Monthly Safety Report Sample 672x5g

MONTHLY EHS REPORT PROJECT SITE Month NAME OF SITE

NAME OF SITE MANAGER

NAME OF PROJECT MANAGER

Phone No & Alternate phone No

Sl. No

Name

E-mail Address EHS Aggreement Name of Engineer signed (Yes/NO) nominated for EHS

1 Total No. of Contractor

2 3 4

(KPI)

This Month

Cumulative

Total No. Pep talks conducted Monthly Safety Meeting conducted Weekly Safety Inspection conducted Motivational Program conducted (Prize Distribution) No. of Near Miss Identified Total Risk Assessment Conducted No. of Loss time Accident No. of First-Aid Accident Future activities needs Shut-Down /LOTO or High Risk Activity etc Remarks: (Difficulties/Gaps identified in implementing EHS guidelines )

Site Manager

Records Verified

Sl. No 1 2 3 4 Date of meeting Date Conducted Total paricipants (Target Audience) ed in Sheet 2 Date

ed in Sheet 2 :

Ref:

Average Manhours Workmen Worked 0

Total Manhours Worked

0 0 0

0

Topic discussed

Date of meeting Date Conducted Total paricipants (Target Audience) ed in Sheet 2

YES Activity

No

ed in Sheet 2

YES

No

: