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Health & Safety - Construction

Subcontractor's Evaluation

Project Name: Design & Build for SP551

Subcontra:

Evaulation for Month of: Date of Evaluation:

Actual
No. KPIs Scoring Criteria Weightage Score Score Evaluators Notes
(E*F)
Health & Safety 10%
A HSES Management System 35%
Yes 1

The Contractor approved HSE Plan provided is implemented

1 10% 0.0
effectively, and communicated to all staffs / workforce No 0

Employees HSE Training Matrix developed and training conducted by a Yes 1

2 competent and approved safety trainer as per the Training Matrix 10% 0.0
No 0
(In-house & a Third Party).

Yes 1
Pre-start briefings are carried out before work begins, Toolbox Talk
topics applicable to the current work activities and incidents; held at
3 10% 0.0
least once/week; given in the language understood by the workforce; No 0
and records available.

Yes 1
A Permit-to-Work procedure which includes both internal permits and
4 10% 0.0
required external permits has been complied No 0

5 Plant and Equipment Inspection and operational procedures provided Yes 1 10% 0.0
by contractor is implemented onsite. No 0
Method Statements are reviewed by the HSE Department and HSE Yes 1
6 confirms that approved MSs are available at the work location and are 10% 0.0
No 0
understood and followed by the workforce.

Yes 1
Sufficient number of approved HSE personnel appointed on the
7 project in accordance to client and a pproved HSE Manager is 10% 0.0
No 0
working on the project.

An Emergency preparedness and response which provided by Yes 1

8 5% 0.0
contractor, communicated and Implemented with all employees No 0

An audit schedule (internal and external) developed , implemented Yes 1

9 and audits carried out as per the schedule by a Qualified HSE 5% 0.0
No 0
Auditor.
Yes 1
10 HSE finding by contractors and AMS closed out within the timeframe 10% 0.0
No 0

is the internal HSE meeting with senior construction managements

conducted Yes 1
11 10% 0.0
No 0

Sub-Total 100% 0.0 0

B Incident Notification and Investigation 15%
Near Miss and First Aid cases recorded and investigated. All No 1
1 subcontractor employees aware of the incident reporting 35% 0.0
Yes 0
requirements.

Incidents notified to Contractor as per the Incident Notification and Yes 1

2 Investigation Specification, and action plan developed 25% 0.0
No 0
and implemented
3
Incidents investigated and final reports submitted to contractor Yes 1 40% 0.0
No 0
Sub-Total 100% 0.0 0.0
 AL FALAK MIDDLE EAST

Health & Safety - Construction

Subcontractor's Evaluation

Project Name: Design & Build for SP551

Subcontractor:
Evaulation for Month of:
Date of Evaluation:

C First Aid /welfare 25%

First Aiders Ratio (1:50) and First Aid Boxes with required contents
Available at construction site and office, also stocks replenished on Yes 1 20%
1 0.0
usage each day No 0

Are distinct location for first aid treatment(room), clean ventilated Yes 1
2 and brought to workers attention 15% 0.0
No 0
3 .adequate site welfare arrangement are in place such as proper rest Yes 1 15% 0.0
areas, sanitary toilet, washing, shaded eating area.
No 0
Are adequate site welfare arrangement such as sufficient Yes 1
4 lighting, area clean, waste not accumulate 10% 0.0
No 0

Yes 1
5 Are all first issuer reported according and recorded with appropriate 20% 0.0
time No 0

Yes 1
6 20% 0.0
Heat Stress (plan )in the Workplace, communicated to
workforce monitory follow up No 0

Sub-Total 100% 0.0 0.0

D HSE Inspections 25%
Yes 1
1 25% 0.0
Daily site inspections conducted and documented. No 0

Inspections performed by the subcontractor HSE Team / Management Yes 1

2 25% 0.0
captures unsafe practices and conditions that exist on site. No 0

Record that daily site inspections findings/observations by Yes 1

3 communicated to subcontractor are rectified with the time frame 25% 0.0
No 0
agreed.
Subcontractor closes out and responds to AFME site inspection
4 findings within specified timescale. Yes 1 25% 0.0
No 0
Sub-Total 100% 0.0 0

E Lagging Incidents* (-)35%

1 Fatality Yes 1 100% 0.0

No 0

2 Lost Time Injury Yes 1 80% 0.0

No 0

3 Medical Treatment Case Yes 1 60% 0.0

No 0

4 Restricted Workday Case Yes 1 60% 0.0

No 0

5 Significant Incidents or Potential for serious injuries. Yes 1 60% 0.0

No 0
Sub-Total 0.00

Health & Safety Overall Score 0.0

Note: 1) *If any Lagging Incident occurs the scores obtained in each incident will be deducted from the overall score of HSE Management System - Section A .
2) Where the activity is not applicable the weightage should be deducted while calculating the overall score. E.g., If Activity A1 is not applicable then the Sub-Total for section (A) shall
be calculated as {Total Score/(100-10)}, Where 10 is the weightage of A1.

Remarks:

Scoring Guidelines

Evaluated By: Contractor HSE Team

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