HSE Pre-Qualification Checklist

QUESTIONNAIRE

a) How senior managers are personally involved in HSE management? (E.g. High profile tours, walk through, Incident Investigations, safety meetings, etc.)

b) Provide evidence of commitment at all levels of the organization? c) How they promote a positive culture towards HSE matters? (E.g. Incentive schemes, no blame culture, HSE campaigns, safety competitions, quizzes, etc.)

Question

a) Does your company have an HSE policy document? If the answer is YES please attach a copy.

b) Who has overall and final responsibility for HSE in your organization?

Commitment to HSE through leadership

(i) HSE policy documents

SUB-TOTAL

Response

Thruogh High Profile Tour, walk through, Accident / incident investigations, Manegment Meeting, Safety Caimpaign, award fuction etc.

Attached MOM Copy of Management review meeting

Thruogh Incentive schemes, no blame culture, HSE campaigns, safety competitions, quizzes, etc.

Response

Yes 1

Section 2: Policy and Strategic Objectives Section 1: Leadership and Commitment

1

ABU DHABI COMPANY FOR ONSHORE OIL OPERATIONS CONTRACTOR HSE PRE-QUALIFICATION

QUESTIONNAIRE

a) Itemize the methods by which you have drawn your policy statement to the attention of all your employees? (E.g. explaining roles and responsibilities for all organizations, HSE policy awareness booklet or pamphlet in different languages, quizzes, etc.)

b) What are your arrangements for advising employees of changes in the policy?

3

(iii) Subordinate Policies

a) Has the Company developed specific and concise policies in the areas of alcohol, drugs, road and no-smoking?

Question

a) How is management involved in HSE activities, objective-setting and monitoring? (e.g. Defining HSE critical activities, review of procedures, setting safety KPI’s, Audits & inspections, issuing lessons learned, TBT’s meetings)

b) How is your company structured to manage and communicate HSE effectively? (provide your company organogram)

c) What provision does your company make for HSE communication meetings? (What type of meetings? How often? Which level of organization to attend? What agenda?) (ii) Availability of policy statements to employees (i) Organization - commitment and communication Response

1. Conducting Internal HSE audits 2. Regular Site Visit

3. Conducting regular HSE meeting at site.

4. Participating in all HSE seminar / award functions.

Through approved organization Chart

1. Monthly HSE meeting (HSE & Progress review), Middle Managment 2. Quarterly HSE meeting (Self Assessment), Middle Management 3. Management review meeting. Top Managment

4. Daily TBT Meeting - All Work force

2

SUB-TOTAL

Section 3: Organization, Resources and Competence

1. Induction Training

2. Displaying it on at all prominent locations 3. All level of HSE Meetings.

4. During regular awareness trainings (In House)

Through issuing an inter-office memo and circulating the same among all level of employees.

Yes

QUESTIONNAIRE

Have the managers and supervisors at all levels who will plan, monitor , oversee and carry out the work received formal HSE training in their responsibilities with respect to conducting work to HSE requirements? If YES please give details. Where the training is given in-house please describe the content and duration of courses. (Provide your company training plan/ matrix)

a) What arrangements does your company have to ensure new employees have knowledge of basic industrial HSE, and to keep this knowledge up to date? (E.g. Induction safety training, TBT’s, etc. Provide content of HSE training courses and objectives).

b) What arrangements does your company have to ensure new employees also have knowledge of your HSE policies and practices? (iii) Competence

and General HSE training

Yes,

All our staff get updated by going through various training programs i.e., by In house training and from Third party.

1. Training has been provided as per Annual HSE Training Program. (Third Party) &

2. In House Training is conducted based on the identified work activities it shall be minimum but not limited to following topics;

a) Emergency Response Procedure b) Safe Excavation

c) Confined Space Entry d) Safe Lifting Practices e) Welding and cutting f) Scaffolding.

g) Use of heavy equipment’s h) Road Safety

i) MSDS

j) Manual Handling etc.

1. HSE Induction 2. In House Trainings

3. Third party training (Training Matrix Attached)

1. HSE orientation in Head Office.

ABU DHABI COMPANY FOR ONSHORE OIL OPERATIONS CONTRACTOR HSE PRE-QUALIFICATION

QUESTIONNAIRE

c) What arrangements does your company have to ensure new employees have been instructed and have received information on any specific hazards arising out of the nature of the activities?

d) What arrangements does your company have to ensure existing staff HSE knowledge is up-to-date? (If training is provided in-house please give details of content.) (iii) Competence

and General HSE training

SUB-TOTAL

1. HSE induction by Certified trainer (one day)

1. Site details 2.

Emergency Response Procedure

3. House keeping & safety 4. Slipping

& Tripping Hazard

5. Fall protection & Manholes safety 6. Welding

& cutting Safety 7. Lifting

Operation & Safe Rigging 8. Materials

Handling & Safety

9. Permit to dig& Confined space procedures / NOCs. 10. Machine guarding & safety

11. Desert snakes bites and safety precautions. 12. HSE policy / Reminder of safety Responsibility,

13 MSDS Materials Safety Data Sheet 14. Personal Protective equipment. (PPE)

15. Safe use of heavy equipment’s/machinery at site. 16. Road safety

1. All Training has been provided as per HSE Annual HSE Training Program. (Third Party) 2. The Following in House Training is provided;

a) HSE Induction

b) Emergency Response Procedure c) Safe Excavation

d) Confined Space Entry e) Safe Lifting Practices f) Welding and cutting g) Scaffolding.

h) Use of heavy equipment’s i) Road Safety

j) MSDS

k) Manual Handling 3

QUESTIONNAIRE

1

(i) Hazards and Effects

Assessment

What techniques are used within your company for the identification, assessment, control and recovery of hazards and effects?

2

(ii) Exposure of the Workforce

Do you have in place any systems to monitor the exposure of your workforce to chemical or physical agents?

3

(iii) Handling of Chemicals

How is your workforce advised on the properties of chemicals encountered in the course of their work?

4

(iv) Personal Protective Equipment

What arrangements does your company have for provision and upkeep of protective clothing, both standard issue, and that required for specialized activities?

5

(v) Waste management

Does your company have in place systems for identification, classification and management of waste?

1.Appropriate Certified PPE being used

There is provision to issue & replacing of the PPE 2.Monthly PPE inspection by the competent HSE Persons

Yes

We have Environment & waste Management Plan & EIAA to Monitor & control

Section 4: Risk evaluation and Management

Response

1. Task Risk assessment

(A written document of Risk, Hazard controls & recommended control , task specific ) 2. By developing a project specific Risk Register

Yes

1.Through daily site inspection by competent HSE person 2.Weekly Safety Walk down

3. High Profile Tour by senior management (Monthly) 1. Task specific training being provided to the workforce like Chemical Handling, Emergency response

2. MSDS is available at site and all precautions are cascaded among all the crew during daily tool box talk (TBT) prior to start of the work.

ABU DHABI COMPANY FOR ONSHORE OIL OPERATIONS CONTRACTOR HSE PRE-QUALIFICATION

QUESTIONNAIRE

Question

a) Do you have a company HSE manual (or Operations Manual with relevant sections on HSE) which describes in detail your company approved HSE working practices relating to your work activities? If the answer is YES please attach a copy of supporting documentation. b) How do you ensure that the working practices and procedures used by your employees on-site are consistently in accordance with your HSE policy objectives and arrangements?

2

(ii) Equipment Control and Maintenance

How do you ensure that plant and equipment used within your premises, on-site, or at other locations by your employees are correctly registered, controlled and maintained in a safe working condition? (Provide a short overview of your preventive maintenance system.) Is HSE critical equipment specifically identified and included in your preventive maintenance system?

1.Client approved Project HSE plan being implemented as well as client HSE plan

2. Site Safety person ensure that working practice being followed as per our Policy & Procedure.

1.We have provision to inspect the vehicle daily 2. We have provision to inspect the vehicle Monthly 3. Quarterly vehicle Inspection sticker will be pasted.

4. Regular maintenance of the vehicle will be done in workshop like servicing, fuel replacement as per our vehicle maintenance program.

(i) HSE or Operations Manuals

Yes (Copy Attached)

Response Section 5: Planning, Standards and Procedures

QUESTIONNAIRE

standards you require to be met?

b) How do you ensure these are met and verified?

c) Is there an overall structure for producing, updating and disseminating standards?

4

(iv) Road Safety

Management

What arrangements does your company have for combating road and vehicle incidents? (e.g. monitoring drivers performance, journey management system, incentive scheme, roll-over protection, IVMS with GPS capability, etc.)

Question

a) What arrangements does your company have for supervision and monitoring of performance?

b) What type of performance criteria are used in your company; give examples

c) What arrangements does your company have for passing on any results and findings of this supervision and monitoring to your: base management; -site employees?

No

1.Internal audit by higher management

2. Regular Project Visit by higher management 3.Management review meeting

4.Monthly HSE meeting with all staff (iii) Standards

Project HSE Plan approved by Client

Thruogh regular audit 1. Internal & External (Third Party & Client).

1. Approved Road & transportation plan 2. Effective Journey Management

Response (i) Management and Performance Monitoring of Work Activities

1. Employee appraisal & Assessment Form (Attached)

1.Through Internal Audit report 2.Throung Observation report 3.Throung E mail

3

SUB-TOTAL

Section 6: Implementation and Monitoring

ABU DHABI COMPANY FOR ONSHORE OIL OPERATIONS CONTRACTOR HSE PRE-QUALIFICATION

QUESTIONNAIRE

Has your company received any award for HSE performance achievement? 3 (iii) Statutory Notifiable Incidents /Dangerous Occurrences

Has your company suffered any statutory notifiable incidents in the last three years (safety, occupational health and environmental)? Answer with details including dates, most frequent types, causes and follow-up preventative measures taken. 4 (iv) Improvement Requirement and Prohibition Notices

Has your company suffered any improvement requirement or prohibition notices by the relevant national body, regulatory body for HSE or other enforcing authority or been prosecuted under any HSE legislation in the last three years? (If your answer is YES please give details.)

Yes No,

QUESTIONNAIRE

1 Nil Nil Nil Nil

2 1 Nil 3 Nil

3 Nil Nil Nil Nil

b) How is HSE performance recorded?

d) How often is HSE performance reviewed? By whom?

a) Who conducts incident investigations?

b) How are the findings following an investigation, or a relevant incident occurring elsewhere, communicated to your employees?

c) Are near misses reported or Behavioral Observances?

Man Hours Worked

(v) HSE

Performance Records

Have you maintained records of your incidents and HSE performance for the last three years? (If YES, please give following details for each year, number of non-Lost Time Injuries, number of Lost Time Injuries, number and type of injuries, total hours worked by workforce for each corresponding year, Lost Time Frequency Rates (LTI), your company definition of a Lost Time incident).

850,000

2,207,712

6

Weekly & Monthly HSE Reporting procedure

1. Yearly by third party (Quality Registrar system) / ISO Audit 2. Regularly in the project by client

3. In Management Review Meeting (Internally) Qualified and competent HSE Personnel

Daily TBT.

In house training

Weekly / Monthly Flashes displayed on notice boards. Circulating the Safety Bulletin Via E-mail.

3, 143, 932 Yes (vi) Incident Investigation and Reporting SUB-TOTAL 5

ABU DHABI COMPANY FOR ONSHORE OIL OPERATIONS CONTRACTOR HSE PRE-QUALIFICATION

QUESTIONNAIRE

Question

a) Do you have a written policy on HSE auditing and how does this policy specify the standards for auditing (including unsafe act auditing)?

b) Do your company HSE Plans include schedules for auditing and what range of auditing is covered?

c) How effectiveness of auditing is verified and how does management report and follow up audits? Question 1 (i) Memberships of Associations

Does your company hold membership of any industry, trade or HSE organization? (e.g., ISO 14001, OHSAS 18001, NEBOSH, etc.) 2 (ii) Additional features of your HSE management

Does your company have any other HSE features or arrangements not described elsewhere in your response to the questionnaire?

The management representative submits the audit result to the management, as per company procedure review the information and evaluate to assess the effectiveness of the audit

TOTAL

Response

Yes (Audit Schedule attached)

SUB-TOTAL

Yes (Audit Schedule attached)

No,

No,

Section 8: HSE Management - Additional Features Section 7: Audit & Review

1

Response (i) Auditing

QUESTIONNAIRE

employee salary on schedule? b) Is the salary paid to each employee same as what was agreed upon in the contract? This includes payment of overtime.

c) Are the employees allowed to go on leave as per their contract agreement & UAE Law?

d) Are unreasonable charges deducted from employee's salary? E. g., visa, medical, transportation, etc.

e) How do you ensure the physical fitness of employee for the assigned job (e.g., Pre-employment physical; Health monitoring system; Periodic physicals, etc.

GRAND TOTAL