Safety and Health Report Samples

Doc. Ref. SAFETY AND HEALTH MONTHLY REPORT MICROSITE HAV SDN. BHD.
(1315161-D)
Month FEBRUARY 2020 Level 1 (1st Floor ) No. 46 BloCk D, Taman Sri Sarawak
Mall, Jalan Padungan, 93100, Kuching, Sarawak
Original Issue Date Tel. No. 082-428722
Revised Issue Date Fax. No. 082- 484287
Page PAGE 1
DESIGN, CONSTRUCTION, COMPLETION, TESTING AND COMMISSIONING OF PROPOSED PACKAGE NR3
( NORTHERN REGION ) FOR SARAWAK WATER SUPPLY GRID PROGRAMME – STRESSED AREAS
SAFETY AND HEALTH REPORT FOR MONTH OF FEBRUARY 2020
JKKP SITE REGISTRATION NO

SW / 19 / 03 / 139485
PREPARED BY VERIFIED BY APPROVED BY
ANDREW NGUMBANG PETER LUBI WONG LEE KIONG

(SITE SAFETY SUPERVISOR) SAFETY AND HEALTH OFFICER PROJECT MANAGER
NOOR AZUAN DARUBIN HQ/12/SHO/00/6713
(SAFETY SUPEVISOR)
1
Doc. Ref. SAFETY AND HEALTH MONTHLY REPORT MICROSITE HAV SDN. BHD. (1315161-D)
Page PAGE 2
TABLE OF CONTENT
NO ITEM PAGE
1.0 INTRODUCTION 3
2.0 SCOPE 3
3.0 PURPOSE 3
4.0 SAFETY & HEALTH EXECUTIVE 3-4
SUMMARY
5.0 PROJECT DESCRIPTION 4
6.0 WORK ACTIVITIES AT SITE 4-8
7.0 CONSTRUCTION INDUSTRY 9
DEVELOPMENT BOARD
8.0 PROJECT MANPOWER RECORD 10
9.0 PROJECT SAFETY & HEALTH 11-13
STATISTIC
10.0 PROJECT MACHINERY RECORD 14
11.0 PROJECT SITE PHOTOGRAPH 15-16
2
Page PAGE 3
1.0 INTRODUCTION
The preparation and submission of this report is a compliance of statutory

requirement of Occupational Safety and Health Act 1994 Occupational Safety and
Health (Safety and Health Officer) Regulations 1997.
2.0 SCOPE
This report will cover the Safety & Health Officers report content as stipulated under sub-
regulation (2) of REGULATION 19 of Occupational Safety and Health (Safety and
Health Officer) Regulations 1997.
3.0 PURPOSE
This report is prepared for the purpose to acknowledge the MICROSITE HAV SDN.
BHD. pertaining of Safety & Health activities, performance statistic, Safety & Health
preventative plan and actions taken along the month of FEBRUARY 2020.
4.0 SAFETY & HEALTH EXECUTIVE SUMMARY
i. To carried out Tool Box Briefing (TBB) to workers regard to HSE issue at site.
Some of the topics highlight during the toolbox briefing such as;
• Excavation work, Pipe Laying Work, Safe work procedure, Safety barricade and
signage at danger work place, Flow of traffic in the area (drive slowly), PPE,
Important of safety and health at workplace, Proper Housekeeping, Environment
issues, lifting activity, First Aid, Accident report, Assemble Point during
emergency, Heat stress, open burning issue, drive slowly at site & etc.
ii. To minimize the working hazard at work place, site walkabout and inspection by
Safety & Health personnel and supervisor is being carry out at site.
iii. To provide information to prevent health and safety risk at site.
iv. To assess site hazards and plan appropriate safe and healthy methods of working.
v. To assign to all relevant personnel their role and responsibilities for all other aspects
of site safety, health and welfare.
3
Page PAGE 4
5.0 PROJECT DESCRIPTION
The project involves the construction and completion of DESIGN,

CONSTRUCTION, COMPLETION, TESTING AND COMMISSIONING OF
PROPOSED PACKAGE NR4 (NORTHERN REGION) FOR SARAWAK WATER
SUPPLY GRID PROGRAMME – STRESSED AREAS.
The Jabatan Bekalan Air Luar Bandar Sarawak had appointed MICROSITE
HAV SDN. BHD. to be the contractor to undertake the project.
6.0 WORK ACTIVITIES AT SITE
i. Excavation Works
- Excavation works is defined as removal of soils in order to build a building foundation

or to replace with suitable material for construction works. As a result, is open trenches
and the stability of the wall shall be affected by heavy rains, drying and improper slope
excavated.
Risk involved
• Collapse of side due to lack of or inadequate or weak shoring.
• Falling of spoil placed at edge of excavation.
• Water seepage.
• Vehicles being driven into the excavation due to driving errors, inadequate barriers.
• Collapse of adjacent structure due to disturbance to its foundations.
Control Measures
• All excavation works exceeding a depth of 1.5meters (5 feet) must be shored or sloped
to prevent people cave in.
• Vehicles, equipment and materials must not be positioned or driven near to excavation
area, as it may cause the excavation collapse or fall inside to the excavation area.
• All excavation area shall be cordon off using barricade to prevent persons or vehicle
from falling down.
4
Page PAGE 5
• Where excavation points are located adjacent to the pedestrian or public road, warning
light must be providing during nighttime.
• Excavation works shall be supervised by competent person or designated person.
• During back filling is carried out by bumper, front loader or excavator, all person must
be out of working area or in safe location.
• Proper signage shall be installed to alert public from excavation area.
ii. Pipe Laying Work
- Pipe laying work is referring to pipe installation to transport natural resources from the
place of extraction to where they can be used or even within the place of their
extraction.
Risk involved
• Pipes may move/roll or be tampered with by others.
• Collapse of trench.
• Slip, trip and falls.
• Falling of spoil placed at edge of excavation.
• Electrocution if using power tools in water-charge environment.
• Vehicles being driven into the excavation due to driving errors, inadequate barriers.
• Failure of existing pipeline under pressure.
Control Measures
• Provide secure stockpile area for pipes and fittings.
• Minimize height of stockpile.
• String only sufficient pipes for day’s work.
5
Page PAGE 6
• All excavation area shall be cordon off using barricade to prevent persons or vehicle
from falling down.
• Where excavation points are located adjacent to the pedestrian or public road, warning
light must be providing during night time.
• Proper signage shall be installed to alert public from excavation area.
• Call and check relevant Authority (e.g. power, water, gas, council) record for location
of services.
• Ensure adjacent stop valves are closed / operational.
• Relieve pressure in system.
• Use only skill/competent person to perform the task.
iii. Lifting Works
- Building construction require heavy lifting works to carry out heavy construction
materials from one place to another. Heavy lifting work requires heavy machinery such
as mobile crane.
Risk involved
• Poor signaling may lead to accident.
• Overloading due to lack of ability to estimate the load.
• Over speed, swinging and apply brake abruptly will cause the jib to snap or caused
machine overturn.
• Used of damaged sling rope.
Control Measures and safe working procedures
• To ensure crane has valid approval permit from DOSH (PMA).
• To ensure crane are operated by competent person and possess competency certificate
from DOSH or CIDB.
• Erection and dismantling crane to be done by competent person.
6
Page PAGE 7
• To ensure crane are regularly checked by competent mechanic.
• To appointed competent signalman to assist crane operator.
• To barricade the area of heavy lifting works.
• To ensure adequate signage for lifting work.
iv. Pilling Driving
- The civil work and building construction require piling work to be carried out.
Risk involved
• Lifting hazard.
• Ergonomics.
• Moving plant.
• Crushing hazards.
• Overhead & underground services.
Control Measure
• Piling operations shall be undertaken or carried out by experience subcontractor, with
the assistance of competent and qualified personnel.
• Where there is any question of stability of structures adjoining areas to be piled, such
structures shall be supported where necessary by underpinning, sheet piling, shoring,
bracing or other means in accordance with the design of a Professional Engineer to
prevent injury to any person.
• All pile-driving equipment shall be inspected daily by a designated person before work
starts and all machinery defects shall be immediately rectified or make good before pile
driving commences.
• Every piling frame and its components shall be thoroughly examined by an approved
person at least once in every twelve months but can be more depending on the condition
of the components.
7
Page PAGE 8
• Reasonably practicable measures shall be taken to warn workers not to approach within
50 meters of pile under test.
• Before placing or advancing a pile driver, a designated person shall inspect the ground
and where necessary for firm and level footing, timber shall be placed. After placing or
advancing a pile driver, inspection and improvement of footing shall be made, when
necessary to maintain stability.
• All mechanical equipment and plant shall be maintained throughout the piling work.
• Piling materials need to be arranged and stockpile at specified place and not to endanger
to traffic and public.
v. Site Transportation
Risk involved
• Site Conditions
• Knocking down pedestrians
• Overloaded
• Over Speeding
• Contact with Structures
• Contact with overhead Power Lines
• Fall from Vehicle/Transport
• Poor Maintenance of Vehicles
Control Measures
• Persons selected to drive site vehicles should be physically fit with normal eyesight and
hearing.
8
Page PAGE 9
• The main access and egress point into and from site should be appropriately planned.
Roads on must be regularly maintained and should be free of potholes and uneven
surfaces.
• Planned maintenance procedures prevent accident and delays due to mechanical

failures, minimize repair downtime and prevent excessive wear and breakdown.
• Speed limit should be established early and clearly displayed for traveling on site.
vi. Working at Height
- Working at height describes work undertaken off the ground. Commonly it involves the
use of scaffolds, ladders, hoists, gantries and general roof work. Work on roof is
particularly dangerous. The level of control will depend on whether the roof has edge
protection or not allied to the plant or roof lights that may be upon it.
Risk involved
• Slip and fall
• Fall from height
• Fall protection failure
• Unprotected edges
• Dropped object from height
Control Measures
• Ensure Method Statement covering the following – access and egress procedures,
fall prevention, supervision levels and work equipment that may be used.
• Access to roof must be restricted so doors leading to it must be kept locked and key
are kept only by Work Supervisors for the area.
• For unguarded roofs a safety barrier away from the edge should be used to identify
the work areas and safe access routes.
• Walkways across the roof should have a barrier each side. Where plant or
equipment is within 2 meters of an unprotected edge a barrier must be erected to
prevent falls.
9
Page PAGE 10
• Alternatively, a fall arrest device may be used.
• Roofs constructed of fragile materials must be accessed only by use of roof ladders
or crawling boards coupled with a fall arrest device.
• Roof lights are a particular hazard, as they are not loading bearing. These should be
clearly marked or painted and be protected by barrier where possible.
• Debris must never be thrown from height. Chutes or baskets must be used.
• Carried out proper housekeeping to prevent dropped object from height.
7.0 CONSTRUCTION INDUSTRY DEVELOPMENT BOARD (CIDB)
- Any workers without CIDB green card will be arranged to attend Safety Induction
Construction Worker (SICW) training accordingly.
10
Page PAGE 11
8.0 PROJECT MANPOWER RECORD
MANPOWER RECORD
NO MANPOWER DESCRIPTION TOTAL
1 PROJECT DIRECTOR 1`
2 PROJECT MANAGER 1
3 ASSISTANT PROJECT MANAGER 0
4 CONSULTANT C & S 4
5 JBALB 2
6 CONSTRUCTION MANAGER 1
7 PROJECT COORDINATOR 1
8 PROJECT ENGINEER 0
9 SAFETY & HEALTH OFFICER 1
10 SITE SAFETY SUPERVISOR 1
11 SAFETY SUPERVISOR 1
12 PLANNER 0
13 SITE ENGINEER 0
14 SITE SUPERVISOR 1
15 SURVEYOR 0
16 CRANE OPERATOR 1
17 EXCAVATOR OPERATOR 3
18 LORRY DRIVER 1
19 COMPACTOR OPERATOR 1
20 GENERAL WORKER 33
TOTAL 53
11
Page PAGE 12
9.0 PROJECT SAFETY & HEALTH STATISTICS
9.1 Safety and Health Performance Statistic
SAFETY AND HEALTH PERFORMANCE STATISTICS

NO. KEY PERFORMANCE INDICATION PERFOMANCE
( KPI ) CURRENT MONTH PREVIOUS MONTH YEAR TO DATE
FEBRUARYUARY JANUARY 2020 TOTAL
2020
1 Total Safe Man-Hours Work (Without LTI) 6,480 6,181 54,754
2 Fatality cases (LTI) 0 0 0
3 Serious Injury cases (LTI) 0 0 0
**Injury resulting in 4 or more day’s leave for
the victim.
4 Minor Injury cases (LTI) 0 0 0
**Injury without leave taken or less than 3
day’s leave taken.
5 Near-miss Incidents / Accidents. 0 0 0
( Non-Injury / Non-LTI case)
6 Fire Incident / Explosion 0 0 0
7 Property / Equipment Damage 0 0 0
8 Other incident / Accident ( Non-Injury / Non- 0 0 0
LTI )
#eg. Theft, power blackout, First Aid
Treatment, Road accident before / after work
etc
9 Occupational Disease / Poisoning Cases. 0 0 0
10 Unsafe Act (UC) Reporting. 2 1 7
11 Unsafe Condition (UC) Reporting. 1 0 5
12 No. Of Inspection or Audit by regulatory body 0 0 0
/ authority / Client (DOSH / DOE / CIDB /
NREB / JKR, etc.)
13 No. of In-house Safety Inspection / audit. 0 0 0
14 No. Of HSE Committee Meeting 0 0 0
15 No. of Tool Box Talks. 4 1 19
16 HSE Programme (Training) 0 0 0
17 No. of serious enviromental incidents.
( Give details if available.) **Eg. Major oil 0 0 0
pollution / toxic
Chemical spills / dumping of scheduled
waste.
12
Page PAGE 13
9.2 Manpower Daily Report
HSE DAILY REPORT Cut Off Date: FEBRUARY

2020
Day Date Manpower Hours Total Monthly Total Year To Day In Operation: 25 Days
Man Date
hour Manpower Manpower
M 27 JAN 18 8 144 May 19 130 130 WORKING HOURS
T 28 JAN 20 8 160 June 19 105 235 MORNING 8.00 AM - 12.00 PM
W 29 JAN 29 8 232 July 19 520 755 AFTERNOON 1.00 PM - 5.00 PM
T 30 JAN 29 8 232 Aug 19 780 1,535 SUNDAY OFF DAY
F 31 JAN 31 8 248 Sept 19 667 2,202 LTI (MCS) 0 Case
S 1 FEB 22 8 Oct 19 725 2,927 LTI DAYS ( MCS) 0 Days
S 2 FEB 0 0 0 Nov 19 875 3,802 Total Working Days 247
Without LTI Since DAYS
( 11 Aug 19)
M 3 FEB 21 8 176 Dec 19 875 4,677
T 4 FEB 18 8 168 Jan 20 735 5,412 Total Man hours May 1,170
2019
W 5 FEB 31 8 144 Feb 20 810 6,222 Total Man hours June 945
2019
T 6 FEB 37 8 248 Total Man hours July 4.680
2019
F 7 FEB 36 8 296 Total Man hours Aug 7,020
2019
S 8 FEB 32 8 288 Total Man hours Sept 6,003
2019
S 9 FEB 0 0 0 Total Man hours Oct 6,525
2019
M 10 FEB 31 8 256 Total Man hours Nov 7,875
2019
T 11 FEB 35 8 248 Total Man hours Dec 7,875
2019
W 12 FEB 45 8 280 Total Man hours Jan 2020 6,181
T 13 FEB 29 8 360 Total Man hours Feb 6,480
2020
F 14 FEB 43 8 232
S 15 FEB 45 8 344 REMARKS:
S 16 FEB 0 0 0 Total Man hours 54,754
SUNDAY Without LTI
M 17 FEB 36 8 360 PUBLIC HOLIDAY
T 18 FEB 30 8 240
W 19 FEB 42 8 336 *
T 20 FEB 39 8 312
F 21 FEB 39 8 312
S 22 FEB 33 8 264
S 23 FEB 0 0 0
M 24 FEB 39 8 312
TOTAL 810 200 6,480
13
Page PAGE 14
9.3 Man-hours without Lost Time Injury (LTI)
MANHOURS RECORD CHART WITHOUT LOST TIME INJURY ( LTI )

Month May June July Aug 2019 Sept Oct 2019 Nov 2019 Dec 2019 Jan 2020 Feb 2020
2019 2019 2019 2019
Total 1,170 945 4,680 7,020 6,003 6,525 7,875 7,875 6,181 6,480
Monthly
Man Hours
Accumulative 1,170 2,115 6,795 13,815 19,818 26,343 34,218 42,093 48,274 54,754
Man Hours
100000 Total Monthly Man Hours

95000 Accumulative Man Hours
90000
85000
80000
75000
70000
65000
60000
55000
50000
45000
40000
35000
30000
25000
20000
15000
10000
5000
0
14
Page PAGE 15
10.0 PROJECT MACHINERY RECORD
MACHINERY RECORD
NO. DESCRIPTION TOTAL
1 EXCAVATOR 2
2 MOBILE CRANE 1
3 LORRY 3
4 COMPACTOR 1
5 HACKER MACHINE 1
TOTAL SITE MACHINERY 8
15
Page PAGE 16
11.0 PROJECT SITE PHOTOGRAPH
TOOL BOX TALK BRIEFING
16
Page PAGE 17
SIGNAGES AT WORK SITE
17
Page PAGE 18
SAFETY SIGN AT WORK SITE
18
Page PAGE 19
WEEKLY MEETING WITH JBALB, CONSULTANT AND SUBCON
19

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Doc. Ref. SAFETY AND HEALTH MONTHLY REPORT MICROSITE HAV SDN. BHD.

JKKP SITE REGISTRATION NO

PREPARED BY VERIFIED BY APPROVED BY

ANDREW NGUMBANG PETER LUBI WONG LEE KIONG

The preparation and submission of this report is a compliance of statutory

4.0 SAFETY & HEALTH EXECUTIVE SUMMARY

5.0 PROJECT DESCRIPTION

The project involves the construction and completion of DESIGN,

6.0 WORK ACTIVITIES AT SITE

- Excavation works is defined as removal of soils in order to build a building foundation

• Collapse of side due to lack of or inadequate or weak shoring.

• Falling of spoil placed at edge of excavation.

• Collapse of adjacent structure due to disturbance to its foundations.

• Excavation works shall be supervised by competent person or designated person.

• Proper signage shall be installed to alert public from excavation area.

ii. Pipe Laying Work

• Pipes may move/roll or be tampered with by others.

• Slip, trip and falls.

• Falling of spoil placed at edge of excavation.

• Electrocution if using power tools in water-charge environment.

• Failure of existing pipeline under pressure.

• Provide secure stockpile area for pipes and fittings.

• Minimize height of stockpile.

• String only sufficient pipes for day’s work.

• Proper signage shall be installed to alert public from excavation area.

• Ensure adjacent stop valves are closed / operational.

• Relieve pressure in system.

• Use only skill/competent person to perform the task.

iii. Lifting Works

• Poor signaling may lead to accident.

• Overloading due to lack of ability to estimate the load.

• Used of damaged sling rope.

Control Measures and safe working procedures

• To ensure crane has valid approval permit from DOSH (PMA).

• Erection and dismantling crane to be done by competent person.

• To ensure crane are regularly checked by competent mechanic.

• To appointed competent signalman to assist crane operator.

• To barricade the area of heavy lifting works.

• To ensure adequate signage for lifting work.

iv. Pilling Driving

• Overhead & underground services.

• Knocking down pedestrians

• Contact with Structures

• Contact with overhead Power Lines

• Fall from Vehicle/Transport

• Poor Maintenance of Vehicles

• Planned maintenance procedures prevent accident and delays due to mechanical

vi. Working at Height

• Slip and fall

• Fall from height

• Fall protection failure

• Dropped object from height

• Alternatively, a fall arrest device may be used.

• Carried out proper housekeeping to prevent dropped object from height.

7.0 CONSTRUCTION INDUSTRY DEVELOPMENT BOARD (CIDB)

8.0 PROJECT MANPOWER RECORD

9.0 PROJECT SAFETY & HEALTH STATISTICS

9.1 Safety and Health Performance Statistic

SAFETY AND HEALTH PERFORMANCE STATISTICS

9.2 Manpower Daily Report

HSE DAILY REPORT Cut Off Date: FEBRUARY

9.3 Man-hours without Lost Time Injury (LTI)

MANHOURS RECORD CHART WITHOUT LOST TIME INJURY ( LTI )