5-Monthly Hse Report

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KUWAIT NATIONAL PETROLEUM COMPANY

CONTRACTOR’S MONTHLY HSE STATISTICS REPORT

Month & Year: MAY -2018

Contractor Name : AL-MAGWA ENGINEERING & CONT.CO. (W.L.L)


Contract/ Project : Tank Cleaning,Repairing,Fiber Glassing and Painting Works at Refinery & Gas Liquid
Production facilities of Mina Ahmadi.
Contract Number : CA#4079 Start Date: 14/01/2018
Total Manpower : 200 Nos
MAN-HOURS
Date of Last LWC
This Month Cumulative Total Since Last LWC
- 43,200 51,600 51,600

Data Description Code This Month Cumulative Total


Lost Work-day Cases LWC Nil Nil
Lost Work-days LWD Nil Nil
Restricted Workday Cases RWC Nil Nil
Medical Treatment Cases MTC Nil Nil
Occupational illness Cases Nil Nil
First Aid Cases FAC Nil Nil
Other incidents (Fire, property damage, traffic) Nil Nil
Near Miss Incidents NM Nil Nil
Infringements Notifications Nil Nil
Toolbox Meeting 105 130
HSE training 03 03
HSE Audits 07 11
Periodic Medical Examination Conducted 40 69
Details of Accidents, Near Miss or Other Incidents* (Fire, Property Damage, Traffic)
Date & Location Name, E/No.& Title Brief Description Action Recommended
Nil Nil Nil Nil
Details of Toolbox Meeting / HSE Training*
Date No. of Participants Topics
As Attached As Attached As Attached
Note: Provide Monthly & YTD update for training intensity (TI= Training Man-hours/Total no of employees)

Details of HSE Violations*


Date & Location Name, E/No.& Title Brief Description of Violation Action Taken
Nil Nil Nil Nil
Details of HSE Audits*
Date Area / Facility Recommendation Action Taken
As Attached As Attached As Attached As Attached
*Attach separate sheet for further details
Data Prepared by:

_____________________________ __________________________________
Print Name & Sign Contractor Manager/Representative

Tel No: ____________________________ Tel No: ___________________________________

Note: A copy of this report shall be hand delivered to Sr.Safety Engr. within first two working days of the following month.

Reference: HSE-TSSA-05-1118, Revision-10 Title: HSE Guidelines for Contractor


Date of Issue: March 2018 Next Review Date: March 2021

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