DUCON TECHNOL OGIES INDIA PVT LTD Ref No: IOCL/STEAGIDUCON/HSE/FA/ 001 Aid Name of the Sub contractor: M/S. RATE BORO ame/Age/ sex of Accidence or Person Involved: Champak Nath, 24, Male Designation: Rigger ate and Time: 17/07/2017, 11 AM Location: Bitumin Fabrication yard area Description of the first-aid injury:- trolley, unexpectedly the DA cylinder was While the placing of Dissolved Acetylene cylinder on pened, immediately first aid given to found slightly slipped his right leg, a minor injury was hapj him, comfortably he is return to the work. No material damage First-aid provided: - yes Cause of first-Aid injut 1. Lack ef job knowledge 2. Lack of negligence 3. Poor supervision Corrective action and preventive measures ‘Yaken: material handling work to the worker. 1. Given special Too! Box Talk about this manual and continuous supervision is must. 2. Before start the work, take extra care Name «fblijy- Heme ay Date 2/9 OF UE Signature: Ba—