Copy of Accident Report

8/8/2019 Copy of Accident Report

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Beijing Curtain Wall Company Limited, Gulf Headquarters, J&H Emirates L L C

UAE.

DAILY EXCAVATION CHECK LIST

PROJECT DATE OF INSPECTION

INSPECTED BY

PROJECT NO.

DESIGNATION

EXACT LOCATION EXCAVATION FOR

SHORING PROVIDED ANGLE OF REPOSE DEPTH WIDTH LENGTHYES/NO

ITEMS YES NO REMARKS

1 Has the excavation permit been obtained and displayed at site?

2 has the under ground services been detected prior to excavation?

3

4

5 Is the excavation shored, sloped or shielded adequately?

6

7

SR.NO

Does the permit specify about any special hazard and appropriatelytaken care?

Is the method of excavation stated in the permit is appropriate and beenfollowed?

Is there a water seepage or standing water, if so, has the plan beenmade to use de-watering system?

Is there any damage to the excavation protective system(Shoring/sloping bench)


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7 (Shoring/sloping bench)


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UAE.

POWER TOOLS MONTHLY INSPECTION

Inspected By :

Date of Inspection : Designation :

Item Description Electrical Mechanical General Remarks

1

2

3

4

5

6

7

8

9

10

11

12

Sl.No

Colorcoding


6/26

30


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SAFETY DEFAULT NOTICE

Project:

Date Location :

Time : Notice No. :

Details of Defaulter :

Name : File No.: Category :

Previous defaults if any: Default Notice Nos:

(Yes/No)

Name of imidiate Enginee: Reporting to :

B i f d i ti f d f lt


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UAE.

ACCIDENT REPORT FORM

PROJECT: B P 1& 2 DATE & TIME OF ACCIDENT15/12/2008 Time 12:00

ACCIDENT LOCATION : Site

INJURY/ DAMAGE TO

[ ]

SUB CONTRACTOR [ ]

THIRD PARTY [ ]

INJURY/ DAMAGE DETAILS

DESCRIPTION OF ACCIDENT

EMPLOYEE/PROPERTY


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SIGNATURE:


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UAE.

DAILY SAFETY REPORT

PROJECT : DATE :

CLIENT/ MAIN CONTRACTOR

SUMMARY OF SITE INSPECTION

UNSAFE ACTS/ CONDITIONS CORRECTIVE ACTION

TOOL BOX MEETING/TRAINING


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DESIGNATION : DATE :


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UAE.

WEEKLY / Monthly SAFETY REPORT

PROJECT TITLE LOCATION :

WEEK/ : From To :

1 START OF THE PROJECT :

2 TOTAL MAN-HOURS WORKED :

3 AVERAGE MAN POWER :

4 L.T.C. LOST TIME CASES :

5 L.T.D.LOST TIME DAYS :

6 FAT : FATALITIES :

7 DI : DISABLING INJURIES :

8 FAC : FIRST AID CASES :


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UAE.

HAND TOOLS MONTHLY INSPECTION LOG

Inspected By :

Date of Inspection : Designation :

ITEM DESCRIPTION COLOR CODE REMARKS

1

2

3

4

5

6

7

8

9

10

11

12

SLNO.

GENERALCONDITION


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30


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UAE.

FIRE EXTINGUISHER REGISTER

PROJECT AREA

LOCATION TYPEDATE

REMARKS

Inspected Next Inspection

Fire ExtinguisherIdentity No.


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UAE.

EMERGENCY EVACUATION DRILL REPORT PROJECT :

PROJ. NO.

DATE OF EXERCISE : LOCATION :

TIME OF EXERCISE : TYPE : FIRE/MEDICAL :

1 2 3OBSERVER'S NAME :

DESIGNATION :

SCENARIO (ASSUMED) :

DETAILS OF RESPONSE : NO. OF PERSONNEL :

REPORTED MISSING :

ALARM RAISED AT : ASSEMBLY POINT 1 :

TYPE OF ALARM : ASSEMBLY POINT 2 :

SEARCH PARTY :

MOBILIZED AT :


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SIGNATURE : SIGNATURE


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Beijing Curtain Wall Company Limited, Gulf Headquarters, J&H Emirates L L C NO.

U.A.E.LIFTING EQUIPMENTS / SLING INSPECTION LOG DATE:

PROJECT : LOCATION :

DATE IN NEXT INSP. INSPECTOR

S.NO. SLING DESCRIPTION SWL SERVICE DUE ON REMARKS SIGNATURE


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Beijing Curtain Wall Company Limited, Gulf Headquarters, J&H Emirates L L CUAE.

PROJECT CONTRACT NO.

LOCATION CLIENT

SAFETY TRAINING / MEETING RECORDMAINCONTRACTOR

TOPIC:DATE

PLACE OF MEETING TIME START :FINISH :

S. NO. NAME NO. DESIGNATION SIGNATURE FEED BACK/REMARKS

SIGNATURE : SIGNATURE


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(FOREMAN) (SAFETY OFFICER)


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09/21/2010 REV 01 HSE /F/12


MONTHLY SAFETY REPORT

CONTRACT :PERIOD FROM TO : SITE : REPORT NO:

CURRENT MONTH YEAR TO DATE FROM JOB INCEPTION TILL DATE

HOURS LTC LTD FAT DI FAC HOURS LTC LTD FAT DI FAC HOURS LTC LTD FAT DO FAC

WORKED WORKED WORKED

NON MANUAL

MANUAL

TOTAL

Document LTC LOST TIME CASES (Employee unable to work any portion of the schedulled shift subsequent to injury )

INDEX LTD LOST TIMEDAYS (Count starts from the day following injury to day of work )

FAT FATALITIES

DI

FAC FIRST AID CASES (First aid treatment provided at site /non doctor treatment )

PREPARED BY : SAFETY OFFICER

DATE:

DISABLING INJURIES (Any injury that requires a doctor or employee is given restrictions by adoctor or other medicalstaff


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09/21/2010 REV 01 HSE /F/12

APPROVED BY : PROJECT MANAGER

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