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HSE Statistics Monthly Update Form
GENERAL INFORMATION
Name
*
Company Name
*
Total Average Manpower
*
Refers to the average no. of employees or workers (including contractors) available in an organization during the given month.
Email ID
*
Licence Number
*
Total Manhours Worked
*
Refers to the total hours worked by all individuals in a facility during a given month.
Total Man hours = Total no. of employees*Total no. of days worked during the month*hours worked each day.
If 10 employees worked for 25 days, 8 hours on each day on the month of July , then the total man hours = 10*25*8 = 2,000 man hours
Mobile No.
*
Update for the Month of
*
Incident Related Updated
Is there any Near Misses reported
*
Refer to the count of incidents in the workplace where potential accidents or safety hazards were identified and reported but did not result in actual harm or injury.
Is there any First Aid Cases Reported
*
First aid refer to incidents in the workplace that require immediate medical attention and treatment, typically provided by trained first aid personnel. These included minor injuries such as cuts, bruises, and minor burns that were promptly treated by our designated first aid responders
Is there any Work-Related Illness Reported
*
Refer to health conditions or diseases that are caused or significantly aggravated by various factors in the workplace.
Is there any Property Damage
*
Refers to any damage, destruction, or loss incurred by company assets or physical property as a result of accidents, incidents, or other adverse events in the workplace.
Is there any Fire related incident occurred
*
Refers to any event or situation in the workplace that involves a fire.
Is there any Lost Time Injury (LTI) ≥ 1 day
*
LTI refer to a workplace injury or incident that is severe enough to result in an employee's inability to perform their regular job duties for a for a period equal to or greater than one full day, typically exceeding one day.
Is there any Fatality cases
*
No. of deaths resulting from workplace accidents or incidents. It also encompasses severe injuries or harm that led to a loss of life.
Accommodation Updates
Is the Accommodation Available in the Facility
*
HSE Statistics
Is there any inspections conducted
*
All inspection related to Health, Safety and Environment, e.g. EPDA, RAK Civil Defense, internal and client inspections related to HSE.
Is there any Audits Conducted
*
All audits related to Health, Safety and Environment, e.g. ISO 45001, ISO 14001, internal and client audits related to HSE.
HSE Training Related Updates
How many trainings conducted
*
All trainings related to Health, Safety and Environment, e.g. EPDA training, RAK Civil Defense Training, internal and external trainings related to HSE.
NOTES
RAKEZ HS&E department reserves the right to request additional information (if necessary).
By checking the "I accept" box and submitting this form along, you confirm that all information provided is accurate and complete to the best of your knowledge. You understand that submitting false or misleading information may lead to potential legal consequences. RAKEZ (Ras Al Khaimah Economic Zone) reserves the right to verify submitted information, share it with relevant authorities as required by law. You consent to receive communication from RAKEZ regarding your update through the provided contact information.
*
By checking the "I accept" box and submitting this form along, you confirm that all information provided is accurate and complete to the best of your knowledge. You understand that submitting false or misleading information may lead to potential legal consequences. RAKEZ (Ras Al Khaimah Economic Zone) reserves the right to verify submitted information, share it with relevant authorities as required by law. You consent to receive communication from RAKEZ regarding your update through the provided contact information.
I accept
