CONG TY TNHH NHAT NAM

357 Nguyen An Ninh, P9, TP. Vung Tau Tel: (84-64) 832 154 - Fax: (84-64) 592 010 E-mail: info@nhatnamvt.com - Website: www.nhatnamvt.com

SAFETY & ENVIRONMENTAL MANAGEMENT INFORMATION FOR (THONG TIN QUAN LY AN TOAN VA MOI TRNG THANG)
Project Name (Ten d an) All data including subcontractor's performance under Nhat Nam Co., Ltd management (Tat ca so lieu bao gom cong viec cua Nha thau phu di s quan ly cua Cong ty Nhat Nam) Accident report (Bao cao tai nan) 1. Safety accident (Tai nan ve an toan) Monthly Manhours worked (So gi nhan cong lam viec hang thang) Manhours: (So gi nhan cong) Medical treatment (Tr benh) N/A (Khong) Cases (Trng hp) First aid (S cu) Dangerous occurrence (S co nguy hiem) Road & traffic accident (Tai nan giao thong) N/A (Khong) Cases (Trng hp) N/A (Khong) Cases (Trng hp) N/A (Khong) Cases (Trng hp) Fatality (Tai nan chet ngi) Loss of time Loss of workdays in accident (Ngh viec do (So ngay ngh viec) tai nan) <= 3 day cases (Trng hp <= 3 ngay) Loss of time Loss of workdays in accident (Ngh viec do (So ngay ngh viec) tai nan) >3 day cases (Trng hp >3 ngay) N/A (Khong) Cases (Trng hp) Project Code (Ma so d an)

N/A (Khong) Cases (Trng hp) N/A (Khong) Cases (Trng hp)

In case of fatality and loss of time in accident, you should complete an accident report (Trong trng hp tai nan chet ngi va ngh viec do tai nan th nen lap bao cao tai nan) 2. Environmental accident (Tai nan moi trng) Spillage / Release (Kh thai) Waste (Rac thai) Noise / Vibration (Tieng on / Rung) Dust Spreading Yes (Co Yes (Co Yes (Co Yes No Khong) No Khong) No Khong) No 3. Other accident (Tai nan khac) Fire / Explosion (Chay / no) Property damage (Thiet hai tai san) Equipment damage (Thiet hai thiet b) Material Loss
Lan ban hanh: 01 Ngay ban hanh: 20/08/2005

Yes (Co Yes (Co Yes (Co Yes

No Khong) No Khong) No Khong) No

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(Bui) Water pollution (O nhiem nguon nc) Soil Contamination (O nhiem at) 1. Award (Phan thng) Date (Ngay) Description (Dien giai)

(Co Yes (Co Yes (Co

Khong) No Khong) No Khong)

(Mat mat vat t) Others (Thiet hai khac)

(Co Yes (Co

Khong) No Khong)

Award & Infringement (Phan thng va vi pham) Authority (Quyen)

2. Infringement (Vi pham) Date (Ngay) Articles & clauses of legislation (Cac ieu va ieu khoan cua phap luat) Type of penalty (Loai hnh phat) Fine (Tien phat) Suspension of work (nh ch viec) Stop of work (Buoc thoi viec) Warning Notice (Thong bao canh cao) Others (Loai khac) Activity (Pham vi hoat ong) 1. Training (ao tao) Induction Training (ao tao nghe) Others (Loai khac) 2. Inspection / Audit (Kiem tra) Date (Ngay) Type of inspection / audit (Loai hnh kiem tra) Inspector / Auditor (Ngi kiem tra) Time (Thi gian) Persons (Ngi) Tool Box Training ao tao trc khi lam viec Time (Thi gian) Persons (Ngi) Days Description (Dien giai) Authority (Quyen)

Lan ban hanh: 01

Ngay ban hanh: 20/08/2005

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3. HSE Committee (Ban sc khoe, an toan, moi trng) Date (Ngay) Attenders (So ngi tham d) Agenda (Chng trnh ngh s) 4. HSE Promotion (Campaign, Competition, Award, Information distributed etc.) (ay manh sc khoe, an toan, moi trng: Van ong, Thi ua, Phan thng, Thong tin c phan phoi) Date (Ngay) Description (Dien giai) 5. HSE Facilities (Nhng phng tien sc khoe, an toan, moi trng) Date (Ngay) Location (V tr) Description (Dien giai) 6. Others (Nhng cai khac) Date (Ngay) Description (Dien giai) All construction site Attender (Ngi tham d)

Lan ban hanh: 01

Ngay ban hanh: 20/08/2005

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