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Guidelines for Developing EHS Plan for Building and Construction Sector - Abu Dhabi

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(1)www.adm.gov.ae/hse - [email protected].

(2) Announcement To all Building and Construction Consultancy Offices The Municipality of abu Dhabi City invites all Consultant Offices operating in the Building & Construction Sector to observe the following: • All contractors are obliged to prepare and submit Health, Safety & Environment (HSE) plans or their projects. • HSE plans to be approved by the consultant. • HSE plans have to be added to the requisites of obtaining permits for starting construction and infrastructure works. • This requirement has been put into effect as of 26/12/2010. • The guidlines for Developing HSE Plans can be downloaded from the website (www.adm.gov.ae/hse). For inquiries please contact us on: [email protected] or call the Municipality’s toll-free number.. 80022220 www.adm.gov.ae/hse. www.adm.gov.ae/hse - [email protected].

(3) ..................................................................................... 3. • Introduction. ................................................................................ 5. 1. Project Details. 2. Project Brief Description and Project Layout 3. EHS Management Requirements. ............................................... 8. ...................................................................................... 11. 4. Planning. 5. Implementation and Operations 6. Audit and Review. .................................................. 13. ........................................................................ 17 ................................................................................... 19. 7. Appendices 8. Forms. ...................................... 7. ........................................................................................ 20. 9. Checklists 10. Screen Windows. .................................................................................... 34 ......................................................................... 54.

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(5) With reference to The Municipality of Abu Dhabi City policy and the vision of Department of Municipal Affairs, The Municipality of Abu Dhabi City and based on Abu Dhabi - EHSMS framework is keen to support and assist consultants, contractors and developers in building and construction sector to establish and develop their EHS plans. This would improve the efforts and measures to maintain high standards of EHS at construction projects in order to protect people, assets and environment. This booklet contains the basic elements for developing Environment, Health and Safety (EHS) plan. The implementation of the EHS plan will enhance the EHS standards to achieve best levels of environment, health and safety compliance in construction sites in Abu Dhabi Emirate..

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(10) 3.0 EHS Management Requirements 3.1 Leadership & Commitment Define how senior management lead by example and demonstrate commitment through participation & communication with employees on EHS issues.. 3.2 EHS Policy: • Includes commitment towards continual improvement. • Contains commitment to comply with applicable . current legislations & other requirements. • It should be signed by the top management.. 3.3 Organization, Roles & Responsibilities: • Project & EHS organizational chart. • EHS personnel roles & responsibilities. • Management of subcontractors and suppliers. • Project key personnel & their contacts.. 3.4 Communication: • Regular and periodic meetings. • EHS alerts and notice boards.. 3.5 Training:. • Rewards, incentives, recognition & discipline.. • EHS induction. • Toolbox talks. • Special EHS training and awareness.. 3.6 3.7 3.8 3.9 3.10. Site Inspection and Monitoring Incidents Reporting and Investigation Site EHS Rules & Instructions Personal Protective Equipment (PPE) EHS Document Control and Recording System.

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(13) 4.0 Planning 4.1 Risk Management: Identification of hazards, assessing the risks and specifying control measures.. 4.2 Legal and Other Requirements: EHS laws, regulations, codes of practice, etc.. 4.3 Emergency Management and Evacuation Plan 4.4 Site Security Plan and Access Control. 4.5 Permit To Work (PTW) 4.6 Traffic Management Plan How to manage detours, diversions, road closure and vehicles movement (refer to Traffic Engineering and Roads Safety Department procedures and guidelines)..

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(17) 5.3 Environmental Arrangements How to manage the environmental aspects and impacts by developing & implementing control measures for the following:. Waste Management:. Include appropriate control measures for collection, segregation and disposal for the waste with conformance of Abu Dhabi Waste Management Center procedures and guidelines.. • Hazardous waste • Non-Hazardous waste. Soil, Water-Courses and Groundwater Pollution Protection: . • Containment areas (bunding) for oil, fuel or chemicals storage tanks • Washing area for concrete mixing trucks and pumps • Dripping trays for machinery, equipment and trucks • Oil spill combating kits or materials. . (Refer to Abu Dhabi Environment Agency - EAD guidelines, standards and codes of practice).. Air Pollution Protection: • Dust suppression program. . • Air emission (periodic maintenance programs for the engines of vehicles, trucks, equipment, plants, machinery, etc.).

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(19) 6.0 Audit and Review Contractor shall define the basis under which internal & external EHS auditing and management reviews will be conducted..

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(21) 7.1 Checklists (not required submission to the municipality, just for guidance).. 7.2 Risk Assessment (required to be submitted to the municipality attached with the EHS plan).. 7.3 EHS Performance quarterly Report (required to be submitted to the municipality on quarterly basis).. 7.4 Incidents Report (required to be submitted to the municipality whenever there is a reportable incident).. 7.5 EHS Induction Training (not required submission to the municipality, just for guidance).. 7.6 Toolbox Talks (not required submission to the municipality, just for guidance). NB: All EHS records should be kept on site and shown when requested..

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(102) EHS Induction Training. Ref. No. : ADM/HSED/FM/١٠/٠٠٦ Issuance Date:  July ٢٠١٠ Issue No.: ٠١. General Information Company Name:. Project Name:. Inductee’s Name:. Induction Date:. Topics to discuss S/N. Description. ١. Project Description. ٢. EHS Company HSE Policy . YES. ٣ ٤. Introduction of Key Personnel. ٥. Site Layout and welfare Facilities (rest area, toilet, etc.). ٦. Site Rules (e.g. drug & alcohol & smoking policy, different signage, no horse playing,  wearing PPEs, avoid wearing Jewelries, etc.). ٧. Environment & Waste Disposal. ٨ ٩ ١٠. Work permits. ١١. Risk Assessment / Risk Register. ١٢. Accident Reporting. Other Relevant Topics for Discussion (if applicable) ١. Management of Change (new process, equipment & machinery, procedures, etc.). ٢. Relevant & applicable laws, regulations. Signature & Remarks. Employee’s Signature:. Remarks:. Conducted by : ________________________________ Job Title          : ________________________________. Remarks:. Signature        : ________________________________. 32. Note: For guidance and it is not limited to its content. NO. Remarks.

(103) Tool Box Talk. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Date:____________________________________________________________ Location:__________________________________________________. A. Specific job to be carried out:. B. Topics Discussed: 1.. 4.. 2.. 5.. 3.. 6.. C. Name and Signature of workers attended Name. Signature. Name. Signature. Conducted By:. Name. :. Job Title. :. Signature. :. Note: For guidance and it is not limited to its content. 33.

(104) Inspection Checklists The inspection checklists include the followings: • • • • • • • • • • • • • • • • • • •. 34. Confined Spaces Traffic Management Electrical Installation Environment Excavations Fire & Emergency Hazardous Substances Housekeeping Ladders Lifting Equipment & Gears Machinery Portable Tools Personal Protective Equipment (PPE) Scaffolds Site General Vehicles & Mobile Equipment Welding & Gas Cutting Welfare Facilities Working Platforms & Cantilevers.

(105) Checklist Confined Spaces. Ref. No. : ADM/HSED/FM/004/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your observation, and proposed corrective action plan). Hazards identified, risk evaluated, assessed & communicated before commencement of work. Permit To Work implemented & posted in place. Mechanical and / or electrical isolation of the confined space done. Adequate ventilation to ensure a sufficient supply of air conducted. Cleaning & purging to remove all hazardous (flammable & or toxic) gases & fumes performed. Testing of oxygen concentration conducted to acceptable standard level. Detecting of flammable & or toxic gases conducted to ensure their absence or below minimum levels. Provision of emergency retrieval system (full body harness, tripod and hoist) Availability of the backup personnel or rescue attendants. Use of non spark tools / devices (intrinsically safe tools or devices). Sufficient lighting is available. Proper PPE & SCBA (Self Contained Breathing Apparatus) is used. Suitable access / egress provided. Area or surrounding isolated with barriers & or cones and suitable signage in place (where applicable). Approved By: Position. Name. Date. Signature. HSE Engineer / Manager EHS Engineer/Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 35.

(106) Checklist Traffic Management. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required.. Description Evaluation Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert youryour observation,and (insert observation,proposed and corrective action plan) action plan) proposed corrective. Advance warning signs boards. Roadwork signs boards. Guide signs boards. Digital or LED* signs boards. Arrows signs boards. Delineators. Cones. Tubular flexible posts (bollards). Painted pavement markings. Raised pavement markings. Water filled plastic barriers. Concrete barriers. Longitudinal crashworthy barriers Warning lights (flashing lights & beacons). Street lighting. Temporary traffic lights. Rumble strips Crash cushion (shock absorber) Buffer zones Tapers Flaggers Pedestrian walkways. Construction lane access / egress Fences Glare screens Turning radius and lane width. Approved By: Position. Name. Date. EHS Engineer Engineer/Manager HSE / Manager Distribution and Acknowledgment: Project Manager Project Engineer. 36. Note: For guidance and it is not limited to its content. Signature.

(107) Checklist Electrical Installation. Ref. No. : ADM/HSED/FM/004/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your your observation,and (insert observation, andproposed corrective corrective action plan)action plan) proposed. Electrical hazards identified and all associated risks have been assessed. Permit To Work (PTW) is used & available on site for electrical work. All electrical installations commissioning and repairing carried out by competent electricians. All electrical installation and appliances comply with the relevant international standards. All external electrical installations are weather proof . All electrical installations provided with Earth Leakage Circuit Breakers (ELCB). All distribution boards are locked and signed. Cables/wires running across the site are in good condition, properly protected & checked regularly. Cables are free of joints, & only industrial sockets used for extending cables. No naked wires inserted into electrical sockets, & only earthed & fused plugs to be used. Sockets are not overloaded. Level of lighting suitable for the task. Tag out / lock out system implemented . Approved By: Position. Name. Date. Signature. EHS Engineer Engineer/Manager HSE / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 37.

(108) Checklist Environment. Ref. No. : ADM/HSED/FM/١٠/٠٠٤ Issuance Date:  July ٢٠١٠ Issue No.: ٠١. General Information Company Name:. Project Name:. Conducted By:. Date: . Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately.   Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description  Evaluation. Item. Good. Fair. Poor. N/A. Remarks  Remarks (insert your observation,and proposed (insert your observation, and  corrective action plan) proposed corrective action plan). Waste is segregated & collected at designated  appropriate areas (hazardous from non-hazardous) &  adequate waste containers/skips provided. Waste is removed /disposed regularly & according to the  Abu Dhabi Waste Center guidelines. Proper oil/chemicals leakage & spill control in places  (tanks bunding, dripping trays, oil spill response  materials). Allocation of designated area for washing concrete  mixers & pumps. Proper collection & disposal of waste water & sewage  water. Proper management of noise generated from the project,  by installing noise enclosure measures (e.g.  silencers, &  work scheduling).  Dust and/or fumes control measures have been  implemented. Regular maintenance for mobile equipment, vehicles &  machines. Approved By: Position. Name. Date. EHS Engineer/Manager HSE Engineer/ Manager Distribution and Acknowledgment:  Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 38. Signature.

(109) Checklist Checklist Excavation Excavations. Ref. No. : ADM/HSED/FM/١٠/٠٠٤ Issuance Date:  July ٢٠١٠ Issue No.: ٠١. General Information Company Name:. Project Name:. Conducted By:. Date: . Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately.   Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description  Evaluation. Item. Good. Fair. Poor. N/A. Remarks Remarks  (insert your observation,and proposed (insert your observation, and  corrective action plan) proposed corrective action plan). assessed.  Suitable access / egress provided. Falling protection system installed properly (i.e. barriers,  stop blocker, toe boards, cones and warning tapes… etc).  Appropriate supporting system / method (shoring,  buttering, or stepping) Spoil heaps stable and kept in safe distance from the  edge of trenches Oxygen tested and gases levels within acceptable level  (for excavation with depth more than ١٫٢ meter). Emergency preparedness plan developed,  communicated and implemented Proper signage & warning lights (warning signs, tapes,… etc) and instructions (i.e. PTW, emergency notice ..etc)   displayed.  permissions obtained & displayed visibly.  Excavators are in good working condition Proper training and awareness delivered to all involved  employees (i.e. toolbox talk & specialized training).  Approved By: Position. Name. Date. Signature. HSE Engineer / Manager EHS Engineer/Manager. Distribution and Acknowledgment:  Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 39.

(110) Checklist Fire & Emergency. Ref. No. : ADM/HSED/FM/١٠/٠٠٤ Issuance Date:  July ٢٠١٠ Issue No.: ٠١. General Information Company Name:. Project Name:. Conducted By:. Date: . Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately.   Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description  Evaluation. Item. Good. Fair. Poor. N/A. Remarks  Remarks (insert your observation,and proposed (insert your observation, and  corrective action plan) proposed corrective action plan). Fire risk assessment of the project is carried out & the  control measures implemented.. Good housekeeping practices & daily removal of waste. designated area allocated. Permit To Work (PTW) procedure for hot works. Evacuation plan developed & distributed. Emergency  communicated. Adequate means of escape allocated & unobstructed. site maintained & inspected regularly. tested regularly. Emergency signage & assembly points are in places &  communicated to all parties.. Approved By: Position. Name. Date. HSE Engineer / Manager EHS Engineer/Manager Distribution and Acknowledgment:  Project Manager Project Engineer. 40. Note: For guidance and it is not limited to its content. Signature.

(111) Checklist Hazardous Substances. Ref. No. : ADM/HSED/FM/١٠/٠٠٤ Issuance Date:  July ٢٠١٠ Issue No.: ٠١. General Information Company Name:. Project Name:. Conducted By:. Date: . Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately.   Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description  Evaluation. Item. Good. Fair. Poor. N/A. Remarks  Remarks (insert your observation,and proposed (insert your observation, and proposed  corrective action plan) corrective action plan). Properly stored, ventilated, isolated, & suitable signs  displayed. Material Safety Data Sheet (MSDS) available, and  communicated to concerned personnel.. Emergency escape & breathing apparatus available,  tested and in good condition Appropriate PPE is provided to the worker and it is worn  during the work. Hazardous substances containers/drums have eligible  labeling & protected from leakage or spillage. Empty hazardous substances containers, drums &  receptacles should be properly maintained & controlled. Approved By: Position. Name. Date. Signature. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment:  Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 41.

(112) Checklist Housekeeping. Ref. No. : ADM/HSED/FM/١٠/٠٠٤ Issuance Date:  July ٢٠١٠ Issue No.: ٠١. General Information Company Name:. Project Name:. Conducted By:. Date: . Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately.   Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description  Evaluation. Item. Good. Fair. Poor. N/A. Remarks  Remarks (insert your observation,and proposed (insert your observation, and  corrective action plan) proposed corrective action plan). Clear and safe access to work area.  Proper materials stacking and any loose materials have  been properly secured. orderliness Construction waste and debris collected in designated  areas. Adequate rubbish containers and rubbish removed daily. Old timber de-nailed & all steel bars capped.. Approved By: Position. Name. Date. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment:  Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 42. Signature.

(113) Checklist Ladders. Ref. No. : ADM/HSED/FM/١٠/٠٠٤ Issuance Date:  July ٢٠١٠ Issue No.: ٠١. General Information Company Name:. Project Name:. Conducted By:. Date: . Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately.   Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description  Evaluation. Item. Good. Fair. Poor. N/A. Remarks  Remarks (insert your observation,and proposed (insert your observation, and  corrective action plan) proposed corrective action plan). Properly manufactured (no handmade wooden ladders). All ladders are in good condition & suitable for the task. Positioned at suitable working angle at ٧٥ o to horizontal. Secured top & bottom, and extended ١ meter above the  platform level.  Intermediate landing place provided for ladders rise  more than ٩ meters. stiles. Extendable ladders are properly secured (i.e. extension  Rungs clear of grease, oil or other slippery substances. glass ladders can be used instead). protection cage Ladders should be checked before use & regularly  maintained. Approved By: Position. Name. Date. Signature. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment:  Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 43.

(114) Checklist Checklist Lifting Equipmentand and Gears Gears Lifting Equipments. Ref. No. : ADM/HSED/FM/004/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks Remarks (insert (insert your your observation,and observation, andproposed corrective plan)action plan) proposed action corrective. Cranes & slings certified by 3rd party, inspected & maintained regularly & records maintained. Lifting plan / procedure prepared & communicated. All lifting equipments & gears are inspected & certified by 3rd party. Operator & rigger are competent (third party trained). The driver & operator are licensed. Slings, wires, ropes, chains, belts, hooks, shackles are in good condition, appropriate for job & inspected regularly & records maintained. Load charts known & considered before any lifting begins.. Load Load indicators, alarm alarms&&other othersafety safety devises are devices are operational. operational. Ground condition checked & required corrective actions implemented. Outriggers are operational & sole plate provided. Lifting operation area barricaded & suitable sign boards are in place. Approved By: Position. Name. Date. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. 44. Note: For guidance and it is not limited to its content. Signature.

(115) Checklist Machinery. Ref. No. : ADM/HSED/FM/004/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your observation, and proposed corrective action plan). Machine maintained in good working order regularly and records kept on site. Machine operated according to the manufacturer instructions. Competent operators trained and certified. Good overall condition and regular maintenance. All suitable guard provided All electrical installations are protected and free of damages (circuit breakers, plugs, wires). Protection against weather condition. Emergency stop button and other safety devices are operational and clearly marked. Safety signs and manufacturer instructions clearly displayed and properly followed. Suitable PPE provided and properly used Approved By: Position. Name. Date. Signature. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 45.

(116) Checklist Portable Tools. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your observation, and proposed corrective action plan). Electrical Tools: Power cables present no hazard or obstruction & connections are appropriate, earthed & fused. User competent & authorized. Guard is fitted, adjusted & tool in good condition. Emergency stop is available & operational. Manufacturer instruction is available & followed. All hoses, couplings & fittings of correct rating. Pneumatic Tools: Hoses, couplings & fittings inspected & maintained regularly. Tools secured to the hose by positive means to prevent disconnection. Air supply lines protected from damage, maintained & inspected regularly. Safety device is provided for air hose with large diameter. Manufacturer instruction is available & followed. Manual (unpowered) Tools: Tool checked & inspected before use. Home-made tool is not used & tool fits the job. Suitable PPE provided for all above types of tools. Approved By: Position. Name. Date. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 46. Signature.

(117) Checklist Personal Protective Equipment (PPE). Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your observation, and proposed corrective action plan). PPE policy and signage displayed. Minimum PPE (i.e. helmet, safety boots, hi-visibility vest, & safety glasses) provided to all employees & records maintained. PPE checkpoint on the entrance. PPE comply with the relevant international standards & clearly marked (i.e. CE or EN mark). Users trained on using, maintenance, and storage of PPE. Additional PPE have been provided as appropriate for those who are executing critical activities (e.g. full body harness for working at height, full face mask, & respiratory apparatus, etc…). PPE correctly selected based on the task risk assessment. Regularly inspected, cleaned and maintained and/or replaced as deemed necessary. Approved By: Position. Name. Date. Signature. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 47.

(118) Checklist Scaffolds. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your observation, and proposed corrective action plan). All scaffolds erected, inspected, altered & dismantled by competent team. Clear and visible signage and scaff-tag Access ladder provided and properly secured Sound scaffolding materials free of damage Platforms are properly made of planks, free of damage, tied & no gaps between planks/timbers. All platform blanks tied down properly Proper falling protection provided (guard rail/hand rail, mid rail, toe board, mesh/bricks guard & safety net). Scaffolding properly secured ties, and all braces properly installed. Sole/base plate or timber provided. Overhead protection provided. Mobile scaffold provides with guard rails, toe board, full & proper platform, access ladder & wheels locked. Personal protective equipments provided and properly used (full body harness connected to fixed anchor or life line) Approved By: Position. Name. Date. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 48. Signature.

(119) Checklist Site General. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your observation, and proposed corrective action plan). Availability of the site safety sign board. Proper site security and appropriate fencing (e.g. closed metallic boards, hoarding). Site visitors induction training procedure. Sufficient site offices and car parking. Adequate safety signage / notice boards. Availability of the EHS HSE documents & records(e.g. EHS HSE manual, EHS HSE plan, risk assessment, work permit, incidents reports, induction & toolbox talk records, inspection records, & training records, etc…) Approved By: Position. Name. Date. Signature. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 49.

(120) Checklist Vehicles and Mobile Equipment. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required. Description Evaluation. Item. Good. Fair. Poor. N/A. Remarks (insert your observation, and proposed corrective action plan). Vehicles & mobile equipment are licensed by concerned authority . Driver/operator is licensed and competent. Engine in good operational condition. No visible leaks Windows & mirrors are clean & obstruction free. Seat is in good condition and seat belt functioning properly. Lights / indicators / wipers / horns properly operational Tyres free of damage and fully inflated Reversing alarm & beacons working properly Periodical inspection & maintenance & record kept Provided with fire extinguisher and first aid box, and in good condition Provided with the noise silencer/enclosure. Approved By: Position. Name. Date. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. 50. Note: For guidance and it is not limited to its content. Signature.

(121) Checklist Welding and Gas Cutting. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required.. Description Evaluation Evaluation. Item. Good. Fair. Poor. N/A. Remarks Remarks (insert your your observation,and (insert observation,proposed and corrective action plan) action plan) proposed corrective. Hazard identification & risk assessment conducted, & required control measures have been implemented. Valid & approved permit to work available all time & displayed in visible location. Working area properly contained & warning signs displayed. All flammable / combustible materials have been removed from the working area or properly protected from spark. All possible health effects (acute and chronic) have been identified and proper control measures implemented. Sufficient ventilation has been provided. Task is carried out by competent person (s). Adequate / sufficient fire fighting equipment are available in the working area during & after the work. Suitable PPE provided and used all the time. Electrical Arc Welding: Welding leads and returns cables have the same length, properly installed & protected, & free of damage. Electrical cables are in good condition, free of damage, & properly protected. Industrial plugs & sockets provided. Electrode holders are fully insulated & free of damage. Earth connection bolted or clamped to ensure a good electrical contact. Welding machine frame effectively grounded. Gas Welding and Cutting: Different gas cylinders are clearly identified and marked. Different types of Gas cylinders have been separated, properly stored, and not exposed to direct sun. Proper training on handling gas cylinders for all users (this will include clothing, moving cylinders, hazards and precaution measures….etc). Cylinder attachments (regulators, hoses, non-return valves, flashback arrestors, blowpipes) are maintained in good working order and free of damage.. Approved By: Position. Name. Date. Signature. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer Note: For guidance and it is not limited to its content. 51.

(122) Checklist Welfare Facilities. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required.. Description Evaluation Evaluation. Item. Good. Fair. Poor. N/A. Remarks Remarks (insert youryour observation,and (insert observation,proposed and corrective action plan) action plan) proposed corrective. Adequate ablutions / toilets / washing facilities. Appropriate clean & cool rest area with clean & cold drinking water. Food storage facility. Changing rooms with facility for keeping protective clothing used at work (locker). Prayer area clearly identified & kept clean all the time Safe access & egress to and from the facility Welfare facilities are in clean good hygienic condition. Designated smoking area with proper fire fighting equipments Approved By: Position. Name. Date. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 52. Signature.

(123) Checklist Working Platforms and Cantilevers. Ref. No. : ADM/HSED/FM/003/10 Issuance Date: July 2010 Issue No.: 01. General Information Company Name:. Project Name:. Conducted By:. Date:. Poor: Absence of major control measures (high risk), work to be stopped and risk assessment to be reviewed immediately. Fair: Some minor controls are missing (medium risk), additional control measures to be implemented. Good: All required controls are in place (low risk), only monitoring is required.. Description Evaluation Evaluation. Item. Good. Fair. Poor. N/A. Remarks Remarks (insert your your observation,and (insert observation,proposed and corrective action plan) action plan) proposed corrective. Platform is properly designed (the minimum dimension are in accordance with the safety standards) and suitable for the purpose. Platform free of damage and in good condition. All platform planks tied down properly with no gaps between planks. Proper falling protection provided (handrail, mid-rail, toe board, boy harness, lifeline & safety net). Load capacity identified and clearly marked. Platforms are not used to carry another platform. Adequate bracing / outriggers installed (Mobile Elevated Working Platforms MEWP). 3rd party inspection. Regular maintenance & adherence to the manufacturer’s manual (MEWP & cradles). Cantilever provided with guard rail, mid rail, toe board, & mesh / bricks guard. Cantilever should not be overloaded (apply only tested load). Cantilever must be inspected whenever installed, altered, or shifted by competent person. Proper PPE should be provided. Approved By: Position. Name. Date. Signature. EHS Engineer/Manager HSE Engineer / Manager Distribution and Acknowledgment: Project Manager Project Engineer. Note: For guidance and it is not limited to its content. 53.

(124) The following screen windows illustrate the steps on how to upload the EHS plan into the Building Permits Electronic System (CDP).. 54.

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References

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