Monthly Safety Report Sample

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 me Date Cond Total parici (Target Au Uplo Upload aded ed i Date

Uplo Upload aded ed i

Ref:

 Average Manhours Workmen Worked 0

Total Manhours Worked

0 0 0

0

Topic discussed

eting    

cted pants ience) Sheet 2

YES  Activity

No

Sheet 2

YES

No

: