5.

43-F04 VENDOR HSE DOCUMENT SUBMITTAL

LOG
PROJECT: SPO OFFICE
SUB-CONTRACTOR: Darwish Aluminium & Glass
CONTRACT NO.

SI No. REQUIREMENT SUBMITTED COMMENTS (if “NO” or “NA”)

1. Vendor EHS Agrrement Yes x No ☐ NA ☐

2. Risk Assessments & Method Statements Yes x No ☐ NA ☐

3. Vendor EHS Appointments Yes x No ☐ NA ☐

4. Pre-Qualification Questionnaire Yes x No ☐ NA ☐

Proof of valid Workmen’s Compensation
5. Yes x No ☐ NA ☐
Insurance.
Copies of Medical Fitness Certificates for Plant
6. Yes ☐ No ☐ NA x
and Lifting Equipment Operators.
Proof of Competency/Training Certificates for
7. Yes ☐ No ☐ NA x
Plant and Lifting Equipment Operators.
UAE Driver’s Licence of Site Vehicle & Mobile
8. Yes ☐ No ☐ NA x
Plant Operators.
UAE Registration/Licensing of Mobile Plant &
9. Yes ☐ No ☐ NA x
Construction Vehicles.
Proof of Competency/Training Certificates for
Specialised Equipment Operators and Skilled
10. Yes x No ☐ NA ☐
Personnel (welders, riggers, Hilti gun operators
etc).
11. Valid certificates for First Aiders (3rd Party). Yes x No ☐ NA ☐

Training records/certificates for Competent Fire

12. Yes x No ☐ NA ☐
Fighters (in-house adequate).
Load and test certificates for all Lifting
13. Equipment, Construction Vehicles and Mobile Yes ☐ No ☐ NA x
Plant.
14. Project-specific Risk Register Yes x No ☐ NA ☐
Alphabetical list and MSDS for all Hazardous
15. Yes ☐ No ☐ NA x
Chemical Substances to be used on site.

16. CV’s of proposed Safety Officer/s. Yes x No ☐ NA ☐

SUBMITTED BY:
NAME Vijayakumar DATE 14.08.2018
DESIGNATION Safety Officer SIGNATURE

Documents Checked & Verified. Contractor may receive Induction Training.

NAME DATE
DESIGNATION SIGNATURE

Page 1 of 1 Rev. 2 [24-March-2016] CRM Uncontrolled Document