Weekly Progress Report Format DOC # ARE-SF-19
Issue N0. Revision No. Issue Date Page
01 00 01-05-2018
Report Number: Week Start Date:
Week Start Date: Week Ending Date:
1. Weekly Cumulative Safety Statistics
S/# Title This Week Cumulative
Figures
01 Safe Man Hours Worked 0 0
02 Total Man Hours 0 0
03 Man Hours Since LTA (Mega Project LTA) 0 0
03 Man Power Direct 0 N.A.
In-Direct 0
Total 0
04 Fatality Case (Fatal) 0 0
05 Lost Workday Case (LWC) 0 0
06 Restricted Workday Case (RWC) 0 0
07 Medical Treatment Case (MTC) 0 0
08 First Aid Case (FAC) 0 0
09 Property Damage (PD) 0 0
10 Near Miss (NM) 0 0
11 Motor Vehicle Accident (MVA) 0 0
12 Fire Incident (FI) 0 0
13 Environmental Incident 0 0
14 Total Number of First Aid Cases 0 0
14 Total Number of Recordable Injuries 0 0
15 Number of Lost Work Days 0 0
16 Number of Restricted/ Job Transfer Days 0 0
17 Total Number of Days Lost 0 0
18 Total Recordable Incident Rate (TRIR) 0 0
19 Lost Time Incident Rate (LTIR) 0 0
20 Safe Man Days 0 0
Note:
2. Narration of Incident/Accident and Near Miss Reported This Week
1
INSERT DATE/TIME AND NARRATIVE OF ANY AND ALL INCIDENTS
(FIRST AID, PROPERTY DAMAGE, FIRE, ENVIRONMENTAL
INCIDENT, ETC.) AND NEAR MISSES OCCURING ON SITE
3. Other HSE Activities
Description This Week Cumulative
Safety Walkthrough 0 0
Safety Audits 0 0
Weekly Progress Report Format DOC # ARE-SF-19
Issue N0. Revision No. Issue Date Page
01 00 01-05-2018
Safety Highlights
INSERT WEEKLY HIGH POINTS
4. Observations and Findings (Current Week)
Sr. No Company Name Observations Remarks
Pending Closed
1. 0 0
2. 0 0
3. 0 0
TOTAL 0 0
5. Toolbox Topics / Training Delivered
This Week Cumulative
0 0
5.1 List of Tool box Topics
TOPIC HOURS PERSONNEL TIME
1 INSERT TOPICS
2 Example Below
3 Hot Work and Fire Extinguishers .5 16 8
4 Heat Stress and Water .25 14 3.5
5 Fatigue and Driving .5 22 11
6
TOTAL 1.25 52 22.5
5.2 List of Training Topics
TOPIC HOURS PERSONNEL TIME
1 INSERT TOPICS
2
3
4
5
6
TOTAL
Prepared By: Approved By:
Weekly Progress Report Format DOC # ARE-SF-19
Issue N0. Revision No. Issue Date Page
01 00 01-05-2018