Cover sheetHSE Management SystemDocument No.:&AG W-RA 9605 /
&AG W-RA 9606Weekly HSE ReportPurpose:This weekly and monthly
reporting template has been developed with the purpose of reducing
the complexity in reporting HSE statistics from project sites to
Head Office. With the roll out of this template, all other
templates for reporting HSE statistics from project sites to head
office become obsolete.Scope:This template is applicable to all
project sites in which LEI has overall control and is responsible
for site activities.Instructions:Statistical HSE data reported in
this template shall be compiled by Site HSE Manager / In-charge for
all projects. Further the data shall be reviewed and checked by
Lead - CNH. After compilation and checking, the data shall be
presented to Director - Construction.From the different tabs
provided, site HSE manager / in-charge shall fill in the site data
in the tab of his particular site. Any changes or any information
shall not be filled in other tabs. Formulas for certain criteria
have been incorporated in the excel sheet and these cells are
locked to protect the formula.Reporting period:After roll out of
this template, sites will send the HSE statistics through a single
template only on weekly and monthly basis. The same data shall be
presented to LEHQ for further compilation, hence sites must
exercise caution while preparing and sending the weekly data.
For January 2014, Week starts from Wednesday (i.e. 01 January
2014) hence reporting period will be from Wednesday to Tuesday.
Each Wednesday (e.g. 08, 15, 22, 29_ _ _ etc. January 2014), by
forenoon, weekly HSE statistics of previous week shall be submitted
to [email protected] and [email protected] for
further compilation.Monthly HSE statistics shall be submitted to
[email protected] and [email protected] by 2nd
Date of the month for previous month.Note: Managament Information
System (MIS) pertaining to HSE reports submitted to CLIENT / PMC
remain unaffected with the roll out of this
template.X130.12.13Krunal Gohel, CNHPious Markose, CNHSuneel
Jailkhani, CNStatusIssueDatePreparedCheckedApproved
Monthly ReportHSE MANAGEMENT SYSTEMDocument No.:&AG W-RA
9606Monthly HSE Report (Project Site)Reporting Period:Reporting
Date:Man Hours (in Million, Year to Date)0Key Leading IndicatorsKey
Lagging Indicators - Comparison against target for Asia /
Australasia regionIndicatorsStatisticsIndicatorsAchieved50%
Achievement100% Achievement150% AchievementHSE Audits0Fatality0HSE
Inspections / Walk-through0Loss Time Injury0HSE Meetings0Restricted
Work Case0HSE Training man hours10Medical Treatment Case0HSE
Inductions0Total Recordable Incident (TRI)30HSE Tool box
talks0Total Recordable Incident Rate (TRR)40Ratio of Closed Unsafe
Act / Unsafe Conditions20Loss Time Injury Rate (LTIR)50Sr.
No.StatisticsPadurMahulDahej DFCU & AUDahej
HGUSullurupetaMahendragiriP.M.6C.M.7Cum.8P.M.6C.M.7Cum.8P.M.6C.M.7Cum.8P.M.6C.M.7Cum.8P.M.6C.M.7Cum.8P.M.6C.M.7Cum.81Average
LEI Employees at site2Man days worked (LEI)3Man hours worked
(LEI)4Average Contractor Employees at site5Man days worked
(Contractor)6Man hours worked (Contractor)7Average Man power at
site8Total man days worked9Total man hours worked10Fatality11Loss
Time Injury (LTI)12No of lost workdays (LWCD)13Restricted Work Case
(RWC)14No of restricted workdays (RWCD)15Medical Treatment Case
(MTC)16First Aid Case (FAC)17Occupational Illness18Near miss
(NM)19Fire Incident20Commuting Incident21Transportation
Incident22Property damage incident23Environment Incident24Unsafe
Act / Conditions (UA / UC)25UA / UC closed26Tool Box Talks27HSE
Trainings28Training man hours29External HSE trainings30Internal HSE
audits31External HSE audits32Induction trainings33No of persons
inducted34HSE Inspections / walk-through35HSE Meetings36Severe
Injury and Fatality Potential37Severe Injury and Fatality
Actual38Total Recordable Incident (TRI)00000000000000000039Total
Recordable Incident Rate (TRR)00000000000000000040Loss Time Injury
Rate (LTIR)00000000000000000041Man hours worked without
LTINotes:1)Training Man-hours = Duration of training in Hours X No
of persons attending the training2)Ratio of Closed Unsafe Act /
Unsafe Conditions (UA / UC) = Closed UA / UC Reported UA /
UC3)Total Recordable Incident (TRI) = Fatality + Loss Time Injury +
Restricted Work Case + Medical Treatment Case4)Total Recordable
Incident Rate (TRR) = (TRI X 1,000,000) / Man Hours worked5)Loss
Time Injury Rate = [(Fatality + Loss Time Injury) X 1,000,000] /
Man Hours worked6)P.M. = Previous Month7)C.M. = Current Month8)Cum.
= Cumulative StatisticsCells are locked. Data for the cell would
come automatically through formulasUnlocked cells. Data has to be
filled manually by Site HSE Managers / In-charge
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Weekly ReportHSE MANAGEMENT SYSTEMDocument No.:&AG W-RA
9605Weekly HSE Report (Project Site)Reporting Period:19/02/14 to
25/02/14Reporting Date:2/26/14Man Hours (in Million, Year to
Date)4340Key Leading IndicatorsKey Lagging Indicators - Comparison
against target for Asia / Australasia
regionIndicatorsStatisticsIndicatorsAchieved50% Achievement100%
Achievement150% AchievementHSE Audits0Fatality0HSE Inspections /
Walk-through3Loss Time Injury0HSE Meetings0Restricted Work Case0HSE
Training man hours15Medical Treatment Case0HSE Inductions4Total
Recordable Incident (TRI)30HSE Tool box talks16Total Recordable
Incident Rate (TRR)40Ratio of Closed Unsafe Act / Unsafe
Conditions20Loss Time Injury Rate (LTIR)50Sr.
No.StatisticsPadurMahulDahej DFCU & AUDahej
HGUSullurupetaMahendragiriP.W.6C.W.7Cum.8P.W.6C.W.7Cum.8P.W.6C.W.7Cum.8P.W.6C.W.7Cum.8P.W.6C.W.7Cum.8P.W.6C.W.7Cum.81Average
LEI Employees at site55152Man days worked (LEI)3030903Man hours
worked (LEI)3003009004Average Contractor Employees at
site2019595Man days worked (Contractor)1201143406Man hours worked
(Contractor)1200114034407Average Man power at site2524748Total man
days worked1501444349Total man hours
worked15001440434010Fatality11Loss Time Injury (LTI)12No of lost
workdays (LWCD)13Restricted Work Case (RWC)14No of restricted
workdays (RWCD)15Medical Treatment Case (MTC)16First Aid Case
(FAC)17Occupational Illness18Near miss (NM)19Fire
Incident20Commuting Incident21Transportation Incident22Property
damage incident23Environment Incident24Unsafe Act / Conditions (UA
/ UC)25UA / UC closed26Tool Box Talks641627HSE
Trainings20228Training man hours55529External HSE
trainings30Internal HSE audits31External HSE audits32Induction
trainings13433No of persons inducted5152034HSE Inspections /
walk-through11335HSE Meetings36Severe Injury and Fatality
Potential37Severe Injury and Fatality Actual38Total Recordable
Incident (TRI)00000000000000000039Total Recordable Incident Rate
(TRR)00000000000000000040Loss Time Injury Rate
(LTIR)00000000000000000041Man hours worked without
LTI1700Notes:1)Training Man-hours = Duration of training in Hours X
No of persons attending the training2)Ratio of Closed Unsafe Act /
Unsafe Conditions (UA / UC) = Closed UA / UC Reported UA /
UC3)Total Recordable Incident (TRI) = Fatality + Loss Time Injury +
Restricted Work Case + Medical Treatment Case4)Total Recordable
Incident Rate (TRR) = (TRI X 1,000,000) / Man Hours worked5)Loss
Time Injury Rate = [(Fatality + Loss Time Injury) X 1,000,000] /
Man Hours worked6)P.W. = Previous Week7)C.W. = Current Week8)Cum. =
Cumulative StatisticsCells are locked. Data for the cell would come
automatically through formulasUnlocked cells. Data has to be filled
manually by Site HSE Managers / In-charge
&L&F&RPage &P of &N
