Questionnaire Items Bidder’s Responses

Section 1: Leadership and Commitment

1.1. a) How are senior managers personally involved in
Commitment to HSE management for example objective-setting and
HSE aspects monitoring, inspecting sites, participating in incident
through investigation, providing resources in the context of
leadership corrective action, attendance in meetings etc.?
Please provide evidence

b) Provide evidence of commitment at all levels of the

organization?

c) How do you promote a positive culture towards HSE

matters? Please provide evidence

2.1. a) Does your organization have an HSE policy

HSE Policy document?
documents If the answer is YES please attach a copy.

b) Who has overall and final responsibility for HSE in

your organization? Please provide evidence

c) Who is the most senior person in the organization

responsible for this policy being carried out at the
premises and on site where his employees are
working? Provide name and title.

d) Itemize the methods by which you have drawn your

policy statements to the attention of all your
employees?
 Questionnaire Items Bidder’s Responses
e) What are your arrangements for advising employees
of changes in the policy? Please provide evidence

3.1. a) Have you established, implemented and maintain a

Hazard procedure for the ongoing hazard identification, risk
identification, assessment and determination of necessary controls?
risk assessment Please provide evidence
and determining
controls

b) Do you document and keep the results of hazard

identification, risk assessment and determined
controls up-to-date? Please provide examples of
records

c) Please describe methodology and procedure for

hazard identification and risk assessment and
provide evidence

d) How do you manage and control any changes that

can affect or impact HSE hazards and risks.
 Questionnaire Items Bidder’s Responses

e) How do you determine the need for controls? Please

provide evidence

f) How do you ensure hazard identification and risk

assessment are ongoing? Please provide evidence
3.1.1. a) Do you have specific policies and programs on
Health hazards specific health hazards e.g. substance abuse, blood
borne pathogens, malaria pandemic diseases etc.
Please provide evidence

b) What types of health hazards (chemical, vibration,

noise, radiation, etc.) are associated with the scope
of your services? Explain how occupational health
hazards are identified, assessed and controlled.
Please provide evidence

c) What systems are in place to control these hazards

and monitor the effectiveness of these controls? Is
worker’s regular exposure monitoring part of these
systems? Please provide evidence
3.1.2. a) What types of safety hazards (mechanical guarding,
Safety hazards work at height, lifting and hoisting, confined space
entry, explosive atmosphere, excavation,
scaffolding, ladders, hazardous processes (roof
work, steel erection, demolition, piling etc.),
 Questionnaire Items Bidder’s Responses
movement of materials (cranes, goods hoists,
manual handling), vehicles, electrical equipment are
associated with the scope of your services? Please
provide evidence

b) What systems are in place to control these hazards

and monitor the effectiveness of these controls?
Please provide evidence
3.1.3. a) What types of logistics hazards (land transport, air
Logistics transport, marine transport, materials handling etc.)
hazards are associated with the scope of your services?
Please provide evidence

b) What systems are in place to control these hazards

and monitor the effectiveness of these controls?
Please provide evidence
3.1.4. a) What types of environmental hazards (chemical
Environmental spill, atmospheric emissions, waste disposal etc.) are
hazards associated with the scope of your services? Please
provide evidence

b) What systems are in place to control these hazards

and monitor the effectiveness of these controls?
Please provide evidence
3.2. a) Do you make a policy commitment to compliance
Legal and other with applicable legal and other HSE requirements
requirements that relate to HSE hazards? Please provide evidence
b) Do you identify and access the legal and other HSE
requirements that applicable to your activities?
Please provide evidence
3.3. a) Have you established, implemented and maintain
Objectives and documented HSE objectives, at relevant functions
programs and levels within your organization? Please provide
evidence
b) Are objectives measureable, where practicable, and
consistent with HSE policy including commitments
 Questionnaire Items Bidder’s Responses
to the prevention of injury and ill health, to
compliance with applicable legal and other
requirements and continual improvement? Please
provide evidence
c) Have you established, implemented and maintain
programs to achieve objectives? Please provide
evidence
d) Do programs include as a minimum designation of
responsibility and authority for achieving objectives
and the means and time-frame by which the
objectives are to be achieved? Please provide
evidence
e) Itemize the methods by which you have
communicated your strategic HSE objectives to the
attention of all your employees. Please provide
evidence

4.1. a) How do you ensure the availability of resources

Resources, (human resources, specialized skills, organizational
roles, infrastructure, technology and financial resources)
responsibility, essential to establish, implement, maintain and
accountability improve HSE management system? Please provide
and authority evidence
b) How and where do you define roles, allocate
responsibilities and accountabilities and delegate
authorities, to facilitate effective HSE management,
and document and communicate these roles,
responsibilities, accountabilities and authorities?
Please provide evidence
c) How do you communicate and promote that HSE is
the responsibility of everyone in the organization,
not just the responsibility of those with defined
HSE management system responsibilities? Please
provide evidence
4.2. a) Have the managers and supervisors at all levels
Competence, who will plan, monitor, oversee and carry out the
training and work received formal HSE training in their
awareness responsibilities with respect to conducting work to
HSE requirements? If YES please give details
b) Where the training is given in-house please
describe the content and duration of courses. Please
provide an example of training matrix.
c) How have you identified areas of your
organization’s operations where specialized
training is required, for instance training related to
health hazards such as radiation, H2S and
chemicals?
d) How do you provide HSE specialized training for
HSE staff?
e) What arrangements do you have to ensure new
employees have knowledge of basic industrial
HSE, and to keep this knowledge up to date?
f) What arrangements do you have to ensure new
employees also have knowledge of your HSE
policies, practices and company requirements?
 Questionnaire Items Bidder’s Responses
g) What arrangements do you have to ensure new
employees have been instructed and have received
information on any specific hazards arising out of
the nature of the activities?
h) NB for (e), (f) & (g): if training is provided in-
house, please provide details of content
4.3. a) Have you established, implemented and maintain a
Communication, procedure for internal communication of HSE
participation hazards and MS requirements among the various
and consultation levels and functions within your organization, with
contractors and other visitors, receiving ,
documenting and responding to relevant
communications from external interested parties?
b) Have you established, implemented and maintain a
procedure for the participation of workers by their
appropriate involvement in hazard identification,
risk assessments and determination of controls?
Appropriate involvement in incident investigation?
Involvement in the development and review of HSE
policies and objectives?
4.4. a) Please describe what types of documentation your
Documentation organization’s HSE MS includes. Please provide
evidence
4.5. a) Have you established, implemented and maintain a
Control of procedure to approve documents required by your
documents organization’s HSE MS for adequacy prior to issue?
A procedure to review and update as necessary and
re-approve? A procedure to ensure that changes and
current version statues of documents are identified?
A procedure to ensure that relevant versions of
applicable documents are available at points of use?
A procedure to ensure that documents remain legible
and readily identifiable? A procedure to prevent the
unintended use of obsolete documents and apply
suitable identification to them if they are retained for
any purpose?
4.6. a) Do you implement and maintain operational
Operational controls, as applicable to your organization and
control activities? Do you integrate those operational
controls into overall HSE MS? (general control
measures, performance of hazardous tasks, use of
hazardous materials, facilities and equipment etc.)
b) Do you implement and maintain controls related to
purchased goods, equipment and services?
c) Do you implement and maintain controls related to
contractors and other visitors to the workplace? If
YES, provide an outline of the process. How do you
assess contractors, HSE competence or HSE
performance?
d) Where do you define the company standards you
require your contractors to meet?

e) How do you ensure these standards are met and

verified?
 Questionnaire Items Bidder’s Responses
f) How do you ensure that infrastructure, plant and
equipment/tools used within your operations (own
premises, client site, or at other locations) are
correctly certified, registered, controlled and
maintained in safe working condition?
4.7. a) Have you established, implemented and maintain a
Emergency procedure to identify the potential for emergency
preparedness situations and to respond to such emergency
and response situations related to your organization and activities?
Please provide evidence (examples: incidents
leading to serious injuries or ill health, fire and
explosions, release of hazardous materials/gases
(H2S), natural disasters, extreme weather, workplace
violence, terrorism, sabotage, civil disturbance,
traffic accidents, failure of critical equipment etc.)
b) How do you establish and implement emergency
response procedures?
c) What types of emergency response equipment do
you have in your organization?
d) What types of emergency response training do you
provide to your personnel?
e) What is the procedure for testing your emergency
procedure?
f) What is the procedure for reviewing and revising
emergency procedures?

5.1. a) Have you established, implemented and maintain a

Performance procedure to monitor and measure HSE performance
measurement on a regular basis?
and monitoring b) How is health performance monitored and recorded?
c) How is environmental performance monitored and
recorded?
d) How and what near miss incidents are reported?

e) How often is HSE performance reviewed? By

whom?
f) How is logistics performance monitored and
reported?
g) Do you record vehicle incidents?
Please provide the following statistics for each year
for the last three years:
 Number of fatalities
 Number of Lost Time Injuries
 Number of Lost Workday Cases
 Number of Restricted Work Day Cases
 Number of Medical Treatment Cases
 Number of first aid cases
 Number of near miss incidents
 Fatal Accident Rate (per 200 000 hours worked)
 Lost Time Injury Frequency (per 200 000 hours
worked)
 Total Recordable Incident Rate (per 200 000 hours
worked)
 Questionnaire Items Bidder’s Responses
NOTE: If not using the definitions of OGP /OHSAS
18001/ISO 14001 (refer to the OGP safety
performance indicators report), please include your
organization’s definitions.
5.2. a) Have you established, implemented and maintain a
Evaluation of procedure to periodically evaluate compliance with
compliance applicable legal requirements of the operation
country and other requirements (e.g. contractual
obligations)?
b) Do you retain records of these periodic evaluations?
If YES, please provide evidence
5.3. a) Have you established, implemented and maintain a
Incident procedure to record, investigate and analyze
investigation, incidents? Please provide evidence
nonconformity, b) Have you established, implemented and maintain a
corrective and procedure for dealing with actual and potential
preventive nonconformities and for taking corrective action and
actions preventive action? Please provide evidence
5.4. a) Have you established and maintain records as
Control of necessary to demonstrate conformity to the
records requirements of your HSE management system and
the results achieved?
b) Have you established, implemented and maintain a
procedure for the identification, storage, protection,
retrieval, retention and disposal of records?
c) How do you maintain records remain legible,
identifiable and traceable?
5.5. a) Do you audit your HSE management system? Do
Internal audit you have a written procedure for HSE auditing?
If YES, please attach a copy
b) Please describe your HSE MS audit program and
provide evidence
c) What do you address in your audit procedure?
d) How do you establish an audit program, arrange
audit activities, initiate an audit, select auditors,
conduct document reviews and prepare for an audit,
conduct an audit, prepare and communicate the audit
report, complete the audit and conduct audit follow-
up?

6.1. a) Do you have a written procedure for management

Management review of the HSE-MS?
review If YES, please attach a copy
b) How often are HSE-MS reviews conducted and who
is involved in the process?
c) How are identified actions and improvement efforts
recorded and tracked to effective completion?

7.1. Please provide information on any certification which

Certification of you have received from certification bodies
your HSE-MS