New Monthly SHE Reports
New Monthly SHE Reports
Write no of
Average Headcountxdays Headcountxday days away
Guidelines for reporting headcount for workedxdaily s workedxdaily If avaialble Report must be send immediately from work and
the month working hours working hours forward
medical report
1 Project Name:
No
Participated in Trainingsession Working at
2 SHE Meetings TBT Participated Safety Induction s Elect Fire JSA LOTO Height
Total no of
trainings
No of Staff
No of Labors
Send MOM Keep the records ready Mandatory to forward attendance sheet
Fire
No of Safety Inspections extinguisher Electrical and Equipment Office and
3 done s ELCB PPEs Hand tools s Site office Store Fire drill
Forward
Forward
incident and
first aid Forward observation sheet alongwith this report
medical
register
report
Site:
Job scope:
Environmental Observations
Exp- Unattended power
consumption / Oil spillage/
Effluent discharge/ Gas or
Risk smoke release in air / Any
Sr Date Vertical Category Hazard other Location
Month
Observed
by write
Target date name and
Action for Open Sub designatio Informed to whom take
taken Closed/Open obsevations Contractor n sign
Near miss
Sr.
First aid
Date & Location Incident
MTI
No.
LTI
TION AND ANALYSIS FOR THE REPORTING MONTH-
Incident analysis and actions taken
Actions
Root cause Analysis
Corrective
Actions
Preventive
Sl.no. Site/Project name BU Vertical Type of employment
Near Miss analysis for reporting mont