GUANGDONG LNG TRUNKLINE PROJECT 广东大鹏液化天然气管线项目 SHENZHEN CHINA
中国深圳 Monthly HSE Summary Reporting Form HSE月报表 DOCUMENT No. 文档号: GDLNG-TL-F-008 A Rev. 版次 11/11/04 Date 日期 Draft for Review Purpose of issue 颁布目的 PQ Issued by 编制人 ZH- IR- Checked Discipline Project by ApprovalApproval审核人 专业批准 项目批准 Typed initials in the signature box indicate that the document has been signed (original with Document Control)Page 1 of 3
Guangdong LNG Trunkline Project 广东液化天然气管线项目 Monthly HSE Summary Reporting Form HSE月报表 Document No GDLNG-TL-F-008 Revision A Date 11/11/04 Page 2 of 3 Guangdong LNG Trunkline Project广东LNG管线项目 Monthly HSE Summary Reporting Form HSE月报表 Note: The following information is to be submitted by the 5th working day of the month following the month being reported. 注：要求在下一月的第五个工作日前提交下列信息。 Report for Month of CONTRACT TITLE 合同名称: 所报月份: CONTRACT NO. 合同号: CONTRACTOR 承包商: Item Data Required MONTHLY 条款 月报数据 1.0 MAN HOURS工时 1.1 Total Hours Worked – Contractor & Sub-Contractors 总工时－承包商和分包商 1.2 Total Hours Worked since last DAWFC – Contractor & Sub-Contractors 前一次工作日损失后的总工时－承包商和分包商 1.3 Total personnel on site 现场员工总数: Company 公司 Contractor 承包商 Sub Contractors 分包商 2.0 INJURIES 伤亡 2.1 Fatalities 死亡 2.2 Days Away from Work Case (DAFWC) 工作日损失事故 2.2.1 Restricted Work Cases 工作受限事件 2.2.2 Medical Treatment Cases 医疗处理事件 Number数量 Number数量 Number数量 Hours 小时 Hours 小时 Number 数量 Number数量 Number 数量 Units/Formula 单位/公式 This Month Cumulative 本月 累计 Number数量 2.3 Days Away from Work Case Frequency (Para 2.2 x 200000) / Para 1.7 (DAFWCF) 工作日损失事故频率 2.4 Total Recordable Injury/Illness Case (RI) Number数量 总的可记录伤害/疾病事件 2.5 Recordable Injury/Illness Case Frequency (RIF) (Para 2.4 x 200000) / Para 1.7 可记录伤害/疾病事件频率 2.6 First Aid Cases 急救事件 Number数量 3.0 OCCUPATIONAL ILLNESS 职业病 3.1 Occupational Illness and Industrial Diseases 职业病 4.0 HSE INPUTS HSE输入 4.1 Near Miss Reports Submitted未遂事件提交 4.2 Unsafe Acts & Conditions Reported 不安全行为和环境汇报 4.3 Training Hours 培训小时 4.4 People Inducted (Orientation) 入场培训人数 4.5 ASA Conducted 高级安全审计 4.7 Management Site Tours 管理层视察 4.8 JHA completed 完成的工作危险分析 4.9 Toolbox Talks 工具箱讲话 5.0 VEHICULAR REPORTING 车辆运行报告 Number数量 Number数量 Number数量 Number数量 Number数量 Number数量 Number数量 Number数量 Number数量 Page 2 of 3
Guangdong LNG Trunkline Project 广东液化天然气管线项目 Monthly HSE Summary Reporting Form HSE月报表 5.1 Number of Heavy Vehicle Road Accidents Resulting in Damage or Work Related Injury 导致损失或伤害的重型车辆交通事故数目 5.2 Total Work Related Distance Driven 总的施工车辆行驶里程 5.3 Heavy Vehicle Road Accidents Rate 重型车辆交通事故比率 5.4 Number of Light Vehicle Road Accidents Resulting in Damage or Work Related Injury 导致损失或伤害的轻型车辆交通事故数目 5.5 Total Work Related Distance Driven 总的施工车辆行驶里程 5.6 Light Vehicle Road Accidents Rate 轻型车辆交通事故比率 6.0 ENVIRONMENTAL REPORTING 环境报告 6.1 Hydrocarbon Spills 碳氢化合物泄漏 Number数量 Document No GDLNG-TL-F-008 Revision A Date 11/11/04 Page 3 of 3 Kilometres 公里 (Para 5.1 x 1000000/Para 5.2) Number数量 Kilometres 公里 (Para 5.4 x 1000000/Para 5.5) Number数量 6.2 Total Volume Spilt from Primary Containment Litres 升 从一级防护装置泄漏的总量 6.3 Total Volume Spilt from Secondary Containment Litres 升 to Land or Water 从二级防护装置泄漏到土壤或水中的总量 6.4 Total Volume Unrecovered Litres 升 泄漏总量 Page 3 of 3
GDLNG-TL-F-008 Monthly HSE Summary Report Form
