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HSE Daily Report

This daily safety report from XYZ provides key health, safety and environment statistics and information from the work site. It includes the daily weather conditions, HSE performance statistics such as manhours worked and safety incidents reported, a list of current work permits in use, manpower levels by shift, and notes on any safety highlights or activities from the day. The report is addressed to the HSE coordinator and includes the report author's name and acknowledges receipt by the coordinator.

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mohamed Elsayed
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106 views

HSE Daily Report

This daily safety report from XYZ provides key health, safety and environment statistics and information from the work site. It includes the daily weather conditions, HSE performance statistics such as manhours worked and safety incidents reported, a list of current work permits in use, manpower levels by shift, and notes on any safety highlights or activities from the day. The report is addressed to the HSE coordinator and includes the report author's name and acknowledges receipt by the coordinator.

Uploaded by

mohamed Elsayed
Copyright
© © All Rights Reserved
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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No.

: DR/HSE/XYZ/002
Revisi : 00
DAILY SAFETY REPORT Tgl. Efektif :-
Halaman : 1 of 11)

DATE :
1 WEATHER CONDITION

6:00 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00

Note:

2 HSE PERFORMANCE STATISTIC

MANHOURS PREVIOUS TODAY CUMMULATIVE LOST TIME ACCIDENT


TOTAL MANHOURS

HSE INPUT PREV. TODAY CUMM. TARGET REMARKS


Hazard Observation
HSE Inspection & Audit
Safety Meeting
HSE Orientation / Induction
Management Visit
Safety Traning
ERP Drill
Anomally Record
Job Safety Analysis (JSA)

HSE OUTPUT PREV. TODAY CUMM. TARGET REMARKS


First Aid Injury (FAI)
Lose Time Injury ( LTI )
Medical Treatment Injury (MTI)
Fire Incident (FI)
Property Damage
Environment Incident
Total Recordable Injury

NO. ISSUES ACTION PLAN TARGET DATE ACTION BY


1
2
4
5

3 WORK PERMIT

NO. LOCATION PTW No. TYPE SUPERVISO DESCRIPTION OF WORK ISSUE DATE VALID DATE
R
1
2
3
4
5
6

4 MAN POWER

DESCRIPTION ETI Security

SHIFT I
SHIFT II
TOTAL SHIFT I
TOTAL SHIFT II
TOTAL MAN POWER
Plan Additional MP

5 SAFETY HIGHLIGHT (ACTIVITY)

Reported by, Acknowledged by,

HSE Koordinator

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