‘Baal Sheet! 12 shst netting tis cover abet ‘Subeontrcors name: PVE ENGINEERING Enploser [Np Son Raiery an Potro LC. Controtoe GCS Contin Zane Zone Project name + NSRPComplex Projet © Subsontanet No, _:_ONT'95-SMPSASB 01 Document ie: Health Management Plan ct Do. No: 08. Revision. No.2 lssue Pup ta Coniacor (fA, ROC Reve Rest Scher (Fed By 16) REUTEODEA BRE 7 NT SATUS AE CNA Renbison Date (wip 3 Reporte bepe/ Pesan | fue feb | aoseveton| heck By (ane Sin est ade Dae - chavo sort 49. Dey reponttomsen | ft Km LAs 72 7 top a eo Net Agproved FE NoLSubjett Review ne Purge cer Tse arpve mpi AFR, LF e 47 0@c 108 REGeNED cast _repeage 4ri o HEALTH MANAGEMENT PLAN DOCUMENT CLASS: X nev] ome = ‘eserpon Pore | oma | Ape + | wean] | taeracwom | evr | aan | wate 0 | ewan) | tmwtricpom | pvt | fon | wate pean Carer 008 Gade pron Carte Coenen FReeponuible company: | Prepared by ‘checked by [ Apsroed by: Pveneneenne | Coe. hu has pranvan tno [owouongtia | Hopn Tue Tham Cong caus) rotsao 2 > NGGS| eee ee INoex Purpose, - Score ” DEFINTIGNS: REFERENCE DOCUMENTS: a ROLES AND RESPONSIBILITIES. * 51 CONTRACTOR HSE Manag = 52. PvE and ts supple. : 53 Noe. 2 ‘KEY ELEMENTS OF THE HEALTH MANAGEMENT PUAN HEALTH RISK ASSESSMENT = es TA HRA Requlements : 72 Were Heath Hazard inion 8, INDUSTRIAL HYGIENE. : 8.1 Weskst nygiane sandards : 82. Gateing and Foc hygiene ‘9, INDIVIDUAL HEALTH PREPAREDNESS. conn 81 Adi wera eae 82 Dre and Azohol. é 83° Shitwork. ———— 94 Nasir. 10. COMMUNICABLE GISEASE PREVENTION 10.1 Miniising kof disease, 102 Malia and Dengue reve" 40.3 Cholera 11, MEDICAL RESOURCES $2, MONTTORING, RECORDS AN REPORTING 121 Health Noviorg. os 122 Medoal Records 123 Reporting, : — “Tan Heat Management Pan [cere Ne STE Si Abbrevaong = Pogo? ottayer 1. PURPOSE “Te purposs of his document i to describe about the Heath, Safty, Socuy and Enveenent ‘quremonte (985) qudeinee hat sr required ta folow By PV Enginearg (PVE) and a ‘ther pares wh are inved on behal of PVE for exwouton of constrcten ates ofthe {EMP 84¢8 Package at Nh Son Relnery and Perechaical Projet in comgance wih a the projec HSSE reqlterents and othr rogationsaws on HSSE ives 2 score “These HSSE requraments apply fo PV Engineering (PVE) engaged on any pation of th works associated with he project and als suppor have prevailg iuence and veponsibiy over {he performance of tha works. 3. DEFINITIONS Employer Nah Son Refinery and Petrochemical Lite Uabity Company (see) ‘CONTRACTOR EPC Contractors: 186, Chyeds, GS, SK, Teen ont verze cosy Subcontractor PV Engineering (PVE) ‘suppor Equpment Suppl, Le. Vendor, food supp: Hoth Hazard ‘Anthng wih the pte to ham eat, whther immediatly, oF ‘nthe long term, ater bret exposure, or proknged or Tepeiod Sipoeure. The hazard, 35 such, ens whetha or not thee ‘posure tot Heath Rsk Asasemant The ientSoaon of workplace heath hazards and assssmant of ‘ha risk to exposed persons, enifeation of contol measures 1 Feds rk and, whare neccesary, ieatfying to need for heath urvelance, Medial Provide ‘Ta Medical / Occupational Hes serve conpany selected to provide medical ad heath serces othe Proje. Abo refered {bes Metal Sorice Company 3A. Abbreviations HRA Health Risk Assessment Hsse Health, Safely, Secury and Environment on ‘Occupatonal Heath PPE Persona Protective Equipment wo Wirt Heath Organsaton 4. REFERENCE DOCUMENTS = Joint Circular 012011/BLDTEXH-BYT - guiding the crgsnzaton of sbour safety and Page softaye : iets (oe sanation workin abouremploying etabishments = Gitex 0872000/TT-8YT - guiding heathiare for Iabourers at medium and smalsize Pursuant to Decree GSP of October 11, 1883 of the Goverment proving fr the functone, tasks, powor and ergancatonal structure must be informed ofthe oft Misr of Heath, 5. ROLES AND RESPONSIBILITIES S.A CONTRACTOR HSSE Manager + Eneure adequate Hest and Medial fais are provided at Project work sts; 1+ Suponise the Meta Provide + Prepare monty mentoring report and semiannual audting repens as requted by NSRP. 2. PVEand ts expos PVE and alts suppl are responsible or: Hinges for work and Hols monitoring of her nn erployes; “+ Hygiene stendars or throw employees; + Heats Awareness training fr ter own emsloyees. 53. Nuve “Tho Nurse responsible or: ‘Coordination withthe safety department, medical supply package. “+ Paricipsting in emergeney reponse when incident occu. + Preparation and delvor of peril ports as erie; + entiation of asus in rekon othe hak of al employees. (6. KEY ELEMENTS OF THE HEALTH MANAGEMENT PLAN ‘hie Plan comprises he folowing key elements Indust hygiene: + Finass for werk assessment, + Heat sri: + Heath reperaton; + Communicable Disease prevention: 4+ Medical Resources | Medical emergency management wnt Pages ott+ Mentoring and Reporting Inuding Keeping record of Incentsand Acients 17. HEALTH RISK ASSESSMENT 7A HRA Requirements PVE shal ensure thatthe Medical Provider undertakes a proc pect, aly wie Health Fick Assesamant (RA) fo determine rk associated wit work ncudng those ef at Hs ‘suppliers, HSE Manager shall be responsible fortis process which wil be managed by the Medical Provider. ‘The ak sssestment shal ony necossary conto, avoidence, end miligaion messures to ‘dross ont rks atte 12 Workplace Health Hazard Klontitcation \Wrkoiace helt hazard wil usualy, derive rm te fouing groups: Physical Nose, Vibration, Nor-oniing Radon, Repetive Movements, Extetnes of Temperature, ee. Chemical Ligue, Gases, Oi Mi, Fumes, Dust, Carcinogen, Biologleat Bectra, viruses, Ergonomic anual haring, Payeho-social Store, Vince elaton, Fatigue Wendicaton of werkplae heath hazar forms the basso he Healy Rsk sessment 8 INDUSTRIAL HYGIENE 8.1 Worksite hygiene standards Ste Menager shal ensure high standards of hypiene athe Poles work ai (vic incudes the ‘sccormedaton camp) where they have responsi. Ths sha incude + Daly lening of a common areas; + Keeping areas fe fom infestation of vein ard insess,especally, ing insets such ‘as mosquitoes; + Regula cleaning of tole areas atest vice dally, “+Food and her wastes are tobe removed daly in closed containers; “+ Human west isto be connected o 2 cosod sewage waste treatment fy or septic Se Manager shal provide welare facies for thelr workforce win the constuaion ste including tet and washing faites, willbe te responsibly of HSE Manger to ensure that ‘hese fects ae maintaned clean, flyfuntoning snd keep in good condition ‘82. Cateing and Food hygione Site Managers requ to provide necessary files at Stef satis th ob equerenis of the workoto and fo prevert the need for nduauai to vacate the Ste tegheut the werk Pogo st 1taye > HGS a emma Ti apne Ps Coreen Wie | eve ay, Food and tygiene standards on Site shal be In accordance with those Sesrbed forthe ‘workers accommodation, wl be tbe responsibly of HSSE Manager to ensue that these teliles are altars clan, uly fonctoing and Keepin good coon, 9, INDIVIDUAL HEALTH PREPAREDNESS DA Advice t workers Site Manager and suppl representative ar requies to advise employees on risks to heath ine workplace Thi il ned! + Personal hygiene: + Substance abuse + Malaria advice and chemopropytas + HV TAIDS, + EBOLA + Dengue Fever + Ober communicable diseases “+ Heath and safety risks a dente bythe HRA 9.2. Drugs and alcoho! ‘Ste Manager fs commited fo proving a ste and eflon work environment for al persons ‘working ote work se. Ste Manager and supple representatives se equed fo mata the ‘ighest standard or the prevention of sonal and drug bu ‘Sie Manager end supper rpresentatves are therefore requ to enforo this prion amongst hl enployees stich Personnel who ae found xsd er under the nfivnce of legal rugs on Projet works, Promises or ehises are subject ib scptnary acton, which may inde immediate dismissal 9.3. shittwork ‘Shit work shal be arranged folowing tors consideration + Plan an appropiate and varied werkcad + Avoid eal moming eas. Sit change over ne should tak into account the lng af ‘commute and the aval of pubis rancrrt ‘Lind shits o £2 hours incng ovetine = Allows nights ofl lop hon aching fom dae fe ight che nd vio vores + Prove tiring and infomation on the rks of shit werk and ensue eupevcos and tranagetnent ean recognize prebems + Enoue the wereplace and surroundings ae wet safe and secure 9A. Medleaton eatin can elevate fafque in wo ways ~ dec, by reducing slerness (eg sedatves) andwo > COGS | essovserenr reece coma maser [soem] re: Hetnveragmen Pn ‘onrncerOne ne wwaveoomAos | REV? indirect, by duping Soap. Aske tom sleeping medetions,pescriion medicines that can hve eedstve effects inde parkas, muscle relaxants and teaiments for high blood pressure, arsety and dapasson. Madicatons that can promote fatigue by during sleep [roe semuonts sien ae topnine (a rocprenory simular ues Yo Wes ssa) nd treatments for eplepey and peyeniaedkerdos. Many ofthe reatrens fo colts, yar hay {Gver conan one oF mote of group of substances called ‘anslaminos’ Besides reauag & ‘ony nose, sneezing alleles el, some anhistamines havea song sedatng effect. Taking fnthisamines dicing the day can inpae your performance at wrk and your ably to crve sat 10, COMMUNICABLE DISEASE PREVENTION Ne one suing from a rensitabledseate shal be alowed ont Project wotsts. teat be the duty of PVE to repo Immediately tothe medeal staf and the HSE: Manapor ary ‘vidual on Project worktes Kno io have or suspoctod o having a Vansriable sesso 10.1 Mininising risk of disease To minimize the tok of communicable ieease outbreak, the flowing measures shall bo Implomorted by PVE and alls suppers + Ste Manager ensue workers wll have thei heath checked before commencing work at Projet work sts + Sto Manager wil ensue woxkare’ accomadation camp wl be provided wlth adequate ‘Sean wnat supply, waste management fies and dranage inasttse, ‘+ HSGE Manager wil enaure pest conta measures il be implemented at camps and on ‘wort “+ HSGE Manager will ensure heal check fra workers wl bo done yearly 28 requted bythe Vienameea Labour Law inorder fo detect an Inectous alsago tnt may occur «+ Eéuclion of projec personnal on is, pevention, symptoms and teatrent 4+ Monterng of community conatons 10.3 cholera (Cholera fs an acute intestinal infection caused by ingestion of fod or water contrat, Causes, watery dates tat ean qucky lead Yo severe deysraon and deat I trestment = hot prompt ten Regions that have are exparencing dsplaoement and ovorcowding where te provision of lable wale and sanalon ae vlperabl fo cholera outbreak. ‘As with ther communicable diseases, HSSE Manager wil wrk closely with hath serves at ‘he Prov, Diatet and Commuse levels to develop awareness, tang, prevention, ‘dagnoste an veament programs for workers and lca population. Mecaures forthe prevention of cholera mosty const of providing clean water and proper aration, + Provide Health education foal employees, parouary In base hygiene incung te cess ef systomate hand-washing wi soap set delesabon are before hang fooseoreaing + Ensure good fod hygiene slandards are mainianed in canoens and accomadation camps: “+ eure water euppfles are clean at accommodation camps + Maintain high etandaré of santton at sesommedtion camos 11, MEDICAL RESOURCES ‘Based on the HRA, CONTRACTOR Site Manager, ough Mess Prolr, wil provide Suiable medal faites and empley sulablygualfed personnel o operate 1 medial service epable of serdng al pereonnel. Metical feces willbe sted 24 hours a ey CONTRACTOR Site Wanager will provide Fist Aid and Medical Treatment fales forall oreo wotking st Project werk sls. Fat Ad ts shal be pula workplaces of labourers. ‘is sal be pt at places most sb, easy to ed, witha spec sgn (usualy a red ss) Management mst noty te bourers of the place of he kt and basics on how ous “The tt ltt must have enough equement and instruments for use n emergency, not o put Ger tags nthe Ki. Fist lg boxes for emoreency uso ely ro proved at appropite focatlons at al rojct wok ses Medical Facity “This compas a treatment rom equipped wh a bed, stoher; char, abl heating, Hai ‘ith waor supp, cabinas, scare storage for digs and adel equmont, Ambulance ‘A fuy equipped ambulance capable of responding 1, and desing wit cial medical tmergencies provided by CONTRACTOR Ste Manager. Page serttayo > GES | cd en comenan ie: Hearapewet Pin =|‘. Ns WEA Modal emergencies ‘A medical emergency i 2 suaon ln which, due to an goulo ines or iy, there Is an Inumacaia fine fo a person's fe or git health. To. manage. medea! ememencis CONTRACTOR SSE Manager has developed a sle-specfio medal emergency respons Pian as Aachen 1 thing ito account the pote fr evidual and tiple cebuaties. ll Dertanna of PVE and is supple ar requred tc coral with fs pln. 12, MONITORING, RECORDS AND REPORTING 12.1 Hoalth Monitoring PVE, though the Medial Provider, shall ensure that on al Projct ses he following ‘monies + Ozcupatonal accents, sass, ess, Injury and dangercus occurences frequency; + estas cases + Namber of heath aus; “+ Number of mestings with local conmuniy eg, heath services at the Province, Distt ‘Spd Commune eves “+ Number of ndviduals undergoing heath suvellance; ‘+ Number food hyglne inspections. 122 Medical Records PVE are responsi for Keoping the medical records oftheir employees wich was uso for Firese to Wok These wil Inclaso pro-omplayment medioa assessment any Ns of Ise, Medical record at fo be opt conan, “hase records are to be kept se0xe and confidential and det hat ina ‘Dato, time and place of eaten 4+ Description of treatment “+ Nam, badge number aril fob of lire orl person; + What happened to the person inmettaoly flr (29. wont home, tuned 0 work, attended hosp. 123 Reporting All incidens, incluting ooeypatonal accidents, dioases, ness, Ixy and dangerous ‘courrenoes should be reprid to CONTRACTOR HOSE Manager os sown ac reasonably Practcale fling “occurence. Adcltonaly, PVE must submit monthly repot 12 CONTRACTOR HSSE Manager wih detats ot: Fist Ald weatment cases. ‘Subetanos and seohol abuse csses (ccupational ines cases. CCeeupatonal jury snd dsabily cases. ‘occupational aay cases 1 3 4 5 Pago otIGGS | EE sconce 5. Sknese abeence- Number of days lst for employees pe month ATTACHMENT 4 HEALTH Questonnairs (examples) ‘The heath questonnare should include: Adminstration + fist name, aos, date of bith, 2x 1+ proposed ecupation, + Media! infomation + pastmesca and dental nstory + eocupatonal history + fama medical history + curent mesieal complaints + koown ries + curent medleaton akan ‘+ tmmunisatlons reeled (ype dats of lst booster) ‘+ esl (6reking, kechontke, exercise) Foe specie safety eal postons or specif job tasks quostonnale may be extended, for ‘example boon ATTACHIMENT2 FITNESS FOR WORKING Height or Confined Spaces Questionnaire (example) Employee Full Name: boa: | Job Tite Location: Employer: Manager: Please answor onch question by ticking Yes oF No: 1. Have. you had any chest problems or complaints, such a broathlossnoss, whodzo, chest tightness, persistant cough, chronic Bronchitis, empires TB or pleut? Yana 2, Have you ever had stroke, high Blood pressure or any heart proboms| such 2s chest tightness or angina? Yan ‘Have you ever had any fits, Blackouts, fants or dizziness, eplopy, or sloop eisorders? YEN Page toot ttayer Tae aint Fn cain | reve 4 Doyou suffer from diabetes, thyroid problems? [Yona 5. _Doyouhave any kidney disorders? ene 6. Doyouhave any chronic iliness? ‘YeNe 7. Do you have any bone or joint problems or complaints such es arthritis, | YON Sette tee el poms ih eect yur mt? ‘Do you have any skin problems or allergies? oo Do you have a fear of heights or confined spaces? ae Bo you stl om ny met eats pti, yo pve | VN weet Toye avy poten wir oe aN ewe 12, Are you taking any medication? If yes please list below: YeNs 13, Whats your height? a 14 your corti Enpoye Fal ines ee] sates and duration Ifyou have answered YES to any of the questions please glve fll deta below including 48. Declaration Undertake to nfo the company ef any sgrfeant change to my health which me ‘ess. | clare that the enswers on his frm ae tuo thebestof my knee and beet and that | consent information regarding my heath being used by Occupational Heath fo determin my ‘ines for wokong at height orn conned spaces and that he resus offs iii be pasted sy fect | tomy employer. Signed Date: Print Nam 08: