To (Project Manager): MR. ARNAB BASU Date: 06.01.2024 Project: THE SKYLAKE Serial N.: 07 Project No (Will contnue to accumulale from prgect incepton
Report No. 07 | 2023
(Willterminate every Decenber)
Month: December'2023
ACC Sub Other
Total contractor Persons a) Total Office employee- Daily average 03 Nil 03 1. b) Total Site employee- Daily average 16 62 78 2 Total First-Aid Case (FAC) Nil 02 Ni 02 3 Total Medical Treatment Case (MTO) Ni Nil Ni Ni a) Total Dangerous Occurrence (DO) Nil Nil Ni 4 b) Near-miss (NM) Nil 01 01
5. Total No. of Lost Time Injury (LTI) (LTI =Fatality + LWDC + PTD + PPD) Nil Nil Ni! Ni
5.1 Fatality Nil Ni Ni
5.2| Lost Workday Case (LWDC) =5.2.1 +5.2.2 NiT Nil Nil Nil
5.2.1 | Work Injury Case Ni Ni Nii Ni
5.2.2|Occupational llness Case Nil Ni Ni
5.3 Permanent Total Disability case (PTD) NiI Ni Nil Nil
Ni N Nil Ni 5.4 Permanent Partial Disability case (PPD) 6. Total Lost Workday (LWD) - (due to LTI) Ni Ni Nil Ni
7 Nil Ni Nil Ni Total Reportable Incident (RI) Nil Ni 8 Total Lost Workday (LWD) (due to RI) Nil Nil
9 Restricted Work Case (RWC) Nil Ni Nil Ni
10. Total Man-hours worked (ACC&S/Cs) 5890 19220 25110
11. Total # Tool-box meeting (Workforce) 00 06 06 12 Total # Weekly Safety meeting (Trade Foremen) 00 00 00
13 Total # Weekly Safety meeting (Staff) 01 00 0
14. Total # Training given (External +Internal) 00 00 58 00
HSE Manager / Safety In-charge
Date: 06/01/2024
CC: GHSEM / SAFETY DEPT /FILE
M ACC To (Project Manager) MR. ARNABBASU Lost Time Injury Frequency Rate Calculation =1,000,000x No, of LTI Project THE SKY LAKE Man- hours Worked
Noto: A.P. Accounting Period, accountod for 28 days
Month December'2023 But all practical purpos0s wo will considor A. P as a 30 days Month
NO, OF TOrAL LOST LOSY ME
NO. O NO, OF FIRST NO, OF MEDICAL RESTRICTED NO OP LOI CUMULATIVE MAN HOURS CUMULATIVE MAN DANGEROUS NO. OF NEAR TREATMENT WORK CA3ES WORKODAYS INJURY HOUR (Wnhout LTI) EMPLOYE AIDCASES REPORTABLE OCcURRENCE MISS (NM) (LWD duuu ta FREQUENCY SR CATEGORY (Slnce Commonc enent) (FAC) INCIDENTS (RI) CASES (MI (RWC) CASES (LTI) RI RATE (LTIF) NO (DO) AF CUM AP CUM AP AP CUM AP CUM AP CUM AP CUM AP CUM AP CUM AP CUM AP CUM AP CUM
0.0 1.0 ACC 5890 129489 5890 129489 19 Ni Ni Nil Nil Ni Ni Nil Nil Ni Ni Ni Nil Nil Ni Ni Ni 0.00
TOTAL 25110 510645 25110 510645 81 |02 24 Nil Nil Ni! Nil 01 06 Nl Ni Nil N Nil Nil Nil Nil Nil Nil
CC: GHSEM / SAFETY DEPT. /FILE
LDETALS ACC Project: THE SKY LAKE For the Month of: December 2023 Date Updated: /012024
Sr. Date of Workdays Lost Split Days Fridays & Effective Date of No. Emp. No. Name Trade Injury From To Month wise Holidays Lost Days
NIL
Lost Workdays Category:
3. Exrs
10 E s e DENT DE AlL ACC CONSTRiC7O
Project: THE SKY LAKE For the Month of: December 2023 Date Updated: 0/01/2024
S Date of Wor kdays Lost Lost
No Emp. No. Name Trade Incident Split Days Fridays & Effective Date of Workdays From To Month wise Holidays Lost Days Rejoining Category
NIL
Lost Workdays Category:
2. Confined Space 3. Explosion c Water related Overexertion 6. Stisard trips 7 Exposure noise. chemical burns droning Strain (at same he.ght) biological, vibration 8. C2ugrt in nce 9. Cut puncture or 10.Expusure 11. Falls from neght 12. Pressure 13. Struck by 14. Other HSE Manager ! Safety In-charge Detweer SCrape electrica! release
CC GHSEM / SAFETY DEPT /FIL
ACC AkABIAN CONSTRUC TION CO
ame of Mgr i Date ot Feor "i2re cf Reccrtrg Suoevisor to wnom HSE Personnel to om Precse Locaton RerarkS Descrnpton of Near mss Emp'oyee Near-mss Recured Near-mss Recoted
NIL
HSE Manager / Safety In-charge
ACC ARABIA CONSTRUCTION C0. S 0ccURENCEEGOTER
Date Updated: 06/01/2024
Project: THE SKY LAKE For the Month of: December 2023
Name of Reporting Name of Mgr / Supervisor HSE Personnel to whom Descr1ption of Dangerous Occurrence Precise Location Remarks Date cf Recort Employee to whom DO Reported DO Reported
NIL
CO G-SE! /SAFETY DEPT/FILE
HSE Manager / Safeiy In-charge STNTUS INFORMAIION
For the Month
Project: THE SKY LAKE of: December' 2023 Date Updated: 06/01/2024
Sr. File No. Name Work Locations Designation Mobile No. Remarks No
1.0 HSEMANAGER, SAFETY ENGINEER, SAFETY OFFICER, JR SAFETY OFFICER a SAFETY INPECTON 2 01 Manabendra Ghosh THE SKY Safety 9674933865 LAKE Supervisor 3
10 2.0 MALE NURSE 1
3 NIL 30FIRST
10
12
13
14
15
16
17
18
19
ONTHLY PROJECT SAFETY REPORT-A!technent No. &
ACC MONTHLY SITESi ATUS INFORMATION Sr File No. Name Work L.ocatlons Designation Mobllo No. Remarks No.
0SAFETASSSTAwT 1
10
1 NIL 12
13
14
15
16
17
18
19
20
3 One (3) Security at Day and one (2)
Security at Night lhavebeen hired from the Ageney.
10
1 Savon Jana THE SKY LAKE Rigger
2 02 Rajesh Maity THE SKY LAKE Rigger 3
iaGit,r pROJEC SAFEIY REFORT
Sr. Mobile No. Remarks No. File No. Name Work Locations Designation
