CSMS
New Contracts
Data Bank
Pre-Qualification
Selection Risk Assessmen
t
Qualification Phase: Select A Qualified Contractor
Contract Award
Pre-Job Activity Work In Progress Final Evaluation Contract Implementation Phase: Ensure Field Safe Work
Work In Progress
(CSMS) Guidelines
Page 88
CUSTODIAN: SAFETY TEAM LEADER
COMPANY ACCEPTANCE WORK IN PROGRESS
Date :
Project Period :
Job Title :
Contract No :
Work Location :
Contractor Name :
Address :
Contractor Reps: _________________ PHE ONWJ Reps: _________________
(Name/Date) (Name/Date)
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CUSTODIAN: SAFETY TEAM LEADER PAPER COPIES ARE UNCONTROLLED
THE CONTROLLED VERSION OF THIS DOCUMENT IS ON THE ELECTRONIC FILE AT HSE DEPARTMENT
Appendix V.1. Form CSMS/WIP/01:
OFFICE AND FIELD WORK IN PROGRESS EVALUATION CRITERIA
A B C D
SECTION 1- PEOPLE
1 How does the standard of competence and completeness certification/documents required from the supervisor/leader on location.
Incompetent and
incomplete documents competent to do the job and document
completeness < 50%
competent to do the job and document
completeness > 50%
All competent and complete documents
2 How does the standards of competence and completeness certification/documents required from the crew/technician on location.
Incompetent and
incomplete documents competent to do the job and document
completeness < 50%
competent to do the job and document
completeness > 50%
All competent and complete documents
3 Has the Contractor‟s provide the work plan agreeable with scope of work Not Provided work
plan and scope of work
Work plan and scope of work available but not aligned.
Work plan provided but not agreed with scope of work.
Provided work plan agreeable with scope of work.
4 Has the HSSE KPI been update and agreed by Owner Company and Contractor‟s They haven‟t HSSE KPI HSSE KPI not updated
and not agreed by contractor
HSSE KPI agreed by owner company and Contractor‟s but not updated.
Has been update and agreed by Owner Company and Contractor‟s 5 How does the skills of supervisor /leader in performing work on location.
Unskilled Less than 50% skilled to
do their work An average skilled to
perform the work. It‟s all very skilled at doing the work.
6 How does the skills of crew /technician in performing work on location.
Unskilled Less than 50% skilled to
do their work An average skilled to
perform the work. It‟s all very skilled at doing the work.
7 How does the HSSE behavior of all Contractors‟ personnel.
Always repeat the
mistakes Often must be reminded and sometimes repeat a mistake.
Sometimes need to be reminded and not repeat the mistake.
Always show the habit of safe behavior.
(CSMS) Guidelines
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CUSTODIAN: SAFETY TEAM LEADER
8 Have minimum requirement work force fitness for work at site full filled Not document
supported (medical checkup and Mandatory HSSE Training)
Support document only
Sea survival training. Full filled but not
documented. Full filled with document by appropriate medical checkup record and mandatory applicable HSE training (Sea Survival, etc) 9 How does the participation of all personnel in implementing STOP (Safety Observation Program).
Not active Occasional, less than
target in KPI Active, meet as KPI Very active more than KPI per person.
10 How does the participation of all personnel in implementing Safety meeting (tool box talk).
Not active Occasional Active, every morning in
general but not prior job execution.
Very active, tool box talk performed prior job execution
11 How does responsive the Project Management Team (PMT)/Contractor Project Manager.
Difficult to contact/to
communicate Occasional cannot be contacted/communicate d.
Communication with the field / IOM is fluently and easily accessible, but still often not responsive to follow up action.
Very responsive to follow-up action and coordinate at site.
12 Is number and competency of Crew complying with the work required on site?
Number and competency of crew not sufficient.
Number of crew sufficient but not competent.
Competence of Crew comply with work but the number of crew not enough.
Number and competence of crew always comply and consistent with work required.
13 Have all HSSE issues been communicated to the contractor‟s upper management
Never HSSE issues
communicated only management at site verbally.
HSSE issues
communicated only middle management at site and written to upper management without coordinates all HSSE issues, such as: approve risk assessment and mitigation, HSSE plan, follow up
recommendation.
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SECTION 2- PLANT
14 How is the completeness PPE for personnel Most of the personnel
have not received a complete PPE.
Some personnel have not received a complete PPE (less than 10%).
All personnel receive a complete PPE follow a standard but there is no guarantee of availability of back up, or be Replaced.
Each personnel already get a complete PPE follow a standard including stock availability guarantee the back up and can be replaced.
15 How is the availability of standard equipment / regular tool Never used a standard
equipment Occasional borrow a
standard equipment Complete accordance with the required service, no mitigation the backup / backup equipment
Always a complete accordance with the required services, including mitigation the backup equipment 16 How to order equipment from site if any defective equipment for replacement
unsatisfied Often not satisfied Occasional there is a
discrepancy of required. Always arrived on time as required at site.
17 How does maintenance of equipment implementation.
Visually not feasible, not perform
maintenance and data is not available
Visually good, there was no maintenance and inspection, including no pre-use check list.
Visually good, performed maintenance and
inspection, but the documents are incomplete.
Visually good, performed routine maintenance and inspection, completed document use pre-use check list
18 Accommodation, Kitchen, Sanitary System, and Food Material storage appropriate Uncontrolled all
accommodation, kitchen and food material store.
All accommodation, kitchen and food material storage not clean, sanitary system uncontrolled.
All accommodation, kitchen and food material storage keep clean, sanitary system uncontrolled.
All accommodation, kitchen and food material storage keep clean and tidy, sanitary system keep appropriate control.
19 Has the Contractor‟s Housekeeping Program The contractor‟s
haven‟t housekeeping program.
The contractors have housekeeping program but not implemented.
The contractors have housekeeping program verbally without procedure or guideline
The contractors have housekeeping program such as: procedure familiarization, implementation and assessment.
(CSMS) Guidelines
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CUSTODIAN: SAFETY TEAM LEADER PAPER COPIES ARE UNCONTROLLED
THE CONTROLLED VERSION OF THIS DOCUMENT IS ON THE ELECTRONIC FILE AT HSE DEPARTMENT
SECTION 3 - PROCESS
20 How does the implementation of Standard Operating Procedure (SOP).
There is no procedure on site and not implemented
There is procedure on
site but not implemented. There is procedure on site but implementation not consistently
There is Procedure on site, approve by management
familiarization to work force and implement by all crew.
21 How is the Training Safe System Of Work (SOW) performed All leader/supervisor
not train SSOW (PA) Some of
leader/supervisor trained SSOW (PA)
All leader/supervisor already training SSOW (PA) but the certification is invalid and covered with a dispensation.
All leader/supervisor already trained SSOW (PA) with valid certificate.
22 Is there any a HSE training plan implemented for contractor‟s employees, include provide training for its managers and supervisor to ensure that they are capable?
Training matrix not available and not documented
Training matrix available by contractor‟s, but not implemented and documented
Training matrix available by contractor‟s, but not implemented and documented to management.
Training matrix available by contractor‟s,
implemented and documented to all level 23 How does the implementation of Control Of Work (COW) procedure.
No procedure
available Procedure approve but not implemented
Procedure implemented including competency personal, but audit and
analyst not performed.
Procedure implemented including competency
personal, audit and analyst.
24 How does the Risk Assessment process and its implementation.
No method of risk assessment.
Risk assessment method available but not implemented.
Risk assessment
occasional implemented including competency of personal, and no assesment.
Risk assessment implemented including competency of personal, and assessment.
25 How does the Permit To Work process and its implementation
No procedure or
method available Procedure approve but not implemented
Procedure implemented including competency personal, but audit and analyst not performed.
Procedure implemented including competency personal, audit and analyst.
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26 How does the HSE induction for new employees
No plan to induction
program Perform with verbally
Perform with appropriate material to all new employee but not inform all hazard and activities
Perform with appropriate material to all new employee coverage all hazard and activities 27 Does the contractor conduct HSE inspections and audits together on periodic basis
No program
inspections and audit. The program performs by Company and Contractor‟s occasionally.
The program perform by Company and
Contractor‟s on periodic basis, recommendations not follow up by
contractor‟s
The program perform by Company and
Contractor‟s on periodic basis, recommendations follow up by Contractor‟s and documented
28 Does the contractor‟s implement rewards and consequences programs for an effort to reduce occupational injuries, illnesses and environmental damage
No program reward
and consequences. Contractors have program reward and consequences, but not implemented.
Contractor‟s implement consequences
(Punishment) programs without reward to reduce injuries, illnesses and environmental damage.
Contractor‟s implement rewards and
consequences programs for an effort to reduce occupational injuries, illnesses and
environmental damage 29 Have safe execution procedures for critical activities relevant scope of works been written, reviewed,
approved and familiarized to contractors‟ workforce.
Safe execution procedure not provided by contractor‟s
Contractors provide safe execution procedures for critical activities relevant scope of works been written, but not reviewed and approved by management.
Contractors provide safe execution procedures for critical activities relevant scope of works been written, reviewed, approved, but not
familiarized to Contractors workforce.
Contractors provide safe execution procedures for critical activities relevant scope of works been written, reviewed, approved and familiarized to
Contractors workforce.
30 Has the HSE plan been implemented in the execution phase (or project schedule) Contractors haven‟t
HSE plan. contractors have HSE plan during PJA only not in execution phase
Contractors have HSE plan in the execution phase.
Contractor‟s implemented HSE plan in the execution phase.
(CSMS) Guidelines
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CUSTODIAN: SAFETY TEAM LEADER
31 Is the contractor has Emergency Respond Plan.
Contractor‟s not provided Emergency Respond Plan Procedure.
Contractor has
Emergency Respond Plan not approved procedure.
Contractor has Emergency Respond Plan Approved Procedure, review and familiarization to ERT, but never exercise/tested
Contractor has
Emergency Respond Plan Approved Procedure, review and familiarization to ERT including
exercise/tested 32 Are Contractor‟s Emergency telephone numbers posted throughout the site and tested.
No Contractor Emergency telephone numbers.
Contractor Emergency telephone numbers not posted.
Contractor Emergency telephone numbers posted throughout the site, but not tested
Contractor Emergency telephone numbers posted throughout the site and tested
Appendix V.2. Form CSMS/WIP/02:
OFFICE AND FIELD WORK IN PROGRESS SCORING SHEET
Contractor : ______________________________________________
Address : ______________________________________________
Date : ______________________________________________
Circle the number, which best represents this evaluation based on the criteria for rating purposes attached.
A B C D Subtotal Factor Total
SECTION 1–PEOPLE
SECTION 1– ITEM 1 0 4 8 12
SECTION 1– ITEM 2 0 4 8 12
SECTION 1– ITEM 3 0 4 8 12
SECTION 1– ITEM 4 0 4 8 12
SECTION 1– ITEM 5 0 4 8 12
SECTION 1– ITEM 6 0 4 8 12
SECTION 1– ITEM 7 0 4 8 12
SECTION 1– ITEM 8 0 4 8 12
SECTION 1– ITEM 9 0 4 8 12
SECTION 1– ITEM 10 0 4 8 12
SECTION 1– ITEM 11 0 4 8 12
SECTION 1– ITEM 12 0 4 8 12
SECTION 1– ITEM 13 0 4 8 12
Subtotal X1/13
SECTION 2–PLANT
SECTION 2– ITEM 14 0 4 8 12
SECTION 2– ITEM 15 0 4 8 12
SECTION 2– ITEM 16 0 4 8 12
SECTION 2– ITEM 17 0 4 8 12
SECTION 2– ITEM 18 0 4 8 12
SECTION 2– ITEM 19 0 4 8 12
S X1/6
(CSMS) Guidelines
SECTION 3–PROCESS
SECTION 3–ITEM 20 0 4 8 12
SECTION 3– ITEM 21 0 4 8 12
SECTION 3– ITEM 22 0 4 8 12
SECTION 3– ITEM 23 0 4 8 12
SECTION 3– ITEM 24 0 4 8 12
SECTION 3– ITEM 25 0 4 8 12
SECTION 3– ITEM 26 0 4 8 12
SECTION 3– ITEM 27 0 4 8 12
SECTION 3– ITEM 28 0 4 8 12
SECTION 3– ITEM 29 0 4 8 12
SECTION 3– ITEM 30 0 4 8 12
SECTION 3– ITEM 31 0 4 8 12
SECTION 3– ITEM 32 0 4 8 12
Subtotal X1/13
TOTAL RATING (SECT 1–SECT 3)
SUMMARY
The numerical values below are the weighted ratings calculated above including contribute from field values.
The total represents the overall score for the Contractor. This score only for performance control of Contractor field and office implementation.
TOTAL RATING _____________*)
EVALUATED BY:
NAME NAME
TITLE TITLE
DATE DATE
Appendix V.3. Form CSMS/WIP/03:
FIELD WORK IN PROGRESS EVALUATION CRITERIA
A B C D
SECTION 1 PEOPLE
1 How does the standard of competence and completeness certification/documents required from the supervisor/leader on location.
Incompetent and
incomplete documents competent to do the job and document
completeness < 50%
competent to do the job and document
completeness > 50%
All competent and complete documents
2 How does the standards of competence and completeness certification/documents required from the crew/technician on location.
Incompetent and
incomplete documents competent to do the job and document
completeness < 50%
competent to do the job and document
completeness > 50%
All competent and complete documents
3 Has the Contractor‟s provide the work plan agreeable with scope of work Not Provided work
plan and scope of work
Work plan and scope of work available but not aligned.
Work plan provided but not agreed with scope of work.
Provided work plan agreeable with scope of work.
4 How does the skills of supervisor /leader in performing work on location.
Unskilled Less than 50% skilled to do their work
An average skilled to
perform the work. It‟s all very skilled at doing the work.
5 How does the skills of crew /technician in performing work on location.
Unskilled Less than 50% skilled to do their work
An average skilled to
perform the work. It‟s all very skilled at doing the work.
6 How does the HSSE behavior of all Contractors‟ personnel.
Always repeat the
mistakes Often must be reminded and sometimes repeat a mistake.
Sometimes need to be reminded and not repeat the mistake.
Always show the habit of safe behavior.
7 How does the participation of all personnel in implementing STOP (Safety Observation Program).
Not active Occasional, less than
target in KPI Active, meet as KPI Very active more than KPI per person.
8 How does the participation of all personnel in implementing Safety meeting (tool box talk).
(CSMS) Guidelines
Not active Occasional Active, every morning in general but not prior job execution.
Very active, tool box talk performed prior job execution
9 Is number and competency of Crew complying with the work required on site Number and
competency of crew not sufficient.
Number of crew sufficient but not competent.
Competence of Crew comply with work but the number of crew not enough.
Number and competence of crew always comply and consistent with work required.
SECTION 2 - PLANT
10 How is the completeness PPE for personnel Most of the personnel
have not received a complete PPE.
Some personnel have not received a complete PPE (less than 10%).
All personnel receive a complete PPE follow a standard but there is no guarantee of availability of back up, or be Replaced.
Each personnel already get a complete PPE follow a standard including stock availability guarantee the back up and can be replaced.
11 How is the availability of standard equipment / regular tool Never used standard
equipment. Occasional borrow
standard equipment. Complete accordance with the required service, no mitigation the back up / backup equipment.
Always a complete accordance with the required services, including mitigation the backup equipment.
12 How does maintenance of equipment implementation.
Visually not feasible, not perform
maintenance and data is not available
Visually good, there was no maintenance and inspection, including no pre-use check list.
Visually good, performed maintenance and
inspection, but the documents are incomplete.
Visually good, performed routine maintenance and inspection, completed document use pre-use check list
13 Accommodation, Kitchen, Sanitary System, and Food Material storage appropriate Uncontrolled all
accommodation, kitchen and food material store.
All accommodation, kitchen and food material storage not clean, sanitary system uncontrolled.
All accommodation, kitchen and food material storage keep clean, sanitary system uncontrolled.
All accommodation, kitchen and food material storage keep clean and tidy, sanitary system keep appropriate control.
14 Has the Contractor‟s House keeping Program
The contractor‟s haven‟t house keeping program.
The contractor‟s have house keeping program but not implemented.
The contractor‟s have house keeping program verbally without procedure or guideline
The contractor‟s have house keeping program such as: procedure familiarization, implementation and assessment.
SECTION 3 - PROCESS
15 How does the implementation of Standard Operating Procedure (SOP).
There is no procedure on site and not implemented
There is procedure on
site but not implemented. There is procedure on site but implementation not consistently
There is Procedure on site, approve by management
familiarization to work force and implement by all crew.
16 How is the Training Safe System Of Work (SOW) performed All leader/supervisor
not train SSOW (PA) Some of
leader/supervisor trained SSOW (PA)
All leader/supervisor already training SSOW (PA) but the certification is invalid and covered with a dispensation.
All leader/supervisor already trained SSOW (PA) with valid certificate.
17 How does the implementation of Control Of Work (COW) procedure.
No procedure
available Procedure approve but not implemented
Procedure implemented including competency personal, but audit and
analyst not performed.
Procedure implemented including competency
personal, audit and analyst.
18 How does the Risk Assessment process and its implementation.
No method of risk assessment.
Risk assessment method available but not implemented.
Risk assessment
occasional implemented including competency of personal, and no assesment.
Risk assessment implemented including competency of personal, and assessment.
19 How does the Permit To Work process and its implementation No procedure or
method available Procedure approve but not implemented
Procedure implemented including competency personal, but audit and analyst not performed.
Procedure implemented including competency personal, audit and analyst.
20 Does the contractor conduct HSE inspections and audits together on periodic basis
(CSMS) Guidelines
No program
inspections and audit. The program performs by Company and Contractor‟s occasionally.
The program perform by Company and
Contractor‟s on periodic basis, recommendations not follow up by
contractor‟s
The program perform by Company and
Contractor‟s on periodic basis, recommendations follow up by Contractor‟s and documented
21 Has the HSE plan been implemented in the execution phase (or project schedule) Contractors haven‟t
HSE plan. contractor‟s have HSE plan during PJA only not in execution phase
Contractor‟s have HSE plan in the execution phase.
Contractor‟s implemented HSE plan in the execution phase.
22 Is the contractor has Emergency Respond Plan.
Contractor‟s not provided Emergency Respond Plan Procedure.
Contractor has
Emergency Respond Plan not approved procedure.
Contractor has Emergency Respond Plan Approved Procedure, review and familiarization to ERT, but never exercise/tested
Contractor has
Emergency Respond Plan Approved Procedure, review and familiarization to ERT including
exercise/tested.
23 Are Contractor‟s Emergency telephone numbers posted throughout the site and tested.
No Contractor Emergency telephone numbers.
Contractor Emergency telephone numbers not posted.
Contractor Emergency telephone numbers posted throughout the site, but not tested
Contractor Emergency telephone numbers posted throughout the site and tested
Appendix V.4. Form CSMS/WIP/04:
FIELD WORK IN PROGRESS SCORING SHEET
Contractor : ______________________________________________
Address : ______________________________________________
Date : ______________________________________________
Circle the number, which best represents this evaluation based on the criteria for rating purposes attached.
A B C D Subtotal Factor Total
SECTION 1–PEOPLE
SECTION 1– ITEM 1 0 4 8 12
SECTION 1– ITEM 2 0 4 8 12
SECTION 1– ITEM 3 0 4 8 12
SECTION 1– ITEM 4 0 4 8 12
SECTION 1– ITEM 5 0 4 8 12
SECTION 1– ITEM 6 0 4 8 12
SECTION 1– ITEM 7 0 4 8 12
SECTION 1– ITEM 8 0 4 8 12
SECTION 1– ITEM 9 0 4 8 12
Subtotal X1/9
SECTION 2–PLANT
SECTION 2– ITEM 10 0 4 8 12
SECTION 2– ITEM 11 0 4 8 12
SECTION 2– ITEM 12 0 4 8 12
SECTION 2– ITEM 13 0 4 8 12
SECTION 2– ITEM 14 0 4 8 12
SUBTOTAL X1/5
SECTION 3–PROCESS
SECTION 3–ITEM 15 0 4 8 12
SECTION 3– ITEM 16 0 4 8 12
SECTION 3– ITEM 17 0 4 8 12
(CSMS) Guidelines
SECTION 3– ITEM 18 0 4 8 12
SECTION 3– ITEM 19 0 4 8 12
SECTION 3– ITEM 20 0 4 8 12
SECTION 3– ITEM 21 0 4 8 12
SECTION 3– ITEM 22 0 4 8 12
SECTION 3– ITEM 23 0 4 8 12
Subtotal X1/9
TOTAL RATING (SECT 1–SECT 3)
SUMMARY
The numerical values below are the weighted ratings calculated from field only. This score only for performance control of Contractor field implementation as contribute data to Form CSMS/WIP/01:
The contract holder should compile the Field and Office score.
TOTAL RATING _____________*)
EVALUATED BY: