Project HSE Closeout Report

/ Form 000.653.F0319
Project HSE Closeout Report
A. / Project Information
A.1 / Project Number:
A.2 / Project Name:
A.3 / Project Location:
A.4 / Mailing Address:
A.5 / Business Unit:
A.6 / Client:
A.7 / Project Manager:
A.8 / Construction Manager:
A.9 / HSE Manager:
A.10 / Project Start Date:
A.11 / Project Completion Date:
A.12 / Attach a “final” MIER, MSISR, and PIL report.
A.13 / The following Information/details can be used to provide input to the Project Completion Report, section III.F.3 (Form 000.100.F0681):
Item / Final Number / Rate
Fluor Safe Work Hours
Subcontractor Safe Work Hours
Total Project Safe Work Hours
OSHA Recordable Cases
Lost Time Cases
Restricted Cases
HSE-Related Incidents
First-Aid Cases
First Aid Case/Recordable Injury / Total No.
Heat
Contusions
Lacerations
Punctures
Abrasions
F.B. Eyes/Irritations
Strains/Sprains
F.B. Extremeties
Burns
Miscellaneous (pinch point)
Total First-Aid Cases/Recordable Injuries
B. / Project Description (brief description of project)
C. / Project HSE Program
C.1 / HSE Management System Used
What written program was used? (check one)
Corporate HSE Management System (000.653.xxxx)
Modified Corporate HSE Management System—project specific program
Client—specified program
Other (describe in detail)
C.2 / Program Elements
Summary and brief description of main HSE program elements implemented (policy, objectives, organization, meetings, training, inspections, audits, incentives, etc.).
D. / S.W.O.T.
D.1 / Strengths
Brief description (bullets) of strong HSE program supportive elements (management involvement, orientation, contractual HSE agreements, inspection program, etc.).
D.2 / Weakness
Brief description (bullets) of weaknesses in HSE program (lack of power tools, temporary facilities, unclear responsibilities, etc.).
D.3 / Opportunities
Brief description (bullets) of suggestions for improvements on future projects (use of standard software, access to corporate databank, etc.).
D.4 / Threats
Brief description (bullets) of negative elements in setup and follow-up of HSE program (“do not” elements for future projects). (time/cost pressure, turn-over of personnel, lack of consensus, etc.).
E. / Lessons Learned
Follow the process described on Knowledge OnLine, or refer to Practice 000.042.0020.
F. / Achievements
F.1 / Remarkable Milestones
F.2 / Audit Results (client/Fluor/external)
F.3 / Awards (client/Fluor/external)
G. / HSE Engineering
G.1 / Codes and Standards Used
G.2 / Deliverables
H. / Best Practices
List and describe each best practice.
I. / General
H.1 / Attach any photographs to support any aspect of the Project HSE Closeout Report.
H.2 / You are requested to transfer any translated HSE training materials to Corporate HSE Programs for further implementation on future projects.
H.3 / Project summary/overview presentation highlighting the “HSE Experience” should be forwarded to Corporate HSE Programs.

Note:This form is referenced in Practice000.653.1501.