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Monthly Health and Safety Statistic Report

This document is a monthly health and safety statistics report template for ARCHIRODON GROUP NV's Integrated Management System. The report tracks key safety metrics such as total manhours worked, number of employees, incidents, training activities, audits, and performance indicators including total recordable incident rate and lost time injury frequency rate. All metrics are reported in a table broken down by month to allow for compilation of annual totals. The report requires sign off by the job position completing it and approval by the HSE Manager before distribution.

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21K views1 page

Monthly Health and Safety Statistic Report

This document is a monthly health and safety statistics report template for ARCHIRODON GROUP NV's Integrated Management System. The report tracks key safety metrics such as total manhours worked, number of employees, incidents, training activities, audits, and performance indicators including total recordable incident rate and lost time injury frequency rate. All metrics are reported in a table broken down by month to allow for compilation of annual totals. The report requires sign off by the job position completing it and approval by the HSE Manager before distribution.

Uploaded by

subhanmusadiq
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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ARCHIRODON GROUP NV Intergrated Management System

Health, Safety & Environment (HSE)

Rev. 0.1

FORM Monthly Health and Safety Statistics Report

Issue For Referance No. Serial No. Page

Internal Use Only HSE-PRO-05-F06 1of 1

Jan Total Manhours Worked No of Employees (Last day) INCIDENTS Fatalities (FAT) Lost Time Injuries (LTI) Restricted Work Cases (RWC) Medical Treatment Cases (MTC) Occupational Ill-health Cases (OIH) Total Recordable Incidents (TRI) First Aid Cases (FAC) Near Misses (NM) Asset Damages (AD) Road Traffic Accidents (RTA) TRAINING & AWARENESS Tool Box Talks in Health & Safety Topics Method Statement (MS) Briefings Task Safety Analysis (TSA) Briefings Safety Representatives Meetings Meetings due to an accident (FAT or LTI) Internal Training in IMS Procedures External Training Courses MONITOR & AUDIT Internal Audits Site HSE Inspections Project/CFY Management HSE Tours Operational Meetings (HSE aspects) Regional HSE Manager's site visits PERFORMANCE Total Recordable Incident Rate (TRIR) Lost Time Injury Frequency Rate (LTIF) Days Lost due to LTI HSE Observations Raised HSE Observations Closed HSE Observations Closed from Previous Months HSE Observations Close out Ratio Completed By Job Position Name Surname Signature Date 0

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

TOTAL 0 #DIV/0! 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

0.00 0.00 0 0 0 0 100%

Job Position Name Surname Signature Date

Approved By HSE Manager

Distrabution List Job Position Name Surmane HSE Manager Regional HSE Manager

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