Contractor HSE Management System Criteria

A B C D
Section 1: Leadership and Commitment

Commitment to HSE through leadership: Item 1 (1)
No commitment from HSE disciplines Evidence of active Evidence of a positive
senior management delegated to line senior management HSE culture in senior
managers – no direct involvement in HSE management and at all
involvement by senior aspects levels
management
Section 2: Policy and Strategic Objectives
HSE policy documents and availability: Items 2(1) and 2(2)
A Policy statement exists A policy statement exists HSE policy Policy with clearly
but responsibility for HSE with clear responsibility establishes established
is unclear. for HSE but not in a responsibility for HSE responsibility and
widely distributed in languages easily accountability; is
document understood, but not distributed to all
widely distributed employees; and is
visible on notice boards
Section 3: Organization, Responsibilities, Resources, Standards and Documentation

HSE communication and meeting programmes: Item 3(1)
No management Management involvement Regular management Regular management
involvement or and commitment toward involvement and involvement and
commitment toward HSE HSE in special occasion commitment toward commitment toward
activity only, likewise for periodic HSE. HSE meetings HSE. Regular HSE
HSE meetings. performed on a meetings performed
regular basis at and employees are
management and assigned topics to
supervisor level discuss on a rotational
basis
Staff HSE training Item 3(2)
No HSE training HSE training established HSE training HSE training
established but not implemented. established and established and fully
implemented but only implemented to all staff
to a limited staff only. related to the work.

Panduan penilaian subkontraktor PT. HOS
HSE P12B

implemented on a regular basis. Qualified HSE professional are employed. implemented. HOS HSE P12B . provided for new Employee handbook Employee handbook employees but no on-the. Standards and Documentation (cont’d) Employee competency and HSE training: Item 3(3)(a) . SHE Performance Standards: Items 3(7) (a) .Verbal instructions employee and new employee and new on company procedures employee on HSE. Supervisor has explained to him safe practices and emergency duties Specialized training: Items 3(4) (a) and (b) and 3(5) No specialized HSE Specialized HSE training Specialized HSE Specialized HSE training established established but not training established training established and implemented. Responsibilities. standards. outlines. With: employee's job follow-up observation of the new employee's work is also included. Subcontractors: Item 3(6) (a) . only for new employee. provided and provided and supervisor job orientation by supervisor outlines. industry regulatory regulatory standards only. knowledge on HSE.(d) No formal programme Formal program Formal program Formal program established to update established and established and employee knowledge on implemented for implemented for HSE. employee on HSE. Retraining periods are established. Resources.(c) No HSE performance HSE performance HSE performance HSE performance standards available standards established for standards established standards established limited purposes only or and in compliance with and in compliance with partial and in compliance local industry local and global with local industry regulatory standards. covering established and established and fully limited area only but not implemented. explains and supervisor explains and demonstrates new demonstrates new employee's job. Quality implemented yet. subcontractor are subcontractor are subcontractor are established. Panduan penilaian subkontraktor PT. and implemented.(c) No assessment program Assessment program and Assessment program Assessment program for subcontractor standards for and standards for and standards for established. assurance for compliance in place. Update employee Update employee Orientation booklet knowledge on HSE. Contractor HSE Management System Criteria A B C D Section 3: Organization.

HOS HSE P12B . etc. temperature extremes etc. fumes. physical and biological hazards such as noise. Panduan penilaian subkontraktor PT. Contractor HSE Management System Criteria A B C D Section 4: Hazards and Effects Management Hazards and Effects Assessment: Item 4(1) Company's HSE system Company's HSE system Company's HSE Company's HSE does not include hazards makes reference to the system includes system has a and effects assessment need to assess hazards methods for the comprehensive set of and effects but has no assessment of major methods for the comprehensive structure hazards and effects assessment of all HSE to carry this out hazards and effects and applies them to all of its contracts with documentation Exposure of the workforce: Item 4(2) Company does not Company advises the Company has formal Company has a set of actively advise the workforce of the major methods for formal methods for workforce nor monitor hazards that they are monitoring exposure monitoring exposure to exposure likely to be exposed to but to the major hazards all foreseeable hazards only monitors exposure (linked to its hazards randomly and effects assessment method) and applies them to all contracts Potential Hazards (chemical. encountered in its follow-up site contracts and has formal methods of information distribution to all personnel and trains its workforce in handling.): Item 4(3) Company makes no Company provides Company distributes Company maintains a special provision for information to workforce information to database of the advising the workforce in the workplace on individuals in the properties of all about properties of properties of potential workforce at start of potential hazards potential hazards hazards but has no active their involvement on. vapors. radiation.

and is visible on notice boards Panduan penilaian subkontraktor PT. minimize human health impacts providing a workplace free of recognized health Alcohol and Drugs Items 4 (7) No alcohol and drugs An alcohol and drugs An alcohol and drugs Drugs policy with policy written policy statement exists policy includes clearly established but not in a widely establishing responsibility. Training in use provided where needed Waste management: Item 4(5) Company has no formal Company has general Company has Company has a formal methods for the control of procedures for waste procedures for the system for waste waste disposal disposal of each of the management (including main categories of site identification. HOS HSE P12B . Stock inventories monitored. wastes but makes no minimization and provision for classification). kept above demand levels. recognizes hazards manages operations to but is not followed up. and disciplinary clause is widely distributed distributed to all employees. Contractor HSE Management System Criteria A B C D Section 4: Hazards and Effects Management (cont’d) Personal protective equipment: Item 4(4) Basic PPE provided to PPE requirements PPE requirements Procedures in place to personnel but no formally assessed but formally assessed with assess all PPE corporate procedure for little effort made to ensure spot checks on usage requirements monitor assessing individual correct usage and enforce usage and needs replacement needs. which minimizing actively seeks to environmental impact minimize environmental impact Industrial Hygiene Items 4 (6) No Industrial Hygiene Basic policy exists but is A policy exists and A policy exists which policy exists. and accountability. not enforced. distributed document responsibility and accountability.

periodic ensure control and sources.e. Contractor HSE Management System Criteria A B C D Section 5: Planning and Procedures HSE or operations manuals: Item 5(1) (a) and (b) No HSE procedures / Basic HSE Contractor has written Contractor has manual is available procedures/manual exist HSE procedures to cover all procedures/manual to HSE precautions/manual. company outlining supervisory inspections conducted by maintenance of plant inspections. teams of specialists confined to worksite frequency and follow- personnel only up is in effect Transport Safety Management: Item 5(3) No special attention paid Importance of transport Company has a Company has a complete to transport safety as an safety acknowledged but general management strategy and set of plans area of hazardous left to core business strategy with some and procedures covering activities managers/supervisors to procedures for its vehicles. Supervisory guidelines. top management or by and / or equipment inspection of equipment responsibilities. i. drivers and enact individually component issues operations management Section 6: Implementation and Performance Monitoring Management and performance monitoring of work activities: Items 6(1) No system for formally Informal/incidental Company has a Company has a monitoring HSE monitoring HSE system for monitoring comprehensive system performance at all performance only HSE performance in for monitoring key areas performance in all areas with feedback to employers for improvement and has received awards for achievement Panduan penilaian subkontraktor PT. HOS HSE P12B . cover all hazardous typical contractor HSE operations Plan requirements with a system of updating and dissemination to employees Equipment control and maintenance: Item 5(2) No defined programme to Program relies on outside A written programme In addition to C.

Contractor HSE Management System Criteria A B C D Section 6: Implementation and Performance Monitoring (cont’d) Statutory notifiable incidents. HOS HSE P12B .(d) Contractor supplied Rate is not improving Shows only minor rate Rate steadily improving insufficient information to improvement by more than 20 per cent establish rate or rate per year increases Incident Investigation and reporting: Item 6(4) (a) .(d) Procedure are available Procedure are available Procedure are As in C but with the but Findings not generally and Findings available and Findings addition of details of communicated communicated to key communicated to all implication for improving personnel only via limited employees via specific HSE performance company internal memo company notice or similar media Panduan penilaian subkontraktor PT. improvement requirements and prohibition notices: Items 6(2) More than one One occurrence of a Occurrences relate to No occurrences in the last occurrence of major major incident in the last minor incident(s) only five years incident in last five years five years HSE Performance records (Latest year injury rate comparison to contractor’s three preceding years average): Item 6(3) (a) . dangerous occurrences.

fires/explosions. scenarios. e. Section 9: SHE Management . e. release of toxic or flammable toxic or flammable materials and medical materials and medical emergencies. Contractor HSE Management System Criteria A B C D Section 7: Auditing and Review Auditing: Item 7(1) (a) . fires/explosions. requirements Procedures established for drill documented in an frequencies.Additional Features Membership of Associations: Items 9(1) and 9(2) No memberships Company has Company is a member Company is an active Membership of at least of at least one HSE participant in at least one association but with association one HSE association no prominence given to HSE Panduan penilaian subkontraktor PT.g. which is widely distributed. No emergencies. Frequency of conducting drills established.(d) Audit process is cursory Company HSE Company HSE As in C but additionally only . Emergency Procedures Manual. H2S.HSE documents documents include documents include specifies are not explicit about reference to auditing but details of how auditing management's role in auditing there are no specific is to be implemented audit and follow-up on details about scheduling with action items and coverage schedules/coverage for the key areas Section 8: Emergency Response Procedure Emergency Response Procedure No written Emergency Basic procedures only. procedures written for written for major major scenarios. evacuation. release of evacuation.g. H2S. Emergency Emergency procedures Response. HOS HSE P12B .

RESPONSIBILITY. STANDARDS AND DOCUMENTATION SECTION 3 – ITEM 3 (1) 0 4 8 12 SECTION 3 – ITEM 3 (2) 0 4 8 12 SECTION 3 – ITEM 3 (3) (A) – (D) 0 4 8 12 SECTION 3 – ITEM 3 (4) (A) AND (B) AND 3 (5) 0 4 8 12 SECTION 3 – ITEM 3 (6) (A) – (C) 0 4 8 12 SECTION 3 – ITEM 3 (7) (A) – (C) 0 4 8 12 Subtotal X1/6 SECTION 4 – HAZARDS AND EFFECT MANAGEMENT SECTION 4 – ITEM 4 (1) 0 4 8 12 SECTION 4 – ITEM 4 (2) 0 4 8 12 SECTION 4 – ITEM 4 (3) 0 4 8 12 SECTION 4 – ITEM 4 (4) 0 4 8 12 SECTION 4 – ITEM 4 (5) 0 4 8 12 SECTION 4 – ITEM 4 (6) 0 4 8 12 SECTION 4 – ITEM 4 (7) 0 4 8 12 SUBTOTAL X1/7 TOTAL (SECT 1-SECT 4) Panduan penilaian subkontraktor PT. which best represents this evaluation based on the criteria for rating purposes attached. RESOURCES. HOS HSE P12B . A B C D Subtotal Factor Total SECTION 1 – LEADERSHIP AND COMMITMENT 0 4 8 12 SUBTOTAL X1 SECTION 2 – POLICY AND STRATEGIC 0 4 8 12 OBJECTIVES Subtotal X1 SECTION 3 – ORGANIZATION. Contractor HSE Management System Evaluation Contractor : _____________________________________________ Address : _____________________________________________ Date : _____________________________________________ Phone : _____________________________________________ Circle the number.

SUBTOTAL (SECT 1 – SECT 4) A B C D Subtotal Factor Total SECTION 5 – PLANNING AND PROCEDURE SECTION 5 – ITEM 5 (1) (A) AND (B) 0 4 8 12 SECTION 5 – ITEM 5 (2) 0 4 8 12 SECTION 5 – ITEM 5 (3) 0 4 8 12 SUBTOTAL X1/3 SECTION 6 – IMPLEMENTATION AND PERFORMANCE MONITORING SECTION 6 – ITEM 6 (1) 0 4 8 12 SECTION 6 – ITEM 6 (2) 0 4 8 12 SECTION 6 – ITEM 6 (3) 0 4 8 12 SECTION 6 – ITEM 6 (4) 0 4 8 12 SUBTOTAL X1/4 SECTION 7 – AUDIT AND REVIEW 0 3 7 10 SUBTOTAL X1 SECTION 8 – EMERGENCY RESPONSE 0 3 7 10 PROCEDURE SUBTOTAL X1 SECTION 9 – SHE MANAGEMENT – 0 2 5 8 ADDITIONAL FEATURES SUBTOTAL X1 TOTAL RATING (SECT 1 – SECT 9) Panduan penilaian subkontraktor PT. HOS HSE P12B .

TOTAL RATING _____________*) EVALUATED BY: NAME NAME TITLE TITLE DATE DATE *) FOR A BIDDER TO QUALIFY AS ACCEPTABLE. SELECTION SHALL BE MADE FROM THE FIVE BIDDERS HAVING THE HIGHEST TOTAL RATING. THE TOTAL RATING MUST BE EQUAL OR MORE THAN 65. The total represents the overall score for the Contractor. HOS HSE P12B .SUMMARY The numerical values below are the weighted ratings calculated above. PROVIDED THAT THE PRIMARY FACTORS THEREOF MUST BE THE HIGHEST RELATIVE TO THE OTHER BIDDERS’ PRIMARY FACTORS. Panduan penilaian subkontraktor PT.0 IF INSUFFICIENT NUMBERS OF BIDDERS ARE QUALIFIED.