Reliance Industries Work Change Order

RELIANCE INDUSTRIES LIMITED
Taluka Roha,, Nagothane

DIST. Raigad-402125, MAHARASHTRA, INDIA
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969 Email: Amitesh.Saha@ril.com
WORK CHANGE ORDER
342159 Work Order No. : NSM/31041449

SRI KRISHNA DESCALERS PVT LTD Revision No. : 0001
6,RAJ ESTATE Date : 11.08.2011
BEHIND DASHRATH BUS STOP
DASHRATH
VADODARA GUJARAT
Pin Code: 361740
Attention : MR. V SRINIVASAN

Tel.No. : 9974015951
Fax.No. : 02652241995
E-Mail : KRISHNADESCALERS@SIFY.COM
WORK CHANGE ORDER - DO NOT DUPLICATE

This WORK CHANGE ORDER is issued to incorporate the following change(s) to the above noted Work Order:
To incorporate additional WO line item 2.10 for LDPE Plant.
______________________________________________________________________________
Amendment to the Total Price as a result of this Revision INR 41914.00
Original/Previous Total Work Order Price : INR 440097.00
Revised Total Work Order Price : INR 482011.00
Revised Value in Words : Rs. Four Lakh Eighty Two Thousand Eleven only
______________________________________________________________________________
ALL OTHER REQUIREMENTS, TERMS AND CONDITIONS SHALL REMAIN SAME AS PER THE
ORIGINAL WORK ORDER AND ANY PREVIOUS CHANGE ORDER REVISION(S).
______________________________________________________________________________
It is important that Contractor signs and returns the Work Change Order Copy within three (3) days of receipt. No other form
of Order acceptance will be accepted. Failure to return the copy does not diminish responsibilities as set forth here in but may
result in a delay to any payments that may be due.
______________________________________________________________________________
FOR RELIANCE INDUSTRIES LIMITED
BUYER : BHATT Authorised Signatory

______________________________________________________________________________
Contractor's Acceptance :
Engineer Incharge : Mr. Anant Mitawalkar, Mob
Validity From :11.07.2011 TO 31.08.2011
__________ __________ __________
Signature Title Date
REGISTERED OFFICE : 3rd Floor, Maker Chambers IV 222, Nariman PointMumbai -400021
WORK CHANGE ORDER W.O.Number NSM/31041449
Revision No : 0001 Dt. 11.08.2011
Page No: 1
OTC-43/1112: ONLINE OIL FILTRATION IN GC & LDPE PLANTS AT RIL-NMD.

*** Incoterms changed ***
This is my chnage remarks
*** Text changed ***
This is my chnage remarks
___________________________________________________________________________________________________
No Item Code Material/Work Description Quantity UOM Price Details Unit Rate Amount (INR)
___________________________________________________________________________________________________
___________________________________________________________________________________________________
1 ONLINE OIL FILTRATION - GC 1 PU
Value of Work INR/PU 399,000.00
Service Tax 10.00 % 39,900.00
Education Cess 2.00 % 798.00
Education Cess(S & H) 1.00 % 399.00
___________________________________________________________________________________________________
The item covers the following Work :
10 3166935 OIL FILTRATION FOR MECHANICAL EQUIPMENTS 21,000 PLT - Per Litre
Net value of item 19.00 399,000.00
Filtration of Hydraulic/Lubricating/Synthetic Oil using Contractor's Filtration Unit and achieving the purity level as specified and directed by EIC. Top up of extra oil in equipment after filteration is in vendors
scope.The necessary oil for top up shall be provided by the company. All other details shall be as per detailed scope of work attached.
(Rates inclusive of mobilisation/ demobilisation charges.)

___________________________________________________________________________________________________
2 ONLINE OIL FILTERATION - LDPE 1 PU
Value of Work INR/PU 38,000.00
Service Tax 10.00 % 3,800.00
Education Cess 2.00 % 76.00
Education Cess(S & H) 1.00 % 38.00
___________________________________________________________________________________________________
The item covers the following Work :
10 3166935 OIL FILTRATION FOR MECHANICAL EQUIPMENTS 2,000 PLT - Per Litre
Net value of item 19.00 38,000.00
Filtration of Hydraulic/Lubricating/Synthetic Oil using Contractor's Filtration Unit and achieving the purity level as specified and directed by EIC. Top up of extra oil in equipment after filteration is in vendors
scope.The necessary oil for top up shall be provided by the company. All other details shall be as per detailed scope of work attached.
(Rates are inclusive of mobilisation/ demobilisation charges.)
___________________________________________________________________________________________________
WORK CHANGE ORDER W.O.Number NSM/31041449
Revision No : 0001 Dt. 11.08.2011
Page No: 2
Total Value of Work INR 437,000.00

Total Expected Value 0.00
Total Service Tax INR 43,700.00
Total Education Cess INR 874.00
Total Education Cess(S & H) INR 437.00
___________________________________________________________________________________________________
Revised Total Work Order Price: INR 482,011.00
Original/Previous Total Work Order Price: INR 440,097.00
Amendment to the Total Price as a result of this Revision INR
___________________________________________________________________________________________________ 41,914.00
:
Annexure-I : Spcial Conditions of Contract(SCC).
Annexure-III : General Conditions of Contract (GCC).
Annexure-IV : Contractors Roles & Responsibility.
Annexure-V(a to h) : All Safety annexure.
Various Formats
1. Undertaking Format
2. Declaration Cum Indemnity Bond
3. Invoice Format
Attachments:
Annexure-II : General Conditions of Contract (GCC).
:
Pro-rata payment(s) shall be made Within 30 Days from Invoice Scroll Date
Engineer-In-charge :
Mr. Anant Mitawalkar, Mobile: 0998705110,
Email: anant.mitawalkar@ril.com
___________________________________________________________________________________________________
Note(S): 1. It is essential that the Contractor shall mention ItemNo. & Item code along with corresponding Material/Work Description and W.O.No. as mentioned above, in
the Delivery challan (On-Shore Order), Measurement sheet and invoice for ease of material Inwarding, Certification of work and Bill Processing. Failure to do so may be the
grounds for the rejections(s) or delay in release of payment(s).
Following details are required to be mentioned on all Invoices raised by you:
Consignee: Reliance Industries Limited,
M.G.C.C., Nagothane-402125
ECC No./Registration No./PLA No.: AAACR5055KXM026
VAT TIN NO 27110386481V dt 01.04.2006
CST TIN NO 27110386481C dt 01.04.2006
PAN No. : AAACR5055K
In case, you are supplying consignment as First Stage/Second Stage dealer, then in addition to the above information, the following additional information are also required to be mentioned
in your invoices.
Range : Nagothane - I
Division : Alibaug
Commissionerate : Raigad
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: Amitesh.Saha@ril.com
ANNEXURE I : SPECIAL CONDITIONS OF CONTRACT (SCC)

The following are the Special Conditions applicable to this contract which shall be read in conjunction with
the General Conditions of Contract, Specifications, drawings and/or any other document forming part of the
contract. In respect of terms and conditions, not explicitly provided in this Special Terms and Conditions,
provisions of General Conditions of contract are applicable."
A) Technical Terms & Conditions

1.0 JOB COMPLETION TIME:
For GC Unit: The job shall be completed within 10 days from the date of issue of front clearance/ first work
permit.
For LDPE Unit: The job shall be completed within 03 days from the date of issue of front clearance/ first
work permit.
2.0 Working hours pattern:

Working hours pattern shall be on round the clock basis in shifts of 12 hours each.
Contractor shall carry out the work on Sundays and Holidays as per RIL requirements.
3.0 MOBILIZATION TIME:

3.1 Contractor shall mobilise all resources including tools and tackles and manpower resources within 4
days from the date of issue of work order/LOC.
3.2 Contractor shall mobilise resources at the earliest but not later than 13/07/11.
4.0 BROAD SCOPE OF WORK/SUPPLY:

I) Scope of WORK General :
1. The work shall be performed in accordance with the applicable codes and practices.
2. Contractor shall make himself fully conversant with the locations and the type of job to be carried out
therein so that he clearly underst ands the scope of work and assess the requirement of resources required
to complete the work in scheduled time. He shall contact the respective Engineer-in-charge for this purpose.
3. The Contractor shall prepare plan for execution of jobs and get the same approved by
Engineer-in-charge. The contractor shall submit progress report at specified intervals and shall be
responsible to ensure the specified progress.
4. OWNER reserves the right to off load part or total quantum of the job depending upon the exigencies.
5. If the quality of job carried out is not to the satisfaction of the Engineer in charge, whose decision will be
final and binding on the contractor, the same job will be got done by employing any other contractor and the
charges paid to other agency plus 20% will be recovered from the contractor's bill.
6. In the event of non availability of consumable and other materials (under OWNER scope), the contractor
shall arrange to procure and supply the same on specific request made by Engineer in charge and the
contractor is entitled to charge the actual reasonable market cost of the same plus 10% (Ten percent) for all
such supplies. The purchase should be done from a sales tax /VAT registered party only. The claim
should be supported by the original copy of the cash memo with gate entry stamped as per GCC.
7. The contractor shall work as per instructions & priorities given by Engineer-in-Charge.
8. Execution of job includes execution of all preceding and connected jobs.
9. The contractor would enter into secrecy agreement with OWNER with respect to all drawings, design
documents / information that they may come across during course of execution of the job.
10. The contractor should comply with all applicable laws including labour laws, regulations, ordinances etc
WORK ORDER
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Fax : 0091-2194 -668969
of the state / province pertaining to the work.
II) Scope Of Work Technical:

The scope of work includes but not limited to:
1. To carryout filtration of Lube oil/Seal units of CG Compressor (10,500 litres); C2R & C3R Compressors
(9,000 litres), Expander Compressors (1,500 litres) Units of Gas Cracker Plant and 30P41 lube oil console
(2,000 litres) of Hyper Compressor Unit of LDPE Plant. Filtration to be done NAS 6 or lower by deploying
sufficient nos. of trained personnel and resources at Owner's site for round the clock working on all days
(Sundays/Holidays) .
2. Contractor shall mobilise at least 2 units of Filtration Systems with all the required material viz; Brass
Pre-Filter with 600 micron stainless Steel cartridge, Tushaco brand Rotary Gear Pump, 0.5HP single phase
220 volts motor 1450rpm, fitted with Complete Electrical Panel, Pressure Gauge, Pressure cut-off switch,
Hour meter, hose (6m/unit) and contamination patch testing kit.
3. To mobilize adequate no. of filters to ensure continuous operation of filtration system.
4. To carryout Oil purity test using patch testing method.
5. To mobilize the filtration unit with all accessories, consumbles from Contractor's warehouse to Owner's
site and back.
6. To arrange mob-demob of crew from Contractor's works to Owner's site and back.
7. To carryout all connections required to establish circulation loop of oil reservoir and filtration unit.
8. To &Fro arrangement for their men & material.
III) General Scope:

1. Attending job as per SOR.
2. To Carryout the jobs in a manner as per the instruction of Engineer- in - charge. Job to be performed at
all heights and locations.
3. To take due care of items while handling and shall be liable for recovery for the loss / damage occurred
due to mishandling.
4. Jobs done by contractor shall be inspected by Reliance as per ITP/ Instructions of Engineer-In-Charge. If
any non-conformance is observed, contractor will attend/ rectify/ repair the same free of cost.
5. To mobilize sufficient resources including all hand tools / equipments, as required for the job based on
the target date of completion. All the lifting tools & tackles / measuring instruments used by the contractor
shall be duly tested & certified by authorized agency. Copies of all test certificates shall be produced for
checking by RIl before commencement of the job.
6. To arrange for collection of the material as per the requisition made by the Engineer In-charge from the
stores/ designated area including loading and unloading. Materialsinstalled shall be strictly as per
specification.
7. All other jobs covered in the tender document / scope of work.
8. Insurance of contractor's employees, tools & tackles & equipments .
9. Contractor to follow all safety norms as per present HSE norms indicated in GCC and as per revised HSE
norms from time to time.
10. To ensure that the work planned by Engineer-in-charge is completed in schedule. In the event of back
log, the contractor to increase the resources to make up for the unfinished work and to work during
extended hours or round the clock without any extra cost to OWNER.
11. Contractor to provide safety appliances like dust masks, safety harness, ladder, safety shoes, helmet,
hand gloves, safety goggles, PPE, rain gears, Overalls etc. to their personnel working inside the Complex at
his cost and should adhere to safety codes as given in General Conditions of the contract.
12. Contractor to maintain proper record of his tools & tackles, equipment, machinery and any other items
issued to him from owner's stores, with proper gate entry & shall provide access to Engineer In charge for
its inspection as and when required.
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13. All materials, auxiliary equipment and consumable required for doing the job including operation of
auxiliary equipments.
14.Reconciliation of Free Issue Material : Not applicable for this job.
5.0 RIL's scope of work and supply:

5.1 Power, Water, Compressed air required for the job will be in RIL Scope of Supply.
5.2 Providing Job & material specifications, Drawings etc.
5.3 To provide additional storage reservoir if filtered oil is to be stored separately.
5.4 To certify the purity of the filtrate.
5.5 To provide P&M like fork lift/ hydrafor Unloading/Loading and shifting of Filtration Unit and its
accessories within the Plant limits.
5.6 To fabricate flange/fittings/clamp at suction & discharge of filtration unit required to connect with Lube
Oil sump. Isolation of lines.
5.7 Inspection & Certification of Elect Equipemnts.
5.8 Issue of valid work permit on round the clock basis.
5.9 To get the work front available.
5.10 Flood lighting and hand lamps at the job site.
5.11 Free electricity (including 110 V supply), air & water for the job at designated locations at utility service
points only.
5.12 Lodging & boarding at Madhuvan guest house free of cost.
5.13 Local transportation shall be provided to contractor free of cost.
5.13 In case of emergency only first aid medical facility shall be provided on chargeble basis. RIL will have
no liabilities towards injuries caused to any contractor's personnel in case of any accidents.
B) Commercial Terms & Conditions

1.0 PRICE BASIS:
1.1 The agreed rates are inclusive of all taxes & duties except Service Tax, which shall be paid extra.
1.2 SERVICE TAX:
Service Tax at applicable rate (Presently, Service Tax 10%, Edu. cess 2% of ST & SHE cess 1% of ST)
shall be paid extra on actual billing amount on submission of copy of PAN based Service Tax registration
certificate for the specific category of service and invoice in duplicate containing following details at the time
of raising your claim.
a) Serial No.
b) Name, Address and the Registration Number of the Service provider.
c) Name & Address of the persons receiving taxable service.
d) Description, Classification and value of taxable service provider.
e) Service Tax payable thereon.
f) Category of service for which registered.
g) Description of service provided.
h) Value of service provided.
i) Service tax amount paid or payable (Service Tax, Education Cess & SHE Cess amount should be shown
separately in invoice).
j) Period of Service from _______ to _______
Service Tax applicability will be considered only if a copy of PAN based Service Tax Registration Certificate
indicating Service Tax Registration Number and the Services for which registration was done is submitted
by the Bidder.
WORK ORDER
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1.3 Contractor has to provide Service Tax Invoices separately showing the service tax element, if service tax
is applicable.
1.4 The rates offered by you shall include following:

-Cost of labour, tools, tackles & supervision and any incidental expenses thereon.
-Cost of transportation, medical test of contractctor's workmen.
-Rates shall be valid for all heights and locations.
-Cost of auxiliary equipments, consumables and all operations for completing the job
-Any other cost related with the job execution shall be included in order to have one point responsibility on
you.
2.0 PAYMENT TERMS:

2.1 No advance payment shall be made.
2.2 Separate Bill Invoice in duplicate as per given format on contractor's original letter-head has to be
submitted for scrolling in F&A Dept. alongwith measurement sheets duly certified by Engineer-in-charge.
2.3 Invoice shall be submitted exactly as per the original work order in line with the line items with actual
quantity executed. Additional quantity (other than WO) shall be claimed only after the issue of amendment
to the work order. Also where the rates are not available but the jobs are executed as per the instructions of
Engineer-in-charge, contractor shall submit the invoice only after the issue of Amendment to original work
order. Accordingly payment shall be released in two phases i.e based on Original WO & based on
Amendment to original WO.
2.4 If the job execution is less than 20,000 litres of oil

filtration then, a minimum payment of Rs.3,80,000/- shall be made
for 20,000 litres of oil filtration.
If job execution is more than 20,000 litres of oil filtration
then, payment shall be made as per the actual job execution and
certification by RIL Engineer-in-charge.
2.5 MODE OF MEASUREMENTS: JOINT MEASUREMENT SHEET(JMS):
Concerned EIC will maintain a record of measurements for each deployment. After completion of
job,immediately vendor shall prepare & submit JMS in the website :http://scm.ril.com/. The JMS is to be
certified & approved by EIC and QSD.
The vendor shall submit the invoice along with certified JMS copy, as per the terms of the contract within 14
days from the date of completion of job directly to the Finance Department for scrolling and release of
payment. While submitting the Invoice the Vendor shall attach a copy of certified joint measurement sheet.
2.6 Payment shall be made within 30 days from date of submission of bill for scrolling and job certification
by EIC after completion of job, through E-Payment only as per the payment methodology given at 2.7
below.
2.7 Payment Methodology:

Payments shall only be released by e-payment through the designated banks i.e. HDFC Bank/ICICI Bank or
Citibank,
OR
a bank neutral system namely RTGS and NEFT.
WORK ORDER
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In case any clarification on the electronic payment is required, please contact immediately on e-mail to
sunil.shastri@ril.com.
2.8 Submission of PF challan copy and WC policy for obtaining "Clearance for Statutory Compliance" from
RIL Contract Labour Cell, shall be attached with Bill Invoice.
3.0 PENALTY FOR DELAY IN COMPLETION OF JOB:

IWaived off for this job.
4.0 As per statutory requirements, you shall submit the following details:
a) Postal Address to which Cheque should be sent
b) Name & address of the Bank with type of bank account & Account No. (Current/Saving)
c) Permanent Account No. (PAN)
d) Provident Fund A/c. No.
e) PAN based Service Tax Registration No.
f) CST TIN No.
g) M-VAT-TIN NO.
h) Central Excise Duty Registration No.
i) Small Scale Industry Registration No.
j) Any other taxes duties
Note: 1. If any of the above information is not applicable, you should fill as "Not Applicable".
2. Please furnish copies of the said Registration Certificates alongwith your offer.
5.0 You shall be responsible for any losses incurring to the company or its agencies or its employees or its
property by way of negligence of safety/security rules on the part of contractor or its labour or its agency
during the execution of the contract or any damage/non returning of the issued items, covered under RIL
scope of supply, damage of any components while assembling or loss of any part including hardware due to
negligence of contractor, the RIL Engineer-in-charge will decide about recovering the cost of such items at
the prevailing price from the contractual bills.
6.0 SECURITY DEPOSIT:

Waived off for this job.
7.0 GUARANTEE:
Not applicable.
8.0 TERMINATION OF THE CONTRACT:
8.1 The Contractor should note that the Contract may be terminated at any period of time during the
Contract tenure with one week's notice in advance at the discretion of RIL without assigning any reason
thereof.
8.2 If contractor is unable to comply with the safety rules & regulations, RIL management has the right to
terminate the subject contract at any stage of work & get the job done with alternate Vendor at contractor's
risk & cost.
9.0 EXTENSION OF THE CONTRACT:

Contractor shall be committed to extend the validity of the Contract till the Contractual agreement tenure.
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Further extension shall be as per the mutual agreement between RIL & the Contractor.
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ANNEXURE II : General Conditions of Contract

Genereal conditions of contract as per the attached annexure.
WORK ORDER
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ANNEXURE III : Contractor Personnel's

Roles/Responsibilities/Accountabilities for Annual
Contracts and OTCs are to ensure following:
To ensure Safety of contractor's personnel and all other persons working around their work place.
To Conserve environment.
To Study and Comply with General Standards and Job specific Standards given in Work Order. (Examples
are standards for RA,TBRA. Scaffolding, working at heights, working in confined space, using proper
PPE's, proper tools, proper equipments, proper procedures.
To Observe safe practices & procedures communicated time and again.
To discharge responsibility for Contractor's own safety performance.
To Communicate clearly to your each person on RIL NMD's safety requirement
To monitor, improve and sustain Safety Performance of your company.
To Establish safety record for above given standard.
To make Improvement in overall safety performance of your company and make it visible and measurable.
To study & comply with basic safety rules and ensure your personnel follow it in RIL NMD.
To bring manpower at workplace only after Safety Induction Training is taken and each one have been
validated.
Validity of this certificate shall be 12 Mnths. You shall get it revalidated.
To engage a qualified Safety Representative as per job requirement.
To ensure Safety Representative shall train youir workmen, keep records of training and organize refresher
courses. programmes through contractor safety Management representative. as per the following heads.
Date and time of training given
Name and Signature of Safety Representative
Name and Signature of individual taken the training
Periodically contractor workmen training activities will be audited by record checking and validation at
random by Safety Dept.
To organize On Job Training to all your workmen and validate.
To organize training on Specific hazards related to the plant, Precautions to overcome these hazards,
interpretation of alarms, Locations of fire extinguishers, Locations of First Aid Boxes, Escape routes,
Location of assembly points.
To inspect tools and tackles issued to workmen every day.
To conduct Toolbox talk. To ensure all tools /Tackles and accessories are complying with statutory
requirements. To conduct internal Safety audits by our safety representative for your resources.
To stop the work when found working unsafely, until the situation is rectified. Delay in work as a result of
such stoppages shall be regarded as a breach of contractual obligations. To avoid any serious violation by
the contractor,You shall keep re
o ensure that there is no violation of safety standards. In case of repeated non compliance/safety
violations, such contractor's name shall be removed from the approved contractors list.
Accidents/Incidents Reporting:
To report all accidents, incidents, property damage and near miss cases pertaining to contractor activities to
EIC.
To report to the plant personnel , in case of any injury to Contractor employee.If no body is available, you
Project superintendent/Site Incharge/Proprietor/ForemanisSafety resource(Safety Representative)/All
workmen
To ensure that all tools and equipment used by his working crews are maintained in good working order and
have been tested by the competent authority as per requirement of Factories Act and Maharashtra
Factories Rules. Records should be
To employ qualified, trained, skilled and experienced persons for specified activities.
To appoint adequate number of supervisors, who will be responsible for implementing their safety
programmed.
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To consult the EIC prior to changing supervisory personnel so that continuity of the contractor's supervision
is maintained in order to meet the required safety standards.
To nominate safety representative as a member of concerned plant safety committee and to ensure that
member so nominated takes active participation in regular meetings of these committees.
He is responsible for overall coordination of the safety procedures prescribed herein:
To work closely with concerned field engineer/shift supervisor and area safety officer/manger.
To facilitate RIL Personnel to carry out safety inspections of his site.
To comply with recommendations given by EIC.
To attend regular meetings of safety committee whenever called by EIC.
To get information from EIC on hazards associated with a particular job and to ensure that necessary
precautions are taken during the execution of that job accordingly.
To take action in consultation with EIC to rectify the unsafe conditions in work site prior to start of the work.
When work is in restricted area, to select personnel experienced with the work and will ensure that all safety
requirements are being adhered to.
To review the work area for unsafe practices and conditions and initiate corrective actions as required.
To maintain a constant awareness of fire hazards in their area of work and to take action to eliminate the
fire hazards if possible. Matters beyond his ability to handle shall be reported to EIC.
To know the plant emergency procedures to broaden the leadership base, which may be required to cope
up with serious accidents, personal injuries, fires or evacuation.
To provide all relevant information to incident investigation team for any incident resulting in personal injury,
environmental damage within his limit.
To deliver 5-10 minute safety talk every week to group of contractor personnel under his control. A group
should not be more than 15 people at a time.
*****
WORK ORDER
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ANNEXURE-IV(a)
SAFETY REQUIREMENTS
1.0 Failure to comply the safety requirement shall be entail to penalty or terminate the contract at any stage
of work. In this regard the decision of RIL management is final.
2.0 You have to follow the Procedure for Confined Space Entry of RIL & for details contact EIC before
stating the job..
3.0 You have to follow the Procedure for Working at Heights of RIL & for details contact EIC before stating
the job.
4.0 You have to follow the Procedure for Lockout Tagout of RIL & for details contact EIC before stating the
job..
5.0 You have to follow the Procedure for Scaffold Safety of RIL & for details contact EIC before stating the
job..
6.0 You have to follow the Procedure for "Hot Work Permit" of RIL & for details contact EIC before stating
the job..
8.0 USE OF PPEs:

8.1 GENERAL PURPOSE PPEs
Contractor shall compulsorily provide safety helmet, safety shoes and toughened glass spectacles with side
shield to his each and every employee working in the complex at his cost.
All the safety equipments should meet the specifications prescribed/approved by HSE&F Dept.
------------------------------------------------------------------------------------------------------------------------------
Sr. Activity/Hazard Recommended PPEs Responsibility Responsibility
No of providing of providing
PPEs Prime PPEs secondary
------------------------------------------------------------------------------------------------------------------------------
01 Non toxic dust Dust mask Contractor RIL on chargeable
nuisance Panoramic goggles Contractor RIL on chargeable
02 Toxic & Corrosive Hand gloves PVC/ Contractor

liquids/gases Rubber
Face shield Contractor
PVC Apron Contractor
PVC suit with hood RIL Returnable
Positive Pressure suit RIL Returnable
Panoramic Goggles Contractor RIL on chargeable
Gum Boots Contractor RIL on chargeable
SCBA sets RIL Returnable
Air line mask set RIL Returnable
Cartridge type Mask RIL Returnable
03 Working at height Safety Belt Contractor RIL on chargeable
04 Material Handling Canvas hand gloves Contractor RIL on chargeable

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Leather cum canvas Contractor RIL on chargeable

Hand gloves
Leather hand gloves Contractor RIL on chargeable
Polka /PVC dotted Contractor RIL on chargeable
05 Hot Material Asbestos hand gloves Contractor RIL on chargeable
Handling Aluminised RIL Returnable
hand gloves
Aluminised suit RIL Returnable
with hood
Asbestos/Leather apron Contractor RIL on chargeable
06 Grinding/Chipping Spectacle type Contractor RIL on chargeable

toughened glass goggles
Panoramic goggles Contractor RIL on chargeable
In case returnable PPEs are not received back/ received in damage condition beyond normal wear & tear,
cost of PPE shall be deducted from the bills of contractor concerned. Any situation, which is specific in
above annexure decision of Engineer-in-charge in consultation with HSE&F Dept. will be final.
8.2 SAFETY ITEM SPECIFICATION FOR CONTRACTORS.

Safety Helmet: Molded out of high impact, heat & chemical resistant HDPE with brim for additional side
protection, with 6 point ergonomic adjustable head band & chin strap. Approved by BIS specification no.
IS:2925-1984 approved by CMRS/DGMS/CLI . Helmet should be of yellow color.
Safety Goggles: Toughened/ Polycarbonate scratch resistant lense with side shield, Optically correct zero
power, impact resistant. Approved by BIS specification no. IS: 7524 Part-I
Safety Harness with double lifeline : Waist belt with shoulder strap (full body harness), 6mm thick coated
friction buckle& joint less D-ring, 44 mm wide nylon webbing, padded back, nylon stitched along with copper
rivets for additional safety, "quick fit" spring loaded hook. Approved by BIS specification no. IS:3521.
Safety Shoes: High ankle shoes, made from fine quality plain black leather, padded collar, full below
attached tongue, with steel toe cap as per IS 5852 with direct injection PVC Nitrile heel sole resistant to
acid, alkali, oil. (All the safety equipments should meet the specifications prescribed/approved by HSE & F
Dept.)
9.0 SCHEDULE OF PENALTIES FOR SAFETY VIOLATIONS
------------------------------------------------------------------------------------------------------------------------------------------
Sr. Activity Penalty for Penalty for Penalty for third
First Time second Time. Time onwards
------------------------------------------------------------------------------------------------------------------------------------------
1 Supervisor found at site without Rs.50/- Per ON HOLIDAY SUSPENSION
having undergone safety Employee FOR 5 DAYS
induction training
2 WORKMAN found without Rs.50/- Per Rs.100/- Per ON HOLIDAY

using required safety Employee Employee FOR 5 DAYS
equipment.
3 WORKMAN found without Rs.100/- Per Rs.100/- Per Rs.100/- Per

WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
safety belt or without anchoring Employee Employee + Employee +

the safety line at height SUPERVISOR ON SUPERVISOR ON
HOLIDAY LIST HOLIDAY LIST
FOR 5 DAYS FOR ONE MONTH
4 Using defective equipment Rs.100/-each Rs.500/- Per Rs.500/- Per

(Tools&Tackles) at site Observation OBSERVATION + OBSERVATION +
having potential for accident/fire SUPERVISOR ON SUPERVISOR ON
5 Non-compliance of HSE&F Upto Rs.1000/- Per SUPERVISOR ON

procedures/standard Rs.500/-each OBSERVATION + HOLIDAY LIST FOR
practices observation observation SUPERVISOR ON ONE MONTH AND
HOLIDAY LIST REVIEW FOR 5 DAYS
DELISTING.
6 Carrying out job in an unsafe Upto Rs.2000/- Per SUPERVISOR ON

manner having potential for Rs.1000/-each OBSERVATION + HOLIDAY LIST FOR
serious consequences e.g. fall observation SUPERVISOR ON ONE MONTH AND
accident, damage to property HOLIDAY LIST FOR REVIEW DELISTING
electrocution etc. 5 DAYS
.
7 Housekeeping not done Rs.100/-each Rs.500/- Per Rs.500/- Per
everyday Observation OBSERVATION + OBSERVATION +
SUPERVISOR ON SUPERVISOR ON
8 Carrying mobile phones in Upto Rs.2000/- Per SUPERVISOR ON

battery limit area, match box, Rs.1000/-each OBSERVATION + HOLIDAY LIST FOR
cigarette, lighter or any observation SUPERVISOR ON ONE MONTH AND
ignition source HOLIDAY LIST REVIEW DELISTING
FOR 5 DAYS
9 Carrying objectionable material ON

like contraband or other one as HOLIDAY
stipulated in Rules and LIST FOR
Regulations. FIVE YEARS
10. Medical treatment injury WARNING LETTER REVIEW FOR DE-LISTING

OF CONTRACTOR FROM
APPROVED LIST
11. Lost Time Accident WARNING LETTER DELISTING OF CONTRACTOR

FROM APPROVED LIST
12. Fatal Accident REVIEW FOR DE-LISTING OF CONTRACTOR

FROM APPROVED LIST
WORK ORDER
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* Frequent safety violation means the repetitions every month
*****
ANNEXURE-IV(b)
SECURITY/SAFETY/TRAFFIC NORMS/PENALTIES FOR THE CONTRACTORS
WORKING AT RIL-NMD IN PLANT AND TOWNSHIP :
A) Breach of Security:Contractor's personnel shall not breach the security requirements described in
Table below failing which contractors shall be liable for imposition of the Penalty/Recovery/Black listing as
per the Table given below.
B) Breach of Safety : Contractor's personnel shall not violate the security requirements described in Table
below failing which contractors shall be liable for imposition of the Penalty/Recovery/Black Listing as per the
Table given below.
C) Breach of Traffic norms : Contractor's personnel shall not violate the Road Safety Management
System requirements described in Table below failing which contractors shall be liable for imposition of the
Penalty/Recovery/Black Listing as per the Table given below.
A) BREACH OF SECURITY
Sr.No Nature of offence Extent of Proposed Penalty / Recovery
01 Theft / Pilferage / Misappropriation Cost X 10

02 Impersonation Rs. 1000/
03 Trespass Rs. 2000/-
04 Loss of RIL property Cost of Item + Penalty
a) For smart Card /Vehicle Access Permit Rs. 500/-
b) For Paper Entry Permit /Checklist/ET etc. Rs. 100/-
c) For Visitor Pass / Punch Card Rs. 50/-
d) Other propertyCost + 20% of the cost
05 Damage to Company property
a) Intentionally Cost X 5
b) Unintentionally Cost + 20% of cost
06 Cases of Moral Turpitude : As per the recommendation of the Inquiry Officer and discretion of
Management
Recurrence of above violation will invite double penalty and may lead to interruption in the contract as per
the management's decision
B) BREACH OF SAFETY
Sr.No Nature of Violation Proposed penal action
01 Carrying Objectionable Articles -Such as bidi,
matchbox, lighters, inflammable material etc . Rs.2000/-
causing hazards for liquid/gas handled inside the
plant Battery Limit.
02 Climbing a moving vehicle or Standing Vehicle

without Proper Safety Precaution. Rs. 2000/-
03 Cooking or Sleeping under / near a vehicle

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(including truck parking area) Rs. 2000/-
04 Lashing Vehicle without proper Safety Precautions Rs. 2000/-
05 Smoking at Site / Carrying Mobile in ON Rs. 2000/- + Disciplinary action by

position in ISBL area. concerned authority
06 Climbing the tree inside the complex area. Rs. 500/-
08 Carrying out job without permit
A) Hot Job Rs 5000/- + Disciplinary

action by concerned authority/Black listing.
B) Cold Job Rs. 1000/-
09 Sleeping inside plant area / DutyRs. 500/-

10Unsafe act which has/ could have led to an accident Rs 500/-
the management's decision.
*****
ANNEXURE-IV (c)
BREACH OF TRAFFIC NORMS
S.No Nature of Violation Proposed penal action
01 Over Speeding (Speed of vehicle more than 40 KM/Hr Rs. 500/-

02 Wrong Overtaking based on the location or the speed. Rs. 500/-
03 Over loading (for transport vehicles) Rs.500/-
04 Rash and negligent driving / riding(Combination of
overspeeding and wrong overtaking) Rs. 1000/-
05 Driving without valid driving license Rs. 500/-
06 Two Wheeler driving including pillion rider without
crash helmet; (Including Helmet without strap) Rs. 100/-
07 Driving without safety belt (including co passenger) Rs. 200/-
08 Wrong parking: Parking at places other than "marked
for parking" shall be treated as wrong parking. Rs. 200/-
09 Negotiating turn without proper indication/wrong turning Rs. 200/-
10 Driving HMV/P&M equipment without helper/cleaner Rs 100/-

11 Driving with high beam "ON" Rs. 200/-
the management's decision
NOTE:
1. Recurrence of above violation will invite double penalty and may lead to interruption in the contract
as per the management's decision.
2. This document shall be the part of RFQ and the work order.
3. The waving of penalty against anything above will be with the core committee's decision.
4. The procedure is also applicable in Township
WORK ORDER
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5. For traffic rules, the standard RTO rules are to be used as guidelines.
*****
ANNEXURE-IV(d)
SPECIFIC SAFETY REQUIREMENTS
AA: PPE requirements for contractors are:
1. Mandatory Basic PPEs in contractor's scope.

2. Job specific PPEs other than Basic PPEs in contractor's scope, and
3. Job specific PPEs other than Basic PPEs in RIL NMD's scope e.g. SCBA, canister masks.
EIC shall validate quality of PPE on Job, assess compliance and enforce it's compliance on job. In case of
noncompliance, EIC shall impose penalty as devised by CMG.
BB: Resource Requirement:-

Requirement of quantity of qualified, Trained, Experienced Technical personnel and Safety Officer,
Requirement of quantity & quality of tools & tackles, Quantity & Quality of equipments supplied by
standard manufacturers.
EIC shall validate quality & Quantity of resources on Job, shall impose penalty for noncompliance as
devised by CMG.
CC: Housekeeping Requirement :-
House keeping shall be required on every day basis and shall be completed before contractor leaves the
workplace every day.
DD: Training by HSEF :-
HSEF shall Impart training to new entrants , Refresher safety training for old staff and validate before
renewal date. The topics for training shall be Use of Mandatory PPEs, Special PPEs in contractopr's scope
and PPEs in RIL NMD's scope, Knowledge of occupational health for contract workmen on similar lines as
given for RIL -NMD employees, fire fighting training certification & drills for contractor and on many subjects
which are related with the safety of the contractor.
EE: General Safety Requirement :-
1. More safety roles and responsibilities clauses to contracts shall be included time and again to upgrade
safety requirements and all contractor supervisory and/or management personnel and their safety officers
shall be responsible and accountable for compliance.
2. Safety Training shall be imparted by HSEF/RIL Faculty to contractor's personnel and Training faculty
shall Conduct Examinations after every safety orientation session and safety training course and validate
trainee's performance. Those attendees who fail the exam shall repeat the safety orientation session or
training course and appear for the exam again. This will decide workman's eligibility for gate pass.
3. RIL Audit Team Members shall regularly walk-through and conduct field audits of contractor safety
performance
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4. RIL Audit Team Members shall compile the results of the observations from field audits, analyze for
trends and (unsafe situations) corrected. Contractor supervisors shall be accountable for the corrections
and continuous improvement of safety.
5. EIC/Audit Team Member/Any RIL NMD Representative shall give recognition "On-the-spot" for
demonstrating excellent safety performance which should be a round the year activity. Contractor
themselves also shall use recognition methodology for their workers to motivate workers to prevent
incidents.
6: Contractor is informed that

a. RIL will audit all aspects of safety during the performance of the work to enforce compliance to the
applicable standards and procedures.
b. Contractors are not allowed to perform any work in an unsafe manner.
c. Consistent, unacceptable safety performance could result in termination of the contract.
d. Failure to implement their proposed safety action plan and consequent failure to demonstrate continuous
improvement of safety performance during the work could result in removal from the approved vendors' list.
7: Contractor is advised that
a. Workers engaging in work activities that cause imminent threat of injury shall be
stopped and resuming the work shall proceed after the supervisor and/or manager has
corrected all unsafe acts and unsafe conditions.
b. Repeated failure to correct unsafe acts and unsafe conditions could result in dismissal
of supervisory and/or management staff.
c. Continuous improvement of safety performance over the duration of the work is
expected and will be confirmed through frequent audits of the contractor's activities.
d. To perform regular audits on their own.
8: Small description on or definition of a near miss to the general safety clauses should be incorporated as
awareness and contractors should be vigilant to liquidate near miss conditions. Also reporting of near
misses and minor injury incidents by contractor workers to EIC should be emphasized strongly with reward
scheme to motivate near miss reporting.
9 : Incident Investigation of the contractor incidents shall be conducted by the contractor, whether alone or
jointly with RIL. Contractor supervisor shall be responsible to determine the root causes of the incident and
correct the causes expediently. Accountability for implementing recommendations for corrective or
preventive actions in a timely manner should be emphasized.
10: Contractors to organize and convene their own separate safety meetings without RIL in attendance (or
one RIL representative, maximum). Minutes of these contractor safety meetings should be sent to the RIL
"EIC" (line organization) for review and comment.
Contractor shall ;
a. Conduct Self Audits
b. Conduct Tool Box Talk every day and cover various topics.
c. Provide Electrical equipment as per area classification
d. Not Use mobile without authorization by RIL
e. undergo Training for truck, tanker, fork lift drivers & shall maintain its records
f. take Safety precautions as per MSDS for the materials in RIL scope .
g. take Safety precautions as per MSDS for the materials in contractor scope .
11: Work permits should be signed by contractor's responsible for the job. They should sign the
WORK ORDER
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associated risk assessment documents like RA, TBRA etc also. The permit and risk assessment should
document the communication and agreement between RIL and the contractor.
12: Performance Evaluation during contract execution period:

a. Both the periodic and the "close out" contractor performance evaluations shall be done and contractor
shall upgrade it by implementing interactive feedback to and from both parties regarding safety.
b. Composite field audit data including averages and trends over the life of the work shall be informed to
contractor and contractor shall upgrade it by implementing the feedback to the contractor.
c. Evaluation for Qualitative comments regarding safety attitude, flexibility and cooperation shall be done
and contractor shall improve in those areas also.
13: At the "close out" evaluation, RIL shall inform the decision of whether or not the contractor will remain
on the approved vendors list , based on the performance of the contractor on Safety and Technical rating.
FF: Special Safety Requirement :-
1: Contractor shall inform if they are planning to engage the subcontractor. In that case, contractor to
confirm that responsibility and accountability of compliance with the Statutory regulations, Safety
Compliance and Technical competency of the sub contractor shall be responsibility of the Prime contractor.
2: Contractor to furnish information on

a previous successful performance at RIL or at other companies w.r.t. job.
b. resources like qualified, Trained, Experienced personnel and Quantity in
Number as required to complete the work safely.
c. quantity & quality of tools & tackles, Quantity & Quality of equipments
supplied by standard manufacturers to complete the work safely.
d. Methodology to adequately monitor subcontractor's activity.
e. Deploying Supervision by Safety Officer for safety aspects of the work,
f. formal (written)safety program w.r.t. job requirement.
g. System to conduct job safety inspection and maintain incident's record.
h. Confirmation that Contractor is insured and bounded.
i. written safety programs are credible, comprehensive and current, safety
audit records are with measurable results w.r.t certification and liasoning of their documentation of
safety training, defined safety roles and responsibilities for every one in the contractor's organization,
management, supervision, workers etc
3: Contractor to submit list of certificates and licenses for contractor employees who will perform the work.
Document Nos. related with job specific and/or unique safety requirements separately.
4: Contractor shall prepare a written safety action plan for complying with both the general and special
requirements of the work and shall be discussed.
Agreed & accepted by : M/s. ______________________
Sign & Date : ____________________________________
*****
ANNEXURE-IV(e)
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
GENERAL SAFETY RULES

1. Every contracting agency and their employees shall follow all the General Safety Rules strictly. In case of
any doubt, contractor should contact concerned RIL Officer or Safety Department for clarification. No one
shall willfully or due to negligence violate these safety rules.
2. No one shall enter the complex premises without valid gate pass and shall follow all security norms in the
complex premises.
3. Complex has been notified as "NO SMOKING ZONE", therefore smoking requisites are not allowed
inside the complex and they should be deposited at the entry gate with security.
4. Mobile phones are not allowed unless permitted by competent authority.
5. No spark or flame producing appliances or equipments are allowed inside the complex. All such material
should be deposited at entry gate with security.
6. Possession or consumption of intoxicating liquor or any drugs inside the complex is strictly prohibited and
if found, it will be seriously viewed.
7. Fighting or attempting to hurt others inside the complex premises is strictly prohibited and violation of
criminal law or committing an offence involving moral turpitude, shall be seriously viewed.
8. Carrying arms, ammunition and any other incendiary material inside the complex is strictly prohibited and
if found with such material, shall be seriously viewed.
9. Sleeping in company premises is strictly prohibited.
10. Horseplay or loitering inside complex premises is strictly forbidden and therefore all the contractor's
employees should remain only at their work place and work seriously as per instructions.
11. Every employee of the contractor as well as the proprietor using his own vehicle, should observe "
Speed Limit " (40 KM per hour maximum) inside the complex and those using two wheeler shall wear "
Crash Helmet" including pillion rider. Also four wheeler driver & co passenger shall wear safety seat belt.
12. No vehicle shall enter the complex premises without approved Spark arrestor/Muffler, fixed at the
exhaust pipe of vehicle.
13. Malicious act resulting in injury to any employee or damage to property is strictly prohibited.
14. Every contractor and their employees shall follow regulations of entry into the Battery Limit of the Plant
strictly and contractor supervisor shall always report to Control Room to seek the permission to enter the
plant.
15. Entry of any vehicle inside the Battery Limit of the plant is prohibited unless otherwise authorized under
permit from Control Room.
16. No contractor or their employees shall carry out any job either hot or cold inside Plant Battery Limit as
well as in non-plant areas unless the permit to work is obtained from the Control Room/ concerned area-in
charge.
17. No contractor or his employee shall tamper with or mishandle any of the equipment of the RIL.
18. No contractor or his employee shall steal or make fraudulent records or knowingly obtain material on
fraudulent order.
19. In case of any emergency in the plant, contractors shall suspend all their activities and come out with all
his employees and assemble at "Assembly Point " till further instructions.
20. In case of any accident, injury or fire, it should be immediately reported to Control Room, or concerned
officer of RIL.
21. Fire water should not be used for any job unless it is permitted.
22. All contractors' employees shall wear "Safety Helmet, Safety Shoes, Safety Goggle and Hand Gloves,
EAR PLUG" on regular basis as and when they are inside the plant ISBL area and shall make use of all
other Personal Protective Equipments (PPEs) as per requirements specified in work permit.
23. It will be the responsibility of the contractor to see that the special safety equipment / appliances
supplied by the RIL-NMD are used with utmost care and if there is any damage to such equipments then
cost shall be recovered from the contractor.
24. Every contractor shall use right / suitable tools for the job to ensure safety.
WORK ORDER
Telephone : 0091-2194 -668059
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25. All workmen of the contractor shall be properly dressed (work uniform with company name) and nobody
shall wear loose clothing, which may cause injury/damage while working with rotating machinery.
26. Contractor shall ensure that authorised & trained electrician shall carry out all electrical work.
27. Negligence or carelessness of any contractor or his employee(s) against the interest of RIL-NMD shall
be viewed seriously.
28. No contractor or his employee shall refuse to perform assigned work and disregard intentionally or
disobey the instructions.
29. It will be the prime responsibility of the supervisor or the Engineer-in-charge of the contractor to see and
ensure that all the Safety Rules are strictly complied and followed without any excuse whatsoever and shall
demonstrate competency and ability to do the work, which had been agreed upon while awarding the job.
In addition to all above General Safety Rules, each contractor shall ensure that all his workmen undergo
induction and regular safety training as and when it is arranged by Plant / Dept. Engineer I/C / Safety
Department.
*****
ANNEXURE-IV(f)
FUNCTIONS OF CONTRACTOR'S SAFETY REPRESENTATIVE AFTER AWARDING
CONTRACT
Applicability :
i.Contractor deploying No. of workmen more than 20 at site shall deploy
independent Contractor Safety Representative.
ii.Contractor deploying workmen less than 20 at site shall themselves function as
Contractor Safety Representative.
Functions are as follows :
1. To ensure that Qualified, Trained & Experienced Technical Personnel are mobilised and are fully
conversant with Safety requirements of the job.
2. To ensure Safety and Statutory requirements are complied for tools & tackles used by the contractor's
workmen. To ensure that they are in good condition, safe to use, certified for use, certified by RIL-NMD
Engineer in case of Electrical machinery.
3. To ensure that Mandatory PPEs & Job Specific PPEs are used by Contractor's workmen whenever in the
field.
4. To ensure that General and Job specific Roles, Responsibilities and accountabilities of contractor's
Workers, Supervisor, Safety Representative are complied.
5. To ensure that Road Safety Management System is complied.
6. To ensure that all Safety requirements are complied by the Sub Contractors workmen.
7. To ensure that Safety Programme/Safety action plan for the job execution finalised in the pre-bid opening
meeting is reviewed and followed.
8. To ensure that safety inspection is carried out continuously to avoid any injury and incase of any injury,
record is maintained.
9. To study General, Special and/or unique safety requirements/ procedures applicable to Job thoroughly
and ensure that environmental harm, property damage, and business losses by contracted activities are
totally prevented .
10. To ensure that Safety roles and responsibilities clauses amended during the contractual period are
followed by all your employees.
11. To ensure that House keeping is completed before workmen leave the workplace every day.
12. Always keep available all Supporting Documents, for Mandatory requirements for all resources like
WORK ORDER
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manpower and Tools / Tackles and equipments as per regulations.

13. Training and orientation:
a. Contractor Safety Representative shall co-ordinate with Contract Administrator/Learning Centre for the
Orientation & safety training before mobilization. He shall ensure that all workmen are trained before
mobilizing in the plant.
b. The training areas are as follows:-
I. General Safety Training.
II Plant Related Safety Training and
III Job Specific Safety Training.
IV Rules and regulation to be followed at site.
c. Learning Centre shall validate workman's performance for each Safety Orientation session. Trainees
failed shall repeat the Programme till workman is validated.
d. Contractor's Safety Representative shall keep record of orientation and safety training attendance and
examination marks.
e. Contractor's Safety Representative shall ensure that untrained workmen is not deployed on job.
14. Contractor Safety Representative shall have his own safety management system for safe functioning at
site.
He shall:
a. Organize Monthly safety meeting with their staff with or without RIL representative, prepare and send
MOM to EIC for review. EIC shall advice for improvements and shall liquidate EIC's recommendations.
b. Conduct Self safety audits every day and keep record on improvements.
c. Conduct Tool Box Talk every day , cover various topics and keep record of subjects covered.
d. Train contractor's workmen on Electrical equipment area classification and shall ensure that all
equipments are provided as per electrical area classification.
e. Ensure contractor's workmen do not carry items like mobile phone , match box, cigarette or any ignition
source in battery limit area. In case found carrying, his gate pass shall be cancelled permanently and
Contractor Safety Representative shall be penalised.
f. Ensure that truck, tanker, fork lift drivers are trained and always carry driving license.
g. Train contractor workmen on Safety precautions required as per MSDS for the materials handled by
workman.
h. Ensure that Work permits associated with risk assessment documents like RA, TBRA etc are discussed
with EIC are understood fully before starting the job and sign the document.
i. Ensure that near misses and minor injury incidents by contractor workmen are reported to EIC and
recommendation of EIC are liquidated within time given by EIC. Concept of near miss shall be explained in
the Training Programme.
j. Ensure that Contractor Safety Representative may be involved in conducting Incident Investigation of the
contractor's incidents, with RIL to determine the root cause of the incident. Contractor's Safety
Representative shall liquidate recommendations within time given by EIC.Concept of Incident Investigation
shall be explained in the Training Programme.
k. Give accurate and quick head count of contractor workers when involved in Safety drills conducted by
plant HOD..
14. Contractor Safety Representative to note that

a. work shall be stopped in case contract employees are engaged in work having threat of injury. Work shall
be started only after the contractor has corrected all unsafe acts and unsafe conditions.
b. Contractor workman shall be dismissed in case fails to correct unsafe acts and unsafe conditions are
repeated.
c. Contractor Safety Representative's efforts for Continuous improvement of safety performance shall be
evaluated.EIC shall take action if improvements are not seen.
WORK ORDER
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15. Contractor's Audit :
a. RIL Audit Team Members alongwith contractor safety representative shall conduct field audit on all
aspects of safety during contractual period on contractor safety performance. They shall compile results of
observations; analyze trends of unsafe situations and corrections. Contractor Safety Representative shall
demonstrate continuous improvement of safety performance.
*****
ROLE,RESPONSIBILITY FOR ENGINEER IN CHARGE
RIL-EIC SHALL ENSURE AND GET COMPLIED FOLLOWING:
1.0 Use of Mandatory Basic PPEs in contractor's scope:

a. On site validation of PPE quality.
b. Assess compliance and enforce.
2.0 Use of job specific PPEs other than Basic PPEs in contractor's scope.& Use of job specific PPEs other
than Basic PPEs in RIL NMD's scope e.g. SCBA, canister masks
a. On site validation of PPES quality.

b .Assess compliance and enforce.
3.0 Knowledge of occupational health: Assessment of contractor staff

4.0 Contractor does not comply with safety clauses in contract:
To record and recommend for the penalty
5.0 Safety performance management system of contractor : Monitoring the performance
6.0 Non-Compliance of Safety requirements by sub-contractor.

a. Enforce the compliance
b. Record non-compliance
7.0 Good quality tools not used by contractor.

a. Specify the requirements of qty.
b. Confirmation in technical discussion mtg.
c. monitor while execution.
8.0 Contractor Accepts safety norms but do not dwelt with it.
Record and report to the CMG
9.0 Safety related procedures and standards like RSMS, scaffodlings, Vehicle entry procedures, excavation
, etc not informed to contractors in advance
Indicate SOP- Nos and Check sheet No.
10. Housekeeping requirement: Enforce the compliance.
11.Reporting incidents by contract workers to contractor's supervisor and EIC:

WORK ORDER
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To create awareness/encourage.
12.0 Contractor conducts Self Audits: Monitoring the performance.
13. Conduct Tool Box Talk every day and cover various topics: Monitoring the performance
14. Providing Electrical equipment as per area classification : Ensures compliance
15 Use of mobile & restriction of it : Ensures compliance.
16.Training for truck, tanker, fork lift drivers training & its records : Ensures compliance
17. Safety precautions as per MSDS for the materials in RIL scope: Ensures compliance.
18. Safety precautions as per MSDS for the materials in contractor scope: Ensures compliance
*****
ANNEXURE-IV(g)
SPECIFICATIONS FOR ALL PPE'S
-------------------------------------------------------------------------------------------------------------------------------------------S.noD
Descriptoion Specifiction Requirement Vendor's Vendor's Vendor E_mail
Code Name Address
-------------------------------------------------------------------------------------------------------------------------------------------
1 UNIFORM Full sleeve Dangree. Mandatory
-------------------------------------------------------------------------------------------------------------------------------------------
2 EAR PLUGS Orange colour ear plug Mandatory 215115 3M India Raheja
(2000046725) with cord*conforming to Ltd Paramo-
ANSI Approval S3-1 NT, 138,
Residency Rd.
BANGALORE-
560025 E-MAIL-
OH.ASMGOA@MMM.COM
-------------------------------------------------------------------------------------------------------------------------------------------
3 GOGGLES, TYPE:CHEMICAL SPLASH Mandatory 101489 P N SAFET E-001 mumbai@karam.in
ECH PVT Sanpada
CHEMICAL MATERIAL LENS:CLEAR LTD Rly Stn.,
splash POLY CARBONATE FRAME: Complex
2001374716 SOFT PVC HEAD BAND: NAVI MUMBAI
ELASTIC FABRIC DESIGN 400705
STD:EN:166, 167,168 & 170
VISION:180 DEGREE FIELD
OF VISION FOR DISTORTION
FREE PERIPHERAL VISION.
LENS COATING:HARD COATED,
SCRATCH RESISTANT
(MARKING K) AND UV RESIST
ANT OPTICAL CLASS:CLASS-1
MECHANICAL STRENGTH:LOW
ENERGY IMPACT (MARKING F)
VENTILATION:INDIRECT
WORK ORDER
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VENTILATION TO COMPLY
WITH SPLASH RESISTANCE TEST
ANTI FOG PROPERTY RESISTANCE
TO FOGGING (MARKING-N AS PER EN)
MARKING :AS PER EN166 OTHER
INFORMATION:SUITABLE TO WEAR
OVER THE REGULAR SIZE PRESCR
IPTION GLASSES.
------------------------------------------------------------------------------------------------------------------------------------------
4. SAFETY 1MATERIAL:LENS LEAR POLY Mandatory 101489 P N SAFET E-001 mumbai@karam.in
SPECTACLES CARBONATE 2. DESIGN STD ECH PVT Sanpada
2001391558 EN: 166, 167,168 & 170 LTD Rly Stn.,
3. VISION 180 DEGREE FILED Complex
OF VISION FOR DISTORTION NAVI MUMBAI
FREE PERIPHERAL VISION 400705
4. LENS COATING:HARD COATED
AND UV RESISTANT 5. LENS
QUALITY:OPTICAL CLASS-1
6.MECHANICAL STRENGTH:LOW
ENERGY IMPACT (MARKING F & ABOVE)
7. MARKING AS PER EN166 8. SPECIAL
FEATURES:CURVED LENS
-------------------------------------------------------------------------------------------------------------------------------------------
5 HELMET FOR COMFORT AT THE Mandatory 104453 Joseph Leslico House,
HEAD BAND FOREHEAD AND RATCHET Leslie & 3rd Floor
INTERNAL TYPE ARRANGEMENT WITH co Prof V S Agashe Road,
2000901720 CHIN STRAP FOR EASY Dadar(west),
FITTING TO THE HELMET Off 87 C Bhawani
APPROVED BY BIS (SPEC. Shankar Road,
NO:2925-1984).TEST Mumbai 400028
CERTIFICATE OF
DEPARTMENT OF
CHEMICAL LABORATORY E-mail:VINOD.BAMANIYA@JOSEPHLESLIE.COM
SHALL BE PRODUCED.
-----------------------------------------------------------------------------------------------------------------------------------------
6 SAFETY TYPE:GENERAL PURPOSE Mandatory 104453 Joseph Leslico House,
HELMET HELMET WEIGHT:400 Leslie & 3rd Floor
2001374673 GMS ( + or - 20 GMS) co Prof V S Agashe Road,
DESIGN STD:IS 2925:1984 Dadar(west),
CERTIFICATION Off 87 C Bhawani
AUTHORITY:BIS / DGMS / Shankar Road,
CLI SHELL DIMENSION: Mumbai 400028
BETWEEN 43 TO 63CM
COLOUR (AS PER THE
REQUIREMENT): WHITE E-mail:VINOD.BAMANIYA@JOSEPHLESLIE.COM
/YELLOW/BLUE/RED HEAD BAND MATERIAL:
NYLON WEBBING, 4-8 SLOT ADJUSTABLE BAND CHIN STRAP MATERIAL:
LDPE/NYLON SWEAT BAND: HIGH ABSORPTION AND WASHABLE EG. WASHABLE
COTTON WITH FOAM RATCHET (CIRCUMFERENCE INSIDE HEAD BAND):ADJUSTMENT
OF 43 TO 63CM. PERFORMANCE REQUIREMENTS: SHALL BE TESTED FOR SHOCK ABSORPTION
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
RESISTANCE,PENETRATION RESISTANCE, FLAMMABILITY,ELECTRICAL

RESISTANCE, WATER ABSORPTION HEAT RESISTANT AS PER IS 2925 (PROVIDE
CERTIFICATES) ARTIFICIAL AGEING MARKING ON THE HELMET (INSIDE SHELL
AT VISIBLE LOCATION): DATE OF MANUFACTURING, MOC CERTIFICATION MANUFACTURER
SIZE AND BATCH NUMBER OTHER REQUIREMENTS:SHALL BE FIT FOR UNIVERSAL
FIXING FACE SHIELD/EAR MUFF. DISTANCE BETWEEN FIXED SUSPENSION
GIVEN BY 1 -1/4 INCH MIN 1-5/8 INCH MAXIMUM BELOW THE UNDERSIDE CROWN. SHELF LIFE:3
YRS FINISH:FREE FROM SHARP EDGES
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7 DUST MOC:POLYPROPYLENE, Mandatory 215115 3M INDIA RAHEJA PARAMOUNT
RESPIRATORS ON POLYISOPRENE RUBBER ltd 138, RESIDENCY
ROAD
2001140242 TESTING STANDARD:IS 9473-1980 BANGALORE 560025
W.R.T BREATHING RESISTANCE E.MAIL:OH.ASMGOA@MMM.COM
AND FILTERING EFFICIENCY Other Features : Construction: It should have a Superior flat
fold design which can be folded and kept in pocket after use. Triple layer non-woven micro-fiber filter
material. The construction should incorporate an aluminum nose clip Filter Media: The filter media should
be the whole respirator surface & additionally should also have Electro-statically charged filter media
capable of filtering up to 0.3 micron. Head Bands: Should have Latex/Non irritant head bands having very
good elastic retention properties. The Band should also provide constant tension to the wearer through out
the usage life for good face seal Fit and should also not cause irritation to the wearer. Nose Clip: The nose
clip should be made of strengthened aluminum. The nose clip should be soft and pliable and confirm to the
nasal contours of the wearer to provide comfort, secure face seal and reduce the potential for eyewear
fogging. Filtering efficiency: Filtering efficiency of the product should be tested at a minimum flow rate of 95
Litres per minute & should be minimum 80% as per IS 9478; 1980 The breathing resistance for inhalation at
30 L/M should be .6 mbar.
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8 Safety Shoes 1. Type: Safety Shoes low ankle Mandatory
2001112494 Size-04 2. MOC: PU, Direct Injection, Single density (Sole tested at FDDI as
(4 NO SIZE), per DIN standard for abrasion resistance, antiskid) Toe Steel-EN- 345 marked and rust
2000844273 proof coated, with cushion liner to prevent the damage to leather, Imported steel toe,
(5 NO), (tested by FDDI & CLI) EVA pedding on seat,Polyester stitching thread,
2000844274 Cotton lace. 3. Approval/Testing standard Operative Standard IS 15298:2002
(6NO), Part I &II & EN 345, AS/NZS 2210.2:2002 Design B (4.2 of IS 15298 part 1),
2000844275 Test certificates to be submitted - Footwear Design and Development Institute (FDDI),
(7 NO), Central Labor Institute (CLI) and PFI Germany 4. Description:- Upper Leather -
2000844276 Grain leather (thickness: 1.8 to 2.20 mm) with tear strength of 120 N and flexibility -
(8 NO), thick non-woven Tongue leather - 1.0 to 1.20 mm thick non-woven Seat - Cloth black
2000844277 with 3mm EVA padding Stitching Thread - Nylon or polyester (No - 20, 40 & 60) Eyelet
(9 NO), for lace - No. ¿ 600 Lace - Cotton 80 cm, round, with breaking strength of 50-60 Kg
2000844288 Weight - 800 gm +/- 10% (size 8) Color - Black, Marking - Brand at sole along
(10 NO), with EN & Month/Year/Date of manufacturing at tongue Finishing - Liquid spray and
2000844289 elegant looking Size - 4 to 14 (English), 39 to 46 (French Packing - One pair shoe
(11 NO), box and further 12 such boxes in a corrugated carton, 5.
2000844290 Marking:- Month Year Mfg. Name Size 6. Disposable method:- As per EMS/ Vendor
(12 NO), recommendations
20011311282
(13 NO),
2001376127
(14 NO)
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
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9 LIFE LINE SAFETY BELT FULL Mandatory 101310 UNICARE EMERGENCY Leslico House,
SAFETY BODY HARNESS MFR : EQUIPMENT PVT LTD , 3rd Floor,
BELT 30' UNICARE EMERGENCY Prof V S
2001033681 EQUIPMENT PVT. LTD Agashe
MODEL NO : UEE 284 Road,
ATTACHED WITH MODEL Dadar(west)
UEE 403 WITH 30FT. LIFE LINE Description FULL BODY HARNESS ANCHOR POINT :
Two Chest Attachement - D-ring and a doorsal attachment D-ring, ERGONOMICS : Adjustable shoulder
and thigh strap SIZE : MEDIUM / LARGE COMPLIANCE : confirms to EN-361 ATTACHED TO MODEL
UEE-403 WITH ONE SIDE LOOP & THIMBLE AND OTHER SIDE UEE-302 KARABINER
E-mail : ARCHANA@UNICAREMAIL.COM
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10 Double Line 1) Abbreviated. Description 101489 P N SAFETECH E-001 Sanpada Rly
Safety Belt Full body safety harness with PVT LTD Stn Complex,
2001383293 double lanyards 2) Textile components SANPADA,
(harness) Webbing material : NAVI MUMBAI
Polyester Width : 400705
43 mm Breaking strength :
Min 19.6 Kn Thickness of E-mail :mumbai@karam.in
strap:-3mm Stitching thread: Polyamide (white colour or different colour of harness). Number of stitches
shall be not less than 3 per cm 3) Metal Components(harness) Material : Alloy steel Plating: Electro
deposited Zinc or chromium plating, powder coating. The min thick. Shall be 8 micron as per IS 4171 & IS
101(Part 3/Sec 2) Finish : Free of sharp edges 4) Compliance IS-3521 ¿ 1999(Reaffirmed 2002) 5) Physical
parameters(harness) ¿ One dorsal D ring for fall arrest ¿ Two chest front D ring for fall arrest ¿ Adjustable
shoulder thigh straps and waist belt 6) Double lanyards Twin rope lanyard with shock/energy absorber.
Allow fast and east important moves while working at a height Made of 12 mm Dia , 3 strands polyamide
ropes Length: 1.8m Material: Nylon/Polyester Polyamide 7 Marking on the Harness Date of
Manufacturing; Certification Manufacturer Batch number Identify of the fiber used as MOC 8 Packaging
Each harness shall be supplied by wrapping in moisture proof material 9) Disposable method As per EMS
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11 BLANKET, MATERIAL:CERAMIC & Mandatory forposiible 364604 Joseph Leslico House
FIRE/WELDER, VERMICULATE the jobs where Leslie & co 3rd Floor
CERAMIC& COATED SUITABLE electrical shocks are Prof V S
VERMICULATE FOR :ANY SPARK Agashe Road
2001374732 PRODUCING JOB Dadar(west)
& HOT JOB Bhawani Shankar
APPROVALS/TEST Road, Mumbai
CERTIFICATES:IS-11871,
BITRA NON IRRITANT TO SKIN:
YES WEIGHT:1.5KG/SQM
SIZE:STD. SIZE 1M X 2M e-MAIL :VINOD.BAMANIYA@JOSEPHLESLIE.COM
CONTINUOUS TEMPERATURE
RESISTANT:1000*C USE TEMPERATURE LIMIT:1260*C MELTING POINT:1760*C DISPOSAL
METHOD:INCINERATION/ LAND FILLING AS PER EMS DISPOSAL METHOD:INCINERATION/ LAND
FILLING AS PER EMS COLOUR:BROWNISH THICKNESS WITH COATING:+3.0MM WIRE
TYPE(SS):SS-304 WIRE GAUGE:42G % OF FIBER GLASS:10-12% BY VOLUME SHELF
LIFE:INDEFINITE STORAGE(AFTER USE):NON FOLDABLE ONLY ROLL OR KEEP STRAIGHT/FLAT
MSDS AVAILABLE:YES BEEDING OF EDGES ( ALL SIDES ):EDGES DOUBLE FOLDED WITH
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
STITCHES/ FIRE RESISTANT TAPE ACROSS ALL 4 SIDES NO OF EYELETS:GAP BETWEEN

EYELETS NOT MORE THAN 1MTR. MARKING: MONTH YEAR MFG. NAME
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12. EAR MUFFS SLOT FIX EAR MUFF MOC Mandatory for areas 104453 Joseph Leslie & co
2000874213 PLASTIC CUP WITH SOFT where noise db l
FOAM PAD AND SOFT evel is 85 or more
EAR CUSION SEALS.
THE ADAPTORS OF
THE EARMUFFS SHOULD
BE SUITABLE TO FIXON e-MAIL :VINOD.BAMANIYA@JOSEPHLESLIE.COM
LESLIECO HELMET.THE
NOSIE REDUCTION RATING SHOULD BE 30 DB
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13. NITRYLE 1.MATERIAL 100% Mandatory 364604 Accent Industries 430/B,
GLOVES NITRILE RUBBER Job specific Limited Kewal Industrial
2000466106 2 .SUITABLE FOR HYDRO Estate,
CARBONS DERIVATIVES Senapati Bapat Marg,
& CHLORINATED Lower Parel,
SOLVENTS, OIL, Mumbai 400013
GREASE, MILD e-MAIL:ATLAS@ACCENT.CO.IN
ACID/ ALKALIES,
ALCOHOLS 3.DESIGN STD.EN:374 , EN 388: & EN420 4.SIZE (LENGTH):-12 INCHES 5.THICKNESS
:0.4 MM 6.SPECIAL FEATURES PROVIDE OUTSTANDING COMBINATION OF STRENGTH &
CHEMICAL RESISTANT HIGH RESISTANT TO SNAG & PUNCTURES INTERNAL COTTON FLOCK
LINING OFFERING EXCEPTIONAL COMFORT & HELPS ABSORBS SWEAT KEEPING HAND DRY.
OFFERS HIGH LEVEL OF FLEXIBILITY, COMFORT & DEXTERITY.CURVED FINGER & CONTOUR
PALM NON ¿ SLIP FINISH IN PALM & FINGER AREA, DIAMOND PATTERN IS PREFERABLE.
7.MARKING:- MONTH YEAR MFG. NAME
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14 ELECTRICAL 1.MATERIAL COMPOSITE 104453 Joseph Leslie & co

GLOVES NATURAL LATEX RUBBER
2001408414 2.SUITABLE FOR ELECTRICAL WORK
3.DESIGN STD.EN:609033:2003
4.NON IRRITANT TO SKIN YES
5.SIZE:-14¿
6.CLASS:-CLASS-3 VOLT-26500V
7.SELF LIFE:-12 MONTHS
8.LABELING REQUIREMENT:- MANUFACTURERS NAME VOLTAGE CLASS TYPE
SIZE (GLOVES ONLY) MFG DATE PICTOGRAM AS PER EN-60903 & NOTIFIED BODY NO. LOT NO./
BATCH NO. 9.SPECIAL FEATURES:-RESISTANT TO ACID, OIL, OZONE & HIGH MECHANICAL
RESISTANT RESISTANT TO LOW TEMP. & WATER REPELLANT COMFORT TIGHT FIT- ANATOMICAL
SHAPE & GOOD DEXTIRITY PATTERNED FINISH ON FINGER TIPS PREFERABLE/OPTIONAL
10.PACKING REQUIREMENT :-TO BE PACKED IN RE-SEALABLE POLY ETHYLENE BAG.
E-MAIL:VINOD.BAMANIYA@JOSEPHLESLIE.COM
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15 LEATHER 1.MATERIAL CHROME Mandatory for areas 364604 Accent Industries
GLOVES TANNED SPLIT LEATHER where rough sharp Limited
2000438293 2.SUITABLE FOR ABRASION & hot objects
/CUT RESISTANT 3.DESIGN are handled
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
STD.:-EN:420 & EN 388:

(LEVEL 2) (SELF E-MAIL : ATLAS@ACCENT.CO.IN
CERTIFICATION BY MANUFACTURER)
4.SIZE (LENGTH):-14
INCHES 5.THICKNESS OF
LEATHER:-1.2 TO 1.5MM 6.
SPECIAL FEATURES:-LIGHT WEIGHT & COMFORT FITTING LEATHER SHOULD BE SOFT &
FLEXIBLE DOUBLE STITCHING PREFERABLE 7.MARKING:- MONTH YEAR MFG. NAME
GLOVES
------------------------------------------------------------------------------------------------------------------------------------ ,
16 PVC GLOVES .MATERIAL 100% PVC Mandatory 364604 Accent Industries
2000046738 LATEX FREE 2.SUITABLE with respect Limited
SUPPORED FOR PROTECTION AGAINST to specific job 430/B, Kewal Industrial Estate,
2001350670 CON. ACID & ALKALIES 3. ,Senapati Bapat Marg,
DESIGN STD.:EN420 Lower Parel, Mumbai
4.SIZE (LENGTH):14 INCHES 400013
E-MAIL : ATLAS@ACCENT.CO.IN
5.THICKNESS : 0.8 MM
TO 1.0 MM 6.SPECIAL
FEATURES ¿NON
ALLERGIC-NO LATEX-
MADE OF SOFT 100%
PVC POWDER FREE ¿
OFFER EXCELLENT ABRASION RESISTANT, DURABILITY, FLEXIBILITY, DEXTERITY & COMFORT
¿NON SLIPPERY PATTERN EMBOSSED FOR GOOD GRIP IN WET & DRY CONDITION ¿OFFERS
HIGH LEVEL OF FLEXIBILITY, COMFORT & DEXTERITY.¿CURVED FINGER & CONTOUR PALM
7.MARKING :- MONTH YEAR MFG. NAME
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17 PVC GLOVES 1.MATERIAL 100% PVC LATEX FREE 2. Mandatory 365233 WELDAID
UNSUPPORED SUITABLE FOR PROTECTION AGAINST with respect to SAFETY AND
2000046738 CON. ACID & ALKALIES 3.DESIGN STD.:EN420 specific job SIGNAGE PVT LTD
4.SIZE (LENGTH):14 INCHES 5.THICKNESS : 301, ANAGHA CHS
0.8 MM TO 1.0 MM 6.SPECIAL FEATURES ¿ PLOT NO 16,
NON ALLERGIC-NO LATEX-MADE SECTOR 2
OF SOFT 100% PVC POWDER FREE ¿ CHARKOP
OFFER EXCELLENT ABRASION RESISTANT, KANDIVLI WEST,
DURABILITY, FLEXIBILITY, MUMBAI
DEXTERITY & COMFORT ¿
NON SLIPPERY PATTERN
EMBOSSED FOR GOOD GRIP E-MAIL-WELDAID@REDIFFMAIL.COM
IN WET & DRY CONDITION ¿
OFFERS HIGH LEVEL OF FLEXIBILITY,
COMFORT & DEXTERITY.¿CURVED FINGER & CONTOUR PALM 7.MARKING :-
MONTH YEAR MFG. NAME
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18 POLKA 1.MATERIAL:-SEAMLESS KNITTED Mandatory 364604 Accent Industries
DOTTED 100% COTTON+ PVC DOTS Limited
GLOVES 2. SUITABLE FOR MATERIAL 430/B, Kewal Industrial Estate,
2000046738 HANDLING WITH BETTER GRIP ,Senapati Bapat Marg,
+ GEN. PURPOSE Lower Parel, Mumbai
3. DESIGN STD.:-EN420 E-MAIL : ATLAS@ACCENT.CO.IN
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
(SELF CERTIFICATION BY THE

MANUFACTURER) 4. NON IRRITANT
TO SKIN:-YES 5. SIZE (LENGTH):10
INCHES 6. COLOUR:- OFF WHITE FOR COTTON 7. WEAVING :-NET TYPE ¿ LINT
FREE INTERLOCK SEWING 8. WEIGHT:-80 GM +/- 3GMS (APX 60 GM LINER WEIGHT + APX 20 GM
DOT WEIGHT) 9.DISPOSABLE METHOD:- AS PER EMS 10.MARKING:- OPTIONAL MONTH YEAR
MFG. NAME 11. FEATURES:- ¿SEAMLESS CONSTRUCTION MADE FROM MULTI-PLY YARN ¿
UNIFORM KNITTING. ¿PVC DOTS SPACED UNIFORMLY. ¿OVER LOCKED ELASTICIZED WRIST. ¿FIT
SNUGLY ON THE HANDS. ¿DURABLE, TEAR RESISTANT AND AMBIDEXTROUS. ¿DIMENSION: PALM
CIRCUMFERANCE 10.0 IN & PALM LENGTH 8.0 IN
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19 SURGICAL MATERIAL:SURGICAL/ Mandatory 364604 Accent Industries
GLOVES LABORATORY LATEX MATERIAL with respect Limited
2001376136 GLOVES SIZE:9.5 INCH to specific job 430/B, Kewal Industrial Estate,
SUITABLE FOR: ¿GLOVES ,Senapati Bapat Marg,
SHOULD OFFER LIGHT LEVEL Lower Parel, Mumbai
OF PROTECTION AGAINST
CHEMICALS. APPROVALS/TEST E-MAIL : ATLAS@ACCENT.CO.IN
CERTIFICATES STD/COMPLIANCE: ¿IS-4148:
1989 NON IRRITANT TO SKIN:YES
SIZE:9.5 INCHES THICKNESS :0.24 +/-
0.06 MM DISPOSABLE METHOD:AS PER EMS MARKING: MONTH: YEAR: MFG. NAME: FINGER
TIP:ROUNDED OTHER SPECIFICATION: ¿GLOVES SHOULD BE 100% POWDER FREE & OFFER
COMFORT DURABILITY., HIGH LEVEL OF CLEANLINESS. ¿GLOVES SHOULD BE TIGHT FITTING.
¿GLOVES SHOULD NOT CAUSE ANY SIDE EFFECT OF THE USER. ¿THE AQUEOUS EXTRACT
FROM RUBBER SHALL HAVE RUBBER BETWEEN 6 TO 8 PH.
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20. WELDER IOL type welders gloves Mandatory 365233 WELDAID SAFETY AND
GLOVES made of chrome for welders SIGNAGE PVT LTD
2000566794 leather five fingers, 301, ANAGHA CHS
suitable for welding/gas PLOT NO 16, SECTOR 2,
cutting operation (Size-16" long). CHARKOP, KANDIVLI
WEST, MUMBAI
E-MAIL-WELDAID@REDIFFMAIL.COM
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21. RUBBER Gloves made of pure Mandatory 365233 WELDAID SAFETY AND
GLOVES latex rubber Acid/Alkali with respect to SIGNAGE PVT LTD
2000438293 proof, thicker quality, specific job 301, ANAGHA CHS
colour : Red,( Size- 16" long). PLOT NO 16, SECTOR 2
CHARKOP, KANDIVLI
WEST, MUMBAI
E-MAIL-WELDAID@REDIFFMAIL.COM
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22 FACE Acrylic Plastic face Mandatory 104453 Joseph Leslie & co
SHIELD shield with adjustable for protect Leslico House, 3rd Floor,
(2000566792) ratchet type head gear, to chemical Prof V S Agashe Road,
sweat band, with chin splash. Dadar(west), Off 87 C
guard. Suitable for prot- Bhawani Shankar Road,
ection against chemical Mumbai 400028
splash, flying particles etc.
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
(Size-9" x 9"). E- mail - VINOD.BAMANIYA@JOSEPHLESLIE.COM

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23. ACID/ALKLI- MOC: ¿LEG/VAMP Mandatory 152983 INDUSTRIAL ENGINEERING
GUM BOOTS ¿INSIDE FABRIC/ for Mechanical B-506, BHOSKAR BHAVAN
2001383168 OUTSIDE and electrical SECTOR 3,OPP MODI
RUBBER ¿COUNTER in the area where HOSPITAL,AIROLI,
PORTION- RUBBER FABRIC Acid and Alkali is DATTA MEGHE ROAD,
¿INNER REINFORCEMENT Handled NAVI MUMBAI 400708
AT VAMP:- RUBBER OR RUBBERIZED
FABRIC ¿HEEL PIECE/OUTER E-mail-DIVYAJYOTIS@YAHOO.COM
TOE CAP / BACK STRIP /FOXING
STRIP/ TOP BINDING/ HEEL/ ANKLET:-
RUBBER ¿OUTER SOLE:- RUBBER ¿INSOLE:-OUTSIDE FABRIC/ INSIDE RUBBER OR SPONGE
¿FILLER:-RUBBER WITH FABRIC COMPOSITION ¿WASHABLE POLYESTER LINING¿
APPROVAL/TESTING STANDARD: GUM BOOT:- IS 5557:2004,EN-347 STEEL TOE CAP: IS5852
DESCRIPTION: ¿ANTI SKID, SELF CLEANING OUTER SOLE ¿FLEXIBLE AT LOWER TEMP. (-10DEG
C) ¿SHOCK PROOF ¿RE-INFORCED TOE & HEEL ¿U-SHAPE ANTI FATIGUE HEEL, HIGH SHOCK
ABSORPTION, PROTECTS SPINE ¿ARCHED GROOVED FOR LADDER SAFETY. ¿COLOUR :-BLACK
MARKING : MONTH YEAR MFG. NAME SHOE SIZE & HEIGHT DISPOSABLE METHOD:AS PER EMS/
VENDOR RECOMMENDATIONS APPROVED VENDOR(S).MOC : PVC TESTED AS PER IS : 12254 AND
IS : 5852 . TEST CERTIFICATE INCLUDED
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24. LEATHER ABBREVIATED DESCRIPTION RIL NMD's scope 365233 WELDAID SAFETY
APRON :HEAT/CUT RESISTANCE on returnable basis. AND SIGNAGE PVT
2001376129 LEATHER APRON TYPE: LTD,
WITHOUT SLEEVE MATERIAL 301, ANAGHA
:CROME TANNED LEATHER CHS,PLOT NO 16
EYELETS MATERIAL:ALUMINUM SECTOR 2
DESIGN STD.:LEATHER CLOTHING KANDIVLI (W)
IS -6153-1971 SIZE:24 INCH X 36
INCH SPECIFICATION: E-MAIL:WELDAID@REDIFFMAIL.COM
¿LEATHER THICKNESS:-
1.2MM TO 2.0MM ¿STITCH
:- 3 PLY LINEN THREAD OR COTTON SEWING THREAD (IS-1720-1969) ¿STRAPS
BUCKLES THONGS SHALL BE ATTACHED TO THE CLOTHING BY RIVETING & OR WITH18X3 PLY
LINEN THREAD OR COTTON SEWING THREAD. SUITABLE AGAINST:HOT OBJECT, SPARK,
ABRASION ETC. MARKING: NAME OF MANUFACTURER: MONTH AND YEAR: CERTIFICATION:
SHELF LIFE:1 YR DISPOSABLE METHOD:AS PER EMS/ VENDOR RECOMMENDATIONS APPROVED
VENDOR(S)
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25 PVC APRON TYPE:WITHOUT SLEEVE MOC RIL NMD's scope 365233 WELDAID SAFETY
:PVC OTHER REQUIREMENT: on returnable basis. AND SIGNAGE PVT
2001374729 IT SHOULD WITHSTAND LTD,
ACCIDENT TEARING 301, ANAGHA
COLOUR:YELLOW SIZE: CHS,PLOT NO 16
STD. SUITABLE AGAINST SECTOR 2
THE:CONC.H2SO4, NITRIC CHARKOP,
ACID ETC. MARKING: NAME KANDIVLI
OF MANUFACTURER CODE WEST
AND BATCH NUMBER MONTH MUMBAI
AND YEAR CERTIFICATION SUPPLY
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
YEAR & MFG: MONTH YEAR MFG. E-MAIL:WELDAID@REDIFFMAIL.COM

NAME SHELF LIFE:1 YR
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26 Kevlar 1.MATERIAL 100% KEVLAR RIL NMD's scope 364604 Accent Industries Limited
HAND PARA-AMIDE FIBER on returnable basis. 430/B,
GLOVES-14 (ONLY AT PALM), Kewal Industrial Estate,
2001374743 REST PART IS MADE OF Senapati Bapat Marg,
SUPERIOR SOFT & FLEXIBLE Lower Parel,
SPILT LEATHER STITCHED Mumbai 400013
FROM KEVLAR THREAD
AND WITH INTERNAL E-MAIL:ATLAS@ACCENT.CO.IN
BETTER QUALITY WOOLEN
LINING (PREFERABLE) /
COTTON FLOCK LINING
2.SUITABLE FOR :-HIGH
TEMP. APPLICATION
3.APPROVALS/TEST CERTIFICATES:- STD EN:407 & EN420 4. NON IRRITANT TO
SKIN:-YES 5.HEAT RESISTANCE:-APPROXIMATE 350DEG.C 6.SIZE (LENGTH):-14 INCHES 7.SPECIAL
FEATURES:-COMFORT TIGHT FIT LEATHER THICKNESS:-1.2 TO 1.5MM 8.OTHER SPECIFICATION
EN:407 CERTIFICATE FOR KEVLAR CLOTH PERFORMANCE LEVEL 3& ABOVE 9.MARKING:- MONTH
YEAR MFG. NAME:tempex protective equipment 10.PACKING REQUIREMENT:- TO BE PACKED IN
RE-SEALABLE POLY ETHYLENE BAG.
------------------------------------------------------------------------------------------------------------------------------------------ 27.
SUIT,THREE TYPE:CHEMICAL RIL NMD's scope 104453 Joseph Leslie & co
PIECE PROTECTIVE SUIT on returnable basis. Leslico House,
MIDEUM, THREE PIECE COAT 3rd Floor,
MOC:TYVEK PANT ,HOOD. MOC: Prof V S Agashe Road,
2001374722(M) TYVEK, DESCRIPTION: Dadar(west),
2001374723(L) DESIGN OF HOOD: Off 87 C Bhawani
THE HOOD SHOULD Shankar Road,
BE DESIGNED TO COVER Mumbai 400028
THE HEAD & SHOULDER
AREA,THE HOOD SHOULD
BE PROVIDED BY ACRYLIC E-MAIL:VINOD.BAMANIYA@JOSEPHLESLIE.COM
VISOR,ALL SEAMS TO
BE UTRASONICALLY WELDED
DESIGN OF COAT:COAT
SHOULD BE DESIGNED WITH OVERLAPPING ZIP ARRANGEMENT FOR COMPLETE CHEMICAL
PROTECTION,ALL SEAMS TO BE UTRASONICALLY WELDED,THE SLEEVES SHOULD BE PROVIDED
WITH DOUBLE CUFF DESIGN TO ENABLE LIQUID TIGHT PROTECTION ALONG WITH CHEMICAL
GLOVES,THE COAT SHOULD BE PROVIDED WITH ELATIC WAIST FOR BETTER FITTING. DESIGN
OF PANT:- THE PANT SHOULD BE PROVIDED WITH ELATIC WAIST FOR BETTER FITTING WITH
POCKET,ALL SEAMS TO BE UTRASONICALLY WELDED THE SUIT SHOULD BE ANTI STATIC,
MARKING ON THE SUIT:MONTH,YEAR,MFG.NAME, DISPOSABLE METHOD:AS PER EMS/ VENDOR
RECOMMENDATIONS
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28 BARRICADE ¿RED & WHITE TUBULAR RIL NMD's scope 365233 WELDAID SAFETY
TAPE COLOUR ¿MATERIAL: on returnable basis.
2001382844 LDPE-NON TOXIC AND
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
ODORLESS ¿DESCRIPTION:
TUBULAR TYPE,SEAMLESS
TUBE,PREVENT ACCIDENTIAL
TEARING. ¿RED AND WHITE E-MAIL:WELDAID@REDIFFMAIL.COM
CROSS STRIPS AT 45 DEG
ANGLE, RED STRIP 4 INCHES
WITH RIL LOGO IN WHITE
COLOUR AT CENTRE &
WHITE STRIP 6 INCHES
WITH WORD "STOP"
PRINTED IN CAPITAL LETTER AT CENTRE. PRINTING SHOULD AT BOTH SIDES OF THE TAPE.
PRINTING SHALL NOT BE CLEARED OFF UPON RUBBING. ROLL LENGTH (1 ROLL=200 MTR.)
¿APPLICATION:BARRICADING ¿WIDTH SIZE: 3 INCHES ¿THICKNESS:-100 GAUGE, +/-5% (1-MILL)
¿MARKING:MONTH/YEAR/MFR.NAME
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29 Heat 1 Abbreviated Description RIL NMD's scope 131420 ARC-LIGHT TRADING
Resistance Heat Resistance Kevlar on returnable basis. CORPORATION
Kevlar Apron 2 Type Without Sleeve 21-A, KHADILKAR ROAD,
Apron 3 Material 100% Kevlar CP TANK,
2001026039 Para-amide fiber. MUMBAI-400004
4 Suitable for Heat /
abrasion /cut resistant
5 Tightening Straps With e-mail :SHEFFERINDUSTRIES@GMAIL.COM
Velcro arrangement at neck
and waist 6 Approvals/Test certificates Std EN:407 7 Non irritant to skin Yes 5 Heat Resistance
>350Deg.C 8 Size 24 inches x 36 inch 9 Colour Yellow 10 Weaving Stitched from Kevlar thread 11
Disposable method As per EMS/ Vendor recommendation 12 Marking Month Year Mfg. Name 13
Packing Requirement To be packed in Re-sealable polyethylene bag. 12 Other Specification Inner lining-
cotton flannel.
---------------------------------------------------------------------------------------------------
30 GLOVES, 1.MATERIAL 100% Mandatory 364604 Accent Industries Limited
KEVLAR, KEVLAR PARA-AMIDE
HEAT RESIST, FIBER (ONLY AT PALM),
SIZE: 16" REST PART IS MADE OF
2001374744 SUPERIOR SOFT & E-mail :ATLAS@ACCENT.CO.IN
FLEXIBLE SPILT
LEATHER STITCHED
FROM KEVLAR THREAD
AND WITH INTERNAL BETTER
QUALITY WOOLEN LINING
(PREFERABLE) / COTTON FLOCK LINING 2.SUITABLE FOR :-HIGH TEMP. APPLICATION
3.APPROVALS/TEST CERTIFICATES:- STD EN:407 & EN420 4. NON IRRITANT TO SKIN:-YES 5.HEAT
RESISTANCE:-APPROXIMATE 350DEG.C 6.SIZE (LENGTH):-16 INCHES 7.SPECIAL
FEATURES:-COMFORT TIGHT FIT LEATHER THICKNESS:-1.2 TO 1.5MM 8.OTHER SPECIFICATION
EN:407 CERTIFICATE FOR KEVLAR CLOTH PERFORMANCE LEVEL 3& ABOVE 9.MARKING:- MONTH
YEAR MFG. NAME:tempex protective equipment 10.PACKING REQUIREMENT:- TO BE PACKED IN
RE-SEALABLE POLY ETHYLENE BAG.
--------------------------------------------------------------------------------------------------------------------------------
31. GLOVES 1 Material 100% Kevlar Mandatory 131420 ARC-LIGHT TRADING
KEVLAR, Para-amide fiber. CORPORATION
HEAT RESIST, 2 Suitable for Heat / 21-A, KHADILKAR ROAD,
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
SIZE: 24" abrasion /cut resistant MUMBAI-400004

Std EN:407
4 Non irritant to skin
Yes 5 Heat Resistance E-mail :e-mail :SHEFFERINDUSTRIES@GMAIL.COM
>350Deg.C 6 Size
24 inches
7 Colour Yellow 8 Weaving Stitched from Kevlar thread 9 Disposable method As per EMS/
Vendor Recommendation 10 Marking Month Year Mfg. Name 11 Packing Requirement To be packed in
Re-sealable poly ethylene bag. 12 Finger tip Rounded 13 Other Specification Inner lining-cotton flannel.
------------------------------------------------------------------------------------------------------------------
32. Rainy Shoes : MOC : Mandatory
Leg/Vamp. Inside Fabric/Outside Rubber
Counter Portion-Rubber Fabric
Inner Reinforcement at Vamp:- Rubber or Rubberized fabric
Heel Piece/Outer TOE CAP / Back Strip / Foxing Strip / Top Bindling /Heel / Anklet:- Rubber
Outer Sole:- Rubber
Insole :- Outside Fabric / InsideRubber or sponge
Filler:- Rubber with Fabric Composition
Washable Polester Lining
Approval / Testing Standard:
GUMBOOT :-IS 5557:2004,EN-347
Steel Toe Cap :IS5852
DESCRIPTION :
Anti Skid, self cleaning outer sole
Flexible at lower temp. ( - 10 DEG C)
SHOCK PROOF
RE- Inforced TOE & Heel
U - Shape Anti Fatigue Heel, High Shock Absorption, Protects Spine
Arched Grooved for ladder safety.
Colour :- Black
Marking :
Month & Year
MFG. Name
Shoe size & Height
Disposable method : As per EMS / vendor Recommendations
Tested as per is :12254 and is : 5852 . Test certificate included.
-----------------------------------------------------------------------------------------------------------------------------------------
******
ANNEXURE-IV(h)
REFERENCE LIST FOR PPE SUPPLIERS
SR NO VENDOR PRODUCTS
1 M/s. Joseph Leslie Safety Helmet, Ear Muff, Ear Plug, Kevlar gloves, Dust & Mist Respirator
Attn.: Ms. Rekha Parkar,

Ph - 02224227587
E-mail : rakesh.poojary@josephleslie.com
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
2 M/s. Weldaid Industries Hosiery Gloves, Nitryle Gloves, Respirator Dust
Attn.: Mr. Anand Shukla

Mob-9821411659
Email: weldaid@rediffmail.com
3 M/s. MSA India Ltd. MSA spectacles goggles
Attn. : Mr. Prakash Bhat

Mob : 9821284699
Email: prakash.bhat@msanet.com
4 M/s. Unicare Safety Belt, Panorama Goggles
Attn.: Mr. Praveen Chandran

Mob : 9820788696
Email: praveen@unicaremail.com
5 M/s. Fab Industries Polka Dot gloves
Attn. : Mr. Ashraf

Mob : 9898930307
Email : kuddus58@gmail.com
6 M/s. Liberty Shoes Ltd. Safety shoes
Attn. : Mr. Dinkar Gupta

Ph - 01748-251111/251112, 01842252533
Email : ghd@libertyshoes.com, knl@libertyshoes.com
*****
(YOU SHALL BE REQUIRED TO GIVE FOLLOWING UNDERTAKING ALONGWITH

ACCEPTANCE OF WORK ORDER)
UNDERTAKING (On Your Company's Letter Head)
We, M/s ____________________ have been awarded contract work order no. ___________ dtd.
__.__._____ by M/s Reliance Industries Ltd. (RIL). We hereby undertake as follows:
1. That we have understood the details of the work to be executed with reference to the aforesaid work
order and the requirements of manpower, equipment, tools/tackles, safety equipment and other resources
necessary to execute the work thereof.
2. That we have got competent supervisors and workers with required qualification, relevant experience /
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
skills and trained for safe execution of the work. Our supervisors are well aware of the work hazards and
have got adequate knowledge and familiarity about the safe work practices / safe work methods, necessary
safety measures and precautions to be taken to avoid accidents during execution of the work.
3. That we have read and understood the General and Special Conditions & all safety annexures of the
contract work order under reference and agree to abide by the same.
4. That we have familiarized ourselves with the working conditions, understood all necessary requirements
for safe execution of the work, including safety policy and procedures of RIL and obtained all clarifications
regarding the job.
5. That we undertake to ensure and strictly comply with safety codes and safe practices/ methods relevant
to the work for safety of our employees and property of the company (RIL) and provide required personal
protective equipment to all our employees, as necessary for safety & to prevent probable injuries to our
workers and as per the safety requirements of the Company (RIL). We further undertake to carry out the
work in accordance with the safety policy and procedures of RIL
6. That we shall also comply with all applicable regulations with respect to environmental protection.
7. That we undertake to deploy competent and trained personnel for the job identified who will possess
requisite skill, certificate/ license.
8. That we shall ensure use of right type of tools, tackles & equipment, maintained in good working
condition, suitable to the nature of the job under execution.
9. That we shall be responsible for safety of our employees and other persons at site/ property of the
company and accountable for any accident due to negligence/ fault of our employees or our company and
shall be ready to accept the responsibilities for any legal consequences.
10. If we are unable to comply with the safety rules & regulations, RIL management has the right to
terminate the subject contract at any stage of work done & get the job done with alternate Vendor at our risk
& cost.
Sign :
Date :
----- XXX -----
(To be executed on Rs.200/- Non-Judicial Stamp Paper & to be

notarized & put initial on each page of the indemnity bond)
DECLARATION CUM INDEMNITY BOND

Date: ________________
THIS DECLARATION CUM INDEMNITY BOND made at ___________ by M/s
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
_________________________________________ having their Office /

works at _______________ _______________________ (hereinafter
referred to as "Contractor" which expression shall unless it be
repugnant to the context or meaning thereof, be deemed to mean and
include their respective assigns, successors, executors and/or
administrators) of the ONE PART in favour of
_________________________________, a Company Registered under the
Companies Act, 1956, and having its factory / office at
__________________________________________________________
(hereinafter referred to as the "Company", which expression shall
unless it be repugnant to the context or meaning thereof be
deemed to mean and include its assigns) of the OTHER PART.
WHEREAS the Company has entered into a contract with the
contractor for the _________________________. (hereinafter called
the "Contract");
AND WHEREAS it is one of the conditions of the Contract that the
Contractor shall comply with all the provisions of the Labour &
Industrial Laws, as may be applicable from time to time for the
discharge and completion of the said contract by the Contractor
including but not limited to the observance and compliance of The
Contract Labour (R & A) Act,1970, Child Labour (Prohibition and
Regulation) Act 1986, The Employees Provident Funds &
Miscellaneous Provisions Act, 1952, Employees State Insurance Act
1948, Minimum Wages Act, 1948, Payment of Bonus Act, 1965,
Payment of Wages Act, 1936, and other Labour Laws applicable to
the contractor (hereinafter referred as the 'Laws').
AND WHEREAS the Contractor has agreed to indemnify and keep the
Company and the management indemnified against all claims,
charges, penalty, fine or any other levy against the Company
and/or the management due to the failure of the Contractor to
observe or follow any legal and statutory provision and the
Contractor has agreed to execute an indemnity bond to this effect.
NOW THIS DEED WITNESSETH AS UNDER:
1. In consideration of the Company awarding a contract to the
Contractor subject to the condition of execution of this
declaration and indemnity bond the Contractor declares and
represents to the Company that the Contractor has obtained all
statutory registrations, certificates, licenses and approvals
required under the law enabling the Contractor to execute the
contract in a legal and lawful manner.
2. THAT in the event of any liability arising out of failure to
observe or non-compliance of any such 'Laws' by the Contractor in
discharge of the said contract, the Contractor shall bear all the
resultant whatsoever liability(ies), if any arising out thereof
and that the Company and the management shall not be liable for
any such liability(ies). The Contractor agrees to indemnify and
keep the Company and the management indemnified against all
losses, costs, damages, claims, penalties, interest, expenses,
demands, fines, legal liability, causes of action, injury to
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
persons, etc which may be suffered, incurred, undergone and / or

sustained by the Company including the costs and expenses that may
be incurred in defending any such liability(ies) claim(s),
proceeding(s) etc. that may be made or taken or arise on the same
by any person, body, authority, government, judicial / quasi
judicial authority due to the failure or non compliance of any
such laws and rules there under (including any amendments in acts,
laws, statutes & rules there under) of whatsoever kind and nature
arising out of or in any way connected with, whether or not such
acts or omissions are actual or alleged, active or passive with
regard to the discharge of the said contract.
3. This declaration cum indemnity bond shall be in accordance with
the laws of India and any dispute between the parties as regards
the contract of indemnity shall be settled in accordance with the
provisions of Indian Arbitration and Conciliation Act, 1996,
including the method and manner of appointment of the Arbitrators.
The place of Arbitration shall be at _________ and the Courts of
___________ shall have the proper jurisdiction.
IN WITNESS WHEREOF, the said Contractor has hereunto set their
hand the day and year first hereinabove written.
SIGNED SEALED AND DELIVERED
by the within named "CONTRACTOR" )
(Authorised Signatory)
Rubber Stamp of Firm/Company
Name :
Designation :
in presence of
Witness
Name & Address of Witness Signature
1. __________________________
2. ___________________________
----- XXX -----

INVOICE FORMAT
(To be submitted On Contractors Letter Head in duplicate)
INVOICE NO. _______________

WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
DATE : ____________________ PAYMENT TERMS

15 / 30 / 45 Days
Any other__________________
M/s. Reliance Industries Ltd.,
Nagothane Mfg. Division,
Finance & Accounts Dept.,
Nagothane-402 125.
INVOICE
1. VENDOR CODE:__________ 2. FRAME WORK ORDER(FO) No:________

3. CONTRACT ORDER NO:____________________ DATE:_______________
4. DESCRIPTION OF CONTRACT:____________________________________
5. PLANT /DEPT:__________________
6. JOB SCHEDULE:
----------------------------------------------------------------
JOB STARTING DATE SCHEDULED COMPLETION DATE ACTUAL COMPLETION DATEJOB DELAY IF ANY
----------------------------------------------------------------
----------------------------------------------------------------
7. STATUTORY REQUIREMENTS:
----------------------------------------------------------------
Labor Licence PF No. PAN No. CST/MST VAT Regn. No. Service Tax Regn. No. Category of Service
No. No.
----------------------------------------------------------------
----------------------------------------------------------------
Write NA wherever it is not applicable
8.SCHEDULE OF RATES
----------------------------------------------------------------
Sr.No Line Item No Service Code Service Description Qty. Unit Unit Rate Total Amount
----------------------------------------------------------------
----------------------------------------------------------------
(If there is Service Tax element kindly show service tax amount and education cess separately)
Signature of Contractor Certified by EIC- RIL

With Rubber Stamp With Rubber Stamp
Enclosures:
1. Measurement sheet
2. PF Clearance certificate
3. Proof of supply/receipt of material at site
WORK ORDER
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
4. Others if any.
------ XXX ------
Signature Not Verified

Digitally signed by Kailash Borwal
Date: August 11, 2011 12:09:26 PM IST
Reason: Reliance Industries Ltd.
Location: NAGOTHANE-MAHARASHTRA,INDIA

Reliance Industries Work Change Order

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Reliance Industries Work Change Order

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RELIANCE INDUSTRIES LIMITED

Taluka Roha,, Nagothane

WORK CHANGE ORDER

342159 Work Order No. : NSM/31041449

Attention : MR. V SRINIVASAN

WORK CHANGE ORDER - DO NOT DUPLICATE

BUYER : BHATT Authorised Signatory

OTC-43/1112: ONLINE OIL FILTRATION IN GC & LDPE PLANTS AT RIL-NMD.

(Rates inclusive of mobilisation/ demobilisation charges.)

(Rates are inclusive of mobilisation/ demobilisation charges.)

Total Value of Work INR 437,000.00

ANNEXURE I : SPECIAL CONDITIONS OF CONTRACT (SCC)

A) Technical Terms & Conditions

2.0 Working hours pattern:

3.0 MOBILIZATION TIME:

4.0 BROAD SCOPE OF WORK/SUPPLY:

of the state / province pertaining to the work.

II) Scope Of Work Technical:

III) General Scope:

5.0 RIL's scope of work and supply:

B) Commercial Terms & Conditions

1.4 The rates offered by you shall include following:

2.0 PAYMENT TERMS:

2.4 If the job execution is less than 20,000 litres of oil

2.7 Payment Methodology:

3.0 PENALTY FOR DELAY IN COMPLETION OF JOB:

6.0 SECURITY DEPOSIT:

8.0 TERMINATION OF THE CONTRACT:

9.0 EXTENSION OF THE CONTRACT:

ANNEXURE II : General Conditions of Contract

ANNEXURE III : Contractor Personnel's

8.0 USE OF PPEs:

02 Toxic & Corrosive Hand gloves PVC/ Contractor

03 Working at height Safety Belt Contractor RIL on chargeable

04 Material Handling Canvas hand gloves Contractor RIL on chargeable

Leather cum canvas Contractor RIL on chargeable

06 Grinding/Chipping Spectacle type Contractor RIL on chargeable

8.2 SAFETY ITEM SPECIFICATION FOR CONTRACTORS.

9.0 SCHEDULE OF PENALTIES FOR SAFETY VIOLATIONS

2 WORKMAN found without Rs.50/- Per Rs.100/- Per ON HOLIDAY

3 WORKMAN found without Rs.100/- Per Rs.100/- Per Rs.100/- Per

safety belt or without anchoring Employee Employee + Employee +

4 Using defective equipment Rs.100/-each Rs.500/- Per Rs.500/- Per

5 Non-compliance of HSE&F Upto Rs.1000/- Per SUPERVISOR ON

6 Carrying out job in an unsafe Upto Rs.2000/- Per SUPERVISOR ON

8 Carrying mobile phones in Upto Rs.2000/- Per SUPERVISOR ON

9 Carrying objectionable material ON

10. Medical treatment injury WARNING LETTER REVIEW FOR DE-LISTING

11. Lost Time Accident WARNING LETTER DELISTING OF CONTRACTOR

12. Fatal Accident REVIEW FOR DE-LISTING OF CONTRACTOR

* Frequent safety violation means the repetitions every month

Sr.No Nature of offence Extent of Proposed Penalty / Recovery

01 Theft / Pilferage / Misappropriation Cost X 10

02 Climbing a moving vehicle or Standing Vehicle

03 Cooking or Sleeping under / near a vehicle

(including truck parking area) Rs. 2000/-

04 Lashing Vehicle without proper Safety Precautions Rs. 2000/-

05 Smoking at Site / Carrying Mobile in ON Rs. 2000/- + Disciplinary action by

08 Carrying out job without permit

A) Hot Job Rs 5000/- + Disciplinary

B) Cold Job Rs. 1000/-

09 Sleeping inside plant area / DutyRs. 500/-

01 Over Speeding (Speed of vehicle more than 40 KM/Hr Rs. 500/-

1. VENDOR CODE:__ 2. FRAME WORK ORDER(FO) No: