MONTHLY SAFETY & HEALTH
REPORT
APRIL 2020
Contract No
DOSH Site
Registration Number
PREPARED BY VERIFIED BY APPROVED BY
SIGNATURE
NAME
POSITION SSS SHO Project Manager
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
Table of Contents
1 EXECUTIVE SUMMARY............................................................................................................... 3
2 UPDATED SAFETY & HEALTH COMMITTEE ORGANISATION CHART...................................4
3 SAFETY & HEALTH PERFORMANCE REPORT.........................................................................5
3.1 MONTHLY MAN-HOURS................................................................................................................ 5
3.2 TOTAL MANPOWER FOR THE LAST 12 MONTHS.......................................................................5
3.3 MONTHLY INCIDENT CASES BY CATEGORY.............................................................................5
3.4 INCIDENT RATE, FATALITY RATE, LTI FREQUENCY RATE & SEVERITY RATE......................6
3.5 INCIDENT REGISTER.................................................................................................................... 6
3.6 OSH MONITORING - OSH INSPECTION / AUDIT.........................................................................7
3.7 NON-CONFORMANCE REPORT (NCR) REGISTER.....................................................................8
3.8 STOPWORK ORDER (SWO) REGISTER.......................................................................................8
3.9 LOCAL AUTHORITY INSPECTION AND NOTICES.......................................................................9
3.10 EMERGENCY PREPAREDNESS AND RESPONSE DRILL.........................................................9
3.11 OSH TRAINING........................................................................................................................... 10
3.12 SHE PROMOTIONAL PROGRAM AND AWARDS.....................................................................10
3.13 OSH RELATED MEETINGS........................................................................................................ 10
3.14 PUBLIC COMPLAINTS................................................................................................................ 11
3.15 PLANT AND MACHINERIES INVENTORY.................................................................................11
3.16 WASTE MANAGEMENT............................................................................................................. 12
3.17 SEWAGE MANAGEMENT.......................................................................................................... 12
APPENDIX 1....................................................................................................................................... 13
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
1 EXECUTIVE SUMMARY
No Description Remark
1 Performance report for the month of APRIL 2020
2 Name of Project
3 JKKP Registration Number
Total average number of employees including sub-contractor's
4
employee
5 Total number of sub-contractor at the project site.
6 Total number of man-hours worked achieved of the month.
Total number of man-hours worked With or Without Lost Time
7
Accident (WLTA).
Total number of man-hours worked achieved without loss time
8
accident.
9 Total number of incident for the month.
10 Total number of accident for the month (Major Accident)
11 Total number of safety personnel
12 Total number of members in Safety & Health Committee
13 Number of Safety & Health Committee Meeting held for the month.
14 Total service crane at site with PMA
15 Number of competent person (Crane Operator)
16 Total number of "Tool Box Talk" held on for the month
17 Name list worker with Green card “CIDB”
18 Permit To work 2 Weeks
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
2 UPDATED SAFETY & HEALTH COMMITTEE ORGANISATION CHART
a) Safety & Health
3 SAFETY & HEALTH PERFORMANCE REPORT
7.7 MONTHLY MAN-HOURS
Total Manpower Man-hours worked Man-hours without LTI
(Average for the
month)
This Month Cumulative This Month Cumulative
* Please attach detailed man-hours calculation for the month as per Appendix 1
3.2 TOTAL MANPOWER FOR THE LAST 12 MONTHS
2019 2020
Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul
3.3 MONTHLY INCIDENT CASES BY CATEGORY
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
This Month Cumulative
Category of Incident No. of Days Lost
(No. of Cases) ( No. of cases)
Fatality (within worksite) - - -
Fatality (out of worksite or not work
- - -
related)
Permanent Disability - - -
Temporary Disability - - -
Medical Treatment - - -
First Aid Cases - - -
Occupational Disease - - -
Near Miss Cases - - -
Dangerous Occurrence - - -
Environmental Incident - - -
Traffic Incident - - -
Property Damage - - -
Others - - -
3.4 INCIDENT RATE, FATALITY RATE, LTI FREQUENCY RATE & SEVERITY RATE
Rate Formula This Month Cumulative
Total No of Incidents - - -
(Nos. of reportable Incident / Average
Incident Rate - -
Nos. of Workers) x 1000
(Total Nos. of Fatalities / Average
Fatality Rate - -
Nos. of Workers) x 1000
(No. of Loss Time Injuries / Total
LTI Frequency Rate - -
Manhours worked) x 1,000,000
(Total Nos. of Work Days Lost / Total
LTI Severity Rate - -
Manhours worked) x 1,000,000
3.5 INCIDENT REGISTER
Summary of
Incident Incident
Incident Brief Planned Action Completion
No. Register Classificati Status
Date Description Corrective by WPC Date
No on
Action
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
Summary of
Incident Incident
Incident Brief Planned Action Completion
No. Register Classificati Status
Date Description Corrective by WPC Date
No on
Action
3.6 OSH MONITORING – OSH INSPECTION / AUDIT
Inspection / Audit Description Conducted by Date Remarks
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
3.7 NON-CONFORMANCE REPORT (NCR) REGISTER
a) By External
Expected Actual Correction/ Proposed Expected Status
NCR Issue Closed Out
No. Description Reply Reply Immediate Corrective Completion (Open/
No. Date Date
Date Date Action Action Date Closed)
b) By Internal
Expected Actual Correction/ Proposed Expected Status
NCR Issue Closed
No. Description Reply Reply Immediate Corrective Completion (Open/
No. Date Out Date
Date Date Action Action Date Closed)
c) NCR Summary
Current Total Closed Total Opened Closure Rate
Type of NCR Cumulative To be Closed
Month NCR NCR (%)
Safety and
Health
Total
3.8 STOPWORK ORDER (SWO) REGISTER
a) By External
Expected Actual Correction / Proposed Expected Status
SWO Issue Closed
No. Description Reply Reply Immediate Corrective Completion (Open/
No. Date Out Date
Date Date Action Action Date Closed)
b) By Internal
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
Expected Actual Correction/ Proposed Expected Status
SWO Issue Closed
No. Description Reply Reply Immediate Correctiv Completion (Open/
No. Date Out Date
Date Date Action e Action Date Closed)
c) Summary of SWO
Type of Current Total Closed Total Opened Closure Rate
Cumulative To be Closed
SWO Month SWO SWO (%)
Safety and
Health
Total
3.9 LOCAL AUTHORITY INSPECTION AND NOTICES
a) Visits by Local Authorities for the current month
Inspection
Local Authority Location Details of Visit
Date
Local Authority Notice Date Location Description of Notice
a) Notices received from Local Authorities
3.10 EMERGENCY PREPAREDNESS AND RESPONSE DRILL
Date Type of Emergency Drill Work Area Involvement of External Party
3.11 OSH TRAINING
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
Training Date No of
No Training Remarks
Provider Conducted Attendees
Basic signalman and
1
hand signal
Proper usage of Full Body
2 Harness and
maintenance
Emergency Respond &
3
Escape Proceedures
4 SOP-CBP WORK RPZ 1
5 Basic CPR Training
6 Fire Drill
3.12 SHE PROMOTIONAL PROGRAM AND AWARDS
Date /
No Description Involvement of External Party
Duration
3.13 OSH RELATED MEETINGS
Date Description MOM Date
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
3.14 PUBLIC COMPLAINTS
Complaint Status
Date Location Description
No. (Closed / Open)
TOTAL COMPLAINTS :
3.15 LANT AND MACHINERIES INVENTORY
PMA/PMT/
Description of Expiry Competent Competency Certificate
No. Registration
Plant / Machinery Date Person Certificate No. Expiry Date
No.
*PMA CF for Boring Unit are exempted. Refer to Factory and Machinery Act 1967, Factory &
Machinery (Exemption of Certificate of Fitness for Hoisting Machine) Order 2015
**PMT CF for Air Compressor are exempted. Refer to Factory and Machinery Act 1967, Factory &
Machinery (Exemption of Certificate of Fitness for Unfired Pressure Vessel) Order 2017
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
3.16 WASTE MANAGEMENT
Waste Waste Storage /
No. Type of Waste Quantity Authority Approval
Component Collector Disposal
3.17 SEWAGE MANAGEMENT
Septic tank /
Maintenance /
No. Description Quantity storage Remarks
Desludge
Capacity
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
APPENDIX 1
DETAILED MAN-HOURS CALCULATION
MONTH: APRIL 2020
DATE NO. OF WORKFORCE NO OF HOURS WORKED TOTAL MANHOURS
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
TOTAL
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
Attachment List (if applicable):
1. Pintaras Safety & Health Policy
2. Emergency Contact List
3. Incident / Accident Investigation Flow Chart
4. Operators Competency
5. Total Manhours Work
6. Personal Name List
7. Plant & Machineries On-Site
8. OSH Activities of the Month
9. Minutes of Meeting (Monthly Safety Committee Meeting)
10. Other Attachment (PTW, Checklist, etc)
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
1) Pintaras Safety & Health Policy
2) Emergency Contact List
3) Incident / Accident Investigation Flow Chart
4) Operator Competency
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
5) Total Manhours Worked
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
6) Personal Name List
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MONTHLY SAFETY AND HEALTH REPORT MARCH 2020 Revision:
7) Plant & Machineries On-Site
8) OSH Activities of the Month
9) Minutes of Meeting (Monthly Safety Committee Meeting)
10) Other Attachment (PTW, Checklist, etc)
BION PLC SDN BHD Page 18 of 18
