MEDCO LLC- OMAN

Contractor Tender Submission HSE Checks & Records

CONTRACT NUMBER DATE OF SUBMISSION

CONTRACT SCOPE / DETAILS: DEDICATED

ON CALL
SUPPLY
OTHER
NAME OF CONTRACTOR:

SUBMIT CONTRACTOR Comments MEDCO Comments

HSE REQUIREMENTS
YES /NO /Evidence /Attachments Accepted YES /NO
1. Statement of compliance with Local, MEDCO & PDO Rules
Submission of following with Bid Document
a. HSE Management System
2.
b. HSE Procedure / SOP / Work Instructions appropriate to
scope of work
Statement of compliance to submit following document within
30days of award Contract.
3.
a. HSE Management Plan (addressing PDO 8 elements)
appropriate to scope of work.
Statement of compliance to submit following document within
30 days of award Contract.
4.
a. HSE Implementation Program for the year appropriate to
scope of work & by every 31st January for upcoming years
Submission of following with Bid Document
5.
a. HSE KPI appropriate to scope of work.
Statement of understanding and Compliance to HSE &
Medical Personnel arrangements.
a. Site HSE & Medical Organization (if applicable)
chart/charts. (Rig /Hoist operation mandatory independent
6. HSE Advisor)
b. Submit the proposal for HSE Advisor surveillance schedule
with details of task to be covered Appropriate to the scope
of contract. (Where full time HSE Advisor presence is
exempted)
Submission of following with Bid Document
a. Qualification evidence of HSE (NEBOSH or Dip in HSE
with 5 years.) Submit CV & Certificates.
7. b. Qualification evidence of Medical (MOH) approved, Submit
CV & Certificates.
c. Submit list of First Aiders appropriate to scope of work (at
least in 1:10 ratio of total number of employees)
Statement of understanding and Compliance of PTW
requirements & PDO Training (Records) for PTWH/PTWS.
Also confirm TRIC implementation (attach Sample).
a. Submit the PTW procedure if planned to use separate from
8. MEDCO.
b. Submit a list of MOPO (matrix of permitted Operation) with
responsibility & authority to be used within MEDCO Scope.
c. Submit the list of PTW applicant / Holders and the PTW
Procedure to be used within MEDCO Scope.
Submission of following with Bid Document
a. Submit a List of HSE Critical Position with HSE critical
9. responsibility and authority appropriate to contract scope.
b. Planned /completed Training matrix of proposed project
personnel; with respect to requirements in PDO SP-1157.

068 - Contractor Tender Submission HSE Checks

Format No. MED-FM-HSE-068 Rev 0 18-MAR-17 Page 1 of 3
 MEDCO LLC- OMAN
Contractor Tender Submission HSE Checks & Records
SUBMIT CONTRACTOR Comments MEDCO Comments
HSE REQUIREMENTS
YES / NO /Evidence /Attachments Accepted YES /NO
Submission of following with Bid Document
a. Behaviour Based Observation Program (e.g. PDO
10.
STOP/MEDCO-SOR) or equivalent
b. Samples of STOP /SOR /equivalent, summary & analysis.
Statement of understanding and Compliance to PPE Program
11.
implementation (100% Full Sleeve cotton coverall mandatory)
Statement of understanding and Compliance to HSE
Communication Plan
a. Confirm attendance for the MEDCO monthly HSE Forum
12.
held every 3rd Wednesday of the month, to be
compulsorily attended by contract Manager & HSE
Manager.
Submission of following with Bid Document
a. Samples of HEMP (PDO Standards) (appropriate to the
13. contract activities).
b. Complete HEMP document appropriate to scope of work
during Mobilization Approval.
Submission of following with Bid Document
a. Management of Hazardous Material Handling procedure,
b. Chemical Inventory register and copies of MSDS etc. as
14.
evidence of compliance appropriate to scope of work.
c. Confirm the arrangements for return / waste chemicals
handling & disposal arrangements.
Submission of following with Bid Document
a. Submit list of HSE critical Equipment & Third party
certification details as appropriate to scope of work.
15. b. List of Vehicles, Eqpt. Machinery including details of; RAS,
load test, IVMS, Speed Limiters and etc.
c. Submit lifting register with certification details to be used as
appropriate to scope of work.
Statement of understanding and Compliance to SP 2000 &
SP2001 for personnel commuting / JM / Night Journeys,
attach samples as evidence.
16.
a. Provide list of Drivers & JM Details.
b. Provide Proposal of commuting to interior.
c. Statement of commuting forbidding use of Private vehicles.
Submission of following with Bid Document
a. Facility/Equipment Layout & Safety arrangements (camp/
17.
workshop/ Unit Laydown Layout) & copy of approval.
b. Copy of HACCP certificate for camp staff (if applicable).
Statement of understanding and Compliance to Medical
18.
Facility (PDO compliant / agreement with PAC/PDO)
Statement of understanding and Compliance to Fitness to
work requirement and Insurance for each employee (submit
19. sample evidence insurance policy)
a. Submit List of personnel critical for FTW compliance and
their fitness status in alignment with PDO SP1230.
Statement of understanding and Compliance to
Environmental Management (EM) Procedure.
20.
a. Submit EM Procedure
b. Submit sample of Environment Impact Study
Submission of following with Bid Document
a. Audit & Inspection procedure
21. b. Submit list of auditors certified in internal auditor course.
c. Attach evidence of Program, inspection/audit reports,
Open items Log etc.

068 - Contractor Tender Submission HSE Checks

Format No. MED-FM-HSE-068 Rev 0 18-MAR-17 Page 2 of 3
 MEDCO LLC- OMAN
Contractor Tender Submission HSE Checks & Records
SUBMIT CONTRACTOR Comments MEDCO Comments
HSE REQUIREMENTS
YES / NO /Evidence /Attachments Accepted YES /NO
Submission of following with Bid Document
a. Incident Management Procedure,
b. Attach sample of incident investigation report &
22.
outstanding Items.
c. Submit a list of personnel who are trained to PDO PR1418
accident incident requirements.
Submission of following with Bid Document
23. a. Emergency Management procedure
b. Emergency Contact Details
Submission of following with Bid Document
a. List of safety Equipment’s (including Fire, Emergency &
24.
rescue Equipment) with quantity & certification details to be
used as appropriate to scope of work.
Statement of understanding and Compliance to Medco HSE
25.
Incentive Program
Submission of following with Bid Document
26.
Sample of Monthly HSE Return.
Statement of understanding and Compliance to Stopping of
27.
Work & HSE penalty System (MED-HSE-TOR-014)
Addition requirements / Others:
a. Submit the “DROPS” checklist to be used within MEDCO
28. Scope (if applicable).
b. Statement of understanding and Compliance to MEDCO
Monthly HSE reporting requirements.

MEDCO Comments
DESCRIPTION OF DEVIATION REQUESTED BY CONTRACTOR
Accepted YES /NO

A.

B.

C.

D.

E.

F.

G.

H.

I.

J.

CONTRACTORS UNDERSTANDING & SUBMISSION ON THE ABOVE REQUIREMENTS MEETS MEDCO REQUIREMTS.
ALLOWED TO MOBILIZE ON SITE DATE (Please indicate the date and Tick the others as appropriate)
Date of Mobilization As Independent Contractor As Contractor under MEDCO As Supplier /Other under
(Without MEDCO Supervision) Supervision MEDCO Supervision

HSE DEPARTMENT USER DEPARTMENT

NAME & SIGNATURE: NAME & SIGNATURE:

068 - Contractor Tender Submission HSE Checks

Format No. MED-FM-HSE-068 Rev 0 18-MAR-17 Page 3 of 3