Doc. No.

: HSE/SOP-41
Rev: 00
CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
Page 1 of 11

(APPENDIX-A)

HSE Pre-Qualification Checklist for Contractors

 Doc. No.: HSE/SOP-41
Rev: 00
CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
Page 2 of 11

Sec.1 Leadership and Commitment Comments / Remarks

i. Commitment to HSE through leadership
a. Are senior managers personally involved in HSE management? Yes
b. Is there evidence of commitment at all levels of the organization towards HSE? Yes
c. Organization Chart for HSE Team is defined? Yes
d. Is there a positive culture towards HSE matters? Yes
Sec.2 Policy and Strategic Objectives
i. HSE Policy documents
a. Does your COMPANY have an HSE policy document? If the answer is YES please Yes
attach a copy.
b. Who has overall and final responsibility for HSE in your organization? Top Management, PM, COO etc
c. Who is the most senior person in the organization responsible for this policy being COO?? QHSE manager name??
carried out at the premises and on site where his employees are working? Provide Mention name….
name, title and experience.
ii. Availability of Policy Statements to employees
a. Itemize the methods by which you have drawn your policy statement to the E-mail, TBT, Verbal
attention of all your employees? communication, HSE flyer,
Orientations.
b. What are your arrangements for advising employees of changes in the policy? HSE publications, Electronic and
physical communication till
understanding.
 Doc. No.: HSE/SOP-41
Rev: 00
CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
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Sec.3 Organization, Responsibilities, Resources, Standards and Documentation

i. Organization – Commitment and Communication
a. How is management involved in HSE activities, objective-setting and monitoring? Through HSE Review meeting,
Planned HSE periodic meetings.
b. How is your COMPANY structured to manage and communicate HSE effectively? Through the HSE department
c. What provision does your COMPANY make for HSE communication meeting? Conference rooms, electronic
communication devices etc.
ii. Competence and Training of managers/ supervisors/senior site staff/ HSE advisers

a. Have the managers and supervisors at all levels who will plan, monitor, oversee Yes, see attachment F-019.
and carry out the work received formal HSE training in their responsibilities with
respect to conducting work to HSE requirements? If YES please give details. If the
training is given in-house, please describe the content and duration of Training.

iii. Competence and General HSE Training

a. What arrangements does your COMPANY have to ensure that new employees Orientation and HSE induction
have knowledge of basic industrial HSE, and to keep this knowledge up to date? training

b. What arrangements does your COMPANY have to ensure that new employees also They are monitored and also
have knowledge of your HSE policies and practices? under do oral test at times as per
requirement.

c. What arrangements does your COMPANY have to ensure that new employees In-house trainings, Orientation,
have been instructed and have received information on any specific hazard arising Site Briefings, Site walk with
out of the nature of the activities? What training do you plan to provide to ensure client and qualified HSE
that all employees are aware of Client HSE requirements and regulation? personnel.
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CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
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d. What arrangements does your COMPANY have to ensure that existing staff HSE HSE trainings, Attachment F-019.
knowledge is up to date? (If training is provided in-house please give details of
content.)

iv. Specialized Training

a. Have you identified areas of your COMPANY’s operations where specialized Yes, Hot working, work at height.
training is required to deal with potential dangers? (if Yes please itemize and
provide details of training given)

b. If the specialized work involves radioactive, asbestos removal, chemical or other By the HSE personnel as per
occupational health hazards, how are the hazards identified, assessed and company procedures
controlled?

v. HSE qualified staff - additional training

a. Does your COMPANY employ any staff who possesses HSE qualifications that aim Yes
to provide training in more than the basic requirements?

vi. Assessment of suitability of Sub-Contractors / other companies

a. How do you assess: i) By conducting
i) HSE competency of your Sub-Contractors? meeting with HSE
ii) HSE record of the Sub-Contractors and companies with whom you place person, planned
contracts? audits, Monitoring,
training in case of
incompetency.
ii) Yes, See Attachment
F-019
b. Where do you spell out the standards you require to be met? HSE policy, company
procedures.
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CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
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c. How do you ensure that these are met and verified? By implementing a monitoring
and control procedure.
vii. Standards
a. Does your COMPANY / BU have an overall structure for producing, updating and Yes
disseminating standards?
b. Where do you spell out the HSE performance standards you require to be met? HSE records, Score boards, HSE
publications, meetings.
c. How do you ensure these are met and verified? By HSE monitoring and control
Procedure.
d. How do you identify new industry or regulatory standards that may be applicable to By analysis the job before
your activities?
commencement, Risk
Assessment.
e. Is there an overall structure for producing, updating and disseminating standards? Yes

Sec.4 Hazards and Effects Management

i. Hazards and effects assessment
a. What techniques are used within your COMPANY for the identification, HAZID, HAZOP, HSE monitoring
assessment, control and recovery of hazards and effects? and control Procedure
implementation.

ii. Exposure of the workforce

a. Do you have in place any system to monitor the exposure of your workforce to N/A.
chemical or physical agents?

iii. Handling of chemicals

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a. How is your workforce advised on the properties of chemicals encountered in the By awareness drive, training and
course of their work? TBT.

iv. Personal protective equipment

a. What arrangements does your COMPANY have for provision and upkeep of We have PPE Issuance, storage
protective clothing, both standard issue, and that required for specialized activities? and Control Procedure.

v. Waste management
a. Does your COMPANY have in place systems for identification, classification and Yes
management of waste?

Sec.5 Planning and Procedures

i. HSE or operations manuals

a. Do you have a COMPANY HSE manual (or Operations Manual with relevant Yes, See attachement M-011
sections on HSE) which describes in detail your COMPANY approved HSE working
practices relating to your work activities? If the answer is YES please attach a copy
of supporting documentation.
b. How do you ensure that the working practices and procedures used by your By HSE monitoring and control
employees on-site are consistently in accordance with your HSE policy objectives procedure, Audits
and arrangements?
ii. Equipment control and maintenance

a. How do you ensure that plant and equipment used within your premises, onsite, or By HSE monitoring and control
at other locations by your employees are correctly registered, controlled and procedure
maintained in a safe working condition?

iii. Road Safety Management

 Doc. No.: HSE/SOP-41
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CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
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a. What arrangements does your COMPANY have for combating road and vehicle HSE DEPARTMENT/ RESUCE
incidents? 1122

Sec.6 Implementation and Performance Monitoring

i. Management and performance monitoring of work activities

a. What arrangements does your COMPANY have for supervision and monitoring of Competent personnel
performance?

b. What type of performance criteria are used in your COMPANY; please give As per OHSAS18001
examples

c. What arrangements does your COMPANY have for passing on any results and Periodic HSE performance
findings of this supervision and monitoring to your: reports, Communication from H.O
to site HSE teams
i) Base Management
ii) Site employees
d. Do you hold job site safety meetings? How often Daily……..Weekly ……. Yes, Weekly or as per need and
Monthly………. job nature.

ii. HSE performance achievement awards

a. Has your COMPANY / Division received any award for HSE performance
achievement?

iii. Statutory notifiable incidents / dangerous occurrences

a. Has your COMPANY suffered any statutory notifiable incidents in the last five years No
(safety, occupational health and environmental)? (Answers with details including
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CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
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dates, most frequent types, causes and follow-up preventative measures taken.)

iv. Improvement requirement and prohibition notices

a. Has your COMPANY suffered any improvement requirement or prohibition notices No

by the relevant national body, regulatory body for HSE or other enforcing authority
or been prosecuted under any HSE legislation in the last five years? (If your answer
is YES please give details.

v. HSE performance records

a. Have you maintained records of your incidents and HSE performance for the last Yes
five years? (If YES, please give the following details for each year, Number of Non
Lost Time Injuries, Number of Lost Time Injuries, number and type of injuries, total
hours worked by workforce for each corresponding year, Frequency Rates, your
COMPANY definition of a Lost Time Incident)

b How is health performance recorded? Statistically, Health KPIs.

Does your COMPANY have a Drug/Alcohol policy or program?Yes ---No ----

If “Yes”, does your drug and alcohol program include the following:
Pre-employment testing Yes----- No ------
Testing for Cause Yes ------No ----
Post-accident testing Yes ------No----

Random testing Yes ------No----

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CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
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Yes
Does your COMPANY have an ongoing medical surveillance program as required
by applicable governmental regulations?
Do you conduct medical examinations for:
Pre-employment Yes----- No ------ as and when required

Pre-placement Job Capability Yes----- No ------ as and when required

Hearing Function (Audiograms) Yes----- No ------ as and when required
Pulmonary Yes----- No ------ as and when required

c. How is environmental performance recorded? KPIs

d. How often is HSE performance reviewed? By whom? Monthly, By top management

vi. Incident investigation and reporting

a. Who conducts incident investigations? HSE engineers.

b. How are the findings following an investigation, or a relevant incident occurring HSE flyer, bulletin, e-mail,
elsewhere, communicated to your employees? become parts of meetings, TBT.

c. Are near misses reported? Yes

Sec.7 Auditing and Reviewing

i. Auditing
a. Do you have a written policy on HSE auditing and how does this policy specify the Yes
standards for auditing (including unsafe act auditing)?
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b. Do your COMPANY HSE Plans include schedules for auditing and what range of Yes
auditing is covered?

c. How the effectiveness of auditing is verified and how does management report and As per IMS audit procedure.
follow up audits?

Sec.8 HSE Management – Additional Features

i. Memberships of Associations
a. Does your COMPANY hold membership of any industry, trade or HSE Yes, check memberships like
organization? chamber of commerce, PEC etc.

ii. Additional features of your HSE management?

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

Section 9: COMPANY Specific Information

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 Doc. No.: HSE/SOP-41
Rev: 00
CONTRACTS AND CONTRACTOR HSE MANAGEMENT Date of Rev.: June 22, 2016
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Submitted by: ______________________ (Subcontractor COMPANY/ BU Name/Contractor Representative)