Safety Performance Metrics Reporting Template

Report Information

Reporting Period Prepared By Date

Key Safety Metrics

Metric	Target	Actual	Notes
Total Recordable Incident Rate (TRIR)
Lost Time Injury Frequency Rate (LTIFR)
Near Miss Reports
Unsafe Conditions Reported
Training Hours Completed

Summary of Incidents

Describe any incidents that occurred during the period:

Corrective Actions & Improvements

Outline corrective actions taken or planned:

Additional Comments