Contractor Monthly HSE Progress Report Form
Contractor Monthly HSE Progress Report Form
CONTRACTOR INCIDENTS
1 FAT 2 LTI 3 RDI 4 MTC 5 FAI 6 NEAR MISS 7 MVA 8 MV FAT 9 FIRES 10 OTHER 11 PSI
TO DATE: 2,435,802 0 0 0 0 0
MAN-HOURS 15 YEAR-TO- 17b 18b YEAR-TO-DATE: 19b 20b 21b
4 8 0
Safety Training for Site Supervision & Safety Staff
31 Formal Safety 32 CSSP and 33 Contract 34 SA Safety 35 Injury & 36 Applicable 37 First aid and
Vendor No. Installed No. Operational No. Approved Clinics Clinics Approved
Equipment Camps Occupancy Medical Staff
174 174 104 0
YEAR TO DATE 46b 47b 48b 50 Site Inspections 50a 50b 50c
10 10 10 0
52a No. of FTCs Open 52b No. of FTCs YTD 52c No. of FTCs PTD
0 0 0
1 FAT = Wor k-r elated fatality 1a No. of FAT in the month 1b No. of FAT since Jan 1 st