025
area.
Acted
Ladder has been provided for safe access and egress. 06 Feb. 2025
Acted
Outrigger has been installed with scaffold. 06 Feb. 2025
Acted
Fire-extinguisher with temporary storage awareness signage has
06 Feb. 2025
been provided.
Acted
Proper house-keeping and material stacking has been done. 06 Feb. 2025
Acted
Proper hard barrication has been provided to the excavated area
06 Feb. 2025
with signage.
Acted
Plank has been provided for hassle free access & egress. 06 Feb. 2025
Acted
Removed expose rebar which is not required further. 06 Feb. 2025
Acted
Only relevant possibility spillage material kept in dip tray &
06 Feb. 2025
MSDS displayed. Acted
Shifted the crush barrier to the safe distance the edge of
excavation. 13 Feb. 2025
Acted
Barrication and sign board provided to the lifting activity. 13 Feb. 2025
Acted
Installed duct hose with blower/Exhaust for proper dust control
during work. 13 Feb. 2025
Acted
Only required quantity of chemical /paint kept at inside dip tray
at working location and spill kit provided & initiated for MSDS. 13 Feb. 2025
Acted
Properly tied hose with clamp. 13 Feb. 2025
Acted
Installed the pipe properly & informed the concern person to
maintain the same. 13 Feb. 2025
Acted
Trolley has been provided for safe handling & use to cylinder. 13 Feb. 2025 Acted
Re-Route the cable buried the cable proprely. 13 Feb. 2025 Acted
Proper barrication and awareness sign board displayed. 13 Feb. 2025 Acted
Dip tray has been provided & instruction given for the same to
the concern person. 13 Feb. 2025
Acted
Barricaded the area & proper house-keeping has been done. 13 Feb. 2025
Acted
Re-shifted the concrete block from safe distance from excavated
area. 20 Feb. 2025
Acted
Ladder stand has been provided & informed for lock and chain
for damage ladder. 20 Feb. 2025
Acted
Checklist has been provided as well as inspected accordingly &
informed to maintain. 20 Feb. 2025
Acted
Loose plank has been removed, outrigger installed, and proper
toe-board provided. 20 Feb. 2025
Acted
Removed shuttering material and sent back to designated area. 20 Feb. 2025
Acted
Concrete waste has been removed and proper house-keeping
has been done. 20 Feb. 2025
Acted
Not required scaffold dismantled and another sent back to
designated store area. 20 Feb. 2025
Acted
Fixed temporary soft barricading & also instructed to site team
to store it in proper storage location. 20 Feb. 2025
Acted
Implemented barricading & signage. 20 Feb. 2025
Acted
Updated scaffolding tag such as safe scaffolding green tag. 20 Feb. 2025 Acted
Instruct to use boom truck instead of forklift & conduct refresher
training with last verbal warning. 20 Feb. 2025
Acted
Proper levelled & compacted the area and re-erect the scaffold
properly. 27 Feb. 2025
Acted
Proper barrication, fire-extinguisher and sign board has been
provided. 27 Feb. 2025
Waste transferred in container & Proper waste management
training conducted. 27 Feb. 2025
Hard barrication move to minimize falling gap. 27 Feb. 2025
Rebar has been removed & scaffold pin lock provided. 27 Feb. 2025
Manlift working area barricaded and sign board has been
displayed. 27 Feb. 2025
Shuttering material has been remvoed & stacked in designated
area. 27 Feb. 2025
Mask and hand gloves has been provided. 27 Feb. 2025
All unrelevent material has been removed from dip tray & MSDS
displayed. 27 Feb. 2025
Closed the pathway towards excavated area & awareness
signage displayed. 27 Feb. 2025
Proper house-keeping has been done & informed for the same. 27 Feb. 2025
Acted
Pending
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 10.5c Rev No :00
Injury/ Illness Register Rev. Date: Page 1 of 2
Project Name
Employee Name & Cause of Injury/Illness and Signature
S.No Date & Time Department Treatment Given
Designation Effects Employee Incharge
Prepared By:
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 6.5 Rev No :00
Damage/ Loss Register Rev. Date: Page 1 of 2
Project Name
Equipment Type of Incident (Damage, fire,
NO. DATE Location / Departement Circumstances of Incident Corrective Actions
involved Vehicle)
Prepared By:
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 10.5d
Near Miss Register Rev. Date:
Project Name EXPANSION OF AINDAR SUB-30 380/115KV BSP
Category (PPE, Strike Against or
Incident
by, Caught in /Betweeen, Slip, Trip
Location Investigation
S/N Date Reported By Brief description of Near miss & Fall,Fall from Height, Electrical,
Department Applicable
Fire, Environmental, Procedure
Yes/ No
etc.,)
during water filling for leakege
testing of pump house
1 04 Feb. 2025 AINDAR SS#8456 HSEO attendence got slightly slip near slip NO
to opening but he balance
himself to hold hard barriction
Due to backfilled soil pressure
that concrete barrier found
slightly tilt towards excavation
2 12 Feb. 2025 AINDAR SS#8456 HSEO and one person doing material Falling into excavation NO
shifting activity on the edge of
excavation and fragile edge soil
was falling into excavation
One worker was slightly saved
from falling from unsafe
3 AINDAR SS#8456 HSEO Might be falling from unsafe NO
18 Feb. 2025 scaffolding such as missing &
scaffolding
loose plank & no outrigger while
GIB installation
during GIB installation at gantry
area scaffold was started to tilt
and inclined towards one side
4 AINDAR SS#8456 HSEO due to surface was not well Might be caused injury due to NO
26 Feb. 205
compacted but no any person falling
fall nor any injury happen all
person safely lowered from
scaffold
10
Rev No :00
Page 1 of 2
Action Completed/Not
NA
NA
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 10.5e Rev No :00
First Aid Register Rev. Date: Page 1 of 2
Project Name EXPANSION OF AINDAR SUB-30 380/115KV BSP
S/N Date Time Location Department Name of Injured Designation Parts of Body Brief description of First Aid Remarks
Person Injured
10
11
12
13
14
15
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 10.5f Rev No :00
Corrective Action Register Rev. Date: Page 1 of 2
Project/ Dept Name
Date of
S/N NCR No. Raised By Discribtion of nonconfimity Root Cause Corrective Action Action By Closed/ Not
Issued
1
2
3
4
6
7
8
9 T
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
25
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 10.5g Rev No :00
Training Register Rev. Date: Page 1 of 2
Project Name EXPANSION OF AINDAR SUB-30 380/115KV BSP
S/N Date Location Type of Training Details of Training No Of Attendees Remarks
1 2/2/25 Meeting room In house ENVIRONMENTAL SAFETY 17
2 11/2/25 CONTROL BUILDING In house SIGN & INDICATION AT WORK PLACE 32
3 23/2/2025 ASSEMBLY AREA In house WASTE MANAGEMENT 56
4 105 TOTAL
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
AL - BABTAIN CONTRACTING COMPANY
Kingdom of Saudi Arabia
Doc no: FM.HSE – 10.5h Rev No :00
Cost Analysis Rev. Date: Page 1 of 2
Project Name
Direct Cost - Based Indirect Cost - Based
Total Total
Type of Accident/
Equipment
Equipment
Disability/
Disability/
Uninsured
Uninsured
Materials
Repair or
Materials
Repair or
Property
Property
Medical
Medical
Fatality
Fatality
S.No Date & Time Direct Indirect
Damage
Damage
Service
Service
Others
Others
Time
Time
Incident
Cost Cost
10
Prepared By:
