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Contractor Monthly HSE Progress Report Form

This monthly progress report summarizes health, safety, and environmental (HSE) incidents and performance for a construction contractor in December. There were no fatalities, lost time injuries, restricted duty incidents, or medical treatments. Year-to-date there have been 3 first aid incidents and 4 near misses. The report details the contractor's manpower, man-hours worked, incident rates, safety staffing levels, safety training programs, and key safety performance indicators.

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Alok Singh
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100% found this document useful (1 vote)
454 views2 pages

Contractor Monthly HSE Progress Report Form

This monthly progress report summarizes health, safety, and environmental (HSE) incidents and performance for a construction contractor in December. There were no fatalities, lost time injuries, restricted duty incidents, or medical treatments. Year-to-date there have been 3 first aid incidents and 4 near misses. The report details the contractor's manpower, man-hours worked, incident rates, safety staffing levels, safety training programs, and key safety performance indicators.

Uploaded by

Alok Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Year: 2023 MONTHLY PROGRESS HSE REPORT

Month: DECEMBER Contractor Name: SNAMPROGETTI E&C LTD Vendor ID No.:


Contractor SNAMPROGETTI E&C LTD BI No.: Contract No.: 6600050464

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

THIS MONTH: 1a 2a 3a 4a 5a 6a 7a 8a 9a 10a 11a


0 0 0 0 0 0 0 0 0 0 0
YEAR-TO-DATE: 1b 2b 3b 4b 5b 6b 7b 8b 9b 10b 11b
0 0 0 0 3 4 4 0 0 0 0
PROJECT TOTAL: 1c 2c 3c 4c 5c 6c 7c 8c 9c 10c 11c
0 0 0 0 3 4 4 0 0 0 92.2
CURRENT 12 17 NO. OF DAYS AWAY FROM WORK
1027 INCIDENT RATES
MANPOWER: or 18 RESTRICTED DAYS
13 19 LTIR 20 RDIR 21 TRCR
MAN-HOURS: 0 LTI RDI
MAN-HOURS YEAR 14 MONTH: 17a 18a MONTH: 19a 20a 21a

TO DATE: 2,435,802 0 0 0 0 0
MAN-HOURS 15 YEAR-TO- 17b 18b YEAR-TO-DATE: 19b 20b 21b

PROJECT TO DATE: 3,053,696 DATE: 0 0 0 0 0


LTI FREE MAN- 16 PROJECT TO- 17c 18c PROJECT TO- 19c 20c 21c

HOURS: 3,053,696 DATE: 0 0 DATE: 0 0 0


22 MINOR TO MAJOR 23 TOTAL CONTRACTOR RATIO OF SAFETY OFFICERS TO No. SAFETY
RATIO SAFETY STAFF WORKERS OFFICERS APPROVED
BY PMT
MINOR MAJOR Required Actual Shortfall 24 1:32 25 38
22a 22b 23a 23b 23c
1:48 1:22 1:50 1:27 0
CONTRACTOR SITE SAFETY STAFF DETAILS 29 SHORT SERVICE EMPLOYEE PROGRAM (SSE)

Current No. of % SSE Actual SSE Max. Allowed


Required Actual Difference
SSEs Trained Ratio Ratio
26 No. Safety Officers 26a 26b 26c 29a 29b 29c 29d
0 38 0 0 0 0 0
27 No. Safety Supervisor(s) 27a 27b 27c
4 6 0
28 No. Safety Managers 28a 28b 28c

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

Training HIP safety Handbook & /incident emergency BLS certificates


(24-hr min) requirements Construction Safety reporting and response
Manual (CSM) investigation procedures
30TOTAL No. No. No. No. No. No.
% % % No. Trained % % % %
Trained Trained Trained Trained Trained Trained
SUPERVISORS 30a 31a 31b 32a 32b 33a 33b 34a 34b 35a 35b 36a 36b 37a 37b
0 0 0 0 0% 0 % 0 0% 0 0% 0 0% 0 0%
SAFETY STAFF 30b 31c 31d 32c 32d 33c 33d 34c 34d 35c 35d 36c 36d 37c 37d
0 0 0 0 0% 0 % 0 0% 0 0% 0 0% 0 0%
CONTRACTOR FUNCTIONAL PROXIMITY WARNING ALERT SYSTEM ON
HEAVY EQUIPMENT (if required) CONTRACTOR CAMPS CONTRACTOR CLINICS
38 PWAS Equipment 39 Applicable 40 Fully 41 Fully 42 Total 43 No. 44Total 44aApproved 45 No.

Vendor No. Installed No. Operational No. Approved Clinics Clinics Approved
Equipment Camps Occupancy Medical Staff
174 174 104 0

Controlling Scheduled High Risk Construction Activities Leading Indicators


46 No. of High Risk 47 No. of JSAs 48 No. Of High Risk

Activities Identified on submitted to Focus Inspections Mgr. Supervisors Safety


2-3 wk. Look-Ahead PMT
THIS WEEK 46a 47a 48a 49 SBOIs 49a 49b 49c
1 1 1 0

YEAR TO DATE 46b 47b 48b 50 Site Inspections 50a 50b 50c
10 10 10 0

PROJECT TO DATE 46c


10
47c
10
48c 51 Project To Date 51a 51b 51c
10

52 HSE Compliance Tracker

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

Saudi Aramco: Company General Use


1c No. of FAT since mobilization 21a No. Total Recor dable Injur y/Illness Cases, 35b Per centage Tr ained (No. Super visor s
2 LTI = Lost Time Injur y, an on-job injur y or includes on-job fatality, LTI, RDI and MTC x Tr ained/Total No. of Super visor s)
occupational illness that involves one or mor e 200,000 / Cur r ent Month Man-hour s 35c Total No. HSE Staff Completed Incident
days aw ay fr om w or k beyond the day the 21b No. Total Recor dable Injur y/Illness Cases, Repor ting and Investigation Tr aining
injur y or illness occur r ed, ex cluding fatalities includes on-job fatality, LTI, RDI and MTC x 35d Per centage Tr ained (No. HSE Staff
2a No. of LTI in the month 200,000 / Man-hour s since Januar y 1st Tr ained/Total No. of HSE Staff)
2b No. of LTI since Jan 1 st 21c No. Total Recor dable Injur y/Illness Cases, 36 Requir ed tr aining per CSM CSAR 8.6 B
2c No. of LTI since mobilization includes on-job fatality, LTI, RDI and MTC x 36a Total No. Super visor s Completed Emer gency
3 RDI = Restr icted Duty Injur y, an on-job injur y 200,000 / Man-hour s since mobilization Response Tr aining
or occupational illness that r esults in 22 Ratio of Minor Injur ies to Major Injur ies 36b Per centage Tr ained (No. Super visor s
r estr icted w or k or job tr ansfer 22a Total No. of FAI + MTC Incidents since Tr ained/Total No. of Super visor s)
3a No. of RDI in the month Mobilization 36c Total No. HSE Staff Completed Emer gency
3b No. of RDI since Jan 1 st 22b Total No. of FAT + LTI + RDI Incidents since Response Tr aining
3c No. of RDI since mobilization Mobilization 36d Per centage Tr ained (No. HSE Staff
4 MTC = Medical Tr eatment Case, mor e ser ious 23 HSE Staffing Requir ed per CSM CSAR 4.5 Tr ained/Total No. of HSE Staff)
on-job injur y or any occupational illness 23a Total No. HSE Staffing Requir ed 37 Requir ed tr aining per CSM CSAR 8.6 B
r equir ing medical tr eatment 23b Actual No. HSE Staffing Onsite 37a Total No. Super visor s Completed Fir st Aid and
4a No. of MTC in the month 23c No. Shor tfall of HSE Staffing Onsite BLS Tr aining
4b No. of MTC since Jan 1 st 24 No. of Safety Officer s : 12Total No. of 37b Per centage Tr ained (No. Super visor s
4c No. of MTC since mobilization Per sonnel (incl. subs) ex.1:50 Tr ained/Total No. of Super visor s)
5 FAI = Fir st Aid Injur y, minor on-job injur y (not 25 % of Actual No. HSE Staffing Onsite Appr oved 37c Total No. HSE Staff Completed Fir st Aid and
illness) r equir ing one-time tr eatment and by PMT BLS Tr aining
subsequent obser vations, even if tr eatment is 26 Safety Officer s per CSM CSAR Table 4.1 37d Per centage Tr ained (No. HSE Staff
administer ed by a physician 26a Total No. of Safety Officer s Requir ed Tr ained/Total No. of HSE Staff)
5a No. of FAI in the month 26b Actual No. of Safety Officer s Onsite 38 Name of Vendor /Supplier of PWAS
5b No. of FAI since Jan 1 st 26c No. Shor tfall of Safety Officer s 39 No. of equipment onsite r equir ing PWAS
5c No. of FAI since mobilization 27 Safety Super visor s per CSM CSAR Table 4.1 40 No. of equipment onsite PWAS installed
6 Near Miss = Potential Incident 27a Total No. of Safety Super visor s Requir ed 41 No. of equipment onsite fully compliant
6a No. of Near Miss in the month 27b Actual No. of Safety Super visor s Onsite 42 No. camps housing 6 or mor e w or kers
6b No. of Near Miss since Jan 1 st 27c No. Shor tfall of Safety Super visor s associated w ith pr oject
6c No. of Near Miss since mobilization 28 Safety Manager s per CSM CSAR Table 4.1 43 No. of camps w ith appr oved occupancy
7 MVA – Motor Vehicle Accident 28a Total No. of Safety Manager s Requir ed cer tificate fr om Saudi Ar amco
7a No. of MVA in the month 28b Actual No. of Safety Manager s Onsite 44 No. of contr actor clinics
7b No. of MVA since Jan 1 st 28c No. Shor tfall of Safety Manager s 44a No. of contr actor clinics appr oved by SA
7c No. of MVA since mobilization 29 Shor t Ser vice Employee (SSE) Pr ogr am = 45 No. of SA appr oved medical staff
8 MVA FAT = Motor Vehicle Accident Fatal Identification of new or inex perienced 46 High Risk Activities (HRAs) ar e r equir ed to be
8a No. of MVA FAT in the month per sonnel identified in pr ior to beginning w ork
8b No. of MVA FAT since Jan 1 st 29a Total No. of SSE onsite 46a No. of HRAs occur r ing in 2-3 w eeks
8c No. of MVA FAT since mobilization 29b Total No. of SSE r eceived tr aining 46b No. of HRAs identified since Januar y 1 st
9 Job Related Fir es 29c No. of SSE ver sus Ex per ienced Wor kers 46c No. of HRAs identified since mobilization
9a No. of FIRES in the month 29d Max imum SSE Ratio Per missible (PMT 47 Job Safety Analyses (JSAs) ar e r equir ed to be
9b No. of FIRES since Jan 1 st appr oved) submitted for each identified HRA
9c No. of FIRES since mobilization 30 Total No. of Super visor s and 23bHSE Staff 47a No. of JSAs submitted to PMT this w eek for
10 OTHER = Other Incidents (e.g. pr oper ty 30a Total No. of Super visor s activities upcoming in 2-3 w eeks
damage) 30b Total No. of 23bHSE Staff 47b No. of JSAs submitted since Januar y 1 st
10a No. of OTHER in the month 31 Requir ed tr aining per CSM CSAR 8.6 A 47c No. of JSAs submitted since mobilization
10b No. of OTHER since Jan 1 st 31a Total No. Super visor s Completed 24-hr . 48 Inspections ar e r equir ed on all HRAs against
10c No. of OTHER since mobilization Tr aining JSAs
11 PSI = Pr oject Safety Index 31b Per centage Tr ained (No. Super visor s 48a No. of HRA JSA inspections conducted this
Tr ained/Total No. of Super visor s) w eek
11a Most Recent Month PSI Scor e
11b PSI Aver age Since Januar y 31c Total No. HSE Staff Completed 24-hr . Tr aining 48b No. of HRA JSA inspections conducted since
31d Per centage Tr ained (No. HSE Staff Januar y 1 st
11c PSI Aver age Since Mobilization
Tr ained/Total No. of HSE Staff) 48c No. of HRA JSA inspections conducted since
12 Total No. of Per sonnel (incl. subs)
32 Requir ed tr aining per CSM CSAR 8.6 B mobilization
13 Most cur r ent Month Man-hour s
32a Total No. Super visor s Completed CSSP/HIP 49 SBOI = Safe Behavior Obser vation Inspection
14 Man-hour s since Januar y 1 st
Tr aining 49a No. of SBOIs conducted by Manager
15 Man-hour s since mobilization
32b Per centage Tr ained (No. Super visor s 49b No. of SBOIs conducted by Super visor s
16 Man-hour s since last 2LTI
Tr ained/Total No. of Super visor s) 49c No. of SBOIs conducted by Safety Staff
17 No. of days after an incident that the injur ed
32c Total No. HSE Staff Completed CSSP/HIP 50 Documented evidence of Site Safety
per son missed w or k
Tr aining Inspections
17a No. of LTI days in the cur r ent month
32d Per centage Tr ained (No. HSE Staff 50a No. of inspections conducted by Manager this
17b No. of LTI days since Januar y 1 st
Tr ained/Total No. of HSE Staff) month to date
17c No. of LTI days since mobilization
33 Requir ed tr aining per CSM CSAR 8.6 B 50b No. of inspections conducted by Super visor s
18 No. of days after an incident that the injur ed this month to date
33a Total No. Super visor s Completed Sch. D
per son w as r eassigned other duties 50c No. of inspections conducted by Safety Staff
Tr aining
18a No. of RDI days in the cur r ent month this month to date
33b Per centage Tr ained (No. Super visor s
18b No. of RDI days since Januar y 1 st 51 Total No. SBOIs + Inspections since
Tr ained/Total No. of Super visor s)
18c No. of RDI days since mobilization mobilization
33c Total No. HSE Staff Completed Sch. D Tr aining
19 LTIR = Lost Time Incident Rate 51a No. of SBOIs + Inspections conducted by
33d Per centage Tr ained (No. HSE Staff
19a No. LTIs x 200,000 / Cur r ent Month Man-hour s Manager
Tr ained/Total No. of HSE Staff)
19b No. LTIs x 200,000 / Man-hour s since Januar y 34 Requir ed tr aining per CSM CSAR 8.6 B 51b No. of SBOIs + Inspections conducted by
1 st Super visor s
34a Total No. Super visor s Completed SA Safety
19c No. LTIs x 200,000 / Man-hour s since 51c No. of SBOIs + Inspections conducted by Safety
Handbook & CSM Tr aining
mobilization Staff
34b Per centage Tr ained (No. Super visor s
20 RDIR = Restr icted Duty Incident Rate 52 Tr acking of Open Compliance Issues
Tr ained/Total No. of Super visor s)
20a No. RDIs x 200,000 / Cur r ent Month Man-hour s 52a No. Open Failur e to Comply (FTC) Items
34c Total No. HSE Staff Completed SA Safety
20b No. RDIs x 200,000 / Man-hour s since Januar y Handbook & CSM Tr aining 52b No. Open FTCs since Januar y 1 st
1st 52c No. Open FTCs since mobilization
34d Per centage Tr ained (No. HSE Staff
20c No. RDIs x 200,000 / Man-hour s since Tr ained/Total No. of HSE Staff)
mobilization
35 Requir ed tr aining per CSM CSAR 8.6 B
21 TRCR – Total Recor dable Injur y/Illness Case,
35a Total No. Super visor s Completed Incident
includes on-job fatality, LTI, RDI and MTC
Repor ting and Investigation Tr aining

Saudi Aramco: Company General Use

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