Pre-Tender HSE Qualification Questionnaire

INTRODUCTION
The prime objective of Naoc, Aenr and Nae is to develop a culture and processes to ensure the safety and
health of all employees, contractors, customers and communities associated with our operations in Nigeria.
To reach this objective, we select, as far as practically possible, those contractors that can demonstrate their
capabilities in ensuring the safety and health of their workers and sub-contractors and environment protection.
If you are interested in contract work for Naoc, Aenr and Nae please fill in this questionnaire as
comprehensively as possible and return to us. This will allow for consideration to future contract work.

Figure 1 below shows the elements involved in effective health and safety management and is taken from the
Occupational Health and Safety Assessment Series (OHSAS) and the international management system
standards on environment (ISO 14000) and quality (ISO 9000) management.

Where possible please provide documentation (completed or templates) and photos to support answers
to the following questions:

Company Particulars
Company Name: DAMAGIX NIGERIA LIMITED

Company Address: 19B MAITAMA SULE, S.W. IKOYI, LAGOS

Postal Code: 23401 Country: NIGERIA

Company Registration/Licence Number(If applicable) RC 215,492

Contact Person Name:      

 Contact Person Position:      
Contact Numbers: Telephone:       Fax:
Mobile:       Email:      
Numbers of Employees: Locally:       Nationally:       Globally:
To finalise your suitability, it may be necessary for our representative to formally assess your logistical,
environment, health and safety systems. We would provide prior notice of such an assessment.
If you have any objection, please indicate below by checking the box and providing your name.
I do not wish a Naoc, Aenr, Nae
representative to assess our safety and Name of Objector:     
health systems
Questions
Questionnaire items
Section 1: Leadership and commitment
Commitment to HSE through a) Are senior managers personally
leadership involved in HSE management?
b) Is there evidence of commitment at
all levels of the organization?
c) Is there a positive culture towards
HSE matters?
Section 2: Policy and Strategic Policy
HSE policy documents a) Does your company have an HSE
policy document? If yes provide a
copy.
b) Who has the overall and final
responsibility for HSE in your
organization?
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?
     
 
Answers/Evidence
a) Yes, the senior managers are
personally involved in the planning,
implementation, and continuous
improvement of safety and health
activities by setting up departmental
objectives and monitoring them for
compliance.
b) Yes, Management ensures that all
employees, including themselves, have
clearly written safety and health
responsibilities included within their job
description, with appropriate authority to
carry out those responsibilities. Also,
management ensures that all employees,
including all levels of management,
receive performance evaluations that
include a written evaluation of the
accomplishment of assigned safety and
health responsibilities
See attached HSE Managemnt System.
c) We promote positive culture towards
HSE matters via incentive schemes, no
blame culture, HSE campaigns, posters,
banners, meetings, trainings, quizzes,
games and competition.
A) Yes, Damagix has HSE policy
document. See attached HSE Policies
b) Mr. Dahiru Mohammed, the Managing
Director has the final and overall
responsibility for HSE.
c) Silas S. Ekeng is the most senior
person in our organization who oversees
and ensures HSE policy is strictly adhered
to at the premises and site where
employees are working.

Availability of policy
statements to employees
Section 3: Organization, Resources and Competence
Organization-Commitment
and communication
Competence and Training of
managers/supervisors/senior
site staff/HSE advisers
Competence and general
HSE training
Provide name, title and experience.
a) Itemize the methods by which you
have drawn your policy statement to
the attention of all your employees
b) What are your arrangements for
advising employees of changes in
the policy?
a) How is management involved in
HSE activities, objective-setting and
monitoring?
b) How is your company structured to
manage and communicate HSE
effectively?
c) What provision does your company
make for HSE communication
meetings?
a) Have the managers and supervisors
at all levels who will plan, monitor,
oversee and carry out the work
received formal HSE training in their
responsibilities with respect to
conducting work to HSE
requirement?
If yes, please provide details. When
the training is given in house,
describe content and duration of the
courses.
a) What arrangements does your
company have to ensure new
employees have knowledge of basic
industrial HSE and to keep this
knowledge up to date?
Silas S. Ekeng, QHSE Manager, Please
see attached Silas S. Ekeng’s CV
a) i) Meetings
ii) The Policy is strategically located at
different points in all our offices.
iii) Trainings
iv) Publication on the Notice Board
v) Memos
b) i) Memos are sent to Heads of
Departments
ii) Training is conducted
iii) Meetings are Held to give further
explanations
a) Management’s responsibility is to set
goals and target, and to track or monitor
performance and success of these goals.
Safety goals and targets are established
during annual strategic planning meetings
of Damagix Nigeria Limited. Heads of
Departments sets their departmental
objectives and monitors them for
compliance. The Chairman/CEO as head
of the HSE Committee is responsible to
overseeing the development of safety
goals as well as implementing them.
.
b) A HSE Committee is in place
and saddled with the responsibility of
overseeing all HSE Matters.
c) 1. Monthly HSE meeting (HSE &
Progress review), Middle Management
2. Quarterly HSE meeting (Self-
Assessment), Middle Management
3. Management review meeting. Top
Management
4. Daily HSE Briefs and Toolbox
Meeting - All Work force
a) Yes,each year management pays
special attention to the evaluation of the
year’s training efforts to look for methods
of improvement
See attached HSE – HSE Training
Certififcates and HSE Training Matrix
a) Currently, all new employees receive
two hours of safety and health orientation
before they begin work. When they have
learned this material, they begin their
assigned job with a trained buddy. Daily
HSE Briefs are held which avails new
employees an avenue to get to know the
company’s HSSE Objectives and Policies
and also through the following:
1. HSE Induction
2. In House Trainings
3. Third party training

Specialized training
Assessment of suitability of
subcontractors/other
companies
Section 4: Risk assessment and management
Hazards and effects
assessment
b) What arrangement does your
company have to ensure new
employees also have knowledge of
your HSE policy and practices?
c) What arrangements does your
company have to ensure new
employees have been instructed and
have received information on any
specific hazards arising out of the
nature of the activities? What training
do you provide to ensure that all
employees are aware of company
requirement?
d) What arrangements does your
company have to ensure existing
staff HSE knowledge is up to date?
(If training is provided in house,
please give details of the content).
a) Have you identified areas of your
company’s operations where
specialized training is required to
deal with potential hazards?
(If yes , itemize and provide details)
b) If the specialized work involves
radioactive, asbestos removal,
chemical or other occupational
health hazard, how are the hazards
identified, assessed and controlled?
a) How do you assess :
 HSE competency
 HSE record of the
subcontractors and
companies with whom you
place contracts?
b) Where do you spell out the
standards you require to be met?
How do you ensure these are met
and verified?
Questionnaire items
What methods are used within your
company for identification, assessment,
b) Through regular HSE meeting, briefs
and in house training new employees get
to know the company’s HSSE Objectives
and Policies
b) Daily HSE Meetings are held that
avails new employees an avenue to
get to know the company’s HSSE
Objectives and Policies and also
through trainings.
d) Via regular in house training and
external training as may be required for
specific work groups.
The following in House Training is
provided for but not limited to:
1. Emergency Response Procedure
2. Confined Space Entry
3. Safe Lifting Practices
4. Use of heavy equipment’s
5. Road Safety
6. Blood borne Pathogens
7. Fighting Incipient Fire
8. Electrical Safety
9. Hazard Communication
10. Hearing Protection
11. Personal Protective Equipment
12. Respiratory Protection
Please see attached HSE training content
a) None at the moment
b) Specialised trainings arise from a
perceived and identified risk.
a) Questionaires/Audits
b) In our HSE Manuals.
Through audits
Responses/Evidence
1. Risk Management
(A written document of Risk, Hazard
 control and recovery of hazards and
effects?
Exposure of work force Do you have in place any systems to
monitor the exposure of your workforce to
chemical or physical agents?
Handling of chemicals How is your workforce advised on the
properties of chemicals encountered in
the course of their work?
Personal Protective What arrangements does your company
Equipment have for provision and upkeep of
protective clothing, both standard issue
and that required for specialized
activities?
Waste management Does your company have in place
systems for identification, classification
and management of waste?
Section 5: Planning ,Standards and procedures
HSE or operation manuals a) Do you have a company HSE
manual (or operations manual with
relevant sections on HSE) which
describes in detail your company
approved HSE working practices
relating to your work activities?
If the answer is yes, please provide a
copy of supporting document.
b) How do you ensure that the working
practices and procedures used by
your employees on site are
consistently in accordance with your
HSE policy objectives and
arrangements?
Equipment control and How do you ensure that plant and
maintenance equipment used within your
premises, on site, or at other
locations by your employees are
correctly registered, controlled and
maintained in a safe working
condition?
Directives a) Where do you spell out the
standards you require to be
respected?
b) How do you ensure these are
respected and verified?
c) Is there an overall structure for
producing, updating and
disseminating standards?
Road safety Management a) What arrangements does your
company have for combating road
and vehicle incidents?
controls & recommended control, task
specific )
2. By developing a project specific Risk
Register. See attached HSE 5 - Risk
Management Folder.
Yes we have a system in place which
manages the exposure of employees,
Please see attached HSE 5 - Risk
Management folder.
Task specific training being provided to the
workforce like Chemical Handling,
Emergency response also see attached
HSE 5 - Risk Management folder.
1.Appropriate Certified PPE being used
2.Monthly PPE inspection by the
competent HSE Persons.
Ensuring the greatest possible protection
for employees in the workplace is our
priority and we have created a program for
that, please see attached Damagix
Personal Protective Equipment (PPE)
Program
Yes we do, please see attached HSE
7 - Waste Management.
a) Yes we have HSE Manual, see
attached
HSE 8 - HSE Management System
Manual.
b) By conducting none scheduled
inspection of the site and through Audits..
Through Audits and Inspection.
a) HSE Management System Manual.
b) Through Audits and Inspection.
c) Please see attached HSE Management
Review.
a) Through regular trainings and emphasis
on the adherence to speed limits, road
signs and use of selt belt at all times. We
also monitor and control this via
observations, feed back from employees,
invesitigations and inspections etc.
Section 6: Implementation and Monitoring
Management and
performance monitoring of
work activities
HSE performance
achievement awards
Statutory notifiable
incidents/dangerous
occurrences
Improvement requirement and
prohibition notices
HSE performance records
a) What arrangements does your a) we achieve this by carrying out Audits,
company have for supervision and Inspection and Incident Investigations
monitoring of performance? coupled with HSE meetings and review.
1. Internal audit by higher management
2. Regular Project Visit by higher
management
3. Management review meeting
4. Monthly HSE meeting with all staff
b) What type of performance criteria b) Our performance is measured against
are used in your company: give yearly logical & achievable set goals which
examples is to ensure Zero Incidents and 100%
Compliance with HSE standards by
drawing a comparison among
performance of two or more preceeding
year, such as annual review of accident
rate and injury frequency, mortality rate,
safety culture, lost-time injuries. Please
see attached HSE Statistic.
c) What arrangements does your c) 1. Through HSE briefs and meetings
company have for passing on any 2. Through HSE committee
results and findings of this 3. Through internal audit report
supervision and monitoring to your: 4. Through observation report
 Base management 5. Through E-mail
 Site employees?
Has your company received any awards No.
for HSE performance achievement?
Has your company suffered any statutory No.
notifiable incidents in the last five years
(safety, occupational health and
environment)?
(answers with details including dates,
most frequent types, causes and follow
up preventative measures taken)
Has your company suffered any No.
improvement requirement or prohibition
notices by the relevant national body,
regulatory body for HSE or other
enforcing authority or been prosecuted
under any HSE legislation in the three
years?
(if your answer is YES please give
details)
a) Have you maintained records of your a) Yes, we have records of incidents and
incidents and HSE performance for HSE performance
the last five years?
(If yes, please give the following
details for each year, number of non Please see attached HSE 9- HSE
lost time injuries, and number of lost Statistics
time injuries, total hours worked by
workforce for each corresponding
year, frequency rates, and your
company definition of lost time
incident).
b) How is health performance b) Through medical check-ups and HSE
recorded? Statistics.
 c) How is environmental performance
recorded?
d) How often is HSE performance
reviewed? By whom?
Incident investigation and a) Who conducts incident
reporting investigations?
b) How are the findings following an
investigation, or a relevant incident
occurring elsewhere, communicated
to your employees?
c) Are near misses reported?
Section 7: Audit and Review
Auditing a) Do you have a written policy on HSE
auditing and how does this policy
specify the standards for auditing
(including unsafe act auditing)?
b) Do your company HSE plans include
schedules for auditing and what
range of auditing is covered?
c) How the effectiveness of the auditing
is verified and how does
management report and follow up
audits?
Insurances
Naoc, Aenr, Nae will require its contractors to have the following insurances:
 Workers Compensation Insurance
 Public Liability Insurance
 Motor Vehicle Insurance
 Professional Indemnity Insurance
Please supply details for each.
For and on behalf of the Company
Name:       Position:      
Date:      
End of Formal Questionnaire
I hereby, Mr(s)(Full name)……………………………………………………………. declare that all information
provided in this questionnaire are accurate and can be verified when required by Naoc, Aenr, Nae.
c) Through data obtained from operations
and Statistics gathered during Projects.
d) Quarterly and by the HSE commitee
a) Qualified and competent HSE
Personnel areassigned to carry out
accident investigations.
Smaller incidents are investigated and
handled by the site teams. Significant
incidents (e.g. lost time or those needing
medical treatment) are investigated by our
own HSE advisors.
b) An incident deemed to be serious
triggers an immediate audit of the process
or operations that led to the incident (root
cause analysis will be carried out). The
report of this investigation is
communicated to all staff.
c) Yes. we rely on a ‘no blame’ culture for
reporters, the information generated is
used to drive improvement. Please see
attached HSE Incident, Investigating and
Reporting
a) Yes we do; please see attached HSE 8
– Procedure for Internal Audit
b) Yes it does, Internal Audits are done
quarterly, while audits for
suppliers/contractors are carried out
yearly.
c) We achieve this by conducting
unscheduled audits/investigation.
______________________________________________________________________________
This section for Naoc, Aenr, Nae Use Only

Naoc, Aenr, Nae – General Manager/Delegate Person

Review Comments:     

Name:       Position:      

Date:      

Naoc, Aenr, Nae – HSE Manager

Review Comments:     

Does the company Logistical, HSE system require physical

Yes No
assessment by Naoc, Aenr and Nae?
Name:       Position:      
Date: