MNGMNT CNTRCTR HSE Procedure Manual 10-4

ADCO - (Procedure Title)
Sub Title
Volume : Revision: 3
Part : Date: Nov 2009
Section : Revision History Page: 3 of 258
Revision History
The table below is a brief summary of the most recent revisions to this document. Details of all
revisions are held on file by the issuing Division.
Rev.
No Date Authors Scope / Remarks
1 05/02 SA(S&M) – This revision was part of integrated revision of the whole Manual 10.
Ahmed Ismail
A 06/06 GHRDC First Draft
Consultant
B 09/06 SA(S&M) After review by HST and end users
2 11/07 Rashid Procedure updated to include Registration/ Pre-Qualification Phase; Contract Administrators roles &
Hamsayeh responsibilities are better explained; Consequences of compliance and non-compliance with ADCO
HSE requirements has been added; and Guidance documents for the Checklists have been added to
ensure consistency.
3 10/09 Shehdeh o Procedure updated to include the implementation team recommendation; Roles and
Rajabi Responsibilities of the Stake were regrouped for better management
o Aligned the Registration / Pre Qualification phase to the Unified OPCO's new Procedure
o Updated the list of documents to be handed over to the prospective bidders
o Deleted the “ HSE Requirements” Appendix as the contents are included in the “Rules and
Conditions” Appendix
o Introduced Mode 3 for consultancy and studies “HSE requirements are very minimal compared to
Mode 1.
o Updated the Rules and Conditions Sections:
¾ “Welfare Standards” by strengthening the remuneration, tickets, leaves and living conditions. Set
of barriers have been introduced to protect the rights of the workforce.
¾ “PPE” by aligning it to the approved list of the Safety Equipment Review Committee “SERC” and
adding the required items to ensure protection against toxic gases “H2S “.
¾ “Training” by introducing the training matrix produced by the HSE training committee which
cover all HSE required training and the responsible party to provide the required training to the
contractor personnel.
¾ “Incentive Scheme” by aligning it to that of ADCO.
¾ “Handling of Compressed Gas Cylinders” by adding the Store, Use & Disposal clauses.
¾ “Transportation / Vehicle / Moving Machinery” by strengthening the security, safety requirements
and the drivers’ fitness and working conditions.
¾ Introduced the “Laboratory Safety” section
¾ Introduced the section of “Penalties Scheme for HSE Non- Compliance
o Medical Assessment Standards by introducing matrices to differentiate between different medical
requirements for different categories of professionals and the frequencies for the different age
groups according to HAAD, Ministry of Health and ADNOC requirements.
o Included the HSE part in the Close out Report to be to for future reference.
o Restructured the Contractors’ Performance Report and introduced the “RAGB” classification
section.
o Introduced HSE Cost Break down Appendix, which will be utilized for performance measurement
and penalties scheme.
Use Letters for drafts, numerals of approved.
Note
This document is an internal document to be used within ADCO for the
management of Contractors’ HSE
Document No: CRP-HSE-10 / 4, Revision 3

ADCO- HSED web page
Management of Contractor “HSE” Procedure
Volume : 10/4 Revision: 3
Date: Nov 2009
Table of Contents Page: 4 of 258
TABLE OF CONTENTS
Preface ......................................................................................................................................... 9
I. Purpose ........................................................................................................................ 10
II. Introduction.................................................................................................................. 11
III. Objectives .................................................................................................................... 12
1. Definition & Glossary .................................................................................................. 13
2. Overview of Contracting Process .............................................................................. 16

2.1 Description ..................................................................................................................................16
2.2 Planning for HSE: Timing and Scope .........................................................................................18
2.3 ADCO and Contractor HSEMS ...................................................................................................20
2.4 Joint HSEMS and COMAH Report Preparation..........................................................................21
3. Roles and Responsibilities......................................................................................... 23

3.1 ADCO Roles and Responsibilities...............................................................................................23
3.2 Contractor Roles and Responsibilities ........................................................................................25
4 Registration and Pre-Qualification ............................................................................ 27

4.1 Objectives....................................................................................................................................27
4.2 Guidelines ...................................................................................................................................29
5 Tendering Process ..................................................................................................... 31

5.1 Planning and Invitation to Tender ...............................................................................................31
5.2 The Tender Period ......................................................................................................................40
6 Bid Evaluation and Contract Award .......................................................................... 44

6.1 Objectives....................................................................................................................................44
6.2 Contract Award............................................................................................................................44
7 Mobilization.................................................................................................................. 45
7.1 Objectives....................................................................................................................................45
7.2 Kick-off Meetings (Clarification Meeting) ....................................................................................45
7.3 Mobilization .................................................................................................................................48
7.4 Pre-execution Audit.....................................................................................................................48
Document Number : CRP-HSE-10 / 4
File Location : ADCO- HSED web page

Date: Nov 2009
8 Execution ..................................................................................................................... 49
8.1 Objectives....................................................................................................................................49
8.2 Responsibilities & Supervision ....................................................................................................49
8.3 Contractor Compliance ...............................................................................................................49
8.4 Inspection and HSE Auditing/Reviews........................................................................................49
8.5 Competence Assurance..............................................................................................................50
9 Demobilization ............................................................................................................. 51
9.1 Objectives....................................................................................................................................51
9.2 Responsibilities ...........................................................................................................................51
10 Close-Out ..................................................................................................................... 52
10.1 Objectives....................................................................................................................................52
10.2 Final Evaluation and Report........................................................................................................52
11 Consequences of Compliance & Non-compliance................................................... 53

11.1 Objective .....................................................................................................................................53
11.2 Consequences of Compliance & Non-compliance......................................................................53
11.3 RAGB Contractor’s Performance Annual Report........................................................................61
LIST OF APPENDICES............................................................................................................... 64
Appendix A- Contractor/ Vendor’s HSE Standard Booklet .................................................... 66

1.0 Introduction.................................................................................................................................68
2.0 General.......................................................................................................................................69
3.0 Contractor Commitment to ADCO HSE Policy ..........................................................................69
4.0 Contractor’s HSE Policy..............................................................................................................69
5.0 Other Policies .............................................................................................................................69
6.0 Contractor HSE Plan..................................................................................................................70
7.0 Site Entry....................................................................................................................................72
8.0 Statutory Regulations.................................................................................................................73
9.0 Equipment Certification ..............................................................................................................73
10.0 Qualification and Training of Personnel ......................................................................................73
11.0 Requirement for HSE Professional .............................................................................................73
12.0 HSE Meetings & Flow of Information ..........................................................................................75
13.0 HSE Statistics Reporting.............................................................................................................75
14.0 Employee Details .......................................................................................................................75

ADCO- HSED web page
Date: Nov 2009
15.0 Personal Protective Equipment..................................................................................................76

16.0 Permit to Work System ..............................................................................................................76
17.0 Audit, Monitoring and Inspection.................................................................................................76
18.0 Stop Work, Prohibition of Unsafe Practices & Environmentally Damaging Acts ........................77
19.0 Emergency Response.................................................................................................................77
20.0 Incentive Scheme.......................................................................................................................77
21.0 Sub-Contractors ..........................................................................................................................77
Form A2: CONTRACTORS’ HSE STATISTICS RETURN.........................................................................78
Appendix B Contractor HSE Pre-Qualification Checklist.................................................. 79

Section - 1 – Vendor HSE Pre-Qualification Questionnaire ........................................................................79
Section - 2 – Manufacturer HSE Pre-Qualification Questionnaire ..............................................................81
Section - 3 – Mode 1 and Mode 3 Contractor HSE Pre-Qualification .........................................................83
Section - 4. Mode 2 Contractor HSE Pre-qualification Questionnaire ........................................................85
Section - 5. Contractor HSE Pre-Qualification Scoring Evaluation System For Mode 2 Contractors........92
Appendix C Task Activity Checklist.................................................................................. 109
Appendix D – Technical HSE Checklist for Mode 2 Contractors......................................... 112
Appendix E – Technical HSE Checklist for Mode 1 Contractors......................................... 121
Appendix E1 – Technical HSE Checklist for Consultancy (Mode 3) ................................... 126
Appendix F – HSE Plan Guidelines for Mode 1 Contractors................................................ 128
Appendix G – Project HSE Plan Guidelines for Mode 2 Contractors.................................. 131
Appendix H Medical Services Assessment ..................................................................... 143
Appendix I– Contractor Camps & Temporary Buildings...................................................... 147
Appendix J – Contractor Camp Survey Form ....................................................................... 164
Appendix L- Specialized Medical fitness standards........................................................... 173

I. General......................................................................................................................................173
II. Medical Questionnaire ..............................................................................................................179
III. Consent for Release of Medical Report ....................................................................................181
IV. Medical Report (Examination)...................................................................................................182
V. Fitness Certificate .....................................................................................................................183

ADCO- HSED web page
Date: Nov 2009
Appendix M – Medical Requirements for Caterers ............................................................... 184
Appendix N – Weekly Self-Inspection Checklist for Caterers.............................................. 185
Appendix O – HSE Rules & Conditions (Appendices) Contractor Requirements ............. 188
List of compulsory ticked Rules and Conditions........................................................................................189
Cross Reference between Rules & Conditions to Procedure Manuals.....................................................190
General Significant Information for Contractor .......................................................................................192
Appendix “O- 1”: HSE Policy................................................................................................................194
Appendix “O-2”: Incident Investigation and Reporting.......................................................................195
Appendix “O-3”: Permit to Work (PTW) Procedure ............................................................................196
Appendix “O-4”: HSE Audits and Inspections.....................................................................................198
Appendix “O-5”: Protection against H2S Toxic Gas ...........................................................................199
Appendix “O 6”: Personal Protective Equipment (PPE) .....................................................................200
Appendix “O-7”: Pressure and Leak Testing ......................................................................................202
Appendix “O-8”: Welding & Flame Cutting.........................................................................................203
Appendix “O-9”: Handling, Store, use & disposal of Compressed Gas Cylinders.............................204
Appendix “O-10”: Scaffolding................................................................................................................205
Appendix “O-11”: Lifting Operation ......................................................................................................206
Appendix “O-12”: Excavation ................................................................................................................207
Appendix “O-13”: Ionizing Radiation.....................................................................................................208
Appendix “O-14”: Welfare Standards...................................................................................................209
Appendix “O-15”: Catering Services .....................................................................................................212
Appendix “O-16”: Management of Contractors HSE............................................................................214
Appendix “O-17”: Requirement for HSE Professionals ........................................................................215
Appendix “O-18”: Waste Management .................................................................................................219
Appendix “O-19”: HSE Training...........................................................................................................220
Appendix “O-20”: Incentive Scheme ...................................................................................................225
Appendix “O-21”: HSE Statistics Reporting ..........................................................................................226
Appendix “O-22”: Emergency Response ..............................................................................................228
Appendix “O-23”: Transportation/ Vehicles/ Moving Machinery ...........................................................229
Appendix “O-24”: Laboratory Safety....................................................................................................232
Appendix “O-25”: Penalties scheme for HSE Non- Compliance ..........................................................233
Appendix P – Contractor Camp Audit/ Inspection Checklist............................................... 236
Appendix Q – Road Safety Audit Checklist ........................................................................... 238

ADCO- HSED web page
Date: Nov 2009
Appendix R – Closeout Report ............................................................................................... 241
Appendix – S Contractor Performance................................................................................ 245

Section I Criteria for identification Contractor's Performance .................................................................245
Section II Contractor's Performance Appraisal Criteria and Checklist ......................................................249
Section III Contractor's Performance Appraisal ........................................................................................251
Section IV RAGB Report ...........................................................................................................................253
Appendix T - HSE Cost Break Down ...................................................................................... 254
Appendix U- Tender’s List of HSE Appendices .................................................................... 258

ADCO- HSED web page
Date: Nov 2009
Preface Page: 9 of 258
Preface
During the 68th Technical Committee Meeting-TCM, Shareholders had requested Corporate HSED to
improve management of the Contractors by introducing HSE non-compliance consequences system. An
interdepartmental Task Force team under HSEM and CM was created to review the current process and
make appropriate recommendations in improving the process.
HSE Manual 10, Part 36 “Management of Contractor HSE”, Revision 1 was reviewed. It did not address
the following:
1. HSE involvement in Pre-Qualification & Registration Phase of the Contractor Management process
2. HSE involvement during the Tendering Phase
3. Contractor HSE requirements during the contractual period
4. Roles & Responsibilities of Contract Administrators & Division/ Line HSE
5. Implementation of Rewards/ and HSE non-compliance consequences system for Contractors
In addition, HSE participation in the Contractual process was very sketchy in either of the steps as shown
in Figure 1. Past audits/ inspections of the current Contractors working for ADCO generally have shown
Contractor’s performance in implementation of ADCO’s HSE requirements to be inadequate.
ADCO will refer to this document as HSE- Manual Volume 10/4- Management of the Contractor HSE
Procedure.
Contractor Management Cycle – Figure 1
Shareholders requested ADCO to improve our management

of Contractor’s HSE by introducing
HSE non-compliance Consequences System
ADCO Contracts Contractor

contain Clauses that HSE data
allow Contractor PRE-QUALIFICATION
•Removal of HSE data & REGISTRATION
Contractor’s
Personnel HSE Go/No Go
•Suspension of
Contractor
•Termination of CLOSE OUT
PLANNING TENDER
Contractor
Bid List / Award Strategy
Clear HSE
Good HSE = Advantages Requirements in
Tender
DE-MOBILIZATION
HSE Evaluation
Existing New
Quarterly Contractors HSE Performance Matrix
(ADCO’s top 30 key contractors)

HSE Ops
Audits
Contractors Contractors TENDER PERIOD
H
1. HSEMS Implementation
2. HSE Training
LTIF NON-
LE ARNING 3. HSE Inspection/Audits
PROFESSIONAL
TRCF
4. Emergency Exercises
HSE Go/No Go
VAF
5. HSE Meetings
HIPO
6. Reporting BBSA,
PROFESSIONAL LUCKY unsafe conditions,
unsafe acts and
EXECUTION
Poor HSE = Penalties
Near misses
L
H Efforts L
(Weighted and
percentage completion)
Incident Based
EVALUATION AND
Trend Based Consequences System for
HSE Performance and Trend Based Incident Based Consequences System for
HSE Non Compliance
CONTRACT AWARD
Step
Coach
/ Plan
Severity Non- Communication Consequences Sanction Corrective Action
Consequences
Who Non-
compliance Methods /Threat Taken Communication Consequences Coach Corrective Action
Step compliance Who
Methods Sanction/Threat / Plan Taken
-Suspend broader activity at site Yes Severity
Field/ No
Yellow -Formal written notice (fo r same contractor). (Resume
1 Area D (go to
(Lucky) (refer to contract). -Withhold payments. work, record Yes No
Manager step 3) -Written HSE Line Super-
Process
-Remove personnel. & monitor) 1 Low/Medium ---- D (record & (go to
violation notice. visor
- Coach / Assist monitor) step 2)
Yellow Yes
-Suspend activity at site (for same Field/ No
(Learner) -Formal written notice (Resume Yes
2 contractor). Area D (go to
if fail to as per contract. work, record (Resume No
-Withhold payments. Manager step 3) -Written HSE -Suspend activity at local Line Super-
improve & monitor) 2 HIPO D work, (go to
-Remove personnel. violation notice. sites. visor
record & step 3)
Clear HSE
-All work stopped at particular GMT monitor)
-Formal written notice
HSE Audit HSE Audit

site. (inform Yes
Red as per contract. No -Suspend broader activity Yes
-Suspend work at other sites (fo r share - (Resume
3 (non- -ADCO – contractor D (go to at site (for same Field/ (Resume No
same contractor). holders work, record -Fo rmal written notice
Requirements
professional) Senior Management step 4) 3 LTI contractor). Area D work, (go to
-Reduce work share. where & monitor) as per contract.
meeting. -Withhold payments. Manager record & step 4)
-Corrective action/back charge. necessary)
-Remove personnel. monitor)
-Formal written notice
Red as per contract. -All work stopped at
GMT
MOBILIZATION in Contract
-Terminate. GMT -Fo rmal written notice particular site. Yes
4 (non- -ADCO – contractor --- ------- ---- (inform
-Off bidders list. CPRC as per contract. -Suspend work at other (Resume No
professional) Senior Management share
meeting. 4 Fatality -ADCO –contractor sites (for same contractor). D work, (go to
holders
Senior Management -Reduce work share. record & step 5)
Rewards: where
meeting. -Corrective action/back monitor)
-Financial. necessary)
charg e.
-Increase work share.
-Certificates of achievements. GMT -Fo rmal written notice
Green -Formal as per contract.
-- -Commercial advantage during Share --- --------- ---- -Terminate. GMT
(Professiona l) acknowledgment 5 -ADCO – contractor
tender. -holders -Off bidders list. CPRC
-Recognition of individual Senior Management
perfo rmance. meeting.
-Publicize across OPCO’s & GCC.

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Date: Nov 2009
I - Purpose Page: 10 of 258
I. Purpose
The overall objective of this procedure is to improve the company, Contractor/ subcontractor’s health,
safety and environmental performance regarding all ADCO/ Contractor/ Subcontractor activities. Active
and ongoing participation by both ADCO and Contractors are essential to achieve this goal. While each
has a distinct role to play in ensuring the ongoing safety of all involved, there is an opportunity to further
enhance the company and the Contractor interactions by clearly defining roles and responsibilities,
establishing expectations and maintaining communication throughout the relationship.
These procedures are applicable to all contracts/ Contractors and subcontractors and are to be effective
from the date of HSEM endorsement and GM approval.
These procedures will define the requirements for pre-qualification, qualification and selection of
Contractors, development of HSE plan to the workforce, ongoing performance assessment, and
management, and closeout reports. The objective is to foster improved Contractor HSE performance on
ADCO jobs by establishing a standardized process with input driven and objectively managed performance
measures.
The purpose of these procedures can be summarized as follow:
• Define the minimum HSE requirements/ objectives to be met at each stage of a contract;
• Develop a strategy for proactive management of Contractor HSE;
• Highlight benefit of effective proactive approaches, particularly prior to tendering and mobilization;
• Describe a planned approach to Management of Contractor HSE that will ensure a continuing
improvement in HSE performance for all Contractor activities;
• Describe the role and responsibilities of key personnel in Contractor HSE management
• This document is targeted principally at Contract Administrators at ADCO and contract personnel
tasked with Registration/ Pre-Qualification, planning contracts; Tender preparation, Evaluation, Award,
and subsequent Contractor management.

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Date: Nov 2009
II Introduction Page: 11 of 258
II. Introduction
ADCO strategy is to hire only qualified and competent Contractors. These Contractors must be properly
trained, appropriately equipped, and effectively supervised. They must also comply with all applicable
industry regulations, standards and policies, and work within the parameters of an effective HSE
Management System. Only Contractors identified as having acceptable HSE management competence
and performance will work with ADCO.
This document identifies and describes the activities associated with the management of Contractor HSE
by ADCO within the framework of a contract, both prior and after award. The specific objectives and
mandatory requirements for each phase are stated, thereafter appendices are provided as guidelines to
aid in achieving objectives. The extent to which these guidelines are applied will be influenced by the scale
and HSE criticality of the contracts.
This document sets out guidance on how to achieve the optimum HSE standards as those required by
ADCO for their own operations. It is based on a planned approach with attention being paid to the early
project phases.
This is to provide early awareness of the HSE issues that need to be included by the Contract
Administrator in the tender documents.
Table 1: Contractor HSE Management Phases
1. Registration Phase Steps necessary to identify and review Contractors HSE

Management Systems
2. Tender Phase includes:

a. Planning and The main steps necessary in the ADCO's definition of HSE requirements
Invitation to in the contract and the prequalification of Contractors.
Tender
b. Tender period The HSE proposals expected in the Contractor is bid in response to the
tender documents and the clarification of these proposals.
c. Commercial Evaluation of Contractor’s bid and Award Strategy.

evaluation and
contract award
3. Mobilization The contract kick-off, assessment of the Contractor's HSE performance

during the mobilization phase and pre-execution audit. The assessment
of the Contractor's HSE Plan against the required criteria.
4. Execution HSE monitoring and supervision of the Contractor during contract

execution.
5. Demobilization HSE monitoring of the Contractor during demobilization.
6. Close-Out The reporting and feedback of Group Company and Contractor HSE
performance.

ADCO- HSED web page
Date: Nov 2009
III Objectives Page: 12 of 258
III. Objectives
The overall objectives of this document are:
• Ensure that Contractors meet or exceed ADCO HSE standards

• Adherence to Hazards and Effects Management Process (HEMP)
• All hazards to the health and safety of the Contractor's/ subcontractor’s personnel, ADCO staff and
the public, to the environment and to the assets of the Contractor, ADCO or public should be:
⇒ identified, assessed systematically and eliminated where possible

⇒ controlled through formal procedures and planning methods
⇒ Covered by contingency plans in place to deal with identified consequences of potential loss of
control.
• Mutual HSE awareness

• Both the Contractor and the Contract Administrator should be mutually aware of both parties'
minimum obligations to manage HSE and these obligations should be within mutually agreed
contractual terms.
• Means to monitor the contract HSE management
• The means to monitor the contract HSE management system (HSEMS) should be mutually defined,
understood, accepted, and agreed by both parties as contractually binding.
• Equal attention to H, S and E
• The controls necessary for the management of hazards and effects should be in place and working.
Where they are not, this should be speedily remedied or in extreme cases, work should be stopped.
• Ensure clarity between Contract Administrator and Contractor regarding responsibilities.

ADCO- HSED web page
Date: Nov 2009

Part :1 Definition & Glossary
Page: 13 of 258
1. Definition & Glossary
ADCO Site Representative

The person appointed in writing by the Contract Administrator to assist ADCO Representative in
supervising the execution of the contract activities on a given site.
COMAH
Control of Major Accident Hazards
COMAH Report
COMAH Report is a report compiled by a major hazard site operator and submitted to ADNOC, as part of
HSEIA process that demonstrates the site operator has taken all steps necessary to prevent major
accidents and to reduce their consequences. It is a facility or operation specific demonstration of the HSE
Management System in action, documenting that risks have been or will be reduced to ‘acceptable’ or ‘As
Low as Reasonably Practicable’ - ALARP
Contract
A formal business agreement detailing the terms and conditions for the supply of products or the provision
of services.
Contractor
A firm, which has entered into a legal contract to supply services or material to ADCO
Contract Administrator
Person in ADCO within the contract sponsor’s (end-user) division / department who is responsible for
managing all aspects of the contract. It might be referred to as (ADCO Representative) as an alternative.
Contractor Manager
The person named in the contract to represent the Contractor in respect of the contract and to be
responsible for the management of the contract.
Contractor Representative
The person appointed in writing by the Contractor Manager to supervise the execution of the contract
activities.
Contractor Site Representative

The person appointed in writing by the Contract Manager to assist the Contractor representative
Contractor’s HSE Plan

A Contractor’s proposal as to how he intends to implement the HSE requirements as outlined initially by
ADCO. For the selected Contractor, this becomes the plan on which the HSE terms in the contract are
based.
ADCO HSE Professional
An ADCO HSE Engineer/ Specialist responsible for providing line management with current HSE guidance
on technical and human matters, including where appropriate, advice on techniques, equipment, HSE
procedures, auditing, training, incident investigation, emergency procedures; etc.
Mode 1

ADCO- HSED web page
Date: Nov 2009

Page: 14 of 258
The Contractor provides people and tools for the execution of work under the supervision, instructions, and
HSEMS of ADCO. The Contractor has a management system to provide assurance that the personnel for
whom he is responsible are qualified and healthy for the job and that the tools and machinery he is
providing are properly maintained and suitable for the job.
Mode 1 typical Contractors may include but not limited to:
• Small maintenance Contractors;

• Administrative and office support services (computers, photocopier maintenance, ADCO offices services.
Mode 2
The Contractor executes all aspects of the job under his own HSE Management System, provides the
necessary technical instructions and HSE supervision, and verifies the proper functioning of its HSE
Management System. ADCO is responsible for verifying the overall effectiveness of the HSE management
controls put in place by the Contractor, and assuring that both ADCO’s and the Contractor’s HSEMS are
appropriately compatible.
If two or more of the following questions are answered in the affirmative, it should be classified as Mode 2
rather than Mode 1, which will then require the relevant HSEMS interface to be documented:
Is Contractor organization managing /controlling activities? (e.g. NDC)
Is Contractor’s organization responsible for ensuring personnel are competent and have adequate skill and
experience for their work?
Will Contractor develop and use its own procedures, addressing the HSE hazards for the work e.g. heavy
lifting, equipment assembly or apply its own standards for work e.g. criteria for adverse weather, PPE?
Is Contractor organization responsible for selecting and managing subcontractors?
Is the company responsible for managing and providing emergency response actions?
Is the Contractor organization required to audit its own operations including those of any subcontractors?
Mode 2 typical Contractors may include but not limited to:
Geophysical Survey
Drilling rigs, well services, completion
Construction and fabrication activities within segregated and controlled area managed by Contractor
Logistics service provider, supplying land, marine, and air transportation
Wire line Contractors/ subcontractors
Catering and food providers
Mode 3
The Contractor provides consulting services to ADCO HQ offices in Abu Dhabi or at the Contractor offices
locally or abroad. There will be no HSE requirements in the Contract document. When the Contractor
performs his duty at ADCO HQ Office, he will follow ADCO HSE Management System.
Under mode 3, the Contractor shall have his corporate HSE policy, HSE manual and HSE organization.

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Date: Nov 2009

Page: 15 of 258
Project HSE Plan1
A formal document showing how HSE Plan will manage the hazards. Initially it is drafted by ADCO. It
should be recognized that in many situations, this HSE Plan would effectively form a significant part of the
COMAH Report.
Scope of Work
The description in established parameters of the work required to achieve the objectives of a project or
activity.
Tender Board
Synonym for Contract Board, but with more emphasis on tendering as the process to achieve contracts.
1
See ADNOC-CoP V1-13: Best Practice Note on Preparation of Project HSE Plans

ADCO- HSED web page
Part : 2 – Overview of Contracting Process Date: Nov 2009
Section : 2.1 - Description Page: 16 of 258
2. Overview of Contracting Process2
2.1 Description
This main section of the procedure covers various phases of the contracting process and the associated
HSE tasks and responsibilities of both ADCO and Contractors. This is a six-phase process, which begins
with registration and ends in final evaluation and close out. The objectives, roles, and responsibilities were
defined for each phase.
A key part of the planning phase is risk identification. It is also the prime factor in determining contracting
strategy. The level of risk is assessed, during this step, and the most appropriate measures are identified
to prevent incidents from occurring.
In the appendices, additional tools such as checklists for HSE Plan development and guidelines for small
and large contracts are included.
The influence and inclusion of HSE issues in the preparation of tender and contract documents and the
subsequent HSE management of a Contractor has been described within the context of an identifiable
series of phases as per ADNOC guideline:
• Registration and Pre-Qualification

• Tender Phase to include: planning and invitation to tender, tender period, bid evaluation and contract
award
• Mobilization
• Execution
• Demobilization
• Close-out
Since there is no transition period between bid evaluation and contract award, these two phases could be
merged into one phase as in ADNOC GL/COPV1-04
The sections of this document follow this chronological sequence of events in Contractor management.
Each of the phases and the corresponding key HSE contract activities are shown in summary in Figure 2
and expanded in detail in subsequent sections.
2
See Figure 2: Management of Contractor HSE: Overall Flowchart

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Section : 2.1 - Description Page: 17 of 258
Figure 2: Management of Contractor HSE: Overall Flowchart
HSE reviews
SCSM sends HSE
completed Pre- SCSM to update
Pre-Qualification
Qualification details in Maximo, Registration/
Questionnaire to
Checklist for populate in Pre-Qualification
Vendors/
completion/ Commercial Directory
Contractors
accuracy
Establish contract scope/

schedule/ strategy
Planning
Screen &
Contract Assessment Potential Invitation
Contractors to
Finalize Tender Invitation Tender
Package
Contractor Reviews TIP &

Prepares Project HSE Plan
Tender
Period
Contractor Addresses
WEAKNESSES found during
SCREENING Process
Review Contractor Project

HSE Plan & Conduct Technical/
Technical HSE Audit Commercial
Evaluation
& Contract
Contract Award Award
Review Project HSE Plan &

Mobilization
Hold Kick-Off Meeting
Monitor Project & Annual

HSE Plan
Execution
Implement Consequences
of Non-Compliance with
Project/ Annual HSE Plan
Monitor Project HSE Plan

with emphasis on SITE
RESTORATION & WASTE Demobilization
MANAGEMENT
Feedback to Cont
Admin for update HSE Close-Out Report Close-Out

ADCO- HSED web page
Section : 2.2 – Planning for HSE : Timing and Scope Page: 18 of 258
2.2 Planning for HSE: Timing and Scope

The main HSE activities of each phase together with the way in which the responsibilities for these
activities are divided between ADCO and the Contractor3.
The emphasis on HSE considerations in the early phases is for the following reasons:
• to improve contract HSE definition and awareness;

• to provide early identification of HSE issues for inclusion in the tender documents;
• to provide a framework before contract award for continued performance of HSE to agreed standards in
subsequent execution; and
• to (re)confirm that Contractors can fulfill HSE obligations, partly based on past HSE performance
Table 2: Management of Contractor-Key Targets for ADCO & Contractor activities
Phase Target ADCO Contractor

1. Registration Phase Pre-Qualify Contractor/ a. Review Pre-Qualification a. Review and complete
Vendors Checklist. Pre-Qualification
b. Identify strengths/ Checklist with supporting
weaknesses in a documents
Contractor/ Vendor’s HSE b. Improve on identified
Management system “weaknesses”
2a. Planning and a. Review of previous HSE a. Qualitative HSE a. ADCO/ Contractor
Invitation to tender record of Contractors. assessment of the work, dialogue
b. Major hazards identified with HSE sensitivities. b. Respond to HSE
assurance that they can be b. Hazard identification/ Screening
managed. quantification c. Discuss HSE
c. Screen potential Bidders to c. Health risk assessment responsibilities and
ensure HSE compliance. d. Environmental impact staffing
d. HSE tender evaluation assessment
criteria specified and agreed e. HSE policies and approach
with Tender Board. ADCO/ Contractor dialogue
2b. Tender period a. Contractor preparation of a. Respond to clarification a. Prepare contract HSE
HSE Plan in accordance requests Meetings and site Plan
with ADCO criteria/ input visits b. Clarification requests
Meetings and site visits
2c. Evaluation and a. Confirmation that Contractor a. Evaluate bids a. Respond to clarifications
contract award HSE Plan will meet ADCO b. Clarifications b. Meetings
criteria. c. Meetings
b. Agreement with Contractor d. Finalize Contractor's HSE
on methods to be used, Plan
performance measurement
criteria, and audit/review
strategy.
3
See Table 2: Management of Contractor-Key Targets for ADCO & Contractor activities

ADCO- HSED web page
Section : 2.2 – Planning for HSE : Timing and Scope Page: 19 of 258
3. Mobilization a. Confirmation that a. Kick-off meeting a. Kick-off meeting

Contractor's HSE Plan has b. Confirm Contractor's HSE b. Confirm Contractor's
achieved pre-execution Plan activities HSE Plan activities
targets. c. Supervision c. Supervision
d. Pre-execution audit d. Induction
e. Training
f. Meetings
g. Inspection
h. Pre-execution status
achievement
4. Execution Assurance and verification that Supervision Supervision
Contractor systems are Meetings Inspection
performing in line with Promotion of HSE issues Induction
Contractor's HSE Plan. HSE performance review Training/Drills
Milestone reviews Investigation of incidents Meetings
Auditing HSE performance review
Investigation of incidents
Auditing
Correction of defects
5. Demobilization Management of final activities Supervision Supervision
6. Close-Out Analysis and feedback of Close-out report Close-out report and
ADCO and Contractor HSE Feedback for future contract feedback (to own
performance HSE Plans/ clauses management)
For Mode 2 contract, the material presented in this document is sufficiently extensive and detailed to cover
large contracts, for example, major engineering/ procurement /construction (EPC) contracts, which involve
significant elements of all phases4.
The appendices similarly contain further details that could be relevant to such contracts and, in some
circumstances; all of the items listed may need to be considered.
Where the extent of planning work is much less, the need for such a comprehensive coverage will be
correspondingly reduced. However, HSE planning must not be ignored or treated superficially. In such
cases, the work is likely to include the use of basic practices (e.g. scaffolding, welding, excavating, erecting
formwork, etc) and the Contractor should be able to demonstrate good general HSE management in each
of these basic practices. In addition, the Contractor should be able to understand and carry out hazard
assessment when these practices are put together in different combinations, particularly in association with
the hazards of the workplace (e.g. working in confined spaces, over water, etc) and live plant (e.g.
presence of H2S, isolating electrical systems, etc).
NOTE: Preparations for MODE 2 contracts Must include the same systematic process of hazard
identification, assessment, control and recovery, together with the evidence that a system is in-place to
manage these hazards.
4
See Table 2: Management of Contractor-Key Targets for ADCO & Contractor activities

ADCO- HSED web page

5
Section : 2.3 – ADCO and Contractor HSEMS Page: 20 of 258
2.3 ADCO and Contractor HSEMS5

Where operations require contracted work or services, the COMAH6 report must show how ADCO
manages Contractor HSE and how the Contractor achieves HSE management of his own workforce and
his subcontractors.
Mode 1 Contractors, who may not have a formalized HSEMS, must still have a basic understanding of
managing HSE in their operations and be prepared to provide a simple but effective management system.
Mode 2 Contractors providing services to ADCO must be able to demonstrate that they already have an
HSEMS and are prepared to contribute to the COMAH report. Whilst it is not intended that their HSEMS
should be identical to that of ADCO, it should exhibit the same degree of application and assurance of safe
operations.
Service contracts are often used as a means of executing work. Initially such contracts often have no
defined scope beyond a general description of the services, skills, plant, etc that the Contractor must be
able to provide. However, the ability of the Contractor to manage HSE on a job-by-job basis is an essential
requirement. For example, he should be able to make hazard assessments, apply, and enforce controls to
manage residual HSE hazards and effects, apply local HSE legislation correctly, respond effectively to
emergencies, etc. These abilities must be demonstrated prior to contract award.
In ADCO operations, the HSE-critical activities represent those activities for which the principles of hazards
and effects management must be applied and documented as part of the HSEMS.
General Contractor HSE management principles, (such as his approach to hazard assessment, use of
PPE, HSE inspection of plant and equipment, etc), are included in this document.
Throughout this document, reference is made to the HSE Plan, which essentially defines the combination
of the HSEMS and a description of how the HSE-critical activities are to be managed. The term HSE Plan
has been deliberately retained for a wider understanding of management of Contractor HSE, particularly
with smaller Contractors.
An important component of the HSE Plan is the demonstration how ADCO and the Contractor intend to link
their organizations for the purpose of HSE management of the contract. This is particularly important for
large and long-term contracts and it should be recognized that in these situations, this HSE Plan would
effectively form a significant part of the COMAH report.
When ADCO clearly defines the HSE requirements, the Contractor can then provide the necessary details
of his management system and demonstrate how he intends to carry out the requirements7.
5
See ADNOC CoP V1-09: ADNOC HSE Management System
6
See DEFINITIONS
7
See Figure 3: Development of Contract HSE Requirements

ADCO- HSED web page
Section : 2.4 – Joint HSEMS and COMAH Report Page: 21 of 258

Preparation
2.4 Joint HSEMS and COMAH Report Preparation

In Mode 2 projects under circumstances that represent significant HSE risk, it may be necessary to
combine the Contractor and ADCO systems to form an effective overall HSEMS for the planned operation.
To achieve this it is necessary:
• For ADCO to provide the Contractor with details of the hazards and hazardous operations which the
Contractor will encounter;
• For the Contractor to describe his HSEMS how he will manage HSE-critical activities identified by ADCO,
and those additional activities, critical to HSE performance and known to the Contractor, which are
inherent in undertaking the specified work;
• To complete the HSE hazards and effects register and activities catalogue with the Contractor ensuring
that this is compatible with ADCO’s requirements;
• To complete the COMAH report with joint input;
• To prepare a monitoring and audit plan to audit the COMAH report and joint HSEMS

ADCO- HSED web page
Section : 2.4 – Joint HSEMS and COMAH Report Page: 22 of 258

Preparation
Figure 3:
Development of Contract HSE Requirements
Contract HSE Plan

Group Company
ADCO Development Contractor
Outline of corporate HSEMS
Typical approach to hazards &

effects management, sample
procedures, etc.
Prequalification
HSEMS for contract
Hazard & Effects

Management process for
development by Contractor Invitation to tender
Detailed contract specific

HSEMS
Hazard & effects management

process developed
List of method statements for

development
Tender period
Joint HSEMS meets

requirements
Hazards & effects assessment

meets requirements
Proposals for method

statements acceptable
Contract evaluation
& award
Detailed hazards & effects

Assessment
assessment
Quality (HSE) System Key:
Detailed method statements &
Work instructions
work instructions
Corporate
Process Pre -Mobilization
Task Pre -Execution

ADCO- HSED web page
Part : 3 – Roles and Responsibilities Date: Nov 2009
Section: 3.1-ADCO Roles and Responsibilities Page: 23 of 258
3. Roles and Responsibilities

3.1 ADCO Roles and Responsibilities
3.1.1 End-User/ Contract Administrator/ Focal
Overall Responsibilities:
• Acts a “focal point” person between Contractor and Division/ ADCO HSE Professional and fully
responsible for all activities related to the contract under his administration.
• Ensures that Contractor qualifies their sub-Contractors to meet and/ or exceed ADCO HSE
requirements
• Ensures that Contractor and their employees, including sub-contract employees are working in a
safe manner and complying with all applicable ADCO HSE rules and regulations
• Identifies the applicable HSE Laws & Regulations and ADCO standards and procedures;
• Identifies ADCO's HSE project organization/interfaces and define supervision requirements, roles
and responsibilities;
• Examines carefully areas where critical time schedules and resource limitations may call for extra
attention to HSE;
• Determines communication needs including scope and schedules for meetings;
• Identifies minimum induction and training requirements: for both ADCO and Contractor. Prepare a
training schedule, paying particular attention to training needs for exceptional activities.
• Reviews contract terms and conditions in relation to HSE issues, and advice SCMD for
improvement in future contracts
• Ensures that the actual implementation of mobilization program complies with the program outlined
in the Contract Project HSE Plan
• Prepares and arrange HSE audit schedule; inclusive of a post-mobilization.
• Holds “kick-off” and clarification meetings with Contractors and other stakeholders.
• Ensures that t Health & Welfare requirements are provided to the Contractors’ workforce according
to the manual.
• Ensures that the HSE Plan is adhered to throughout the duration of the contract.
• Ensures that the Contractors’ workforce is aware of their rights and obligations according to the
UAE labor Law.
• Leads and / or participates in Contractor HSE compliance audit/ inspections Advice/ update
Contractor on HSE audit findings/ discrepancies.
• Ensures the update project HSE plan complies with the project HSE requirements.
• Ensures that Contractor develops an action plan in line with HSE audit findings/ discrepancies.
• Follows-up on outstanding HSE audit findings/ discrepancies on a scheduled basis.
• Ensures all Contractor-related incidents are reported and investigated until close out.
• Implements Consequences of Compliance / Non-Compliance of ADCO HSE requirements.
• Evaluates Contractor HSE performance at the end of the contract (or any other agreed duration).
• Completes Annual Contractor HSE performance Report.
• Confers with Division/ ADCO HSE Professional to ensure that HSE compliance history is included
in the FINAL contract close-out report.

ADCO- HSED web page
Section: 3.1-ADCO Roles and Responsibilities Page: 24 of 258

3.1.2 ADCO HSE Professional
(Contracts’ HSE related to Fields, Terminal would be handled by HSED up to Mobilization and
Divisions without HSE Professionals all Contracts’ HSE will be handled by HSED)
• Evaluates completed Contractor HSE Pre-Qualification Checklist based on the provided guidelines.
o Contacts the Contractor directly in case of any clarification needed to complete the
Checklist.
o Informs SCSM on the status of the Contractor (qualified to be on Bidder’s list or not).
o Completes “Summary Evaluation Sheet” of the Checklist and submit it to SCSM.
• Provides HSE guidance to the Contractor who is not qualified to be on the Bidder’s list.
• Determines the HSE impacts on scope, schedule, and strategy for the contracts required.
• Assesses HSE requirement for each contract.
• Confirms suitability of contract scope, schedule, and strategy against HSE assessments.
• Prepares HSE-related contract documents.
• Screens potential Contractors for HSE suitability, having reviewed their past HSE performance.
• Prepares the contract outline with appropriate milestone hold points.
• Confirmation of the HSE Plan to be implemented.
• Confirmation of Contractor employees' competence in HSE;
• Confirmation of HSE performance objectives.
• Distribution and explanation of the ADCO HSE policy statement, basic HSE rules and work procedures,
e.g. HSE Awareness Handbook, HSE Policy Awareness Booklet, etc.
• Issuance and distribution of ADCO HSE training passports, and defining ADCO training focal point;
confirmation of the scope and schedule of activities to pre-execution milestone, HSE meetings, audits
and reviews; ADCO and Contractor contingency plans.
• Confirmation that HSE induction (e.g. HSE Induction, and Emergency Response E-Learning) and training
plans are in place.
• Briefing of subcontractors on HSE requirements; and Incident reporting and investigation procedures.
3.1.3 Supply Chain Management Division
• Review and ensure the completeness of the pre qualification Checklist.

• Submit Contractor HSE Standard Booklet8 and Contractor HSE Pre-Qualification Checklist9 to the
prospective Contractor/ Vendor. Forward any completed Contractor HSE Pre-Qualification Checklist to
HSE Professional.
• Forward any completed Contractor HSE Pre-Qualification Checklist to the Prequalification Steering
Committee.
• Informs Contractor / Vendor if the company is or is not pre qualified. If the Contractor / Vendor are
unqualified to be on the Bidder’s list, provides the Contractor with the “Summary Evaluation Sheet”.
8
See Appendix A: Contractor HSE Standard Booklet
9
See Appendix B: Contractor HSE Pre-Qualification Checklist

ADCO- HSED web page
Section : 3.2 Contractor Roles and Responsibilities Page: 25 of 258
3.2 Contractor Roles and Responsibilities

• Revise / Update the project HSE plan after award.
• Develops his own hazard assessment of the work described in the contract.
• Defines his execution proposals (Method statement).
• The Contractor should confirm his proposed use of policies, procedures, standards, etc and show that
these comply with ADCO requirements.
• Develop and conduct his own internal audits in line to ADNOC / ADCO expectation.
• Demonstrate familiarity with the type of work involved.
• Confirm his understanding that ADCO standards and guidelines represent minimum standards.
• The Contractor's line management commitment to the HSE.
• Reinforcement of the HSE targets as defined in the Contractor's Project HSE Plan.
• The provision of HSE training as approved in the training matrix.
• The regular checking and review of the Contractor's performance by ADCO Contract Administrator for
follow up and close out.
• The Contractor is monitoring of the quality, condition, and integrity of his plant, equipment, and tools.
• The Contractor is holding of daily toolbox meetings and regular HSE meetings (minimum weekly).
• The Contractor's implementation of exercises and drills of contingency plans with maintenance of an
effective audit trail, including follow-up and close-out of action items.
• Monitoring of the Contractor's incident investigation and follow-up.
• Performance of HSE inspections/audits and reviews of the Contractor's activities (including Contractor's
internal HSE control system).
• Behavior Based Safety (BBS) program to assure day-to-day safety compliance; and any deviations from
Project HSE Plan formally assessed and approved.
• Adherence to the Contractor's personnel recruitment criteria.
• Demonstration of personnel qualifications, ability and skills.
• Provision for the necessary induction courses, which would make personnel fully aware of the nature of
the potential work hazards, instruct them in the use of protective and emergency equipment and
explain/practice emergency drills.
• Training of Contractor's personnel in the HSE standards and procedures to be followed.
• Completion of first-aid, ADCO Document for Safe Driving (ADSD), HSE induction and emergency
response relevant to the specific area where the Contractors work, and job related training particularly
permit-to-work system (PTW) and gas testing or any other training required by law or ADCO practices
prior to starting work and the provision of certificates to that effect as indicated in the training matrix.
• Provision where appropriate for Contractor's personnel to attend on-going HSE courses (preferably as
mixed groups of ADCO and Contractor staff); and availability of HSE documents, instruction and
information leaflets and newsletters with special attention to use of local language and simple visual
messages.

ADCO- HSED web page
Section : 3.2 Contractor Roles and Responsibilities Page: 26 of 258
• Prepare and assure quality of Contractor’s HSE Plan.

• Define competencies required for HSE critical positions.
• Assign appropriate personnel to HSE critical positions.
• Assure adequate resources and time in the schedule to manage the contract in accordance with the
Contractor’s HSE Plan.
• Notify the Contract Administrator in writing of his nominated Contractor representatives and Contractor
site representatives.
• Provide resources to implement remedial actions following audits;
• Ensure that all sub-Contractors comply with ADCO HSE requirements via audits/inspections. Schedule is
to be agreed upon with Contract Administrator/ Focal Point.
• Fulfils pre-execution HSE requirements.
• Implements Contractor’s HSE Plan.
• Seeks formal approval from the Contract Administrator for any proposed deviations from or amendments
to the Contractor’s HSE Plan.
• Implements additional requirements as agreed upon with the Contract Administrator.

ADCO- HSED web page
Part : 4 - Registration and Pre-Qualification Date: Nov 2009
Section : 4.1 Objectives Page: 27 of 258
4 Registration and Pre-Qualification10

4.1 Objectives
¾ Ensure that ADCO’s HSE expectations from the Contractor are clearly stated and properly
implemented
¾ Define the responsibilities for the completing the Checklist, certifying the Checklist and reviewing
the Checklist
¾ Assist in achieving the following:
o Obtaining Contractor’s HSE commitment while working for ADCO;

o Achieve consistency in evaluating Contractor’s HSE performance;
o Presenting a uniform image of ADCO to Contractors and suppliers;
o Maintaining high standards of ethics and fairness;
o Safeguarding ADCO’s interests.
10
See Figure 4: Registration/ Pre-Qualification Process Flow-Chart

ADCO- HSED web page
Section : Process Map Page: 28 of 258
Figure 4: Registration/ Pre-Qualification Process Flow-Chart
SCSM sends HSE Pre-

Qualification Questionnaire ¹ SCSMwillnot sendquestionnaire
Contractor&HSE Standard or Standard HSE Booklet, if the
Booklet to Vendors/ Contractor/Vendorhas previously
Contractors¹ registered with ADCO for other
services
²
HSE, in consultation with the End-
HSE reviews User will determine the Vendor
completed Pre- risk factor. If it is HIGH or
End-User conducts MEDIUM,HSE may conducta full
Qualification
Technical Vendor audit to ensure proper
Checklist for
evaluation³ completion of the checklist.
completion/
accuracy² ³
HSEmay join End-User,but will
conduct an independent audit.
4
HSE & End-User through SCSM Applicant has failed, if HSE
sends HSE & Technical score is below 65%
4
evaluation results to PSC
SCSM to update
details in Maximo, HSE-MS NO Information will be
populate in QUALIFIED? logged in MAXIMO
Commercial YES
Directory
Inform CSM
Inform Applicant

ADCO- HSED web page
Section : 4.2 Guidelines Page: 29 of 258
4.2 Guidelines
• The Pre-Qualification Checklist is only for Contractors/ Vendors registering with ADCO for the first
time
• If the Contractor / Vendor scores 85 to 100%, the pre qualification is valid for three years if not
awarded any job during this period.
• If the Contractor / Vendor scores 65 to 84%, the pre qualification is valid for two years if not
awarded any job during this period.
• If the Contractor / Vendor scores 31 to 64%, he is not pre qualified and might be reassessed after
6 months
• If the Contractor / Vendor score is below 30%, he is rejected and not to be considered.
• Companies do not qualify to register with ADCO under the following conditions:
o Two or more deaths in the last three years

o HSE Policy not available.
o The company has two or more prohibition notice by the relevant national body in last three
years.
• The questionnaire covers the information required to assess the extent to which HSE and its
management are organized by the Contractor
• The Contractor is advised to cover all (including support) activities and not just those conducted on
ADCO sites
• The questionnaire should be completed by GM or equivalent of Abu Dhabi Operations
• Emphasis should be placed on the need for complete answers substantiated by supporting
documentation as far as is practicable
• Responses and any supporting documentation must relate specifically to the policy and
organizational arrangements of the company that would be the signatory of any contract
• If necessary, follow-up discussion with the Contractor's management may be needed
• The Contractor should be encouraged to identify where they exceed ADCO requirements and this
excellence will be recognized
• Contractors shall submit an organization chart. CV’s, including attested certificates of all HSE
personnel should also be submitted. The CV’s should include education, experience and training
(including HSE Training)
• Overall passing score is 65% in each SECTION. If the score is lower than 65%, the Contractor will
be notified of the results and areas where improvements are required. The Contractor can return
for the Pre-Qualification process.
• The service providers cover:

o Vendor
o Manufacturer
o Contractor
• Vendor and Manufacturer Pre-qualification is usually achieved by issuing a standard HSE Pre-
qualification format questionnaire document for the Vendor or Manufacturer to complete,
supported where necessary by historical performance records.
• Section -1 provides a typical HSE questionnaire for a Vendor to fill11.
11
Appendix B Section 1

ADCO- HSED web page
Section : 4.2 Guidelines Page: 30 of 258
• Section -2 provides a typical HSE questionnaire for a Manufacturer to fill12.
• Contractors’ services Work Groups are classified into 9 groups as follow:

o Group #1: Projects and consultancy engineering services
o Group #2: Major projects construction
o Group #3: Plants operations and maintenance
o Group #4: Drilling and Logistics
o Group #5: Information technology
o Group #6: Exploration and production studies / services
o Group #7: Manpower supply
o Group #8: Finance and legal
o Group #9: Marketing
o Group #10: Administration and general services
• Contractors’ prequalification is usually achieved by issuing a standard and comprehensive HSE

Pre-qualification format questionnaire document for the Contractor to complete supported where
necessary by historical performance records.
• When pre-qualifying new or unknown Contractors, under group 1 to 3 above, it is recommended to

arrange for inspection visits to the Contractor's base site (with particular emphasis being placed on
ensuring that the Contractor has the resources and management structure to meet the ADNOC
group of companies HSE standards). The Contractor's existing sites should be audited to verify
that he could achieve the HSE standards proposed for the Pre-qualification.
• For Contractors with services groups 4 to 9 above, it is not mandatory to conduct inspection visits
to Contractors base site; however, this will be left to the HSE Assessor to decide on case by case
basis.
•
• Section - 3 provides a typical questionnaire document for Contractor’s under group 4 to 9 to fill
(Mode 1& Mode 3)13.
• Section - 4 provides a comprehensive HSE pre-qualification questionnaire for Contractors under
groups 1 to 3 to fill (Mode 2)14. This questionnaire is to be verified and scored by the HSE
Assessor during the site verification visit. This questionnaire is directed towards establishing the
status of the Contractor's HSEMS.
• Section - 5 provides guidelines for point’s evaluation system, which minimizes subjective
judgment, to be used by the HSE Assessor to evaluate Contractors' submissions during the
inspection visit. Contractors who achieve a predefined acceptable score will then be judged to
have met the HSE Pre-qualification requirements15.
12
13
14
15

ADCO- HSED web page
Part : 5 Tendering Process Date: Nov 2009
Section : 5.1- Planning and Invitation to Tender Page: 31 of 258
5 Tendering Process 16
5.1 Planning and Invitation to Tender
5.1.1 Objectives
The HSE activities carried out during the planning and invitation to tender phase fall under the following
headings:
• Determine the HSE impacts on scope, schedule, and strategy for the contracts required;
• Assess HSE requirement for each contract;
• Confirm suitability of contract scope, schedule, and strategy against HSE assessments;
• Prepare HSE-related contract documents;
• Screen potential Contractors for HSE suitability, having reviewed their past HSE performance;
• Prepare the contract outline with appropriate milestone hold points.
Ahead of any finalized contract scope, ADCO may consider dialogue with potential bidders to discuss
possible Contractor involvement, especially the technical and other difficulties that might influence HSE
performance. Clearly, at this stage no discussion on cost issues and/ or possible award is appropriate.
16
See Figure 5-Tender Phase Flow Chart

ADCO- HSED web page
Part : 5 – Tendering Process Date: Nov 2009
Section : 5.1 Planning and Invitation to tender Page: 32 of 258
Figure 5: Management of Contractor HSE flowchart: Tender Process
End-User
Scope of Work, SCMD submits
submits
Technical 1
5 the
completed
Specifications & documents
Award Strategy package
5
SCMD submits package 6 to (Technical &
developed by the to SCMD prospective Contractors for bidding HSE) received
End-User 1, 4c for from the
finalizing Contractors to
TIP the End-User
5 6
End-User
HSE for HSE Rules & Conditions performs
Documents: Contractor Requirements refer to Technical
Task-
HSE 2 reviews Appendix U review and
Activity forward
SOW and Checklist & results &
completes Applicable recommendat
Contractor HSE ions to SCMD
HSE Appendices
requirements
checklist 2
Inform Contractor/
HSE Team with
Gates Vendor
7
3 HSE
of the results and Technically
End-User will
recommendations as
perform Qualified?
per If NO
Contractor HSE SCMD procedure
review and
forward results
&
recommendatio
ns to End User Award
3,4a,b contract SCMD to open
based on Commercial for If YES
Award Contract award
Strategy
1 4a
End user will develop a list of
Contractors from the existing Bidders list
HSE will have a dialogue with End
User & Contractor to clarify any findings /
1 SCMD will not accept the request, unless
HSE Appendices cover page is signed by
recommendations found during the the HSE professional
Contractor HSE assessment
2
HSE means ADCO HSE professional 4b
HSE will provide End-User & 2 Based on initial finding &
recommendations, End-User will conduct
from Division, Line or Corporate Contractor, area for improvement in order final HSE review to ensure all system is
to avoid disqualification at a later stage in-place and all ADCO HSE requirements
have been met.
3
End User will set up an audit team to
4c
visit Contractor Site and verify Technical Based on HSE audit / inspection
HSE requirements using Checklist findings &advice, End-User will Contractor not meeting HSE
prepare the final list of bidders for 3 requirements for this tender will be
disqualified from specific activity/project
the invitation to bid

ADCO- HSED web page
The general practice for selecting Contractors is through competitive tendering. In the qualification stage,
potential Contractors are screened to establish that they have the necessary experience and capability to
undertake the activities in question. Only those being able to demonstrate that they can manage in a fully
satisfactory manner the HSE risks of the work, should be included on the qualified list.
A formal historical record of HSE performance including review of Contractor database in ADNOC/
OPCO’s, including findings of audits and inspections of bidding Contractors previously employed should be
maintained by ADCO for use during HSE qualification process.
It is essential that qualification audit team refers to ADCO statistics with regard to the defined criteria of the
HSE performance (Fatality, TRCR, LTIF, VAFR, etc.) and compare it with previous HSE performance of
the Contractor (3 years average performance). The qualified Contractor shall meet or exceed ADCO’s set
criteria.
One of the most important strategic contract management decisions to be made by the company is the
way in which the Contractor or subcontractor is held responsible for the management of HSE. To
demonstrate that, there are two different modes:
Mode 1, Mode 2 and Mode 317
A structured, formal HSE assessment has been developed for each anticipated contract. The main
objective of the formal assessment is to generate a plan that incorporates all ADCO and Contractor HSE
aspects relevant to the contract work scope. This plan will ultimately provide the framework for the
Contractor's HSE Plan.
The main steps of the assessment are:
• Carry out HSE hazards and effects management process

• Follow the process of identifying, assessing, and controlling HSE hazards and establishing
methods for recovery in the event of loss of control
• If the contract relates to a development project then the hazards and effects management process
will be underway and the hazards already identified will be added to those identified as project-
specific and will be included in the project hazards and effects register
• If the contract relates to a common or recurring activity then the Contract Administrator can access
the hazards and effects register for that activity
o Identify the applicable HSE Laws & Regulations and ADCO standards and procedures;
o Identify ADCO's HSE project organization/interfaces and define supervision requirements,
roles and responsibilities;
o Examine carefully areas where critical time schedules and resource limitations may call for
extra attention to HSE;
o Determine communication needs including scope and schedules for meetings;
o Identify minimum induction and training requirements: for both ADCO and Contractor.
Prepare a training schedule, paying particular attention to training needs for exceptional
activities.
17
See DEFINITIONS

ADCO- HSED web page
5.1.2 Outline Scope of Work or Services
NOTE: This action has to take place before the Contractor is invited to bid on a Tender.
The starting point for the planning of Contractor HSE management is:
• The definition of work or services in sufficient detail to identify the major hazards and HSE impacts
(Scope of Work)
• Definition of work or services should include requirement for an HSEMS from which specific tasks
and targets with clear deliverables by the Contractor.

ADCO- HSED web page
Table 3: Elements of HSEMS
Leadership & Commitment Define how senior management set personal examples, demonstrate
involvement and participation, communicate to employees, etc on HSE.
Policy & Objectives Define the policy statements on HSE that are to be observed.
Organization, Define the formal structure for organization, allocating resources,

Resources & Competence defining communications and responsibilities on HSE issues between
ADCO and the Contractor, setting minimum competence levels and
training requirements in HSE expected on the project for ADCO and
Contractor staff and specifying documentation control.
Evaluation & Risk Describe how hazards and effects are to be identified, assessed,
Management controlled and how recovery in the event of loss of control will be
carried out.
Planning, Describe how the controls for hazards and effects management are to
Standards & Procedures be implemented, develop a comprehensive listing of HSE standards
and procedures applicable to the project, describe change
management proposals and emergency response procedures.
Implementation & Monitoring Define how HSE performance is monitored, the criteria for HSE
performance, and how corrective action is to be taken.
Audit & Review Define the basis under which internal and external HSE auditing and
management reviews will be conducted.

ADCO- HSED web page
5.1.3 Procedure
End-User is responsible for describing the work. The description shall have documentation in the form of
standards or drawings allowing selected Contractors to obtain a full understanding of the work required.
End-User shall forward a copy of the Tender, which shall include Scope of Work and Technical
Specifications to the ADCO HSE Professional.
ADCO HSE Professional, in consultation with the End-User shall review the Scope of Work and Technical
Specifications to understand the nature of the task and what HSE requirements does the Contractor need
to comply. ADCO HSE Professional shall determine if the tender is Mode 1 or Mode 2 contract.
Whilst major hazards associated with the operational phase of the project will have been identified earlier,
the assessment at this stage will build up the level of detail and should involve the people who will
participate in the project. Issues in setting a contract strategy might include number of contracts, contract
schedule, rules, and regulations, and the use of company HSE standards and/ or relevant national HSE
legislation and international conventions.
ADCO HSE Professional shall complete the Task-Activity Checklist18 . ADCO HSE Professional will use
Flow-Chart19 for ADCO HSE Professional to determine Contractor qualification.
If the prospective bidder has a current contract with ADCO, ADCO HSE Professional will do the
following:
a. If the ADCO HSE Professional determines that the prospective bidder is already working on an
ADCO Mode 2 project, ADCO HSE Professional will request the prospective bidder to complete
section titled GENERAL in the Technical HSE Checklist for Mode 2 Contractors20.
b. If the ADCO HSE Professional determines that the prospective bidder is already working on an
ADCO Mode 1 or Mode 3 projects, ADCO HSE Professional will automatically consider the bidder
qualified for upcoming tender.
If the prospective bidder does not have a current contract with ADCO or is not in good standing,
ADCO HSE Professional will do the following:
a. ADCO HSE Professional shall in cooperation with the End-User request prospective bidders to
attend an ADCO HSE briefing.
NOTE:
1) Initially, all Contractors should be called in for an ADCO HSE Briefing.
2) Prospective bidders who have attended this briefing are not required to attend and/ or should
not be invited again.
18
See Appendix C: Task-Activity Checklist
19
See Figure 6: Management of Contractor HSE flowchart: ADCO HSE Professional
20
See Appendix D: Technical HSE Checklist for Mode 2 Contractors
ADCO- HSED web page
5.1.4 Documents required During the Tendering Process:

Appen Description Purpose Remarks
dix Mode 1 Mode 2 Mode 3
A CONTRACTOR/ VENDOR’S HSE P P P
STANDARD BOOKLET
B Contractor HSE Pre-Qualification P P P
Checklist
C Task Activity Checklist I I I
D Technical HSE Checklist for Mode 2 T
Contractors
E Technical HSE Checklist for Mode 1 T
Contractors
E1 Technical HSE Checklist for Consultancy T
(Mode 3)
F HSE Plan Guidelines for Mode 1 T
Contractors
G Project HSE Plan Guidelines for Mode 2 T
Contractors
H Medical Services Assessment C
I Contractor Camps & Temporary Buildings C
J Contractor Camp Survey Form C
K List of Documents for Contractor Camp C
L Medical fitness assessment standards C C
M Medical Requirements for Caterers C
N Weekly Self-Inspection Checklist for C
Caterers
O HSE Rules & Conditions (Appendices) C C
Contractor Requirements
P Contractor Camp Audit/ Inspection I
Checklist
Q Road Safety Audit Checklist I
R Closeout Report I I
S Contractor Performance I I
T HSE Cost Break Down C C
U Tender’s List of HSE Appendices C C
The HSE plan submitted by the successful bidder with his technical bid will be part of the Contract
Document. The HSE professional on case-by-case basis may advise the end user any other document as
applicable.
P=Prequalification I=Internal Use. T=Tendering C=Contract Document
N.B. Appendix O is the core of the HSE requirements of the Contract. HSE Professional will advise with
the following:
a- The applicable sections of Appendix O.
b- Other relevant Appendices, out of those set forth above, applicable for the subject Contract (refer to
Appendix “U”).
c- Training Matrix under Appendix O, section 19.
d- Penalties Scheme, if applicable, under Appendix O, section 25.
The aforementioned documents should be provided to SCMD no later than management approval to the
bidders list and award strategy of the subject tender or for the award of contract on single source basis as
applicable, SCMD will not accept the HSE Requirements of the tender / contract unless it is not endorsed by
HSE Professional.

ADCO- HSED web page
Figure 6: Management of Contractor HSE flowchart: ADCO HSE Professional
End-User
1. Develops Scope of Work (SOW) ¹ This step could be
skipped if deemed
2. Identifies Contractors/ Vendors from necessary by the
STEP 1 the Commercial Directory who can perform End-User
the task
3. Submits SOW & List to ² If the Contractor/

ADCO HSE Professional Vendor is currently
working for ADCO
ADCO HSE Professional/ End-User

1. Reviews SOW
2. Identifies if the contract is Mode 1 or
STEP 2
Mode 2
3. Identifies HSE requirements to

complete SOW-Task/Activity Checklist
End-User ¹
1. Sends out SOW to prospective
STEP 3
Contractors/ Vendors for their interest in
bidding on the tender
ADCO HSE Professional
Are potential
Contractors Ask Contractor/ Vendor to
Technical HSE complete Technical HSE
Qualified NO Checklist and other
within last 5 applicable HSE documents
years?
Conduct on-site audit, as

necessary
YES
Does Contractor
/Vendor within past
12 months meet/ exceed
STEP 4 ADCO HSE requirements? ²
Is his previous work
ABOVE AVERAGE/
SATISFACTORY?
YES
Is the Ask the Contractor to complete
TASK-ACTIVITY Section GENERAL of the
the same? Technical HSE Checklist
NO
YES
Contractor/
Vendor does not
need to be re- Conduct on-site audit, as
qualified. Use necessary
previous results,
where necessary

ADCO- HSED web page
The suitability of the notional contract scope, schedule, and strategy should be confirmed against the HSE
assessment. At this stage, it may be appropriate to have dialogue with potential bidders as a further means
of ensuring comprehensive coverage of HSE issues in the contract HSE assessment.
• If the Scope of Work is determined to be either High or Medium, ADCO HSE Professional shall
set-up a HSE Review Team, which may consist of HSE Professionals from within or outside the
Business Unit and/ or Technical Professionals from within the Business Unit
• The ADCO HSE Professional shall prepare the HSE Review report, which shall include HSE
strengths/ weaknesses and list of recommendations if any to comply with ADCO HSE
requirements. The report shall be forwarded to the End-User. ADCO HSE Professional shall use
the Checklist Guidance document21 to screen a Contractor.
At this stage, potential bidders are screened only for HSE requirements. This information will provide End-
User as guidance to judge if the Bidder has the potential to complete outstanding HSE issues before the
Contract is issued and has the ability to continuous comply with ADCO HSE requirements.
ADCO HSE Professional with End-User will hold a one-on-one meeting with potential bidders and review
their strengths and weaknesses. ADCO HSE Professional shall provide guidance to prospective bidder on
how to comply with ADCO HSE requirements.
Based on the results provided by the ADCO HSE Professional, End-User may short-list Contractors. End-
User shall submit a qualified list of Contractors to SCMD to prepare a Tender Invitation Package (TIP).
End-User shall submit, at a minimum the following documents:
1) Scope of Work (includes Technical & HSE requirements)

2) Award Scheme
3) HSE Appendices22 (applicable Appendices shall be highlighted and cover page shall be signed by
the ADCO HSE Professional)
Experience gained from previous projects should be utilized by reference to:
• Closeout reports from similar projects;

• Formal records of previous HSE performance by Contractors on similar projects;
• Similar activities in relevant and/or nearby countries;
• HSE audits carried out in recent years on relevant activities;
• General background information on planned areas of operations.
21
GUIDANCE DOCUMENTS are not included in the procedure. They are available to ADCO auditors on “as needed”
basis.
22
Refer to item 5.1.4 (page 37)
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Page: 40 of 258
Section : 5.2: The Tender Period
5.2 The Tender Period

5.2.1 Objectives
The main HSE activities carried out in tender phase fall under the following:
• Contractor’s preparation of his HSE Plan in accordance with framework provided by ADCO;
• ADCO responses to Contractor’s HSE clarification requests;
• Copies of queries and replies should be circulated to all Contractors;
• Clarification meetings which may be held with Contractors individually or in groups, such meetings
should be recorded;
• Site visits by Contractors (as necessary).
5.2.2 Tender Invitation Package (TIP)
The tender HSE documentation in (Tender Invitation Package - TIP) should be compiled, with due
attention to the following:
a. ADCO responsibilities
It is End User’s responsibility to ensure that the tender documents comprehensively cover the HSE
requirements for the contract. Assumptions that the Contractor already knows the issues are dangerous.
Time must be spent to make a comprehensive, clear, and concise tender document. Knowledge about
hazards already identified by ADCO must be passed on to the bidding Contractor.
b. Minimum requirements
The hazardous activities that need addressing by the Contractor should be listed by ADCO. Selection of
these activities should be based on due consideration of the known exposure and frequency presented by
these hazardous activities.
c. Contractor responsibility
The Contractor must have an independent responsibility for his own Project HSE Plan, but tender
documents must make clear provision for ADCO to perform HSE audits on the Contractor in order to
confirm compliance.
d. Contractor reporting
During execution of the contract, the Contractor is responsible to provide HSE performance reports as
identified by ADCO.
e. Contractor performance
Whenever a Contractor, during the Mobilization phase does not observe HSE requirements, Contract
Administrators, without permission can stop the start of Mobilization until the Contractor complies with the
Contract HSE requirements.

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f. Special HSE provisions
Where special HSE provisions are to be provided which require separate identification/ pricing in the bid,
the tender documents should specify these clearly and identify where the bidding Contractor is to price for
them?
In preparing his bid, the Contractor must demonstrate compliance with such requirements by preparing his
own HSE Plan within ADCO framework. Bidding Contractors should have the freedom to use industry
HSE standards if they are equivalent to or exceed ADCO's standards. ADCO must ensure the availability
of expertise and resources to evaluate the proposed alternative standards. The tender documents must
permit the flexibility for the Contractor to take ownership of his HSE responsibilities in order to retain the
ability to manage the contract effectively.
Example of the content of Tender Invitation Package (TIP):
• HSE Appendices relevant to the nature of the contract;

• ADCO Road Safety Policy23;
• Link or reference to ADCO HSEMS;
• HSEIA or COMAH report24;
• Hazards and Effect Management Process;
• Safety Professionals Requirement;
• ADCO approved brands/ specifications of Personal Protective Equipment;
• Emergency Response Procedures and ADCO oil spill Contingency Plans
A contract schedule should be developed with due consideration of the HSE issues involved, paying
particular attention to allowing adequate time for mobilization/ demobilization. The contract schedule
should highlight HSE issues that require special emphasis in later contract phases.
5.2.3 Contractor’s Project HSE Plan

The principal activity in this phase is the preparation of the Project HSE Plan by the Contractor. For a
Mode 2 contract, this will probably form a significant part of the COMAH report
The Project HSE Plan must cover all contract phases from mobilization to demobilization and should
provide a clear indication of the policies, procedures, standards, etc to be adopted during each phase of
the contract.
The Contractor should use ADCO contract HSE documents as the basis for his Project HSE Plan.
However, as part of his submission, the Contractor is required to state his own proposals within the
framework described. In particular, the Contractor should:
• Develop his own hazard assessment of the work described for the contract;
• Define his execution proposals;
• The Contractor should confirm his proposed use of policies, procedures, standards, etc and show that
these comply with ADCO requirements;
• Demonstrate familiarity with the type of work involved;
• Confirm his understanding that the ADCO standards and guidelines represent minimum standards.
23
See ADCO Road Safety Policy, Volume 10-3
24
See Section 36.2.4: Joint HSEMS & COMAH Report

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5.2.4 Wrap-Up of Technical HSE Evaluation
ADCO HSE Professional shall be responsible to ensure that all items in the Technical HSE Checklist has
been completed and/ or the Contractor has submitted all “open” item documents before Commercial bid is
opened. Evaluate thoroughly each Contractor's Project HSE Plan. This evaluation should check that the
HSE Plan achieves the minimum acceptable standards, including reference to proposed key personnel
competencies, subcontractors, staffing levels, plant and equipment resources, etc. Clarify each
Contractor's HSE Plan where necessary and record all clarifications for inclusion in contract.
The focus of the HSE evaluation is the Contractor's Project HSE Plan although other aspects of the bid
should be scrutinized. In particular, aspects of the Contractor's execution plan may be inconsistent with
his stated intent regarding the fulfillment of HSE requirements and may need clarification (including site
visits).
It is important to establish the status of the Contractor's preparedness for HSE in the contract and to
ascertain if further action is necessary on his and ADCO’s part before proceeding.
5.2.5 Welfare Conditions

Contract Administrator with HSE Professional will agree on the minimum salary and benefits for
Contractor’s personnel on a case-by-case basis for each tender/contract and present the same to the
management for approval, as per the respective delegated authority for the tender/contract in question.
Following management approval, the approved salaries and benefits will be included in the Scope of Work
for that tender/contract. Determination of salaries shall always have reference to ADNOC Manpower
Agreement No. 2220695, as applicable.

ADCO- HSED web page
Page: 43 of 258
Table 4: Requirements for Contractor Evaluation
Contractor Type Evaluation Required

Construction o HSE performance record
o HSE Prequalification Questionnaire to verify equipment certification
practices, procedures for preventive maintenance, system for
hazard identification and risk management, personnel competency
and training, Incident reporting and investigation.
Operations & o Contractors that work under ADCO supervision as ADCO workers in
Maintenance ADCO operation and maintenance activities are included under the
respective ADCO HSE plan.
Drilling and Well Services o HSE performance record

o HSE Prequalification Questionnaire to verify equipment certification
practices, procedures for preventive maintenance, system for
hazard identification and risk management, personnel competency
and training, incident reporting and investigation; and emergency
Response procedures.
Personal Technical o Verify Contractors are suitably experienced for the work at hand.
Services & Engineering o Verify that they have completed the required training.
Studies
Service Representatives o Service Contractors working under direct supervision of ADCO

employee are included in ADCO HSE plan.
At this time, if the Contractor does not score 70%+, the Contractor is no longer eligible for the tender.

ADCO- HSED web page
Part : 6 – Bid Evaluation and Contract Award Date: Nov 2009
Page: 44 of 258
6 Bid Evaluation and Contract Award

6.1 Objectives
• The evaluation and selection criteria used should consider significant aspects such as HSE
performance records, costs, (if agreed between End User, HSE and SCMD) technical ability,
reputation, and the ability to meet schedules. Accordingly, the overall risk of contract and HSE
management might be given appropriate weight along with other considerations when selecting
successful bidder.
• If agreed between End User, HSE and SCMD, bidders will be required to submit HSE cost break
down using a respective bill of quantities that will be developed by End User, HSE and included in the
tender. Example of which is set forth in Appendix-T.
• Evaluate and provide rating & comparison of HSE aspects in the bids to determine acceptability on
HSE requirements.
6.2 Contract Award

The End User in cooperation with ADCO HSE professional shall evaluate the risk factor for each contract
and agree on the weight given to the HSE according to the risk involved in the contract Scope of Work. If
the HSE has a significant weight and shall affect the commercial evaluation, they should agree with the
SCMD to propose that in the award strategy up front and get it supported by the tender board during the
first submission and approved by the management.

ADCO- HSED web page
Part : 7- Mobilization Date: Nov 2009
Page: 45 of 258
7 Mobilization
7.1 Objectives
In the mobilization phase, the principal activities are as follows:
• Hold “kick-off” (clarification) meeting (ADCO and Contractor jointly);

• Commence mobilization (Contractor);
• Review and finalize the Contractor's HSE Plan (ADCO and Contractor jointly);
• Commence induction and training (ADCO and Contractor jointly);
• Supervise, inspect, and monitor progress (ADCO);
• Fulfill pre-execution milestone requirements (Contractor);
• Conduct pre-execution HSE audit (ADCO)
Prior to mobilization, it is likely that only the principal members of ADCO’s and Contractor’s project
management teams know the full HSE Plan.
During mobilization, ADCO must ensure that the Contractor sets up a method of operation that is in
accordance with the HSE Plan. It is at this stage that the implementation and ownership of the HSE Plan
by the Contractor begins and this needs careful control by Contract Administrator.
The HSE activities will be implemented during mobilization are indicated in Figure 7
7.2 Kick-off Meetings (Clarification Meeting)

An HSE kick-off meeting should be held with the Contractor immediately after contract award and before
the execution of any work. For a new Contractor, the kick-off process should include both ADCO Contract
Administrator and the Contractor's local management.
If the Contractor mobilizes locally at the worksite, the kick-off meeting can be held locally. If not, it may be
necessary to hold the initial kick-off meeting at the Contractor's base office, subsequently authorize
mobilization of his key personnel to site and follow up with a further local kick-off meeting. It should ensure
that the Contractor's workforce and supervisors are aware of the site hazards of the operation detailed in
the scope of work and are familiar with HSE working procedures, rules and regulations, alarms and
signals, emergency communications and procedures.
Additional topics to be covered should include:
• Confirmation of the HSE Plan to be implemented;

• Confirmation of Contractor employees' competence in HSE;
• Confirmation of HSE performance objectives;
• Distribution and explanation of the ADCO HSE policy statement, basic HSE rules and work procedures,
e.g. HSE Awareness Handbook, HSE Policy Awareness Booklet, etc.
• Issuance and distribution of ADCO HSE training passports, and defining ADCO training focal point;
confirmation of the scope and schedule of activities to pre-execution milestone, HSE meetings, audits
and reviews;
• ADCO and Contractor contingency plans;
• Contact with third parties to ensure their role in emergency response plans is known;

ADCO- HSED web page
Page: 46 of 258
• Confirmation that HSE induction (e.g. HSE Induction, and Emergency Response E-Learning) and
training plans are in place;
• Briefing of subcontractors on HSE requirements; and
• Incident reporting and investigation procedures
At the same time as the kick-off meeting, the opportunity should be taken to check the physical evidence
that HSE systems are in place. For example:
• HSE equipment;
• Communications;
• Environmental protection;
• Health hazard identification and assessment, medical facilities, Medevac procedures;
• HSE awareness, incentive scheme, and promotional material;
• HSE documentation manuals.
• Note: The kick-off meeting should not be used as an opportunity to raise new HSE issues that should
have been covered in the contract documentation.

ADCO- HSED web page
Page: 47 of 258
• Figure 7 Management of Contractor HSE flowchart: Mobilization

ADCO- HSED web page
Page: 48 of 258
7.3 Mobilization
Once mobilization activities have commenced, ADCO should begin its supervision, monitoring, and
inspection and audit functions of the Contractor's pre-execution activities to ensure the Contractor's HSE
Plan is being implemented.
ADCO supervisory function should ensure that the Contractor has deployed his supervisory staff and is
implementing the briefing and training that are required for his supervisors and employees.
During mobilization, the Contractor should finalize the HSE Plan. He should incorporate the agreements
reached with ADCO at the kick-off meeting. The final HSE Plan for the contract shall be complete.
Progress meetings should then be used as the formal method of reviewing HSE implementation.
7.4 Pre-execution Audit

At this stage of the mobilization (known also as milestone zero), an audit against the Contractor's HSE
Plan should be completed to determine whether the Contractor has achieved the necessary targets stated
in the HSE Plan and whether mobilization can be considered complete. Achievement of HSE Plan targets
should represent the first milestone of the project to which first stage payments may be associated. A
contract clause reserving the right to terminate on failure to meet this milestone should be considered.
The extent of the audit will again depend on the size and complexity of the contract. For a small contract,
an audit may be conducted by means of a simple checklist. For a large and complex contract, a more
analytical approach may be required. If the audit proves to be unsatisfactory then the status of the
Contractor's progress should be carefully reviewed. The options available at this stage are:
Minor For relatively minor deficiencies, the Contractor should be requested to implement
deficiencies corrective action and the audit repeated. It may be possible to allow this to take
place in parallel while initiating the execution phase.
Serious In the more serious omissions, the option of withholding permission to proceed or
omissions even terminating the contract may be necessary.

ADCO- HSED web page
Part : 8- Execution Date: Nov 2009
Page: 49 of 258
8 Execution
8.1 Objectives
The objectives of this phase are to assure that the work to be performed is conducted according to the
agreed upon HSE Plan, and that additional HSE needs, identified during the work are properly addressed.
The nature of the work determines the level of supervisory tools necessary to manage HSE performance.
8.2 Responsibilities & Supervision

Under the contract, the responsibility for proper supervision of the Contractor's personnel on HSE matters
rests with the Contractor himself. However, ADCO Representative should ensure that Contractor's
supervision complies with the requirements defined in the Contractor's Project HSE Plan.
Such checks should include confirmation of the following:

• The Contractor's line management commitment to the HSE issues;
• Reinforcement of the HSE targets as defined in the Contractor's Project HSE Plan;
• The provision of training as needed for specific Contractor employees;
• The regular checking and review of the Contractor's performance by ADCO Contract Administrator;
• The Contractor's monitoring of the quality, condition, and integrity of his plant, equipment, and tools;
• The Contractor's holding of daily toolbox meetings and regular HSE meetings (minimum-weekly);
• The Contractor's implementation of exercises and drills of contingency plans with maintenance of an
effective audit trail, including follow-up and close-out of action items;
• Monitoring of the Contractor's incident investigation and follow-up;
• Performance of HSE inspections/audits and reviews of the Contractor's activities (including Contractor's
internal HSE control system);
• Behavior Based Safety (BBS) program to assure day-to-day safety compliance; and
• Any deviations from Project HSE Plan formally assessed and approved.
8.3 Contractor Compliance

Contractor Administrator is solely responsible to ensure Contractor’s compliance with HSE Plan. He may
use either ADCO HSE Professional or Corporate HSED for assistance in ensuring Contractor’s compliance
with Project HSE Plan.
8.4 Inspection and HSE Auditing/Reviews

An HSE audit and review Programme should be prepared by ADCO Contract Administrator to ensure that
HSE Plan is adhered to, together with details of how HSE performance of the Contractor is to be
measured.
Examples of audits and inspections may be carried out during Execution Phase:
• HSE Management System audit;

• Catering;
25
• Camp ;
• Health and welfare;
26
• Transportation & road safety ;
25
See Appendix P: Contractor Camp Inspection Checklist
26
See Appendix Q: Road Safety Audit Checklist

ADCO- HSED web page
Part : 8- Execution Date: Nov 2009
Page: 50 of 258
• BBS
Inspections and audits should be performed by both Contractor and company, represented by the contract
administrator or his representative, the frequency of such inspections/verifications depends on the size of
the work and the risks involved. Findings of inspections and audits should be shared between ADCO and
Contractor with positive commitment from both parties to use findings for improving performance.
8.5 Competence Assurance

During execution of the work, ADCO should monitor the competence assurance and associated training
Programme of the Contractor and ensure that it meets the requirements of the Project HSE Plan. Because
of local circumstances, ADCO should also determine if there are any additional needs for the Contractor.
Monitoring by ADCO should include confirmation of the Contractor's commitment to the following:
• Adherence to the Contractor's personnel recruitment criteria;

• Demonstration of personnel qualifications, ability and skills;
• Provision for the necessary induction courses, which would make personnel fully aware of the nature of
the potential work hazards, instruct them in the use of protective and emergency equipment and
explain/practice emergency drills;
• Training of Contractor's personnel in the HSE standards and procedures to be followed;
• Completion of first-aid, ADCO Document for Safe Driving (ADSD), HSE induction and emergency
response relevant to the specific area where the Contractors work, and job-related training particularly
permit-to-work system (PTW) and gas testing or any other training required by law or ADCO practices
prior to starting work and the provision of certificates to that effect;
• Provision where appropriate for Contractor's personnel to attend on-going HSE courses (preferably as
mixed groups of ADCO and Contractor staff); and
• Availability of HSE documents, instruction and information leaflets and newsletters with special attention
to use of local language and simple visual messages

ADCO- HSED web page
Part : 9 – Demobilization
Date: Nov 2009
Page: 51 of 258
9 Demobilization
9.1 Objectives
The objectives of this phase are to identify the hazards associated with demobilization and identify and
implement controls to minimize the risks. The HSE Plan should be modified, if needed to address new or
unexpected hazards.
9.2 Responsibilities
The Contractor HSE Plan should be continued to be the vehicle for managing the HSE activities in this
phase. Demobilization often is a phase of the project having an increased chance for incidents as the
project infrastructure and Contractor HSE management structures are being dismantled with people
moving off the project to a new assignment. Assurance should be sought that the appropriate
organizational structures remain intact until associated activities have been completed. These should
include:
• Emergency response
• Site restoration
• Waste management and disposal
Due consideration should be taken of any learning points from mobilization, the problems encountered and
solutions found.
ADCO and Contractor should continue to monitor performance against the HSE plan, including attention to
incident reporting. It is important to maintain vigilance on HSE matters to the very end of the contract. The
Close Out27 report should be made after all activities have been completed.
27
See Section 36.10-Close Out

ADCO- HSED web page
Part : 10 – Close-Out Date: Nov 2009
Page: 52 of 258
10 Close-Out
10.1 Objectives
The objective of this phase is to conduct a Contractor’s HSE performance evaluation and delivery of
technical services, to provide feedback to ADCO and Contractor, which can be referenced for future work.
10.2 Final Evaluation and Report

Contracts should be closed out with a HSE performance report. This report will provide CONTRACTOR
with knowledge of his performance and provide ADCO with a “lessons learnt” from the CONTRACTOR.
Ideally, HSE performance should be tracked on a regular basis throughout the contract with the final report
being the distillation of the regular monitoring process and the end of contract review. Thus, throughout the
contract, Contractor performance should be monitored against HSE Plan and any deviations, positive or
negative, annotated for reference in the close-out report/ summary28.
Contract Administrator/ Focal Point will advice ADCO HSE Professional at least three (3) months prior to
end of the contract.
ADCO HSE Professional will review Contractor’s HSE performance for the duration of the contract and
prepare a summary stating Contractor’s “strengths and weaknesses”.
Contract Administrator/ Focal Point with ADCO HSE Professional present/ review the report with the
Contractor. Contractor’s comments shall be noted on the report.
Close-out report will continue to be kept with Contract Administrator/End User until SCMD develops a Data
Bank for Contractor Performance reports.
The Contract shall not be considered “closed” if there is no Close-Out report or the Close-Out report does
not have ADCO HSE Professional’s signature.
The HSE close-out data should be recorded and made accessible to Commercial, Senior Safety Engineer
(Contract), Contract Administrators and ADCO HSE Professional for future reference.
28
See Appendix R: Contractor Close-Out Report

ADCO- HSED web page
Part : 11 - Consequences of Compliance & Non- Date: Nov 2009

compliance
Page: 53 of 258
11 Consequences of Compliance & Non-compliance

11.1 Objective
To develop consequence/ reward system based on HSE performance, using proactive and reactive
measures
11.2 Consequences of Compliance & Non-compliance

The basis of providing Contractors with recognition and incentive is by applying a set of rewards for
outstanding and good performance and penalties for poor performance and HSE non-compliance during
execution of contract. Application of penalties under any tender shall always be subject to the agreement
of End User, HSE and SCMD. If agreed by the aforementioned parties, the penalties scheme set forth in
Appendix “O”-24, shall be used as a guideline for developing the one that will be included in the tender.
11.2.1 Consequences of Compliance

As part of the recognition process, the area of Contractor rewards should be addressed in a constructive
and positive manner rather than reactive and negative manner. Many reward schemes fail due to applying
“no-accident” trend as a measure, which may in fact result in lack of reporting rather than actual reduction.
This approach does not reflect the actual management system efforts to manage the risk and prevent
incidents.
The Compliance reward system remains as a policy, when rewards are suggested they shall be linked to
the performance of the project and will be guided by the following submission:
• HSE Plan audit report;

• HSE performance report;
• Contract/ project close-out assessment report;
End-User will utilize the Reward’s Policy to recognize and encourage good performance at all contract
levels, whether they are minor or major in their monetary value or importance to ADCO. The ultimate aim is
for the Contractor to gain excellence recognition, which will be noted on the Contract Registration Scheme
database, which will give them preference and weight in further bids with respect to HSE and overall
performance. Consideration may be given to looking at commercial advantage especially in the area of
close bid values or similar technical acceptance.
Contract Administrator/ Focal Point will not solely reward a Contractor based on HSE performance, but
rather determine Contractor’s Technical performance with the HSE performance [RAGB monitoring tool
and appraisal]. All necessary approvals must be included in the part of the reward strategy.
End-User will include Principles of Consequences of Compliance and Non-compliance in the Scope of
Work, which will provide transparency for all Contractors.

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11.2.2 Advantages of Reward System
• Can be administered on-site.

• Cost of incentive can be tracked easily.
• Agreed criteria is set
• Templates or ready made checklists are used
• Accessibility to on-line reporting system is available
• Results are screened and evaluated by focal point(s) or a team
• Low level of effort
• Process should be cleared through Contractor management and supervision
• Works especially well if not expected but a surprise to the work crews to recognize them for safety
• Consider logistics of stopping work at mid-day, contract issues, etc.
• For most of the items utilize ADNOC/ADCO media or ADCO catering facilities
Table 5: HSE Performance Compliance System
Communicati
Compliance Consequences Who
on Methods
Green Formal Recognition of individual performance End-User/ Contract
(Professional) acknowledgm Administrators/ Focal
ent Points
o Financial Rewards* Field Managers/
o Certificates of achievements Terminal Manager
o Safety shield for the Contractor
company
o Recognition of individual
performance
o Commercial advantage during GMT
tender Share-holders
o Increase work share
o Publicize across OPCO’s & GCC
* The financial rewards may include a spot bonus in the form of cash or vouchers to Contractor
employees who contributed to the good performance. Should the bonus be approved by the
management then it will be presented by ADCO representatives directly to the Contractor employee in
a celebrating party arranged by the respective Contractor at his site.

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11.2.3 Consequence of Non-Compliance System
Whilst rewarding good performance is important, the treat of penalties for non-compliance should not be
discouraged. The Contractors must be aware of the serious emphasis placed on HSE by ADCO
Penalties will be under custodianship of the Project/ Contract Administrator, who will have the authority to
inform the Contractor of violation, and update the Contractor registration database, if required.
The Project/ Contract Administrator will solicit the assistance of the ADCO Site Representative(s) and HSE
advisor(s) in the assessment of violations/ penalties and inform the contract owner of the results, which will
be communicated to the Contractor senior management in an established and recorded meeting(s).
Incident Based HSE Non-Compliance System
In order to structure and formalize the non-compliance consequence process, a system has been
developed to assist the Contract Administrators systematically and gradually apply penalties. The system
is to be implemented depending on the nature of the incident or HSE non-compliance. The severity of the
incident, HSE violation or the non-compliance needs to be determined, based on the ADNOC Risk Matrix,
in order to determine appropriate path to be taken in applying the relevant consequence. The flow chart29
illustrate the consequence system
Currently, ADCO utilizes an Incident Based system of consequences for dealing with HSE violations. Best
practice suggests we need to augment this with a Trend Based system that could consider the overall
recent record of accomplishment of a Contractor’s HSE performance and apply consequences (good and
bad) accordingly using objective criteria and data30.
This assessment process will be carried out on quarterly bases, and linked to information compiled from
HSE Statistics Return Form Appendix O-21, using ADCO calculation methodology and definitions
Non-compliance matrix31 is a combination of both HSE proactive (effort trend) and reactive approach
(incident based trend). Contractors that breach the specified safety boundary conditions during the period
of the contract should be formally notified that improvement is required, and requested to submit an
improvement plan.
Contractors that consistently fail to deliver the required performance improvement or experience further
breaches of the safety boundary conditions should be considered for reduced work share, or suspension
depending on the severity of the breach.
29
See Figure 8: Non-Compliance Consequence Flow Chart
30
See Table 7: HSE Performance Non-Compliance System
31
See Figure 9: Proactive Measures vs. HSE Performance

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32
Figure 8: Non-Compliance Consequence Flow Chart
Determine the Formal Written

SEVERITY of Non- Notice as per
Compliance Contract
Medium & Low High Suspend broader

activity at the
site. Withhold
payments.
Issue HSE STOP/ Suspend Remove personnel
Violation Notice Work related to
(WARNING) Violation
Issue HSE
Coach & Request
Violation Notice
Improvement Plan Corrective
(WARNING) YES
Action
Taken?
Coach & Request
Improvement Plan
NO
NO
Corrective
Action Formal Notice as
Taken? per Contract &
Senior
Corrective NO Management
Action meeting
Taken?
YES
Record Violation &
Work Stopped at
Monitor
Particular Site.
Compliance
YES Suspend Work at
Other Sites.
Reduce Work
Resume Work Share. Corrective
action/ Back
charge
Record Violation &

Monitor
Compliance
Corrective
YES Action
Taken?
NO
Terminate Contractor.
Disqualification. Inform
ADNOC Group of
Companies
32
Matrix can be found in HSEMS Manual, Page 43, Figure 4.4.2

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Figure 9: Proactive Measures vs. HSE Performance
LEARNING NON PROFESSIONAL
LTIF
TRIF
VIRF
HIPO
PROFESSIONAL LUCKY
L
H EFFORTS L
(Weighted and
percentage
completion)
Legend:
LTIF: Lost Time Injury Frequency: The lost time injury frequency measures the number of lost time injuries
in the exposure period as a percentage of the workforce: thus
LTIF = (No. of LTI’s x 1,000,000)/Exposure Hours
TRIF: Total Reportable Injury Frequency: are sum of fatalities, permanent total disabilities, lost time cases,
and cases involving restriction of work or motion, medical treatment or loss of consciousness. Thus
TRIF = (Sum of the above x 1,000,000)/ Exposure Hours
VAR: No of vehicle accidents per million of km driven
HIPO: An incident where the “worst probable consequence” could have occurred.
Lucky Contractors: their incident trend performance is magnificent with minimal or without noticeable
proactive effort.

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Learner: Contractors that their proactive approach (effort) is magnificent but their incident trend
performance is poor.
Professional: Contractors that have balanced approach of efforts and incident trend, and their HSE
performance is meeting ADCO acceptable criteria.
Non-professional: Contractors that can be classified as non-compliance ones in terms of increased

incidents and effortless HSE approach.
Effort (Proactive Measures); Examples include
• HSE Plan;
• HSE MS Audit;
• Camp Inspection;
• Training hours per employee;
• Regular PTW audit/ inspections, BBS audits, with actions taken;
• Vehicles fitted with IVMS;
• Drivers HSE performance records;
• Occupational hygiene and public health audits/inspections;
• HSE meetings, with actions taken
• Contract-General Terms and Conditions (Reputation).

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Table 6: Incident Base Non-Compliance System
Severity
Consequences
Of Communication Coach Corrective Action
Step Sanction Who
Non- Methods / Plan Taken
(Threat)
compliance
1 Low/ Written HSE Line Yes No
Medium violation notice. ---- Supervisor (record & (go to
monitor) step 2)
2 HIPO Written HSE Suspend activity at local Line Yes No
violation notice. sites. Supervisor (Resume (go to
work, step 3)
record &
monitor)
3 LTI Formal written Suspend broader activity Field/Area Yes No
notice as per at site (for same Manager (Resume (go to
contract. Contractor). work, step 4)
Withhold payments. record &
Remove personnel. monitor)
4 Fatality Formal written All work stopped at GMT Yes No
notice as per particular site. (inform (Resume (go to
contract. Suspend work at other share work, step 5)
ADCO –Contractor sites (for same holders record &
Senior Contractor). where monitor)
Management Reduce work share. necessary)
meeting. Corrective action/ back
charge.
5 Formal written Terminate Contract. GMT
notice as per Disqualification as per CPRC
contract. existing ADCO
ADCO – Contractor procedure.
Senior Inform ADNOC Group of
Management Companies
meeting.

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Table 7: HSE Performance Non-Compliance System
Severity of
Communication Consequences Coach / Corrective Action
Step Non- Who
Methods Sanction (Threat) Plan Taken
Compliance
Suspend broader Yes
activity at site (for (Resume No
Yellow Formal written notice Field/Area
1 same Contractor) work, (go to
(Lucky) (refer to contract). Manager
Withhold payments record & step 3)
Remove personnel monitor)
Suspend activity at Yes
Yellow
site (for same (Resume No
(Learner) Formal written notice Field/Area
2 Contractor) work, (go to
if fails to as per contract. Manager
Withhold payments record & step 3)
improve
Remove personnel monitor)
All work stopped at
particular site GMT
Formal written notice Yes
Suspend work at (inform
as per contract. (Resume No
Red other sites (for same share -
3 ADCO – Contractor work, (go to
(Less Effort) Contractor) holders
Senior Management record & step 4)
Reduce work share where
meeting. monitor)
Corrective action/ necessary)
back charge
Terminate Contract.
Formal written notice
Disqualification as per
as per contract.
existing ADCO GMT
4 Red ADCO – Contractor --- ------- ----
procedure. CPRC
Senior Management
Inform ADNOC Group
meeting.
of Companies

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11.3 RAGB (Red, Amber, Green & Brown) Contractor’s Performance

Annual Report – (refer to Appendix # S)
1.0 Introduction
As per the ADNOC HSE Management System Code of Practice, each

company has to provide an annual assurance letter on the compliance
standard and performance of implementing the HSEMS within the
organization. Contractors are not exempted and ADCO has devoted this
simple scheme to evaluate annually the Contractor's HSE performance.
2.0 Annual Contractor's RAGB Report
During the period of January until December of every year, Contractor's HSE
performance will be monitored and recorded by ADCO HSE and Contract
Administrators. Beginning of every next year, an annual RAGB report will be
issued to Contractors (Appendix S - Section IV).
The RAGB report comprises four colors (Red, Amber, Green and Brown) and
each Contractor shall be listed under one color only. The meaning / value of
each color is:
Red color Means the Contractor failed in both the appraisal form
and the RAG ranking sheets
Amber color Means the Contractor failed in either the appraisal
form or the RAG ranking sheets
Green color Means the Contractor passed / succeeded in both the
appraisal form and the RAG ranking sheets
Brown color Means Contractors who are not checked / evaluated
by ADCO to be ranked in any of the RAG colors
3.0 RAGB Report Elements
There are two elements contributing to the preparation and issuance of the
annual RAGB report:
Appraisal form (compliance score) and

RAG ranking sheet (non-compliance score).

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3.1 Appraisal Form
At the end of each year, the ADCO Contract Administrator and the ADCO HSE
Professional will jointly prepare and agree on the Contractor's HSE performance
appraisal using the standard company appraisal checklist / form (Appendix S –
sections II & III)
3.2 RAG Ranking Sheets
Contractor's HSE non-compliances will be recorded and communicated to the

respective Contractor accordingly. Recording non-compliances (violations) are
either done through the ADCO HSE Electronic Analysis, Reporting & Tracking
System (HEARTS) that is most preferable to use or by any other means such
as fax, letter, minutes of meeting, etc.
Each non-compliance will be screened and matched with the RAGB criteria
color-coding and points system for scoring (Appendix S – Section I).
4.0 Preparing the Annual RAGB Report
At the end of the calendar year, ADCO HSE Professional will meet together
and review / screen all the Contractors appraisal forms and RAG ranking
sheets and jointly prepare the RAGB annual performance report of
Contractors.
5.0 Communicating RAGB Report
The RAGB annual report shall be communicated to all Contractors during the
first quarter of every year by HSE Manager. Each Contractor will have a
dossier to present and review in case the Contractor wishes that.

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6.0 RAGB Report Benefits
The annual RAGB report is intended to help both ADCO and Contractors
managing the business in an easy and practical way. The following rules shall
apply once the annual RAGB report is issued:
o Having central data source in ADCO. Helps ADCO to know the good
and the bad HSE performers
o Green Contractors exempted from any audits for a year – qualified for
any tender during the period
o Amber Contractors are subject to audit at discretion of ADCO
o Red Contractors must be audited if at all required to be invited to
tender
o Create great opportunity between Contractors to compete against their
own performance to be amongst the Green ones.

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LIST OF APPENDICES
Appendix A- Contractor/ Vendor’s HSE Standard Booklet .................................................... 66
Appendix B Contractor HSE Pre-Qualification Checklist.................................................. 79

Section - 1 – Vendor HSE Pre-Qualification Questionnaire ........................................................................79
Section - 2 – Manufacturer HSE Pre-Qualification Questionnaire ..............................................................81
Section - 3 – Mode 1 and Mode 3 Contractor HSE Pre-Qualification .........................................................83
Section - 4. Mode 2 Contractor HSE Pre-qualification Questionnaire ........................................................85
Section - 5. Contractor HSE Pre-Qualification Scoring Evaluation System For Mode 2 Contractors........92
Appendix C Task Activity Checklist.................................................................................. 109
Appendix D – Technical HSE Checklist for Mode 2 Contractors......................................... 112
Appendix E – Technical HSE Checklist for Mode 1 Contractors......................................... 121
Appendix E1 – Technical HSE Checklist for Consultancy (Mode 3) ................................... 126
Appendix F – HSE Plan Guidelines for Mode 1 Contractors................................................ 128
Appendix G – Project HSE Plan Guidelines for Mode 2 Contractors.................................. 131
Appendix H Medical Services Assessment ..................................................................... 143
Appendix I– Contractor Camps & Temporary Buildings...................................................... 147
Appendix J – Contractor Camp Survey Form ....................................................................... 164
Appendix L- Specialized Medical fitness standards........................................................... 173

I. General......................................................................................................................................173
II. Medical Questionnaire ..............................................................................................................179
III. Consent for Release of Medical Report ....................................................................................181
IV. Medical Report (Examination)...................................................................................................182
V. Fitness Certificate .....................................................................................................................183
Appendix M – Medical Requirements for Caterers ............................................................... 184
Appendix N – Weekly Self-Inspection Checklist for Caterers.............................................. 185
Appendix O – HSE Rules & Conditions (Appendices) Contractor Requirements ............. 188
List of compulsory ticked Rules and Conditions........................................................................................189

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Appendix P – Contractor Camp Audit/ Inspection Checklist............................................... 236
Appendix Q – Road Safety Audit Checklist ........................................................................... 238
Appendix R – Closeout Report ............................................................................................... 241
Appendix – S Contractor Performance................................................................................ 245

Section I Criteria for identification Contractor's Performance .................................................................245
Section II Contractor's Performance Appraisal Criteria and Checklist ......................................................249
Section III Contractor's Performance Appraisal ........................................................................................251
Section IV RAGB Report ...........................................................................................................................253
Appendix T - HSE Cost Break Down ...................................................................................... 254
Appendix U- Tender’s List of HSE Appendices .................................................................... 258

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Appendix A- Contractor/ Vendor’s HSE Standard Booklet

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TABLE OF CONTENT
1.0 Introduction.................................................................................................................................68
2.0 General.......................................................................................................................................69
3.0 Contractor Commitment to ADCO HSE Policy ..........................................................................69
4.0 Contractor’s HSE Policy..............................................................................................................69
5.0 Other Policies .............................................................................................................................69
6.0 Contractor HSE Plan..................................................................................................................70
7.0 Site Entry....................................................................................................................................72
8.0 Statutory Regulations.................................................................................................................73
9.0 Equipment Certification ..............................................................................................................73
10.0 Qualification and Training of Personnel ......................................................................................73
11.0 Requirement for HSE Professional .............................................................................................73
12.0 HSE Meetings & Flow of Information ..........................................................................................75
13.0 HSE Statistics Reporting.............................................................................................................75
14.0 Employee Details .......................................................................................................................75
15.0 Personal Protective Equipment..................................................................................................76
16.0 Permit to Work System ..............................................................................................................76
17.0 Audit, Monitoring and Inspection.................................................................................................76
18.0 Stop Work, Prohibition of Unsafe Practices & Environmentally Damaging Acts ........................77
19.0 Emergency Response.................................................................................................................77
20.0 Incentive Scheme.......................................................................................................................77
21.0 Sub-Contractors ..........................................................................................................................77
Form A2: CONTRACTORS’ HSE STATISTICS RETURN.........................................................................78

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1.0 Introduction
The health, safety and welfare of ADCO and Contract employees is of prime importance to ADCO, and
together with protecting the environment is essential to the operation of the undertaking.
The following HSE clauses have been prepared to ensure the safety of ADCO and Contractors employees.
Contractor shall see that his employees are conversant with the HSE clauses and ensure its compliance.
These clauses do not exempt the Contractor from his statutory duties on Health, Safety, and Environment, but
it is intended to assist him in attaining a high standard of compliance with those duties.

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2.0 General
Because of employee’s multicultural backgrounds, ADCO strongly advises all CONTRACTORS to use
whatever means/ methodologies necessary to ensure that their employees fully understand and comprehend
all written/ verbal standards, procedures, and/ or guidelines. This may include providing interpretations,
written/ verbal in the language well understood by the concerned employee.
All documents (maintenance records, training records, tests conducted, etc. as required by the
CONTRACTOR) shall be made available to an ADCO representative upon demand, and/ or during an audit/
inspection. In case, some records are not available on-site at the time of the audit/ inspection, it shall be
submitted within a timeframe acceptable to ADCO.
Each CONTRACTOR is responsible for their employees as well as any other sub-contracted employees
working on ADCO project. It is the CONTRACTOR’s responsibilities to ensure that all subcontracted
employees are qualified and meet all applicable ADCO HSE standards, procedures, and guidelines.
Contractor shall understand that ADCO HSE standard procedures represent the minimum acceptable HSE
requirements that Contractor shall meet or exceed.
3.0 Contractor Commitment to ADCO HSE Policy
The Contractor shall commit themselves and their employees to ADCO’s HSE Policy in all phases of the
project implementation.
4.0 Contractor’s HSE Policy
The Contractor shall submit to the ADCO Representative their company’s HSE policy, which shall be dated
and signed by the Contractor’s most Senior Representative. For an International company, the most senior
company representative shall be the one who is responsible for GCC and/ or UAE area operations.
One of the provisions of the CONTRACTOR’s HSE Policy shall authorize an employee to STOP WORK, IF IT
DEEMED UNSAFE.
The Contractor shall bring this policy statement to the attention of all his personnel and ensure that it is being
communicated/ understood by each member of the organization.
5.0 Other Policies
Each CONTRACTOR shall develop and/ or implement a drug/ alcohol-testing program for their employees.
They will ensure that the employees are made available for a random drug/ alcohol test and/ or at any time, an
ADCO employee feels suspicious, due to actions that the CONTRACT employee is under the influence of a
prohibited substance or whenever an employee is involved in an accident/ incident.
Each CONTRACTOR shall enforce ADCO’s Non-Smoking Policy while their employees are on ADCO’s
property.

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6.0 Contractor HSE Plan
Contractor shall develop an HSE Plan for the duration of the contract covering all aspects contained in this
booklet. CONTRACTOR shall provide HSE Plan as part of the technical bid submission. It is the Contractor's
responsibility to monitor and report on its implementation to Contract Administrator.
The HSE Plan shall include but not limited to:
a. Organization Chart
HSE Organization shall report directly to the highest authority, namely GM or Managing Director.
b. Communication Plan (i.e. from Senior Management to Line Employee and Vice-Versa)
Contract Management shall ensure that all HSE-related communication is disseminated from Senior
Management to a Line Employee and issues/ concerns/ suggestions are relayed from Line Management to
Senior Management.
c. Employee Training Matrix
Contractor shall develop a Task-Activity Checklist for the project. Based on the Checklist, Contractor shall
develop an Employee Training Matrix and a Training Plan to ensure all employees trained in their activities.
Contractor shall utilize ADCO HSE Training Matrix as their starting point.
d. Audit/ Inspection Plan
Contractor shall develop an audit/ inspection plan for the duration of the project. At a minimum, this Plan shall
include the following:
i. One HSEMS audit per year.

ii. Two audits/ year. Senior Management shall lead this audit.
iii. Two audits/ year. Mid-Level Management shall lead Camp’s audit, if applicable.
iv. Two audits/ year. Mid-Level Management shall lead Road Safety audit, if applicable.
v. One audit/ month. Contractor shall conduct P-T-W audit, if applicable
e. CVs of HSE Professional
Contractor shall submit CVs/ resume and attested certificates of a HSE Professional assigned to this project.
Please refer to Section titled Requirement for HSE Professional
f. HSE procedures
Contractor shall develop a Task-Activity Checklist. Conduct a Risk Assessment on each of the activity and
develop a Risk Register. Based on the Task-Activity Checklist, identify HSE procedures needed to accomplish
the Task.
g. Programmed medical tests/ evaluations
Contractor shall ensure that all employees hired for the project complete a pre-employment physical, which
meets minimum ADCO Medical guidelines.

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Using Task-Activity Checklist, Contractor shall identify employees exposed to the hazards (chemical, physical,
radiological, etc.). Based on the hazard exposure, Contractor shall schedule routine medical examination for
those employees.
Contractor shall ensure that all necessary arrangements are made to identify any hazardous exposures to
health of his employees and that precautionary measures have been taken to protect personnel and the
workplace.
Contractor shall provide and agree with Contract Administrator arrangements for provision of medical facilities
and services for all his personnel including, but not limited to, physical examination for fitness to work and
freedom from contagious diseases, consultation, and treatment of sickness and injury.
h. HSE Meetings
Contractor shall develop a schedule for HSE meetings as follows:
i. Two meetings/ year. This meeting shall be led by Senior Management and will involve mid-to-senior
level management employees.
ii. One meeting/ quarter. This meeting shall be led by Mid-level Management and will involve mid-to-
supervisor level employees.
iii. One meeting/ month. This meeting shall be led by Supervisor and will involve all employees under his
supervision.
iv. One meeting/ shift. Supervisor shall lead Tool Box Talk with his employees before start of each shift.
v. One meeting/ quarter. Senior Management or designee shall attend ADCO-Contractor joint meeting.
i. Environmental policy, waste identification/ storage/ disposal procedure and spill contingency plans
Contractor shall develop procedures to ensure segregation of waste (hazardous, non-hazardous, recyclable,
etc.) and a spill contingency plan. Contractor shall ensure that all waste is disposed in an environmentally
friendly manner and within applicable UAE rules & regulations. Contractor shall use only reputable companies
to haul and dispose their waste.
Contractor shall pay due regard to the environment by preserving air, water, soil, animal and plant life from
adverse effects of their activities. Contractor shall develop waste management plan for his project and
communicate it to Contract Administrator.
Contractor shall ensure that personnel are trained in general environmental awareness and specific
procedures aimed at avoidance of an environmental damage. Please see ADCO HSE Manual, Volume 10,
Part 37 – Waste Management Guidelines and Part 38 – Oil Spill Notification/ Reporting and Clean-up
Guidelines.
j. SMART HSE Objectives & Targets
Contractor shall develop an annual HSE Plan with specific HSE Objectives & Targets. This plan shall be
submitted to Contract Administrator/ Focal Point by December 15 of the preceding year.
Contractor is responsible to update HSE Plan at the end of each quarter and submit the updated plan to
Contractor Administrator/ Focal Point within 15 days of end of the quarter. (e.g., April 15, July 15, October 15 &
January 15)

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k. Emergency Response Procedures
Contractor shall comply with ADCO’s Emergency Response procedures while working on ADCO’s property.
Contractor shall develop a comprehensive Emergency Response Procedure for their Camp. Ensure that at
least one drill/ month emergency drills is conducted, with one drill/ quarter shall be held after sunset.
l. Incident Reporting Procedures
Contractor shall develop an Incident Log Sheet. All incidents (Near Miss, First Aid, and accidents) shall be
logged in the Incident Log Sheet. The Incident Log Sheet shall be submitted to the Contractor Administrator/
Focal Point at the end of each month.
Contractor shall ensure that any fatality, recordable injury/ illness and a Near Miss (environmental or safety
related) is reported immediately to Contract Administrator, which is in-line with the ADCO HSE Manual 10
Part 2: Procedure for the Investigation and Reporting of Incidents.
Additionally, Contractor shall ensure that a competent senior person is assigned to be part of ADCO incident
investigation team, as per ADCO HSE procedure. This member should be trained in the proper methodology
used in conducting the investigation and root-cause analysis. In all cases, ADCO will lead the investigation
and issue the report on “lessons learnt.” CONTRACTOR shall ensure that “lessons learnt” are cascaded up the
management and down to all employees, and discussed in their safety meetings and toolbox talks (TBTs).
Contractor shall ensure that all Lessons Learned and Safety Alerts that communicated by ADCO are cascaded
to all concerned employees.
7.0 Site Entry
Contractor shall obtain written permission from ADCO before the Contractor starts work on site and before the
Contractor arranges for deliveries prior to work commencing.
Contractor employees shall possess a valid security pass at all times while they are on ADCO premises.
Only vehicles that meets ADCO Standards and possess a valid security pass shall be allowed to enter/
transport contract employees or deliver goods on ADCO property. ADCO reserves the right to check the
contents of all such vehicles both on entry and on exit and if necessary to confirm that, the vehicle and
personnel conform to ADCO HSE requirements.
Contractor employees shall at all time act in a courteous manner when dealing with site security and shall
cooperate fully with any instructions given to them. Site security has the right to prevent entry/exit to the
Contractor employees and if deemed necessary may confiscate the individuals security passes.
All CONTRACT employees driving on ADCO’s property shall follow ADCO’s posted speed limits, signs, etc. At
all times, pedestrians and emergency vehicles shall have the right-of-way to the road. All drivers shall pull
their vehicle at the side of the road and give way to emergency vehicles.
All Contractor vehicles working within ADCO premises must be provided with ADCO approved In-vehicle
Monitoring System (IVMS) installed by ADCO recognized supplier. Every driver operating Contractor vehicle
shall posses a valid ADCO Document for Safe Driving (ADSD) and a blue key. The Contractor shall meet and
fulfill ADCO's Transportation & Road Safety Policy requirements (for more details refer to ADCO
Transportation and Road Safety Manual 10/3).

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8.0 Statutory Regulations
CONTRACTOR shall complete the assigned task in accordance with statutory legislation including but not
limited to:
a. Abu Dhabi Emirate Law No. 8 of the year 1978 “Conservation of Petroleum Resources”
b. Ministry of Labor and Social Affairs Federal Law No. 8 of the year 1980
c. Ministry of Labor and Social Affairs Ministerial Order No. 32 of the year 1982
d. Environmental Law # 24 for 1999
9.0 Equipment Certification
The Contractor shall ensure that all lifting tackle, lifting appliances, mobile work platforms, cradles, man-
baskets, and hoists under his control are in possession of current up-to-date certification meeting British/
European Standard Specification or equivalent and are tagged/ color-coded in accordance with ADCO HSE
procedures. The CONTRACTOR shall provide copies of test certificates and records of thorough
examinations to Contract Administrator prior to their use on ADCO premises. Please see ADCO’s HSE
Manual, Volume 10, and Part 19 – Lifting Operations for full details.
No lifting equipment will be mobilized to ADCO sites before checking the validity of test/ inspection certificates.
ADCO approved Third Party (Lifting Equipment Inspection & Certification Company–LEICC) must accredit
these certificates as per ADCO’s HSE procedure.
10.0 Qualification and Training of Personnel
In particular, Contractor drivers shall receive "ADCO Document for Safe Driving - ADSD" prior to commencing
the contract.
Upon arrival at the site, the Contractor HSE Representative shall collect ADCO HSE Training Passports (ATP)
from ADCO on-site HSE focal point. He will follow his instructions on administration of ATP.
Contractor shall provide documented evidence of all HSE training to Contract Administrator. Upon request,
trained employees must be able to give practical demonstrations of such training. Contract Administrator has
the right to check HSE training passports to ensure that ADCO specified HSE training courses is given to the
Contractor employees.
Contractor shall ensure that all personnel are qualified in their tasks and Contractor employees are performing
and undergoing further training to meet the needs of the working environment when specified by Contract
Administrator.
Prior to commencement date of the contract, Contractor shall provide copies of all qualifications and
competencies of their personnel. To determine the Contractor employee’s competency, CONTRACTOR shall
release his employees at his expense to sit for an examination.
11.0 Requirement for HSE Professional

11.1 Safety Cover
Depending on total number of personnel working on an ADCO project, CONTRACTOR shall employ the
following number of HSE Professionals:

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Date: Nov 2009

Page: 74 of 258
Total Number of Contractor Personnel on Number of HSE Professionals Required

ADCO Site
10 to 50 One part-time* HSE Professional (3-5 years
experience)
51 to 100 1 full-time HSE Professional (3-5 years
experience)
101 to 250 1 full-time Senior HSE Professional (5+ years of
experience)
250+ 1 full-time Senior HSE Professional (5+ years of
experience) and an additional HSE Professional
(3-5 years experience) for every additional or part
of 250 CONTRACTOR personnel.
*
Note: A part-time HSE Professional is defined as a fully qualified & competent HSE Professional who may be
assigned to more than one contract at one time and he must devote at least 50% of his time for one contract.
These requirements may be increased for operations that are:
1. deemed by ADCO to be of high risk (as defined by Contract Administrator);

2. Spread over large geographical areas.
Where the contract involves more than one HSE professional, they shall not operate in pairs unless
operationally necessary. Contractor shall submit to the Contract Administrator, the operational areas of each
HSE professional, which may be by either discipline or geography.
One HSE professional may serve a number of ADCO sites, provided the sites are within one-hour drive of
each other. If 51-100 personnel are employed on any one site in one hour’s drive of another site, Contractor
shall designate a full-time Senior HSE professional. In such a case, dispensation is required from the Contract
Administrator.
Contractor shall submit curriculum vitas (CVs) of HSE professionals (part or full-time) to Contract Administrator
for an interview and approval. Contract Administrator in-turn will use the services of the Business Unit HSE TL
to interview Contract HSE Professionals and seek their approval.
11.2 Qualifications for HSE Professionals
Contractor shall ensure that his HSE professional are knowledgeable in relevant safety techniques and have
the ability to communicate easily with supervisors and the workforce.
As the minimum, Contractor HSE professional shall be qualified according to the following requirement:
Work Experience:
Minimum of 3 years HSE experience in the assigned field. Work experience must be related to
the activities to be carried out under the terms of contract;
Ability to conduct HSE inspections, audits and reviews;
Ability to conduct risk assessment;
Ability to investigate/ analyze incidents and apply different root cause analysis techniques;
Ability to develop HSE Plan, HSE programs & procedures

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Page: 75 of 258
Professional Qualifications:
May include:
Bachelor of Science in Engineering or equivalent;

Diploma or Master Degree in Safety or IOSH, NEBOSH, OSHA certificate in safety;
Or others as may be defined by ADCO
12.0 HSE Meetings & Flow of Information
Contractor shall provide Contract Administrator with copies of HSE Minutes of Meeting (MOM).
The Senior Contractor Representative on site or his immediate superior in his organization shall attend and
actively participate in the ADCO Contractor's HSE Meetings.
13.0 HSE Statistics Reporting
The Contractor shall submit a monthly report33 showing the following:
• Number of employees worked on the project

• Total number of hours worked on the project
• Total number of injuries/ illnesses, including number of Lost Workday Cases, Medical Treatment
Cases and Restricted Work Cases
• Total number of First Aids and Near-Misses (including environmental issues)
• Total number/ types of vehicles used on the project
• Total number of kilometers driven for the project
• Total number/ types of driving violations (based on the IVMS report)
• Other information as outline in the Form A-2
Contractor shall issue this report, Form A-2 to Contract Administrator by the 3rd working day of each month.
14.0 Employee Details
Contractor shall provide to Contract Administrator prior to arrival on ADCO premises, a 24-hour contact
numbers, and facility in the event of an emergency.
In addition to the above, Contractor shall maintain a register of employee's next of kin details, which shall be
made available to Contract Administrator upon his request.
33
See Form A-2: Contract Administrator will provide proper guidance in completing this Form during the “Kick-
Off” meeting.

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Page: 76 of 258
15.0 Personal Protective Equipment
Contractor shall provide all PPE at no cost to the employee.
Contractor shall
• develop a list of employees along with their assigned tasks and personal protective equipment
(PPE) needed to accomplish the task
• ensure that all employees are trained in use of PPE and are aware of its limitations before starting
their assignment; and
• provide their employees with PPE, which is appropriate for the task
The Contractor is responsible to provide personal protective equipment (PPE) which has been approved by
ADCO. ADCO’s Mandatory Personal Protective Equipment (MPPE) for all employees on site is hardhat, safety
shoes, coverall, and safety glasses.
Contractor shall ensure that disposable items, as earplugs, gloves, etc. are readily available / accessible to the
employee at all times and handled in a good hygienic manner. All PPE shall be maintained in a good
condition.
16.0 Permit to Work System
Contractor shall fully comply with ADCO’s Permit to Work System (PTW) as per ADCO HSE Manual, Volume
10, and Part 3 for full details.
Contractor shall ensure that affected personnel, prior to commencing work under the PTW system undergo a
PTW training conducted by ADCO.
Contract Administrator and ADCO HSE focal point will have the right to inspect/ audit implementation of PTW
system by the Contractor, on a regularly basis and will provide feedback to the Contractor with applicable
findings and recommendations.
Contractor shall audit his PTW implementation on weekly basis, and report any findings to Contract
Administrator and ADCO HSE focal point.
17.0 Audit, Monitoring and Inspection
The Contractor shall carry out audits/ inspections as outlined in their HSE Plan.
ADCO shall have the right at any time to audit/ inspect the Contractor’s facilities, procedures, and HSE
Management Systems. Contractor shall fully co-operate in such reviews and shall implement
recommendations at his own cost where ADCO or statutory rules and regulations are contravened.
Additionally, Contractor shall be responsible to mitigate/ correct all agreed upon deficiencies found during their
own internal audit/ inspection or an audit/ inspection conducted by an ADCO employee during the course of
the contract. These deficiencies shall be corrected within a specified time as agreed by ADCO and the
CONTRACTOR.

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18.0 Stop Work, Prohibition of Unsafe Practices & Environmentally Damaging Acts
Contract Administrator shall have the right to suspend work being performed by the Contractor at any time, if
Contract Administrator deems that the Contractor has or is about to violate statutory or ADCO health, safety or
environmental rules and regulations. The cost of such stoppages of work in this regard will be borne by the
Contractor.
19.0 Emergency Response
Contractor shall comply with ADCO Emergency Response procedure.
Contractor shall ensure that their employees are fully aware and comprehend ADCO’s Incident Management
System and emergency response plans. Frequent drills (frequency to be determined by Contract
Administrator and the CONTRACTOR) shall be conducted to ensure proper implementation of the Plan.
Contractor, during executing his work within ADCO premises and facilities to clear his equipment and
employees from the scene of emergency event for his safety, and to avoid hindering rescue and emergency
activities.
Contractor shall attend training, drills or scenarios intended to be carried out in his area of work after liaison
with Contract Administrator and ADCO HSE focal point.
20.0 Incentive Scheme
Contractor shall develop an incentive scheme for their valued and hardworking employees. Please refer to
Contractor Administrator/ Focal Point for guidance.
ADCO recommends employees who excel in being the best drivers, best HSE performer, etc. should be
rewarded for their hard and dedicated work.
21.0 Sub-Contractors
ADCO believes that it is the Contractors responsibility to ensure that their sub-Contractors are qualified to the
same level as their Contractors.
During Tender Phase, Contractors shall identify their sub-Contractors (e. g., catering, transportation,
manpower, etc.) and provide the list to the Contract Administrator/ Focal Point.
Within 15 days after identification, Contractor shall complete ADCO HSE requirement audit of their sub-
Contractors and submit their findings to the Contract Administrator/ Focal Point.
Contractors shall not be allowed to use any unqualified Sub Contractors.
As per the ADNOC HSEMS CoP, each company has to provide an annual assurance letter on the compliance
standard and performance of implementing the HSE management system within the organization. Contractors
are not exempted and ADCO has devoted a simple scheme to evaluate annually the Contractor's HSE
performance. The scheme details and description is illustrated in Appendix: S, attached to this procedure.

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Date: Nov 2009

Page: 78 of 258
Form A2: CONTRACTORS’ HSE STATISTICS RETURN

CONTRACTOR NAME _______________
FOR THE MONTH OF _______ 200_
1 Contractor Name :
2 Location (Field/Terminal/Town) :
3 Total manpower engaged for ADCO :
4 Total man-hours worked by (3) above including overtime :
5 First aid injuries :
6 Lost time injuries :
7 Days lost by (6) above :
8 Cost of lost workdays in US$ :
9 Fatalities :
10 Total number of employees trained :
11 Total HSE training hours during the month :
12 Total vehicle accidents/ road crashes :
13 Total number of vehicles :
14 Total kilometers driven by (13) above :
15 Total near-miss incidents :
16 Total HSE meetings :
17 Total HSE inspections :
18 Total number of damage incidents :
19 Total number of fire incidents :
20 Damage/repair cost resulted from (12) above in US$ :
23 Total road safety violations by IVMS :
Remarks if any
Reported by (Name): ____________________ Designation: ________________________
Signature: __________________________ Telephone Number: __________________

ADCO- HSED web page
Volume: 10/4 Revision: 3
Appendix B Contractor HSE Pre-Qualification Checklist Date: Nov 2009
section 1 – Vendor HSE Pre-Qualification Questionnaire Page: 79 of 258
Appendix B Contractor HSE Pre-Qualification Checklist
Section - 1 – Vendor HSE Pre-Qualification Questionnaire
Please tick the appropriate box and provide required information:
Name and address of premises to which this HSE questionnaire applies: -
Name and title of Management Representative responsible for your HSE Management System.
1. Do you have a formally documented HSE Management System? YES NO
2. Do you have a HSE Manual / HSEMS Procedures? YES NO
If yes, provide copy of HSEMS manual & list of HSEMS procedures.
3. Since when HSEMS implemented in your company?
4. Does your HSE Management System meet the requirements of

ISO 14000 Series / OHSAS 18000 series / other internationally YES NO
recognized HSE System?
If yes, specify National/International Standard to which It is developed
5. Is your HSE Management System approved by any

inspection/certifying agency Or by any large well-known
YES NO
company, viz. Lloyds, BV, DNV, TUV, etc. or a major oil
company?
If yes, specify which ones and provide last certification or surveillance audit report and copy
of the certificates.
Please summarize HSE accreditations of your Company and its Associate companies, if any:

ADCO- HSED web page
section 1 – Vendor HSE Pre-Qualification Questionnaire Page: 80 of 258
ISO OR EQUIVALENT
NAME OF COMPANY AND ITS
STANDARDS
ASSOCIATED COMPANIES
(Please Specify)
Note: Please attach copies of HSEMS, HSE Certificate(s) and HSE Manual(s).
If your Company is not certified yet, but is going through the certification, process, specify the name of
Agency employed, if any, and approximate certification completion time:
(Please attach a letter from the Agency confirming the above).

Questionnaire completed by-
Name:
Position:
Signature with Date:
Official Stamp

ADCO- HSED web page
Section - 2 – Manufacturer HSE Pre-Qualification Questionnaire Page: 81 of 258
Section - 2 – Manufacturer HSE Pre-Qualification Questionnaire

Name and title of Management Representative responsible for your HSE Management System.
1. Do you have a formally documented HSE Management

YES NO
System?
4. Does your HSE Management System meet the requirements

of ISO 14000 Series / OHSAS 18000 series / other YES NO
internationally recognized HSE System?

YES NO
company?
6. Can you provide training facilities at site? YES NO

If yes, please describe briefly
7. Specify any Engineering, Fabrication and Chemical Production

YES NO
Tests/Codes/Standards employed.

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Section - 2 – Manufacturer HSE Pre-Qualification Questionnaire Page: 82 of 258
ISO OR EQUIVALENT
STANDARDS
(Please Specify)
Name:
Position:
Official Stamp

ADCO- HSED web page
section 3 – Mode 1& Mode 3 Contractor HSE Pre Page: 83 of 258

qualification Questionnaire
Section - 3 – Mode 1 and Mode 3 Contractor HSE Pre-Qualification
Name and title of Management Representative responsible for your HSE Management
System.
1. Do you have a formally documented HSE Management

YES NO
System?
4. Does your HSE Management System meet the requirements

of ISO 14000 Series / OHSAS 18000 series / other YES NO
internationally recognized HSE System?

YES NO
company?

ADCO- HSED web page
section 3 – Mode 1& Mode 3 Contractor HSE Pre Page: 84 of 258

qualification Questionnaire
6. Can you provide training facilities at site? YES NO

ISO OR EQUIVALENT
STANDARDS
(Please Specify)
Name:
Position:
Official Stamp

ADCO- HSED web page
section 4 – Mode 2 Contractor HSE Pre qualification Page: 85 of 258

Questionnaire
Section - 4. Mode 2 Contractor HSE Pre-qualification Questionnaire

TO BE COMPLETED BY THE CONTRACTOR AND VERIFIED/SCORED BY THE HSE
ASSESSOR DURING THE SITE VERIFICATION:
Name of the Company :
Address
Name of the Person

(Including position, title & e-mail address) :
completing this Checklist:
Nature of Business :
Telephone # :
Fax # :
Statement: I, certify that the details provided in this assessment are true and correct to the
best of my knowledge.
Signature with Date :

ADCO- HSED web page

Questionnaire
REMARKS /
CONTRACTOR MAX SCORE
SR.NO EVALUATION FACTORS AREA OF
RESPONSE SCORE AWARDED
IMPROVEMENT
1 LEADERSHIP AND COMMITMENT
Commitment to HSE through
1.1 10
Leadership
Are senior managers personally involved
in HSE management?
Is there evidence of commitment at all
levels of the organization?
Is there a positive culture towards HSE
matters?
HSE POLICY AND STRATEGIC
2
OBJECTIVES
2.1 HSE Policy documents 10
Does your company have an HSE Policy
document? (If yes, please attach a copy).
Who has overall and final responsibility
for HSE in your organization?
Who is the most senior person
responsible for this policy being
implemented at premises/ sites where his
employees are working? (Provide name,
title and experience).
Availability of Policy statements to
2.2
employees
Itemize the methods by which you have
drawn your HSE Policy statement to the
attention of all your employees?
What are the arrangements for advising
employees of changes in the HSE Policy?
ORGANIZATION, RESOURCES AND
3
COMPETENCE
Organization - commitment &
3.1 10
communication
How is management involved in HSE
activities, objective setting and
monitoring?
How is your company structured to
manage and communicate HSE matters
effectively?
What provision does your company make
for internal HSE communication
meetings?

ADCO- HSED web page

Questionnaire
Competence and training of managers/

3.2 supervisors/ senior site staff/ HSE 10
advisors
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 to
conducting work to HSE requirements.
If YES, please give examples. Where the
training is given in-house, please
describe the content and duration of
courses.
3.3 Competence and general HSE training 10
What arrangements does your Company
have to ensure new employees have
knowledge of basic industrial HSE, and to
keep this knowledge up to date?
knowledge of your HSE policies and
practices?
been Instructed and given information on
specific hazards arising out of the work
being undertaken? What training do you
provide to ensure that all employees are
aware of Group company requirements?
have to ensure existing staff HSE
knowledge is up to date?
(If training is provided in-house please
give details of content)
3.4 Specialized Training 10
Have you identified areas of your
Company where specialized training is
required to deal with potential dangers?
(If YES please itemize and provide details
of training given)
If the specialized work involves
radioactive, asbestos removal, chemical
or other occupational health hazards, how
are the hazards identified, assessed and
controlled?
HSE qualified staff – additional
3.5
training
Does your company employ any staff who
possesses HSE Qualifications that aim to
provide training in more than the basic
requirements?

ADCO- HSED web page

Questionnaire
Assessment of suitability of Sub-

3.6 10
Contractors / other companies
How do you assess:
HSE competence
HSE record of the subcontractors and
companies with whom you place
contracts?
Where do you spell out the standards you
require to be met?
How do you ensure these are met
and verified?
RISK EVALUATION AND
4
MANAGEMENT
4.1 Hazards and effects assessment 10
What techniques are used within your
Company for the identification,
assessment, control and recovery of HSE
hazards and effects?
4.2 Exposure of the workforce 10
Do you have in place any systems to
monitor the exposure of your workplace
to hazards like chemicals or physical
agents?
4.3 Handling of chemicals 10
How is your workforce advised on the
hazards encountered in the course of
their work?
4.4 Personal protective equipment 10
What arrangements does your company
have for provision and maintenance of
PPE both standard issue and that
required for specialized activities?
4.5 Waste Management 10
Does your company have in place

systems for identification, classification
and management of waste?
PLANNING, STANDARDS AND

5
PROCEDURES
5.1 HSE or Operations Manuals 10
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 attach a
copy)
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?

ADCO- HSED web page

Questionnaire
5.2 Equipment control & Maintenance 10

How do you ensure that plant and
equipment used by your employees
within your premises, on-site, or at other
locations, is correctly managed and
maintained in a safe working condition?
5.3 Standards 10
Where do you spell out the standards you
require to be met?
How do you ensure these are met and
verified?
Is there an overall structure for producing,
updating and disseminating standards?
5.4 Road Safety Management 10
How is road safety managed and what
arrangements does your company have
for combating road and vehicle incidents?
6 IMPLEMENTATION AND MONITORING
Management and performance
6.1 20
monitoring of work activities
have for supervision and monitoring of
HSE performance?
What type of performance criteria are
used in your company; give examples?
have for communicating the results and
findings of this supervision and
monitoring to your management and
employees?
6.2 HSE performance achievement awards
Has your Company received any award
for HSE achievement?
Statutory Notifiable incidents /
6.3 20
dangerous occurrences
Has your company suffered any statutory
notifiable incidents in the last three years
(safety, occupational health and
environmental)? Answer with details
including dates, most frequent types,
causes and follow-up preventative
measures taken.
Improvement requirement and
6.4
Prohibition Notices
Has your company suffered any
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 last
three years? (If your answer is YES,
please give details.)?

ADCO- HSED web page

Questionnaire
6.5 HSE performance records 20

Have you maintained records of your
incidents and HSE performance for the
last five years?
(If YES, please give following details for
each year, number of Lost Time Injuries,
number and type of other injuries e.g.
MTC, RWC, and F.A., total hours worked
by workforce for each corresponding
year, frequency rates, and your company
definition of a Lost Time incident).
How is health performance recorded?
How is environmental performance
recorded?
How often is HSE performance reviewed?
By whom?
6.6 Incident investigation and reporting 20
Who conducts incident investigations?
How are the findings of an investigation,
or from a relevant incident occurring
elsewhere, communicated to your
employees?
Are near misses reported?
7 AUDIT AND REVIEW
7.1 Auditing 10
Do you have a written procedure on HSE
auditing and how does this procedure
specify the schedules and standards for
auditing (including unsafe act auditing)?
Do your company HSE Plans include
schedules for auditing and what range of
auditing is covered?
How the effectiveness of auditing is
verified and how does management
report and follow up audits?
HSE MANAGEMENT -ADDITIONAL
8
FEATURES
8.1 Memberships of Associations 10
Does your Company hold HSE
membership of, or actively support any
industry or trade organization?
Additional features of your HSE

8.2
Management
Does your Company have any other HSE
features or arrangements not described
elsewhere in your response to the
questionnaire?

ADCO- HSED web page

Questionnaire
TO BE COMPLETED BY THE ASSESSOR ONLY
CONTRACTORS HSE PRE-QUALIFICATION SITE VERIFICATION VISIT RESULT SUMMARY
Name of Company Assessor (s)

Nature of Business Date of the audit
Contact person Assessee (s)
E-mail address Total Score
Telephone # Score % %
Fax # Rating: A B C A
Sec. Max. Score

Section Title % Score
No. Score Awarded
1 Leadership And Commitment 10
2 HSE Policy And Strategic Objectives 10
3 Organization, Resources And Competence 50
4 Risk Evaluation And Management 50
5 Planning, Standards And Procedures 40
6 Implementation And Monitoring 80
7 Audit And Management Review 10
8 HSE Management Additional Features 10
Total 260
Rating:
• Preferred: 85 -100% (Pre-qualified. Re-assessment to be made after three years if not

awarded any job during this period).
• Acceptable: 65 – 84% (Pre-qualified. Re-assessment to be made after two years if not
awarded any job during this period).
• Failed: 31-64% (Not Pre-qualified but might be re-evaluated after 6 months)
• Unacceptable: 0-30% (Rejected and not to be considered)

ADCO- HSED web page
section 5–Contractor HSE Prequalification Page: 92 of 258

Questionnaire Scoring evaluation System
Section - 5. Contractor HSE Pre-Qualification Questionnaire Scoring

Evaluation System for Mode 2 Contractors
1. LEADERSHIP AND COMMITMENT
1.1 Commitment
to HSE through Contractor Response Scoring Guide Site Verification Checklist
Leadership
a) Are senior No commitment from senior Necessary manpower and financial

managers 0 management, no evidence of resources are provided by management.
personally involved commitment or positive culture high profile tours by senior
in HSE management during last year
management? monthly HSE meetings
HSE disciplines delegated to line quarterly KPI reviews
b) Is there 3 managers - no direct involvement by follow-up action plan for discrepancies
evidence of senior management found during audits & investigations
commitment at all reward scheme for reporting HSE
levels of the Evidence of active senior improvements
organization? management involvement in HSE incentive schemes
6
aspects HSE campaigns
c) Is there a Limited commitment and culture HSE competitions/ quizzes
positive culture Behavioral-based Safety
towards HSE Evidence of a positive HSE culture HSE suggestion program
matters? 10 in senior management and
commitment at all levels

ADCO- HSED web page

2. HSE POLICY AND STRATEGIC OBJECTIVES
2.1 HSE Policy

documents
Contractor Response Scoring Guide Site Verification Checklist
2.2 Availability of
Policy statements
to employees
a) Does your Check the policy, does it contain:

company have an Company main business?
HSE Policy Commitment to protect employees
document? (If yes, 0 No Written HSE Policy including others?
please attach a Compliance with local and
copy). international legal laws.
Commitment to assess risk for all
b) Who has overall activities before execution
and final Commitment to protect the
responsibility for Environment
HSE in your A policy statement exists but not in a Commitment for continual
organization? widely distributed document. improvement.
There is no procedure for advising Endorsed by company GM
3
c) Who is the most change
senior person It is not drawn to the attention of Check the following practices:
responsible for this employees Policy displayed on boards
policy being Monthly HSE meeting
implemented at HSE booklet
premises/ sites HSE induction
where his employees HSE policy establishes responsibility
are working? for HSE, in the organization Check the objectives, does it:
(Provide name, title including sites. Although some Documented
and experience). 6 employees are aware of it, it is not SMART
widely distributed Consistent with HSE policies?
d) Itemize the There is a procedure for advising
methods by which change Does the objective consider:
you have drawn your legal requirements, HSE risks
HSE Policy Technological options
statement to the Financial Operational
attention of all your business requirements
employees? Policy with clearly established Views of interested parties.
responsibility and accountability; is Continual improvement
10
e) What are the distributed to all employees; and is
arrangements for visible on notice boards Does the HSE program include:
advising employees Who will do what, how and when
of changes in the Reviewed in regular basis
HSE Policy?

ADCO- HSED web page

3. ORGANIZATION, RESOURCES AND COMPETENCE
3.1 Organization -
commitment &
communication
a) How is No communication structure and no Company organogram

management 0 evidence of management Internal & External communication
involved in HSE involvement procedure
activities, objective Hierarchy of HSE meetings
setting and Type of meetings, how often, who
monitoring? Periodic HSE meetings for special attend, what agenda.
3
operations only HSE induction for new employees
b) How is your Communication of Major hazards &
company structured Risk Assessment to staff
to manage and HSE meetings performed on a Management involved in defining HSE
communicate HSE 6 regular basis at management and Critical activities, setting HSE KPI’s,
matters effectively? supervisor level Auditing & inspection and tool box talks
meetings.
c) What provision Staff informed about their HSE
does your company In addition to internal meetings management representative.
make for internal 10 employees are assigned topics to Staff informed about their HSE
HSE communication discuss on a rotational basis employee representative
meetings?
3.2 Competence and

training of managers/ Contractor Response Scoring Guide Site Verification Checklist
supervisors/ senior site
staff/ HSE advisors
a) Have the managers No staff HSE training Roles & Responsibilities defined &
and supervisors at all 0 Competence assumed but not documented
levels who will plan, checked Resources availability
monitor, oversee and Competencies requirements identified
carry out the work HSE training assigned to a specific for HSE critical activities
received formal HSE 3 person on location. No competence Competence assurance system
training in their assurance system Training needs analysis
responsibilities to Training Matrix
conducting work to HSE Yearly training plan
requirements. HSE training given to management Training records
6 but competence not formally Training evaluation system
If YES, please give demonstrated
examples. Where the
training is given in-house, HSE training given formally to all
please describe the relevant staff. Competence to
10
content and duration of discharge their HSE responsibilities
courses. is formalized by demonstration

ADCO- HSED web page

3.3 Competence and Contractor Response Scoring Guide Site Verification Checklist
general HSE training
a) What arrangements No formal HSE competence Specifications for skills, experiences,

does your Company assurance system for new knowledge level and personnel
have to ensure new 0 employees. No arrangements for qualification for key positions.
employees have advising on specific hazards and no Competencies requirements at
knowledge of basic system for maintaining knowledge recruitment stage
industrial HSE, and to Competency evaluation at recruitment
keep this knowledge up stage
to date? HSE induction program
Verbal instructions only for HSE Awareness program / procedure to
b) What arrangements procedures. ensure staff aware of:
does your Company 3 Orientation booklet provided for new HSE roles /Responsibilities
have to ensure new employees but no on-the-job HSE risks & impacts relevant to
employees have orientation by supervisor their workplace / activities
knowledge of your HSE Conforming to policy,
policies and practices? procedures and HSEMS
Employee handbook provided and Consequences from deviating
c) What arrangements supervisor outlines, explains and from procedures
does your Company demonstrates new employee's job. HSE training records
have to ensure new 6
Regular checks to ensure Staff attended Basic Fire Fighting,
employees have been knowledge is kept up to date for all H2S & B/A, Emergency Response,
Instructed and given employees BOSIET and PTW Courses
information on specific Staff Performance appraisal
hazards arising out of Tool box Talks
the work being
undertaken? What
training do you provide
to ensure that all
employees are aware
of Group company
requirements?
d) What arrangements Continual appraisal of employee's

10
does your Company HSE performance.
have to ensure existing
staff HSE knowledge is
up to date?
(If training is provided

in-house please give
details of content)

ADCO- HSED web page

3.4 Specialized Training

3.5 HSE qualified staff –
additional training
a) Have you identified areas No HSE Critical roles known. No List of HSE critical activities
of your Company where 0 Availability of qualified HSE staff
HSE qualified staff
specialized training is Competency assurance system in
required to deal with place.
potential dangers? (If YES HSE Critical roles known but no Critical roles and responsibilities
please itemize and provide 3 competence assurance system and identified
details of training given) no training given Specialized training for critical
activities.
b) If the specialized work PTW system in place and working
involves radioactive, HSE training is given but no effectively
asbestos removal, chemical 6 verification of competence.
or other occupational health HSE qualified staff available.
hazards, how are the
hazards identified,
assessed and controlled?
Verification of competence for HSE
c) Does your company 10
critical roles established
employ any staff that
possesses HSE
qualifications?

ADCO- HSED web page

3.6 Assessment of
suitability of Sub- Contractor Response Scoring Guide Site Verification Checklist
Contractors / other
companies
a) How do you assess: 0 No standards defined Standard Criteria for selection of

HSE competence Subcontractors
HSE record of the Subcontractors selection evaluation
subcontractors and Standards in place for basic HSE process
companies with whom you 3
matters only Subcontractors on site performance
place contracts? monitoring evaluation process
HSE arrangements incorporated in
b) Where do you spell out for example an HSE manual but not
the standards you require 6
in a format which is distributed to all
to be met? employees including sub-Contractors
c) How do you ensure HSE arrangements including
these are met and interfaces, competence, roles and
verified? responsibilities are clearly defined,
10
accepted by sub-Contractor.
Monitoring of sub-Contractor HSE
performance agreed and in place.
4. RISK EVALUATION AND MANAGEMENT
4.1 Hazards and effects

assessment Contractor Response Scoring Guide Site Verification Checklist
What techniques are used HSE Risk Assessment procedure

within your Company for the HSE MS does not include hazards Methodology used (HAZOP, HAZID,
identification, assessment, 0 JSA, QRA, HSEIA, Fault Tree Analysis)
and effects assessment
control and recovery of HSE Documented HSE risk assessment
hazards and effects? register covering the assessment of:
Routine & non-routine
activities
HSE MS makes reference to the
Persons access to the
need to assess hazards and effects
3 workplace
but has no hazard management
Human behavior & human
system
factors
Infrastructure, equipment &
materials
HSE MS includes methods for the Changes in the organization
6 assessment of major hazards and Design of work area,
effects only installations, processes,
machinery.
Hazards, effects and aspects ranking

ADCO- HSED web page

system
HSE MS comprehensively Significance evaluation methodology
addresses the assessment of all Set of controls or risk reduction
10 measures to ALARP
HSE hazards and effects
Active follow up system for actions
close-out.
4.2 Exposure of the

workforce
Do you have in place Company does not actively advise Workforce aware of potential hazards
0
any systems to the workforce nor monitor exposure at work area.
monitor the Performance indicators in place for all
Company advises the workforce of
exposure of your HSE critical activities
the major hazards that they are likely
workplace to 3 Regularly monitoring & measuring of
to be exposed to but only monitors
hazards like performance against each indicator
exposure randomly
chemicals or HSE Exposure limits
physical agents? Company has formal methods for Health monitoring system
6 monitoring exposure to the major Environmental monitoring system
hazards Medical fitness standards &
certificates
Company has a set of formal Medical Check Up
methods for monitoring exposure to HSE Performance monitoring records
all foreseeable hazards (linked to its Environmental discharges / emissions
10 records
hazards and effects assessment
method) and applies them to all HSE Exposure monitoring and records
contracts

ADCO- HSED web page

4.3 Handling of
chemicals
How is your Company makes no special provision for List of chemicals used.
0
workforce advised potential hazards MSDS
on the hazards Hazard Communication methods
encountered in the Tool Box Talks
course of their work? Company provides information on potential Induction training
3
hazards but has no active follow-up Awareness courses
Actions to reduce risks allocated to
Company distributes information to specific personnel
6 individual in the workforce at start of their Staff familiar with their roles in
involvement onsite controlling hazards.
Employee performance review
Company maintains a database of potential

hazards encountered in its contracts and
10 has formal methods of information
distribution to all personnel and trains its
workforce in handling, etc.
4.4 Personal
protective Contractor Response Scoring Guide Site Verification Checklist
equipment
What arrangements Basic PPE provided to personnel but no PPE procedure

0
does your company procedure for assessing individual needs Job PPE requirements
have for provision PPE specification
and maintenance of PPE quality inspection on delivery
PPE both standard PPE requirements formally assessed but Training of the use of PPE.
3
issue and that little effort made to ensure correct usage PPE usage monitoring program on
required for site.
specialized Stock inventories
activities? PPE requirements formally assessed with Replacement policy
6
spot checks on usage
Procedures in place to assess all PPE

requirements monitor and enforce usage
10 and replacement. Stock inventories
monitored, kept above demand levels.
Training in use provided where needed

ADCO- HSED web page

4.5 Waste
Management
Does your company 0 No formal methods for the control of waste Waste management procedure
have in place Identification of Hazardous & non-
systems for hazardous waste
identification, Classification of wastes
classification and General written procedures for waste Segregation of Wastes
3
management of disposal Disposal of wastes
waste? Waste Minimization program
Procedures written for disposal of each Waste Recycling program
main category of waste but makes no Waste re-use program
6
provision for minimizing environment
impact
A formal system for waste management

10 which pro-actively seeks to minimize
environmental impact
5. PLANNING, STANDARDS AND PROCEDURES
5.1 HSE or
Operations Contractor Response Scoring Guide Site Verification Checklist
Manuals
a) Do you have a HSEMS Manual

company HSE 0 No HSE procedures available HSEMS procedures
manual (or HSEMS work instructions
Operations Manual System for producing, updating and
with relevant disseminating standards
sections on HSE), HSE critical activities procedures
which describes in 3 Basic HSE procedures exist Control of Documents process
detail your Company HSEMS Compliance assurance
approved HSE process.
working practices
relating to your work
Contractor has written
activities? 6
HSE procedures to cover all operations

ADCO- HSED web page

(If the answer is YES

please attach a copy)
b) How do you
ensure that the
working practices
and procedures used
Contractor has written procedures to cover
by your employees 10
all operations and compliance is measured
on-site are
consistently in
accordance with your
HSE policy
objectives and
arrangements?
5.2 Equipment
control & Contractor Response Scoring Guide Site Verification Checklist
Maintenance
No defined Programme to identify or

How do you ensure 0 evaluate hazardous practices and Maintenance policy
that plant and equipment conditions List of HSE critical activities /
equipment used by equipments
your employees Plan relies on outside sources, i.e. Inspection and maintenance system
within your premises, company inspections. Supervisory Planned maintenance program
3
on-site, or at other inspection of equipment confined to Preventive maintenance program
locations, is correctly worksite personnel only Inspection and maintenance records
managed and A written Programme outlining supervisory Equipment history record
maintained in a safe 6 guidelines, responsibilities, frequency and Equipment certification records
working condition? follow up is in effect
In addition to the written Programme,

10 periodic inspections conducted by top
management or by teams of specialists

ADCO- HSED web page

5.3 Standards Contractor Response Scoring Guide Site Verification Checklist
a) Where do you Legal and other regulatory standard

spell out the 0 No HSE performance standards available procedure
standards you Identification and access to legal
require to be met? standards
Updated List of regulatory standard
b) How do you Basic HSE performance standards exist and other requirements.
ensure these are 3 No evidence identifying regulatory System for evaluating compliance with
met and verified? standards regulatory standards and other
requirements.
c) Is there an
overall structure for
Contractor has written HSE performance
producing, 6
standards to cover all operations
updating and
disseminating
standards?
Contractor has written HSE performance
standards to cover all operations together
10
with a system of monitoring compliance
and updating standards
5.4 Road Safety

Management
How is road safety No road safety procedures. No special Road Safety Policy
managed and what 0 attention paid to road safety as an area of Road Safety Management
arrangements does hazardous activities management Road Safety procedure
your company have drivers performance Monitoring
for combating road Road safety procedure exists but no system
and vehicle 3 records or follow up to improve Vehicles maintenance
incidents? performance Defensive driving training
Road safety procedure exists and is

6
enforced
Proactive driving initiatives, demonstrable

as best in class
10 Company has a proactive strategy for
vehicles, drivers and operations
management

ADCO- HSED web page

6. IMPLEMENTATION AND MONITORING
6.1 Management
and performance
monitoring of
work activities
6.2 HSE
performance
achievement
awards
a) What Non-conformity, corrective and

No system for formally monitoring HSE
arrangements does 0 preventive action procedure
performance.
your company have HSE Performance & evaluation of
for supervision and compliance procedure
monitoring of HSE Performance monitoring in a few areas HSE Key Performance Indicator’s
performance? 7
carried out HSE performance monitoring system
Qualitative and quantitative KPI’s
b) What type of Annual Performance review
performance criteria Company has a system for monitoring Calibration program for equipment
are used in your 14 used for measurement
HSE performance in key areas
company; give HSE performance awards received
examples? Methods of communicating HSE
performance results to staff.
c) What
arrangements does
your company have
for communicating
the results and
findings of this Company has a comprehensive system for
supervision and monitoring HSE performance in all areas
monitoring to your 20 with feedback to employees for
management and improvement and has received awards for
employees? achievement
d) Has your
Company received
any award for HSE
achievement?

ADCO- HSED web page

6.3 Statutory
Notifiable incidents
/ dangerous
occurrences Contractor Response Scoring Guide Site Verification Checklist
6.4 Improvement
requirement and
Prohibition Notices
a) Has your company One or More occurrence of major Last 5 years HSE statistics
suffered any 0 incident, statutory notification or Last 5 years major incident
statutory notifiable prohibition notice in last 5 years Last 5 years Statutory notification
incidents in the last records
five years (safety, Last 5 years Prohibition notices
occupational health records
and environmental)? One occurrence of a major incident,
Answer with details 7 statutory notification or prohibition
including dates, most notice in the last 5 years
frequent types,
causes and follow-up
preventative
measures taken. Occurrences relates to minor
14
incidents only
b) Has your company
suffered any
improvement
requirement or
prohibition notices by
the relevant national
body, regulatory
body for HSE or
other enforcing
20 No occurrences in the last 5 years
authority or been
prosecuted under
any HSE legislation
in the last five years?
(If your answer is
YES, please give
details.)?

ADCO- HSED web page

6.5 HSE
performance Contractor Response Scoring Guide Site Verification Checklist
records
a) Have you HSE performance records include:

maintained records Contractor supplied insufficient LTI,
0
of your incidents and information Non-LTI’s
HSE performance for Restricted work cases
the last five years? LTI Frequency Rate
(If YES, please give total hours worked by workforce for
following details for each corresponding year,
LTI rate is not improving
each year, number of HSE performance against targets
7 No Health and Environment data
Lost Time Injuries, set.
available
number and type of Reports of audits & reviews
other injuries e.g. Audit tracking data
MTC, RWC, and Complaints & follow up actions
F.A., total hours Shows only minor LTI rate Ill health performance records
worked by workforce improvement Environmental performance
14
for each Health and Environment data records
corresponding year, available and reviewed Emergency drills performance
frequency rates, and records
your company HSE training performance records
definition of a Lost Follow up actions from corrective
Time incident). and preventive actions
Evaluation of compliance records
b) How is health Frequency of HSE performance
performance reviews
recorded? LTI rate steadily improving All HSE
performance data subject to
20
c) How is management review for continual
environmental improvement
performance
recorded?
d) How often is HSE

performance
reviewed? By whom?

ADCO- HSED web page

6.6 Incident investigation

and reporting
Incidents not investigated and

a) Who conducts incident 0 Incident reporting &
generally not communicated
investigations? investigation procedure
Incident investigation records
b) How are the findings of Incidents investigated but findings Near Miss Reports
7
an investigation, or from a not widely communicated Potential Incident Reports
relevant incident occurring Actions raised reviewed
elsewhere, communicated Incident investigation and reporting through Risk Assessment prior
to your employees? procedure includes potential implementation
14 Follow up of corrective and
incidents, findings communicated to
c) Are near misses employees preventive actions taken
reported? Review of the effectiveness of
the corrective and preventive
Incident investigation and reporting actions taken.
procedure includes potential Members involved in incident
incidents, findings communicated to investigation
20
employees additionally senior Method of communicating the
managers are involved and remedial Investigation results.
action plans are published System for Sharing lessons
learnt from incidents

ADCO- HSED web page

7. AUDIT AND REVIEW
7.1 Auditing Contractor Response Scoring Guide Site Verification Checklist
Audit process is cursory only – HSE

a) Do you have a Internal Audit Procedure
documents are not explicit about
written procedure Planned Yearly audit program
0 auditing
on HSE auditing covering all activities areas including
and how does this HSEMS, facilities, operations, unsafe
No Management Review Process
procedure specify acts & projects.
the schedules and Audit team competencies in term of
standards for Company HSE documents include responsibilities, experience, impartially &
auditing (including reference to auditing but there are auditing skills.
unsafe act no specific details about scheduling Documented Internal audit reports
auditing)? 3 and coverage Audit findings recorded, prioritized and
corrective /preventive actions identified
b) Do your Management review process and responsibility assigned.
company HSE established Documented Action Tracking system
Plans include of Internal audit findings to final close-out
schedules for Company HSE documents include Review of the effectiveness of the
auditing and what details of how auditing is to be corrective and preventive actions taken
range of auditing is implemented with by senior management
covered? schedules/coverage for the key Process for HSEMS reviews by top /
6
areas senior management covering:
c) How is the Meeting frequency
effectiveness of HSE Management review conducted Management involved
auditing verified but not documented Meeting agenda based on
and how does international standard
Company HSE documents include
management report Recommendation for
details of how auditing is to be
and follow up improvement
implemented with
audits? Output of the review
schedules/coverage for the key
areas and additionally specifies
management’s role in audit and
10
follow-up on action items
Management review results

cascaded throughout organization
and used to revise objectives and
targets

ADCO- HSED web page

8. HSE MANAGEMENT REVIEW AND ADDITIONAL FEATURES
8.1 Memberships of
Associations
8.2 Additional Contractor Response Scoring Guide Site Verification Checklist
features of your
HSE Management
a) Does your HSE membership

Company hold HSE 0 No memberships HSE Incentive program
membership of, or Certified ISO 14001
actively support any Certified OHSAS 18001
industry or trade Company has membership of at Reward Schemes
organization? 3 least one association but with no Suggestion system for continual
prominence given those. improvement.
b) Does your Any other HSE features or
Company have any arrangements.
other HSE features Company is a member of at least
6
or arrangements not one HSE association
described elsewhere
in your response to
the questionnaire? Company is an active participant in
10
at least one HSE association

ADCO- HSED web page
Appendix C Date: Nov 2009
Task Activity Checklist Page: 109 of 258
Appendix C Task Activity Checklist

HSE REPRESENTATIVE COMPLETING
THIS CHECKLIST:
DATE:
Mode 1 or Mode 2 (Circle one)
NOTE: UAE LAWS SUPERSEDE ALL OTHER RULES AND REGULATIONS. OTHER INTERNATIONAL CODES AND
PRACTICES SHALL BE USED WHERE THERE IS NO GUIDANCE FROM UAE, ADNOC OR ADCO.
References ¹
Questionnaire Y/ N
UAE ADNOC ADCO
Is the Contractor going to use laborers UAE CoP V1-03 & 08; CRP-HSE-10-02; 08; 15; 33
to accomplish the contract? Labor Procedure for the
Laws Development of
HSE Plans; HSEIA
Reports
Is the Contractor going to provide or CoP V3-07; CoP V4- CRP-HSE-10-10; 23; 32; 35
lease/ rent accommodation to his 02 & 03; Contractor
employees in a Camp environment? Camps & Temporary
Buildings
Is the company going to provide food Food Volume 1: Memo: I-MD-CMO-07-201

either by preparing it themselves or Handlers Occupational Health
hiring a subcontractor to do the task? requirem Guidelines, Section
ent 4.7: Food Handlers
Medical
Is the Contractor going to provide CRP-RS-10/3, ADCO RSMS

transportation to his employees and/
or equipment, materials, etc. to the
work site (ADCO property)?
Is the Contractor work going to impact 24-1999 CoPs V2-01, 02, 04,
on the environment like air, land and 07, 08 & 09
water?
Is the Contractor work going to 21-2005 CoP V2-05 CRP-HSE-10-37 & 38

generate waste including waste
water?
Will the Contractor require obtaining CRP-HSE-10-03, 07, 08, 09, 12 & 20
permit-to-work?
Will the Contractor be handling 21-2005 CoPs V3-01 through CRP-HSE-10-13, 28 & 29
hazardous materials in liquid, gas or 06 & 08; CoP V4-01
solid form?

ADCO- HSED web page
Will the Contractor be supplying CRP-HSE-10-09

Personal Protective Equipment to his
employees to accomplish their tasks?
Is the Contractor required to provide

appropriate HSE signs in his
workplace?
Is the Contractor work going to

produce the following:
a. Noise CoPV3-05 CRP-HSE-10-32
b. Ionizing radiation (e. g., X-rays) 1-2002 CoPV3-05 CRP-HSE-10-31
c. Non-ionizing radiation (e. g., CoPV3-05 CRP-HSE-10-31

welding)
d. Air contaminants like dust, fumes, CoPV3-01 & 08 CRP-HSE-10-09

gases, vapors and mist
Is the Contractor going to set-up a CoP V4-02; & 03 CRP-HSE-10-23

Workshop?
Is the Contractor involved in the CRP-HSE-10-10

following?
a. Steel erection CRP-HSE-10-17
b. Scaffolds CRP-HSE-10-16 & 18
c. Barricades
d. Excavation CRP-HSE-10-20
e. Demolition CRP-HSE-10-21 & 22
f. Painting CRP-HSE-10-26
Is the Contractor going to use Heavy CRP-HSE-10-23

Equipment like Powered Industrial
Trucks (Forklifts), Powered Platforms
for Building Maintenance & Overhead
and Gantry Cranes?
Is the Contractor going to use any of CRP-HSE-10-19

the lifting equipment like Slings,
Rigging Equipment for Material
Handling & Signaling?
Does the Contract work involve CRP-HSE-10-27

working with electricity, either live or
non-live?
Does the Contract work include Law 6
installation and/or operation of
groundwater supply wells?
¹ It is the CONTRACTORS responsibility to request applicable documents, if needed

ADCO- HSED web page
Determination of Mode (Mode 1 or Mode 2)
If two or more of the following questions are answered in the affirmative, it should be classified as Mode 2
rather than Mode 1, which will then require the relevant HSEMS interface to be documented:
1. Is Contractor organization managing /controlling activities? (e.g. NDC)

2. Is Contractor’s organization responsible for ensuring personnel are competent and have adequate
skill and experience for their work?
3. Will Contractor develop and use its own procedures, addressing the HSE hazards for the work e.g.
heavy lifting, equipment assembly or apply its own standards for work e.g. criteria for adverse
weather, PPE?
4. Is Contractor organization responsible for selecting and managing subcontractors?
5. Is the company responsible for managing and providing emergency response actions?
6. Is the Contractor organization required to audit its own operations including those of any
subcontractors?

ADCO- HSED web page
Appendix D Date: Nov 2009

Technical HSE Checklist for Mode 2 Contractors
Page: 112 of 258
Appendix D – Technical HSE Checklist for Mode 2 Contractors

Name of the Company
Address
Name of the Person

completing this Checklist
(include position, title,
phone number & e-mail
address):
Company Contact
(include name, position,
title, phone number & e-
mail address)
Tender #:
Date completed:
NOTE: COMPANY PROVIDING FALSE OR MISLEADING INFORMATION WILL BE

AUTOMATICALLY DISQUALIFIED FROM THE BIDDER'S LIST
Statement: I, certify that the details provided in this assessment are true and correct to the best of
my knowledge.
Signature: _________________________________________________
DEFINITIONS
Physical Hazard means exposure to noise and vibration
Hazardous Chemical means any chemical that has a NFPA rating of 2 through 4 in REACTIVE, 3 or
4 in FLAMMABLE and 3 or 4 in HEALTH categories.
Chemical Hazard means hazard created by chemicals identified as Hazardous Chemical

Biological Hazard means exposure to human blood, feces, or bodily fluids in general. This definition
also includes exposure to other dead or infected animals like cats and birds (include pigeons,
chickens, etc.)
MSDS means Material Safety Data Sheet
Radiological Hazard includes exposure to ionizing radiation like X-Rays and non-ionizing radiation
like welding.

ADCO- HSED web page

Page: 113 of 258
Three Full Years means three full preceding years. For example: Current year is 2008. Three Full
Years will mean years 2007, 2006 & 2005
NOTICE
If the answer is YES in any category, the Company has an obligation to submit supporting
documents to support their answers.
Name of the Person completing this Checklist: Date:
QUESTIONNAIRE CONTRACTOR RESPONSE
A- GENERAL ISSUES (APPLIES TO ALL COMPANIES, REGARDLESS OF THE TYPE OF

CONTRACT)
1 Has the Company developed HSE Plan for the task? This plan
should be submitted before opening of "commercial".
2 Has the Company identified a "qualified and competent" HSE

Person or Team to lead the project? If yes, submit CVs with
attested certificates for verification.
3 Is the HSE Staff trained/ educated in meeting company's daily

demands? How does the HSE Staff keep up with their training/
education to ensure proper service?
4 Has the Company developed a Task-Activity Checklist based

on project activities? Has the company identified applicable
physical, chemical, radiological and biological hazards in the
workplace? This should include catering/ vehicle maintenance,
working in hazardous environment, etc.
5 Has the Company conducted Risk Assessment for the

"activities" identified?
6 Has the Company identified areas for Special Training
pertaining to the job? Special Training may be required in how
are the hazards identified, assessed and controlled?; Working
in heat; Communication to a multi-cultural/ lingual workforce;
etc.
7 Has the Company developed a HSE Manual based on the HSE

requirements identified in the Task-Activity Checklist? If yes,
submit the HSE Manual for verification.
8 Has the Company identified HSE training requirements for

employees assigned to this project? If yes, has the Company
developed a Training Matrix based on the requirements?

ADCO- HSED web page

Page: 114 of 258
9 Does the company provide HSE training to their workforce?

HSE Training should be based on the Training Matrix. Training
should include HSE induction, Initial Training, Annual Training
and/ or Refresher Training as required by HSE topic.
10 How does the Company provide HSE training to their

employees? Class-room? On-the-job? Videos? Slides?
Lectures?
11 Does the company have a Hazard Communication Program
where all employees working and/ or exposed to hazardous
materials are trained? Does the company have a MSDS for the
chemicals used? Does the company conduct Tool Box Talks
before commencing any hazardous or non-routine activities to
communicate hazards and control to workforce?
12 Has the Company defined roles and responsibilities of all

employees involved in the project? Has the Company included
HSE responsibilities in the employees' job descriptions? Is
HSE responsibilities part of employees' performance review? If
yes, submit organization chart, and submit appropriate
documents for verification.
13 How does the Company compensate their employees in lieu of
Camp-style accommodation? If employees are given money, is
the money enough for a "decent" accommodation? If the
Company provides "housing", is this "housing" adequate for
occupancy?
14 Does the company keep records of injuries/ illnesses for
workforce? If YES, provide records for the last three full years
for verification purpose.
15 What programs/ procedures Company has in-place to ensure
that these accidents/ incidents are not repeated?
16 Has the Company established Key Performance Indicators

(KPIs)? If yes, provide documents for verification.
17 Does the Company intend to hire sub-Contractors to either

complete the job (labor force) or provide services/ assistance in
completing the job (catering services, etc.)? If yes, provide the
list of sub-Contractors and type of services/ assistance they will
provide during the contractual period. How are you going to
ensure that the sub-Contractor meets or exceeds ADCO's HSE
expectations/ requirements? Provide documents for
verification. PLEASE NOTE: IT IS THE RESPONSIBILITY OF
THE MAIN CONTRACTOR TO ENSURE THAT ALL THEIR
SUB-CONTRACTOR (AND THEIR SUB-CONTRACTOR)
MEETS OR EXCEED ADCO HSE REQUIREMENTS.

ADCO- HSED web page

Page: 115 of 258
B - Labor Camps (This section applies to Companies who intend to provide Y/ Not
accommodation to their employees in a Camp-type environment. Ensure that the Applic
SUMMARY OF CONTRACTOR CAMP CHECKLIST is forwarded to the Contractor for able
completion)
1 Is the Company providing accommodation at
their facility or is it renting accommodation from
other Contractors? If the Company is renting
accommodation, does the Camp meet ADCO
standards? Please complete Camp Inspection
Checklist and submit for verification.
PLEASE NOTE: ADCO DOES NOT APPROVE
OR DISAPPROVE A CAMP. IT IS THE
CONTRACTOR'S RESPONSIBILITY TO
ENSURE THAT THE CAMP MEETS ADCO HSE
STANDARDS.
2 Has the Company assigned a Camp HSEO with
a back-up in case of vacations, etc?
3 Has the Company developed a Task-Activity

Checklist based on work conducted in a Camp?
This should include catering/ vehicle
maintenance, etc.
4 Has the Company conducted Risk Assessment
for the "activities" conducted in a Camp?
5 Has the Company developed a HSE Manual

pertaining to working & living in a Camp
environment? This manual should include PTW
procedures, if applicable.
6 Has the Company developed a Training Matrix
for Camp Residents pertaining to working/ living
in a Camp environment?
7 Has the company evaluated personal protective
equipment needed to complete a task? Does the
company provide proper PPE for the identified
hazards? Has the company provided required
PPE free of cost to employees? Does the
company have a PPE replacement program?
Does Company maintain a min/ max system for
everyday PPE like ear plugs, gloves, etc.?
8 Has the company provided training to their
employees in proper use and wear of PPE?
Does the training program include PPE
limitations?

ADCO- HSED web page

Page: 116 of 258
9 Has the Company developed an Emergency

Response Plan for the Camp? Does this Plan
have roles & responsibilities for each resident?
Has the Company included possible scenarios in
their ERP? Has the Company set-up an
Emergency Response Team to assist during an
emergency evacuation? Does the Company
practice Drills to ensure the effectiveness of the
Plan?
10 Has the Company developed a Fire Prevention
Plan? Does this Plan address monthly
inspection/ testing of Fire Protection System?
11 Does the company have staff that provides First
Aid to its employees? If yes, how many? If yes,
are they certified?
12 Has the Company identified types of HSE signs

needed and areas where these signs will be
installed? Some of the examples are: No
Smoking (in areas where flammable material may
be present); Evacuation Routes, etc.
13 Does the company keep records of injuries/
illnesses for Camp residents? If YES, provide
records for the last three full years for verification
purpose.
14 What programs/ procedures Company has in-
place to ensure that these accidents/ incidents
are not repeated?
15 Does the company use any pesticides? If yes,
does it meet UAE laws? Provide MSDS.
16 Does the Company use Generators for electrical
utility? If yes, does the Company have a
competent Electrician with a back-up to perform
electrical work in the Camp? Please attach his
qualifications. Does the Camp have a lockout/
tag out program?
17 Has the Company installed any vessels,
equipment, etc, below ground? If yes, does the
Company have a Confined Space Entry
program? Are all "authorized" personnel trained
in Confined Space Entry? Provide
documentation.
18 Does the Company conduct Hot-Work in the
Camp? If yes, has the Company identified "safe"
work areas to conduct hot-work? Has the
Company identified areas where a Hot Work
permit is required to conduct work? Are the
employees trained in the permitting system?
19 Does the company have a proper housekeeping
inspection/ audit of the workplace?

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20 Does the company have a good management

practice for storing hazardous materials?
21 Does the company generate hazardous waste?
If yes, does the company have a reliable hauler
to pick-up and dispose hazardous waste? Does
the company practice waste segregation:
hazardous, non-hazardous, recyclable, food, etc?
Has the company audited their waste hauler to
ensure proper disposal of hazardous waste?
22 Does the Camp have groundwater supply wells?
If yes, is the water tested for human
consumption?
C - ROAD SAFETY (This section applies to Companies who intend to provide Y/ Not
transportation for employees to the job site and/ or transport or deliver materials to Applic
the job site. Job site should be part of ADCO property) able
1 Is there a Road Safety Policy in-place?
2 Is Management showing visible commitment to strategy/

plan by setting example, attending road safety
meetings?
3 Is there any driver's selection criteria and procedures?
4 Is there an active IVMS management system?
5 Is there a vehicle inspection checklist (light & heavy)?
6 Risk Management – Are all drivers aware of the hazards

(Toxic/ Flammable) of goods carried in their vehicle?
7 Are there written Emergency procedures for accident/

spill/ Fire, etc? Are drivers aware of and trained in these
procedures?
8 Is there a system in place for disciplinary action against

drivers violating rules?
9 Does the Company have a training matrix to ensure that

the drivers are kept up-to-date in their driving skills?
10 Does the Company have an internal awareness training,

annual skill assessment and drivers orientation
program?
11 Is each vehicle/ Driver provided with means of
communication?
12 Is there a Journey Management System (JMS) in place?
13 Are there any controls in-place to ensure JMS

effectiveness and compliance?

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14 Is there a Fog Control Procedure & policy in-place?
15 Is there a Vehicle Maintenance system?
16 Do Contractors have a driver monitoring system? Spot

check / inspection (uniform, valid ADSD, labeled blue
key, etc…)
17 Do Contractor's vehicles have Rollover protection

device?
18 Do all vehicles have reverse alarm?
19 Do all vehicles driving in the desert have “Desert Safety

Box” with all items, Flag pole?
D - Protection & Monitoring of Employees (This section applies to Companies that Y/ Not
may expose their employees to physical, chemical, biological and radiological Applica
hazards-PLEASE REFER TO DEFINITIONS OF PHYSICAL, CHEMICAL, BIOLOGICAL ble
& RADIOLOGICAL HAZARDS ON PAGE 2 OF THIS CHECKLIST)
1 Is the Company going to monitor for physical, chemical,
radiological and biological hazards? This may include
real-time monitoring of noise, fumes, dust, etc.
2 Has the Company set-up a medical monitoring program

for employees exposed to any of the hazards described
above? Medical monitoring may include: pre-
employment physical, periodic monitoring, annual
monitoring and exit physicals.
3 Has the company evaluated personal protective
equipment needed to complete a task? Does the
company provide proper PPE for the identified hazards?
Has the company provided required PPE free of cost to
employees? Does the company have a PPE
replacement program? Does Company maintain a min/
max system for everyday PPE like ear plugs, gloves,
etc.?
4 Has the company provided training to their employees in
proper use and wear of PPE? Does the training
program include PPE limitations?
5 Has the Company identified types of HSE signs needed
and areas where these signs will be installed?
6 Does the company have an Emergency Action Plan?
7 Has the Company developed a Fire Prevention Plan?

Does this Plan address monthly inspection/ testing of
Fire Protection System?
8 Does the company have a good management practice
for storing hazardous materials?

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9 Does the company generate hazardous waste? If yes,

does the company have a reliable hauler to pick-up and
dispose hazardous waste? Does the company practice
waste segregation: hazardous, non-hazardous,
recyclable, food, etc? Has the company audited their
waste hauler to ensure proper disposal of hazardous
waste?
10 Has the company conducted any environmental risk
assessment and/ or environmental impact assessment
before starting any previous contracts? If yes, what was
the outcome? What steps did the company take to
prevent damage to the environment?
11 Does the company use equipment with internal

combustion engine? If yes, what steps are they taking
to minimize air pollution?
inspection/ audit of the workplace?
E - Major Engineering/ Drilling/ Construction Projects (This section applies to all Y/ Not
Contractors who are going to be involved in a construction project. The above Applicabl
section - Protection & Monitoring of Employees could be used in addition to this e
section)
1 Has the company developed a Project HSE
Plan?
Y/ Not
F - Workshops (This section applies to all Contractors who may have or use a Applicab
workshop to conduct their daily activities for the project) le
1 Are employees trained to use equipment and tools
used in the workshop? If yes, what is the frequency
of training? Who trained them? What are the
"trainers" qualifications?
2 Are the equipment and tools used in daily activities
maintained? If yes, who maintains it? Is there an
established maintenance schedule? Any
maintenance records? What are the qualifications of
the person maintaining the equipment?
3 Does the company have bench grinders, radial saw,
etc? Do they have appropriate machine guards to
protect workers against accidental injuries? Are the
workers provided with appropriate PPE to protect
themselves while working with this type of
equipment?
4 Has the Company identified types of HSE signs
needed and areas where these signs will be
installed? Some of the examples are: No Smoking
(in areas where flammable material may be present);
Evacuation Routes, etc.

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Page: 120 of 258
5 Does the company have an Emergency Action Plan?
6 Has the Company developed a Fire Prevention Plan?

Does this Plan address monthly inspection/ testing of
Fire Protection System?
inspection/ audit of the Workshop?
8 Has the Company established electrical classification

system for the Workshop? What type do they use?
G - Miscellaneous Items (This section applies to issues/ concerns not covered elsewhere)
1 Does the company have written procedures for Safe
Work Practices like Confined-Space Entry, Hot Work
and Excavation? Does the company practice
lockout/ tag out of hazardous energy?
2 Does the company use or have lifting equipment? If
yes, does the company practice ADCO's or any other
equivalent color coding scheme? Are lifting
equipment & appliances color-coded? Check current
color code.
3 Are all crane operators and banks men trained and
certified by ADCO approved third party? Are all
cranes/ forklifts and lifting tackles approved by ADCO
approved 3rd Party?
4 Does the company use or have heavy equipment like

forklifts? If yes, are the drivers of this equipment
trained and certified in its proper use? Do the drivers
utilize proper checklist to check their equipment each
day before use?
5 Is the Company planning an electrical work? If yes,
does the Company have a competent Electrician with
a back-up to perform electrical work? Please attach
his qualifications. Do they have a lockout/ tag out
program?
NOTE:
ADCO Auditors should refer to ADCO scoring system doc. for Mode 2, Score sheet & scoring Guide lines.
This documentation is available, upon request for ADCO Auditors.

ADCO- HSED web page
Appendix E Date: Nov 2009

Page: 121 of 258
Appendix E – Technical HSE Checklist for Mode 1 Contractors

Name of the Company
Address
Name of the Person completing

this Checklist (include position,
title, phone number & e-mail
address):
Company Contact (include name,
position, title, phone number & e-
mail address)
Tender #:
Date completed:

Statement: I, certify that the details provided in this assessment are true and correct to the best of my
knowledge.
Signature: _________________________________________________
NOTICE
QUESTIONNAIRE CONTRACTOR RESPONSE
GENERAL ISSUES
1 Has the Company developed a Task-Activity
Checklist based on transporting personnel from
the Camp site to ADCO Worksite? Has the
company identified applicable physical hazards in
the Task-Activity Checklist? This should include
catering/ vehicle maintenance, working in
hazardous environment, etc. Has the Company
conducted Risk Assessment for the "activities"
identified?

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Technical HSE Checklist for Mode 1 Contractors Page: 122 of 258
2 Does the Company intend to hire sub-Contractors

to either complete the job (labor force) or provide
services/ assistance in completing the job
(catering services, etc.)? If yes, provide the list of
sub-Contractors and type of services/ assistance
they will provide during the contractual period.
How are you going to ensure that the sub-
Contractor meets or exceeds ADCO's HSE
expectations/ requirements? Provide documents
for verification. PLEASE NOTE: IT IS THE
RESPONSIBILITY OF THE MAIN
CONTRACTOR TO ENSURE THAT ALL THEIR
SUB-CONTRACTOR (AND THEIR SUB-
CONTRACTOR) MEETS OR EXCEED ADCO
HSE REQUIREMENTS.
3 How does the Company compensate their
employees in lieu of Camp-style accommodation?
If employees are given money, is the money
enough for a "decent" accommodation? If the
Company provides "housing", is this "housing"
adequate for occupancy?
Labor Camps (This section applies to Companies who intend to provide
Y/ Not
accommodation to their employees in a Camp-type environment. Ensure that the
Applicabl
SUMMARY OF CONTRACTOR CAMP CHECKLIST is forwarded to the Contractor for
e
completion)
1 Is the Company providing accommodation at their facility or is it
renting accommodation from other Contractors? If the Company is
renting accommodation, does the Camp meet ADCO standards?
Please complete Camp Inspection Checklist and submit for
verification. PLEASE NOTE: ADCO DOES NOT APPROVE OR
DISAPPROVE A CAMP. IT IS THE CONTRACTOR'S
RESPONSIBILITY TO ENSURE THAT THE CAMP MEETS ADCO
HSE STANDARDS.
2 Has the Company assigned a Camp HSEO with a back-up in case of

vacations, etc?
3 Has the Company developed a Task-Activity Checklist based on work
conducted in a Camp? This should include catering/ vehicle
maintenance, etc.
4 Has the Company conducted Risk Assessment for the "activities"
conducted in a Camp?
5 Has the Company developed a HSE Manual pertaining to working &
living in a Camp environment? This manual should include PTW
procedures, if applicable.
6 Has the Company developed a Training Matrix for Camp Residents
pertaining to working/ living in a Camp environment?

ADCO- HSED web page
7 Has the company evaluated personal protective equipment needed to

complete a task? Does the company provide proper PPE for the
identified hazards? Has the company provided required PPE free of
cost to employees? Does the company have a PPE replacement
program? Does Company maintain a min/ max system for everyday
PPE like ear plugs, gloves, etc.?
8 Has the company provided training to their employees in proper use

and wear of PPE? Does the training program include PPE
limitations?
9 Has the Company developed an Emergency Response Plan for the
Camp? Does this Plan have roles & responsibilities for each
resident? Has the Company included possible scenarios in their
ERP? Has the Company set-up an Emergency Response Team to
assist during an emergency evacuation? Does the Company practice
Drills to ensure the effectiveness of the Plan?
10 Has the Company developed a Fire Prevention Plan? Does this Plan
address monthly inspection/ testing of Fire Protection System?
11 Does the company have staff that provides First Aid to its
employees? If yes, how many? If yes, are they certified?
12 Has the Company identified types of HSE signs needed and areas
where these signs will be installed? Some of the examples are: No
Smoking (in areas where flammable material may be present);
13 Does the company keep records of injuries/ illnesses for Camp
residents? If YES, provide records for the last three full years for
verification purpose.
14 What programs/ procedures Company has in-place to ensure that
these accidents/ incidents are not repeated?
15 Does the company use any pesticides? If yes, does it meet UAE
laws? Provide MSDS.
16 Does the Company use Generators for electrical utility? If yes, does
the Company have a competent Electrician with a back-up to perform
electrical work in the Camp? Please attach his qualifications. Does
the Camp have a lockout/ tag out program?
17 Has the Company installed any vessels, equipment, etc, below
ground? If yes, does the Company have a Confined Space Entry
program? Are all "authorized" personnel trained in Confined Space
Entry? Provide documentation.
18 Does the Company conduct Hot-Work in the Camp? If yes, has the
Company identified "safe" work areas to conduct hot-work? Has the
Company identified areas where a Hot Work permit is required to
conduct work? Are the employees trained in the permitting system?

ADCO- HSED web page
19 Does the company have a proper housekeeping inspection/ audit of

the workplace?
20 Does the company have a good management practice for storing
hazardous materials?
21 Does the company generate hazardous waste? If yes, does the
company have a reliable hauler to pick-up and dispose hazardous
waste? Does the company practice waste segregation: hazardous,
non-hazardous, recyclable, food, etc? Has the company audited their
waste hauler to ensure proper disposal of hazardous waste?
22 Does the Camp have groundwater supply wells? If yes, is the water
tested for human consumption?
ROAD SAFETY (This section applies to Companies who intend to provide
Y/ Not
transportation for employees to the job site and/ or transport or deliver materials to
Applicable
the job site. Job site should be part of ADCO property)
1 Is there a Road Safety Policy in-place?
2 Is Management showing visible commitment to strategy/ plan by

setting example, attending road safety meetings?
3 Is there any driver's selection criteria and procedures?

4 Is there an active IVMS program?
5 Is there a vehicle inspection checklist (light & heavy)?
6 Risk Management – Are all drivers aware of the hazards (Toxic/

Flammable) of goods carried in their vehicle?
7 Are there written Emergency procedures for accident/ spill/ Fire, etc?
Are drivers aware of and trained in these procedures?
8 Is there a system in place for disciplinary action against drivers

violating rules?
9 Does the Company have a training matrix to ensure that the drivers
are kept up-to-date in their driving skills?
10 Does the Company have an internal awareness training, annual skill

assessment and drivers orientation program?
11 Is each vehicle/ Driver provided with means of communication?
12 Is there a Journey Management System (JMS) in place?
13 Are there any controls in-place to ensure JMS effectiveness and

compliance?

ADCO- HSED web page
14 Is there a Fog Control Procedure & policy in-place?
15 Is there a Vehicle Maintenance system?
16 Are all crane operators and banks men trained and certified by ADCO
approved third party? Are all cranes/ forklifts and lifting tackles
approved by ADCO approved 3rd Party?
17 Do Contractor's vehicles have Rollover protection device?

18 Do all vehicles have reverse alarm?
19 Do all vehicles driving in the desert have “Desert Safety Box” with all
items, Flag pole?
Workshops (This section applies to all Contractors who may have or use a
Y/ Not Applicable
workshop to conduct their daily activities)
1 Are employees trained to use equipment and tools used in the
workshop? If yes, what is the frequency of training? Who trained
them? What are the "trainers" qualifications?
2 Are the equipment and tools used in daily activities maintained? If

yes, who maintains it? Is there an established maintenance
schedule? Any maintenance records? What are the qualifications of
the person maintaining the equipment?
3 Does the company have bench grinders, radial saw, etc? Do they
have appropriate machine guards to protect workers against
accidental injuries? Are the workers provided with appropriate PPE
to protect themselves while working with this type of equipment?
4 Has the Company identified types of HSE signs needed and areas
where these signs will be installed? Some of the examples are: No
Smoking (in areas where flammable material may be present);
5 Does the company have a proper housekeeping inspection/ audit of
the Workshop?
6 Has the Company established electrical classification system for the
Workshop? What type do they use?
7 Does the company use or have lifting equipment? If yes, does the
company practice ADCO's or any other equivalent color coding
scheme? Are lifting equipment & appliances color-coded? Check
current color code.
8 Does the company use or have heavy equipment like forklifts? If yes,
are the drivers of this equipment trained and certified in its proper
use? Do the drivers utilize proper checklist to check their equipment
each day before use?
NOTE:
ADCO Auditors should refer to ADCO scoring system doc. for Mode 1, Score sheet & scoring Guide lines.
This documentation is available, upon request for ADCO Auditors.

ADCO- HSED web page
Appendix E1 Date: Nov 2009
Technical HSE Checklist for Consultancy (Mode 3) Page: 126 of 258
Appendix E1 – Technical HSE Checklist for Consultancy (Mode 3)

Name of the Company
Address
Name of the Person completing this Checklist
(include position, title, phone number & e-mail
address):
Company Contact (include name, position, title,
phone number & e-mail address)
Tender #:
Date completed:

Statement: I, certify that the details provided in this assessment are true and correct to the best of my
knowledge.
Signature: _________________________________________________
NOTICE
1. Do you have a formally documented HSE Management System? Yes No
2. Do you have a HSE Manual / HSEMS Procedures? Yes No
4. Does your HSE Management System meet the requirements of

ISO 14000 Series / OHSAS 18000 series / other internationally Yes No
recognized HSE System?
5. Does your Company have an HSE organization to implement the Yes No

HSEMS?

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Appendix E1 Date: Nov 2009
Technical HSE Checklist for Consultancy (Mode 3) Page: 127 of 258
If yes please provide the organization chart or the list of personnel responsible for the HSE
management system.

inspection/certifying agency Or by any large well-known company, Yes No
viz. Lloyds, BV, DNV, TUV, etc. or a major oil company?
If yes, specify which ones and provide last certification or surveillance audit report and copy of the
certificates.
7. Can you provide training facilities at site? Yes No
ISO OR EQUIVALENT
STANDARDS
(Please Specify)
If your Company is not certified yet, but is going through the certification process, specify the name of

ADCO- HSED web page
Appendix F Date: Nov 2009
HSE Plan Guidelines for Mode 1 Contractors Page: 128 of 258
Appendix F – HSE Plan Guidelines for Mode 1 Contractors

Headings and subject material that the Contract Administrator should use as a basis for his contract
document preparation to define the scope and requirements of a Contractor's HSE Plan. It can be used to
check both the coverage by the Group Company in the tender documents and the plans defined in
response by the Contractor in his bid.
The following provides a series of checklist items under the normal HSEMS headings.
Table 1- Checklist for HSE Plan
Checklist items Checked

Leadership and Senior management should reinforce the importance of HSE at all levels in the
commitment organization and should be seen to be setting a personal example.
Policy and Contractor has a policy, which refers to the importance of HSE. It is formalized by
Strategic the Chief Executive's or the Manager's signature.
Objectives
Organization, A focal point in the organization for HSE. Simple procedure for distributing
Resources, and information on HSE issues to the workforce.
Competence A procedure for determining/enacting HSE training. Provision for obtaining HSE
advice should this be outside the capability of the Contractor's personnel.
Simple procedure for ensuring any subcontractor adheres to same HSE standards.
Simple advice on the importance of the links with client (or third party) emergency
services on contracts.
Typical agenda for any HSE items in meetings and how to ensure they are covered
effectively.
A statement of how HSE competence is assessed for personnel with HSE-critical
activities to perform.
Statement of requirements for employees to indicate that they have the necessary
appreciation of the HSE issues in the Contractor's business activities. This should
include reference to potential client HSE induction sessions and HSE training.
Such training could include items from the following list (as relevant to the
contract):
fire and explosion hazards
road transport/driving
first-aid
work procedures/PTW
hazard awareness and reporting
security
basic HSE rules
legislative requirements
occupational health
environmental protection
Risk Evaluation HSE targets set in clear quantifiable terms
and a system in place to assess workplace hazards
Management
Planning, Contractor has a document with simple procedures/rules covering the HSE issues
Standards and in his business activities with a method for review and update. This should include
Procedures the following:
HSE hazard awareness
Basic HSE precautions to be observed in the workplace
HSE hazards of tasks and operations encountered in his business
HSE hazards of equipment used
Use of PTW system

ADCO- HSED web page
Communications with supervisory personnel on site

Planning, Contractor has a document that:
Standards and outlines the activities of his business
Procedures identifies those areas that are HSE-critical
finds a method how individual contract scopes can be simply appraised to
determine where the attention to HSE issues need to be focused
identifies how to determine PPE requirements
identifies a simple set of steps for road transport management
Implementation Contractor has a procedure for recording incidents, for advising legislative bodies
and Monitoring where necessary and for making annual reviews of performance.
Contractor has a procedure for investigating incidents.
Audit and Contractor has a method for the management to carry out simple audits of his
Review contract operations.
Small Contract Typical HSE Plan
This provides guidance for a set of headings for a typical HSE Plan for use on small contracts. The list of
headings should be determined individually for the contract concerned.
Table 2- Small contract typical HSE Plan Performa
Category Item Details

GENERAL
ADNOC Group Company
Project
Contract Title/Number
Contractor details
Site location
Group Company Contract Holder/ Representative(s)
Group Company Representative(s)
Contract Manager/Contractor Representative(s)
HAZARD ASSESSMENT
Contract scope description
Expected hazards identified (including adjacent
operations, etc)
Alternatives considered
Procedures to be followed for hazard control (list
documents or describe details here)
Access/escape provisions (alarms, muster stations,
etc)
Emergency service provisions (including first-aid,
nearest medical treatment, emergency phone
numbers, etc)
Competence standards for Contractor's personnel
Standards for Contractor's equipment
Training requirements (including site HSE induction)

ADCO- HSED web page
JOB/SERVICES DESCRIPTION
Contractor's personnel assigned
Contractor's equipment/consumables/services
assigned
Group Company's personnel assigned
Group Company's equipment/consumables/
services assigned
Subcontractor details
Responsibilities/interfaces defined
PPE and any special HSE equipment to be used
Working hours/job duration
Site description/limits
PTW provisions applicable
Conditions for suspending work (e.g. weather,
adjacent site operations, etc)

ADCO- HSED web page
Appendix G Date: NOV 2009
Project HSE Plan Guidelines for Mode 2 Contractors

Page: 131 of 258
Appendix G – Project HSE Plan Guidelines for Mode 2

Contractors
HSE Plan Definition Guideline
This appendix provides headings and subject material that the Contract Administrator should use as the
basis for his contract document preparation to define the scope and requirements of a Contractor's HSE
Plan. It can be used to check both the coverage by ADCO in the tender documents and the plans defined
in response by the Contractor in his bid.
The following is a checklist of the principal headings with an expansion into key checklist items34 given on
the following pages under the respective headings. The detail included in tender documentation should be
in keeping with the complexity, strategy of the contract and mode type35 and should additionally include
prompts for specific action plans, target dates and action parties. A Contractor familiar with the ADNOC
Group Guideline ‘HSE Management System Guidelines’ and ADCO HSEMS, and who uses these as the
basis for his management system will align immediately with these headings.
HSE Management System (HSEMS)
Element 1. Leadership and Commitment

Element 2. Policy and Strategic Objectives includes HSE Policy Statement
Element 3. Organization, Resources and Competence includes HSE Organization; HSE Professionals;
Subcontractors; HSE Communications; HSE meeting Programme; HSE promotion and awareness; HSE
competence requirements; Employee orientation Programme; HSE training (general); HSE training
(professionals);
Element 4. Risk Evaluation and Management includes Methods and procedures for hazards and effects
management; Assessment of exposure of the workforce to hazards and effects; Material data sheets for
safe handling of chemicals; Hazards and effects management and the assessment of PPE requirements;
Methods and procedures for waste management
Element 5. Planning, Standards and Procedures includes HSE standards; HSE legislation; HSE
procedures; Basic HSE rules; Emergency response procedures; HSE equipment and equipment HSE
inspection; Occupational health; Environmental; Road transport
Element 6. Implementation and Monitoring includes HSE performance – general Incident investigation;
Element 7 & 8. Audit and Review includes HSE auditing
34
See Tables 1 through 7 in this SECTION
35
See Section 36.1-DEFINITION & GLOSSARY

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Appendix G Date: Nov 2009
Project HSE Plan Guidelines for Mode 2 Contractors Page: 132 of 258
Detailed checklists for HSE Plan
Table 1- Checklist for HSE Plan: Section 1 Leadership and Commitment

Leadership and commitment
Commitment to Senior management should engender commitment to HSE issues at all levels
HSE aspects through their personal style of leadership and management. Key elements include:
through visible expressions of commitment by senior people
leadership HSE matters should be placed high on personal and collective agenda
All senior managers should set a personal example to others. They should
be, and seen to be actively involved in HSE matters, e.g. attendance at HSE
meetings, personal instigation of HSE audits and reviews, etc.
a feedback system should be established to encourage and facilitate
employee feedback on HSE matters
a positive culture should be promoted at all levels
Table 2- Checklist for HSE Plan: Section 2 Policy and Strategic Objectives
HSE policy statement
General Written HSE policy
Dated and signed by Chief Executive
Policy statements:
specific to individual parts of the contract (e.g. locations/sites/plants)
cover specialized aspects (e.g. alcohol and drugs)
consistent with Group Company standards and guidelines
clear, concise and motivating
Content Importance of HSE as a contract objective
Incidents and injuries are unacceptable
HSE established as a line management responsibility
Everyone is responsible for their own and their colleagues' HSE at work
Distribution/ HSE policy distributed to all concerned, i.e.
availability handed to each employee by their line manager when issued
all new employees handed a copy by their line manager
displayed on notice boards at each work location (worksites and offices)
copies provided for each company on the contract (including
subcontractors, suppliers and agents)
available to ADCO and Contractor employees in their working language(s)
Discussion Policy and its implementation when issued discussed by line managers with each
employee
Table 3- Checklist for HSE Plan: Section 3 - Organization, Resources and Competence
HSE Organization
Key personnel Personnel responsible for the implementation of HSE objectives clearly
identified in an organization chart
Responsibility adequately covered during all phases of contract
Job descriptions in place showing each team member's HSE competencies,
responsibilities and function
Organization clearly shows position of HSE professionals
Contract Defined to meet health, safety and environmental objectives as well as those
objectives/ of time, cost and quality
accountability Accountability for HSE success and equally of any failure clearly stated
Focal point within the team structure ensuring that all HSE matters have been
identified
Designated ADCO HSE Professional to produce HSE objectives, tasks and

ADCO- HSED web page
targets for the contract

Targets, etc to be realistic and consistent
Establish procedures for distribution, reporting and reviewing HSE issues
Manning/ Manpower philosophy
communication Manpower level to be defined correctly so as not to compromise HSE
Effective means to communicate HSE issues between ADCO, Contractor and
subcontractors
Organization staffed by competent personnel with sufficient appreciation of
HSE where necessary with specific training in the issues involved
Manpower philosophy
Manpower level to be defined correctly so as not to compromise HSE
Effective means to communicate HSE issues between the Group Company,
Contractor and subcontractors
Organization staffed by competent personnel with sufficient appreciation of HSE
where necessary with specific training in the issues involved
Corporate Company's expectations on HSE management to be communicated in depth
structure/ Access of Contractor's line management to their corporate management
responsibility structure on HSE issues to be defined
Level of handling project HSE issues by the Contractor corporate structure
(middle or senior management or board level)
In the Contractor's corporate organization, individuals charged with responsibility
for HSE at middle senior manager or board member level
Access to specialist HSE advice for line management, e.g.
provision of HSE documentation for small contracts
employment of HSE specialist for large contracts
HSE professionals
Job definition Role of the Contractor's HSE advisers well defined
Job definition drafted
Reporting/ Reporting relationship with line management
follow-up Direct access to the Chief Executive
Does line management follow advice offered
HSE department Contractor's HSE department involved in:
preparing and monitoring departmental action plans
formulation and suitability of HSE rules
planned inspections and audits together with line management
promotional material
HSE training
subcontractor assessment
training and auditing
health risk assessment, health performance monitoring and health
surveillance
environmental monitoring
supporting incident investigation by line management
subcontractor assessment
training and auditing
health risk assessment, health performance
monitoring and health surveillance
environmental monitoring
supporting incident investigation by line management
Guidance given by the Contractor's HSE management in preparing and
implementing:
operating and emergency manuals
emergency plans
training for fire fighting teams, first-aiders, etc

ADCO- HSED web page
emergency drills and exercises

protective equipment and rescue
Contact and liaison with government departments maintained
Subcontractors
Management To be well integrated and identified in contract HSE Plans
With own plans if carrying out a large portion of the work
HSE Plans to be vetted for suitability by main Contractor
Main Contractor to communicate that subcontractor subject to the same rigorous
HSE standards as main Contractor
Identification/ Subcontractors to be identified at this stage of the project
vetting Method of vetting those still to be identified to be stated
Vetting of past subcontractor records
Maintenance of approved subcontractor lists where HSE has been considered
Coverage/ Set up appropriate lines of communication to handle HSE issues, e.g. such items
awareness as:
direct access to emergency services
nearest hospital
helicopter availability
air ambulance, etc
Authorization and implementation procedures fully understood
HSE
communications
Emergency services: those organizations that would be expected to provide
support in a major incident aware of requirements
Briefed as to their likely role
Coverage/ Set up appropriate lines of communication to handle HSE issues, e.g. such items
awareness as:
direct access to emergency services
nearest hospital
helicopter availability
air ambulance, etc
Authorization and implementation procedures fully understood
Emergency services: those organizations that would be expected to provide
support in a major incident aware of requirements
Briefed as to their likely role
External links Lines established to communicate externally incidents that may endanger those
on a site
Government agency reporting procedures and the associated responsibilities of
Group Companies and Contractors
Contractor able to communicate with all his workforce in an emergency
Communications take into account the diversity of languages amongst the
workforce
Ability of base to mobilize in an emergency, e.g. doctors, hospital facilities
Emergency Appropriate for incidents envisaged
communications Strengthened, duplicated or backed up by other means
HSE meeting
Programme
Scheduling Contractor to establish a regular schedule for HSE meetings
Define responsible management person for scheduling such meetings
Procedure to maintain records of personnel attendance

ADCO- HSED web page
Management Managers seen to be involved by employees in:

participation HSE activities, objective setting and monitoring
taking action and providing resources to support their stated policies and
objectives
Meeting structure HSE meeting structure

Effective to manage and communicate on HSE
Allow employees full involvement and their own ideas to be heard
Typical agenda and meeting formats
Follow-up actions Meeting actions

Where action is agreed, is it seen to be carried out?
Where action is not agreed, is it explained why?
Communication Results of HSE activities, both successful and less successful, openly
communicated to all employees
Meeting Programme consistent with the rest of the management structure to
communicate effectively HSE issues
Meetings recorded clearly and consistently
Structured to differentiate between health, safety and environment
HSE promotion
and awareness
Techniques Appropriate communications techniques used to make the personnel aware of
HSE issues
How this is to be implemented, e.g.
personal contact
interactive video
notice-boards
newsletters (suitable for large sites)
bulletins
posters
Performance HSE performance boards (e.g. at worksite gates)
Promotional Possibilities include:
methods small 'give-away' with the HSE message
competitions
suggestion schemes
Part of business HSE activities seen as an intrinsic part of running an efficient business rather
than a costly and time-consuming 'extra'
HSE Competence
requirements
Fitness of Confirmation of medical fitness from recognized / approved medical facility of
personnel all employees proposed for contract
Employee
orientation
Programme
Approach Provision of a comprehensive handbook for all new employees
On-the-job orientation for supervisory staff
Established procedure in relation to follow-up of all new employees at the
worksite

ADCO- HSED web page
New employees Adequately trained and confident of their own abilities

Coached to improve their work practices rather than blamed for mistakes
Accountability Employees know they are accountable for HSE performance
Aware that their HSE performance is part of the Contractor's appraisal and
reward system
Know that flagrant or frequent breaks of published HSE rules will result in
disciplinary action
Procedures Required for new employee orientation consistent with existing ADCO
standards and guidelines
Reappraisal Programme subject to appraisal and review
HSE training
(general)
Contract Statement on the current standard of workforce and training requirements to
standards meet contract standard
Established Including:
training HSE management
Programme job procedures
road safety
health (first-aid, health hazards, medical services, alcohol and drugs,
health promotion, use of PPE)
auditing
incident investigation and reporting
HSE adviser skills
supervisory development
Established Including:
training HSE management
Programme job procedures
road safety
health (first-aid, health hazards, medical services, alcohol and drugs,
health promotion, use of PPE)
auditing
incident investigation and reporting
HSE adviser skills
supervisory development
HSE meetings
Supervisory Supervisory development training promotes man-management skills and
training communication skills
Formalized Formal HSE orientation Programme for employees working on-site
Programme Records kept of employees who have been through the Programme
Employees trained before starting work
Training covers those joining as a contract is being implemented
Coverage HSE training of employees coverage (including):
safety
fire and explosion
road transport/driving
first-aid
work procedures/PTW
hazard awareness and reporting
occupational health
security
basic HSE rules
legislative requirements

ADCO- HSED web page
Supervisors' Supervisors required to brief and debrief staff before and after training courses
participation
Course content Effective system for establishing the need for and the content of training courses
Determining course effectiveness and relevance of training assessed
Specialized Relevant training given to personnel prior to the execution of hazardous
training operations
Training gained through course attendance supplemented by on-the-job training
as necessary
Records kept of attendees of the training courses and qualifications gained by
employees
Emergency Training covers the actions to be implemented and the employees'
training responsibilities in an emergency
HSE content in HSE included in:
other courses induction courses
craft training
supervisory training
line management training
auditing techniques
HSE training
(Professionals)
Selection Procedure in place for introducing competent HSE personnel on to the contract
Criteria used by the Contractor to select his HSE supervisory staff (e.g. career
development, professional status)
Training Training is received by HSE professional
Required specialization (e.g. drilling, radiation, chemicals)
Appropriate levels of:
institute training
HSE management
Qualifications Knowledge and experience of the Contractor's HSE professional:
match for competence for the job being carried out
match for the advice required
Table 4- Checklist for HSE Plan: Section 4 Risk Evaluation and Management

Methods and procedures for hazards and effects management
Coverage Group Company assessment used as a starting point with additional hazards
identified by the Contractor
Contractor's assessment carried out in accordance with his formal methods and
procedures
Analysis techniques used in preliminary form where appropriate
Contractor covers all parts of the contract with assessments for the specific
scope and locations of the contract
Experience and Contractor able to use material from previous similar projects and demonstrate
awareness awareness from past experience
Assessment of exposure of workforce to hazards and effects
Coverage Contractor develops assessment of the scope and degree of exposure of
workforce to hazards from the hazards and effects management process
Handling of chemicals
Coverage Contractor demonstrates availability and distribution of guidance/information on
the safe handling of chemicals, likely to be encountered in the contract, and
proposals for confirming adherence to guidance during contract

ADCO- HSED web page
Hazards and effects management and the assessment of PPE requirements

Hazard All processes identified that require use of PPE
assessment/ Statutory requirements similarly identified
PPE requirements Procedure in place for recording issue to personnel together with follow-up
inspection and replacement/re-certification
Storage of PPE adequate and secure with procedure for ensuring adequacy of
stock
PPE instruction/ Requirements identified for all personnel
training Instruction and training in its use provided where needed
Procedure for checking its use been specified
Renewal/ Schedule and criteria for renewing PPE
replacement Schedule for re-certification
Responsibility for payment
Table 5- Checklist for HSE Plan: Section 5 Planning, Standards and Procedures
HSE standards
Availability Contractor in possession of HSE manual/set of standards
Identifying minimum criteria for achievement during contract implementation
Available in writing to all users in consistent, concise and clear form
Users involved in the development
Standards in line with Group Company requirements
Control/ Controlled documents
authorization Updated regularly
Approval level indicated
Procedure for obtaining deviations from standards
Responsibility for authorization
Mechanism for recording approved deviations
Coverage Clear reference to national and international standards
Setting minimum requirements on health, safety and environmental issues
HSE procedures
Availability/ Written procedures available to cover hazardous operations on HSE
control Include HSE precautions to be taken
Consistent with Company standards and guidelines
Controlled documents
Appropriate level
Coverage: include health and environment
Written procedures:
familiar to all employees including subcontractors
available in their working language
contents related to individual job descriptions
Deviations Procedure for obtaining
Responsibility and level
Recording of authorized deviations
Omissions Identify whether there are any areas where procedures for hazardous operations
are not drafted
Commitment to prepare
Permit to work System in place
(PTW) If the Contractor's own system is utilized, is it consistent with industry norms and
in line with ADCO standards and guidelines?
Training/ Training standards and qualifications set for personnel allowed to implement
qualification procedures
Basic HSE rules
Availability Set of rules available and distributed to all employees

ADCO- HSED web page
Users acknowledge receipt

New employees given a copy before starting work
Method of discussion and verifying understanding
Coverage Covers health and environment as well as safety
Set of rules provided tailored to specific contracts
Identify hazards likely to be encountered
Address basic housekeeping and hygiene
Cover signals that will be encountered on site
Production/ Structure for producing updating and disseminating rules
updating Frequency
Personnel participation
Involvement of users
Coverage Identification of potential major emergency scenarios, and procedures to use in
such scenarios, e.g.
fire and explosions
evacuation and abandon rig/location
storm
oil/chemical spill
aircraft incident
emergency communications
Medevac
well control and blow-out
diving emergency
man overboard and search and rescue (SAR)
H2S
Emergency response procedures
Potential use of ADCO standards and guidelines
Awareness By employees of procedures
Orientation
Schedule of drills and testing
Medical contingency plan included
Review frequency
Responsibility of employees for own and colleagues' HSE
Monitoring mechanism
Drills to be carried out without warning
Plans Contingency plans allowed for in emergency situations
Recovery procedures in place to be activated in event of emergency scenarios
Drills to be held to demonstrate preparedness for response
HSE equipment and equipment HSE inspection
HSE equipment List drawn up of all HSE equipment to be used on the project
Identified by type, capacity and reference to standards
Requirements identified for each item of HSE equipment, including:
registry
classification
licensing
survey
test certification
Critical items for List drawn up of critical items of equipment that must be the subject of an HSE
HSE inspection inspection
Procedure established for carrying out HSE inspection of equipment (covering
health, safety and environmental aspects to be reviewed)
Procedure established for checking standards where tools have been provided
personally by tradesmen
Schedule HSE equipment inspection schedule established for the duration of the project
Inspection frequency clearly identified for critical items of plant

ADCO- HSED web page
Occupational Health
Facilities available Facilities defined as part of contract
Occupational health Programme established to:
identify hazards
assess hazards
control hazards, e.g. engineering controls, procedural controls,
vaccinations, etc
maintain emergency procedures
Appropriate for the site conditions
Welfare Programme meets the needs of isolated sites
Local medical facilities evaluated in detail to assess:
range and quality of equipment and supplies
hygiene standards
administration procedures and standards
transportation and communication
Sufficient for day-to-day needs and consistent with relevant health programmes
Adequate provision for supply of drugs, antidotes, etc
Staffing Availability of adequately trained, experienced staff
Access to medical treatment facilities (if external)
Contingency plans Defined for possible incidents beyond capability of site facilities
Accommodation Where provided, facilities to meet normally accepted standards of hygiene at site
and catering location
facilities Facilities to be operated in line with government hygiene Regulations and to
meet ADCO standards and guidelines
Rules in force to maintain cleanliness of site and other facilities
Promotion Promotional material available to assist in maintaining standards
Appropriate for the Contractor's workforce in terms of:
language
clarity, etc
Hygiene and Procedure on on-site cleanliness and maintenance
housekeeping
Environmental
Awareness Of the workforce to protect the environment whilst executing contract
Control Identify potential environmental hazards
Develop procedures for handling materials and performing operations that may
damage the environment
Contingency plans
Aims Focus for the environmental protection team
At what level
Line management responsibility for environmental protection been defined as
well as other job objectives
Development and enhancement of environmental impact statements for the
contract
Monitoring/ Environmental monitoring to gauge the impact of operations
restoration Plans appropriate and sufficiently detailed
Recovery and restoration of site after contract completion
Audits Environmental audits of operations during the contract
Carried out by experienced individuals or companies
Road Transport
Drivers : Assess physical, mental and psychological capability
competence and Character and background
selection Qualities and experience, medical examination, document checks, driving tests
Special skills such as terrain and climatic experience and first-aid knowledge
Driving Permits Should record personal and employment details, types of vehicle licensed to
drive and types of cargo licensed to carry
Driver induction Local area characteristics and regulations

ADCO- HSED web page
Driver training This should test vehicle operation and use, operating conditions (terrain,
climate), off-loading and positioning, emergency situations, and vehicle
inspection
Driver Techniques should identify deficiencies, analyze causes and select appropriate
improvement retraining
Vehicle selection Ensure correct type, capacity and size for facilities
Good maneuverability and serviceability
Vehicle The job description should be clearly defined before the vehicle is chosen, to
specification ensure work operations do not exceed the manufacturer's specifications
Safety equipment and communications on board the vehicle need to be checked
Passengers Is the vehicle designed to carry passengers?
Freight Design of vehicle and load limits
Segregation, positioning and securing of freight
Vehicle Conducted on a regular basis
maintenance
Ops management Define the journey and justify the need
- need and Awareness of hazards involved
approval Allocation of vehicles, written authorization, verification of employees' driving
standards
Ops management Full awareness of route (hazards, conditions)
- journey routing Realistic schedules
and scheduling
Journey Logging of actions
management
Roles and Roles and responsibilities defined for management, supervisors, drivers,
responsibilities passengers
Contracting Prequalification of Contractors and Contractor HSE management treating road
transport with equal importance to main activity
Standards for scope of operations included in tender operation
Control and review mechanisms included in contracts
Policy of no subcontracting without written authority
Procedures Ensure procedures are in place for all transport operations
Monitor and review mechanisms in place
Emergency In place and tested
services
Table 6- Checklist for HSE Plan: Section 6 Implementation and Monitoring

HSE performance – General
Measurement Proposed plan to measure performance, i.e.
performance indicators
progress against targets
HSE initiatives/incentive schemes
achievement of milestones
numbers and types of training courses
numbers and results of audits
clearance of action items
Use will be made of reactive statistical indicators, e.g.
LTIF/TRCF
Numbers of first-aid and minor injuries
material losses
vehicle incidents
spillages
occupational illnesses
sickness absenteeism

ADCO- HSED web page
Feedback/ Availability and use of performance records

analysis Feedback/review/discussion at HSE meetings
Presentation and distribution to employees
Comparison Comparison of performance
of With other similar contract work
performance Frequency
Involvement of Group Company personnel
Incident Investigation
Coverage Reporting procedure for the contract
Covering not only injuries to and time lost by personnel but also:
health incidents (diseases, exposures to
hazardous substances, near misses, etc)
Environmental incidents (spillages, releases, contamination, etc.)
other safety incidents (safety equipment failures, loss of capital equipment)
material loss
HSE performance – General
Methods Incident investigation method established to determine and correct causes
Incidents first reported to the direct supervisor
Incident investigation teams led by the relevant managers
Differentiation made between numbers of first-aid treatments and other minor injuries
Procedure in place on vehicle incidents
Methods to be used for collecting incident statistics
Table 7- Checklist for HSE Plan: Section 7 Audit and Review

HSE auditing
Availability Established HSE procedure outlining responsibilities, frequency, methods and
follow-up
Scope Compliance with the HSE Plan including:
HSE management
departmental personnel HSE
technical personnel HSE
subcontractor
occupational health
unsafe acts
audit training
environmental
own activities and those of his subcontractors
Coverage Consistent with Group Company standards and guidelines
Schedule for full contract duration
Involvement of personnel in audit teams from outside the location
Carried out by a wide cross-section of the workforce including Group Company and
subcontractor personnel
Effectivene How verified
ss Involvement of the Contractor's corporate management in review of findings
Intention to publish findings
Discussion with personnel on contract and at HSE meetings
Lessons used to improve operations across the contract
Follow-up Any numerical treatment made of findings
Frequency of review of implementation progress
Rejections of audit findings properly authorized and documented

ADCO- HSED web page
Appendix H Date: Nov 2009
Medical Services Assessment Page: 143 of 258
Appendix H Medical Services Assessment
Date and
Name of Camp / Site Clinic
Time:
Conducted by: Conducted
with:
Person/s interviewed:
Item Criteria
1 Medical Facilities Yes No Remarks Target Date Action by
Is there a list of minimum requirement for
Site Clinic facility and equipments?
Is the list of minimum requirement available
in the clinic?
Do medic or nurse knows the minimum

requirement?
Is there a regular Site Clinic inspection? If
yes, how often? (HSED-OH should conduct
the inspection on a regular basis. Copy of
inspection must be received by the site
clinic whenever appropriate)
Is the clinic schedule in line with the

operation’s work timing?
Is there waste segregation within the area?
Are infectious waste separated from general

waste? If yes, what type of color coding
being used?
Is a copy of medical waste protocol present

in file in the clinic?
Is there a protocol for communicable
disease?
Is the communicable disease in line with the
government regulation / guidelines?
Is the Site Clinic well manned by competent
and qualified personnel? (Medic & or Nurse)
Is the staff trained in ACLS or ALS? If yes,

at least how many are trained?
Are ACLS or ALS certificates still valid?
Is the ambulance driver / nursing staff

trained in BLS? If yes, how often is the
training?

ADCO- HSED web page
Do the Medic / & or Nurse have advance

training in trauma management, such as
ATLS or any worldwide recognized trauma
training? If yes, is the certificate still valid?
Are routine exercises being done to refresh

staff on BLS, ACLS and ATLS? If Yes, how
often?
Do the Contracting Company provide them
with latest medical / Nursing references,
such as books, journals, etc?
Is the medical staff obliged by the company
to undergo regular trainings in their field of
expertise as part of continuing medical
(CME) programs? If yes, when was the last
time and how often?
Do medical staff have regular rotational

time-offs? If yes, what is the duration ratio of
work and time-off?
Is the duration ratio of work and time-off
sufficient to relieve staffs from stress at
work and workplace?
Do the medic / & or nurses have full access
to external support? – RAMS / Nearest
M.O.H. hospitals / ADCO Clinic
2 Medical Staff Yes No Remarks Target Date Action by

Do the Medic /& or nurse have knowledge
on occupational illness determination, injury
classifications and work-relatedness? If yes,
who provided them training?
Is there regular reporting of clinic visit

statistics? If yes, what is the mode of
reporting?
Is the Medic / & or Nurse provided with
computers and access to internets for
research purposes? If yes, who provided
them?
Is the Medic / & or nurse provided with
official e-mail access and use this as their
means of communicating with their
superiors and clients?
3
Resuscitation / Treatment room /
Yes No Remarks Target Date Action by
Emergency equipment
Is there treatment and resuscitation room &
or a separate area
Is there minimum requirement for

emergency equipment?
Is there regular inspection and inventory of

emergency equipments? If yes, how often?
Are the emergency equipments regularly

tested? If yes, who does the inspection and
testing?

ADCO- HSED web page
Is there any emergency kits? If yes, how

many?
Is there regular inspection of emergency

kits? If yes, who does the regular
inspection?
Is Oxygen resuscitation equipment
available? (Certifications are posted on the
oxygen cylinder)
Is Oxygen bottle(s) certified for servicing
and content?
Do large oxygen bottles have humidifiers? If
yes, How often the humidifier cleaned and
the water being replaced?
Is defibrillator available? If yes, are they
portable and how many?
Are defibrillators being checked regularly? If
yes, How often?
Is there monitoring checklist for defibrillator
showing the date of recharge and testing?
Is there separate cart for emergency

medicines and equipment? If yes, how often
is the inspection and inventory being done?
Is there a regular inventory of

pharmaceutical products? If yes, who is
doing the regular inventories and what is the
method of inventories?
Is there a protocol for proper disposal of

expired drugs, medicines and other medical
items?
Are there stretchers available? If yes, how
many and what type?
Is stretcher inspection included in the

regular medical equipment inspection?
Are stretcher belts and lifting gears
certified?
4 Emergency Preparedness Yes No Remarks Target Date Action by
Is Medivac / Casevac procedure available in
the camp?
Is Medivac / Casevac procedure accessible
to all Medic / & or Nurse?
Is the Medivac / Casevac procedure being
tested? If yes, how regular?
Are medical scenarios designed based on
the most probable incident(s) that may
occur in the workplace?
Are there any lessons learnt on past
medical emergency drills?
Is the list of emergency numbers in the
clinic?
Is the list of emergency numbers available
in the ambulance as a back-up?

ADCO- HSED web page
Are emergency numbers being checked /

updated regularly? If yes, how often, when
was the last time it was updated and who
updates it?
Are worksite maps available in the clinic and

ambulance? If yes, who updates the maps?
5 Ambulance Yes No Remarks Target Date Action by

Is an ambulance available?
Is ambulance available at all times?
Is the ambulance designed with properly

equipped medical items based on
operations requirement (work place
assessment)?
Is there a regular duty ambulance driver? If
yes, how many?
Is the ambulance driver trained for basic
First aid and patient handling?
Is the ambulance driver familiar of the
equipment? If yes, how often equipment
familiarization is conducted?
Is the ambulance driver conducting area or
access point familiarization on a regular
basis? If yes, are there supporting
documents to prove this and how regular?
Is there a regular inventory of the

ambulance equipment? If yes, who is doing
the inventories?
Is the copy of equipment inventory list
available inside the ambulance? If yes, what
was the last date of inspection?
6 Medical Record Keeping Yes No Remarks Target Date Action by

Are the medical records safely locked and
not easily accessible to other person apart
from the medic / & or Nurse?
Is there an electronic medical record system

in placed?
Is there an archiving system for old

records? If yes, how many years they are
kept?
Is pre employment medical check up done

for New Hires?
Is Periodic Medical Check up done for In-
service employees?

ADCO- HSED web page
Appendix I Date: Nov 2009
Contractor Camps & Temporary Buildings

Page: 147 of 258
Appendix I– Contractor Camps & Temporary Buildings

1. Introduction
This guideline gives details of standards that are applicable to all Company and Contractor Personnel
alike. Implementation, subsequent commission and inspection will, should the camp meet the
requirements, result in a certificate of compliance (license to operate) issued within the terms of the ADCO
Contract. Subsequent Health, Safety and Environmental inspections, and audits will identify the upkeep of
the standards during the life of the camp. The items included in the HSE inspections and audits are
attached and the Site Manager has the responsibility to carry out the monthly inspections to ensure
continuous HSE compliance.
2. Definitions
For the purposes of this Guideline, Temporary Accommodation Includes:
Temporary (portable) Buildings - Imported units as new, built on site by Contractor or refurbished units
imported or not - portable buildings (normal size 10 m x 3.5 m), skid-mounted interconnected caravans
(referred to as one unit), and sectional buildings brought onto site for use as offices, stores, workshops,
etc. during the course of the project works.
Temporary (Mobile), with a fixed chassis, axles and road wheels - purpose-built units designed for
traversing over rough terrain and rigorous conditions. Typically units used by the seismic industry.
Temporary (Skid) - specially designed, metal clad, skid mounted and sometimes inter connected units
typically utilized by Drilling Companies.
Other Temporary Accommodation - Areas within a building under construction or undergoing refurbishment
occupied as offices, stores, workshops, etc. during the course of the project works.
3. General Information
Temporary building(s) on construction sites, must be separated from the building under construction or
refurbishment and other permanent buildings to provide a fire break, which must be at least 10 (ten)
meters wide.
All new camp sites (including new Seismic and drilling locations onshore), existing sites to be re-occupied
or changed, to include extensions to sites, shall be subject to a Health, safety and Environmental Impact
Assessment (HSEIA). The sitting of the temporary camps must be fully investigated to ensure that the
camps do not expand to within 5 km of any industrial site or local singular hazard that creates a grave risk
to human life e.g. Gas pipeline.
Particularly in the case of Seismic or drilling camps, it will be incumbent upon the operator to demonstrate
that an investigation has been carried out and recorded to identify any local hazards, which may affect the
Health & Safety of the workforce during the period of the operation.
The size of the building plot for the sitting of camps must take into consideration the habitable space
provision required for each individual worker. The individual space requirement for each worker regardless
of grade is minimum 4.5 m2 Gross. The number of caravans per hectare (ha) shall be no more than 60.

ADCO- HSED web page

Page: 148 of 258
(e.g., 60 units with four persons/ unit will equal to 240 persons). This excludes the spacing requirement for
the roads and amenities.
When planning a major site the plan shall include roads, utilities and some basic amenities. The
extrapolation of the minimum space requirement computes to the total gross area per worker for the site,
then the minimum standard, is 60 m2 per resident, (this figure was adopted from the small town planning
for the Ruwais area).
E.g. 300-man Camp
- 300x60 m2 = 18000 m2
- 4046.85 m2 = one Acre
- 18000/4046.85 = 4.5 Acres
- Divide by 2.471 to obtain hectares (ha) 4.5/2.47 = 2 ha
4. Community Facilities
In planning for the workers camps, the impact on the local community facilities shall be addressed.
There may be an impact on local services/ supplies within local townships e.g. shops. Providing
alternative services within the local townships or in the camp boundary may relieve the burden on existing
local facilities.
Therefore the planning for sports and entertainment, banking, security, fire services and telecom as well as
supply stores and retail outlets must be included.
5. Leasing or Renting of Existing Camps
Where a Contractor plans to lease/ release or rent an existing worker camp site, or intends to relocate
used cabins from local or external sources to house workers for ADCO employees or other workers
employed by a Contractor to ADCO, it shall be the duty of both parties to ensure that the standard of the
site meets the ADCO requirements in terms of structure, layout, facilities and other HSE elements of
design.
All camps, regardless of the state of ownership or extent of lease period, shall meet these requirements.
In situations where it is impossible to implement some items of the Guideline due to financial, logistical or
other constraints, a grace period to phase-in the requirements may be granted on a case-by-case basis.
This will require thorough and careful deliberation of the dispensation request of concerned entity.
Such dispensation requests should be submitted to ADCO HSED for study and consideration.
6. Layouts for Worker Camp Areas
The presentation of proposed new sites for camps shall include the HSEIA study for the area. It shall
provide a site evaluation summary that includes, but is not limited, to the following:
Overall plot layout (Figure 1)

Road layouts
Structure layout standards
Accessibility for pedestrians
Accessibility for vehicles (services, emergency, etc.)
Transportation both local and municipal

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Page: 149 of 258
Utilities, Water, Electricity etc.

Catering facilities
Waste management & Sewage treatment
Local amenities
Entertainment
Banking
Public telephones
Laundry
Salons
Retail outlets
Restaurants
Fire response
Medical response
7. The Site
7.1 Residential Caravans/Cabins (typical size 10m x 3.5m)
Every caravan or unit shall not be less than 6 meters from any other unit and not less than 3 m from any
carriage way/ road. The distance (separation) between each Caravan and unit may be reduced to 4 m.
This will only be acceptable if the exterior coat of the building meets the British Standard (BS) 476 part 22
(fire resistance to 30 minutes) and no openings, (Windows, split A/C vents) are provided in adjacent facing
of the buildings or light panels in the adjacent roof. If a vision (glazing) panel/s is provided in a separating
or dividing wall or door then it shall not reduce the fire resistance required for the surrounding structure and
shall accord to the appropriate provisions of BS 6262.
Where the firebreak is less than 4 meters, or temporary building(s) are to be arranged in a “back to back”
or “end to end” design then they must be constructed with materials that do not significantly contribute to
the growth of a fire or the propagation of smoke and/or corrosive fumes. They should meet the following
criteria:
Class 1 surface spread of flame performance in BS 476 Part 7 (UAE Civil Defense regulation chapter 1/55
– mode of testing) to internal wall and ceiling surfaces and to external surfaces of walls. External surface
of roof to meet Class AA in BS 476 Part 3; e.g. aluminum-faced fiber insulating board.
Employing this standard will ensure that the materials can be expected to prevent a rapid spread of flame
in the event of a fire. The standard for the roof (tested from inside) will slow down the fire spread and
restrict the flame from jumping from one roof to effect the next or adjacent cabin.
Walls and roof to achieve 30 (thirty) minutes Fire Resistance (integrity and insulation) to BS 476 Parts 20
and 22; roof to be tested from below. In the case of building formed in the ‘back to back” or “end to end”,
configuration then the fire resistance of the compartment walls between units shall be 60 minutes fire
resistance. The specification for the 60-minute separating wall, including details of the materials used in
manufacture, shall form part of the contract details, and be available for Company inspection.
Doors and windows to achieve 30 (thirty) minutes Fire Resistance (integrity) to BS 476 Parts 20 and 22.
Where Temporary Building(s) are vertically stacked, (i.e. 2 storey), the roof/floor assembly, and members
supporting it shall achieve at least 30 (thirty) minutes fire resistance (integrity, insulation and load-bearing
capacity) to BS 476 Parts 20 and 21 and have a fire alarm system to BS 5839: Part 1: 1988.
However, the distance from the caravan/unit to the roadway will not be reduced. The area between the
caravan/unit and the boundary whether it be a road or adjacent camp perimeter must be kept clear at all
times and storage, placing of machinery or other services are not permitted.
It is often necessary to erect temporary accommodation within a building under construction or

refurbishment when space is severely restricted. In such instances, the temporary accommodation shall
meet the fire performance characteristics stated in the section above.

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Temporary accommodation should be erected in locations, which provide ease of access for the Civil
Defense and easy evacuation for personnel. In this respect locating temporary accommodation within
basements or on upper floors, i.e. at a height in excess of 7.5 (seven and a half) meters from site access
level shall be avoided. Where this is not practical, other suitable precautionary measures must be adopted
after consultation with ADCO HSED.
These measures shall be maintained during the course of construction and until a time when the temporary
accommodation can be relocated within the lower floors.
Temporary accommodation located inside a building under construction or refurbishment or inside another
permanent building;
OR
Within six (six) meters of such building(s), shall be fitted with a Fire Detection System.
E.G.
CAMP LAYOUT
3m
6M 3M
Figure 1 4M
FIRE RESISTING COATING
TO BS 476 PART 20 & 21
3m
30 MINUTES RATING
30 MINUTES FIRE
RESISTING BS 476
PART 20 & 21
When considering the separation distance and access, it shall be considered to include the requirement to
enable emergency response vehicles to enter and access all parts of the camp particularly accommodation
but not excluding storage and lay down areas. The typical turning circle of a Civil Defense truck is
approximately 5 meters.
7.2 Roads and footpaths
Roads of suitable material shall be provided so that no caravan/unit or toilet blocks, is more than 45 meters
from a road. Single-track one-way roads should not be less than 5 meters wide or, if they form, part of a
two-way road each lane to be 3 meters wide with a total road width of 6 m. Each unit and toilet block
should be connected to a road by a footpath with a hard non-slip surface. Footpaths should not be less
than 0.75 meter wide.

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E.g.
Unit
45m FOOTPATH
Figure 2
7.3 Hard Standings (base supports for units)
Every caravan/unit shall be positioned on a hard base of a suitable material (concrete) which should
extend over the whole area occupied by the caravan placed upon it or on concrete blocks.
All cabins shall be provided with a fine metal mesh skirt to stop materials and rubbish accumulating under
the units.
8. Fire Safety
8.1 Fire Service Main
A fire service main shall be provided in all camp facilities, new or existing. The option to provide the
minimum standard can be as follows:
A mobile vehicle driven water tanker capacity minimum 13500 L, a centrifugal pump capacity, skid or trailer
mounted, capacity 227 L/min and 250 m supply of delivery hose (10 lengths of 25 m each) 25 mm internal
diameter terminating in a nozzle of internal diameter 19 mm. The nominal discharge of the nozzle shall be
730 L/min. (operation time approximately 18 minutes).
OR
Provide a fire service main. The fire main shall meet the appropriate British Standard or International
Equivalent Standard [IES] e.g. NFPA. The size of the pipe for the main shall be minimum 150 mm
diameter. Camp Management shall inspect and test the system on a monthly schedule. All tests shall be
documented.
8.2 Means of Escape
Ideally, persons should be able to turn their back on a fire and walk away to a place of safety. In the
planning stage for the buildings, consider the following factors:
The nature of the occupants (different nationalities/sleeping)

Number of people attempting to escape
The distance they have to travel to safety
Access to a place of safety

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The caravans, which provide a window that can be opened, as well as a door, are preferred. This provides
a second option in the event of the exit being obscured or restricted by fire or products of fire.
A single exit door, less than 750 mm, for each unit is acceptable where less than five persons occupy the
room as long as the travel distance is no more than 9 m. In all other cases, the minimum door width is 750
mm. In all areas that occupy more than five personnel; (common areas, canteens, cinemas, etc.) the
number of exits shall be sufficient to evacuate the building in 2½ minutes (40 person/ minute through each
750 mm door).
8.3 Fire Fighting Preparedness
Camp Managers and their deputies are responsible to ensure that all personnel receive training in the
following:
Action to take in case of fire

Arrangements for calling the Civil Defense
Means of fighting the fire including chemical & fuel fires
Fire control
Arrangements for identifying the hazards for fire fighting; particularly chemicals (MSDS Awareness)
Training records shall be maintained for all personnel.
8.4 Fire Fighting, Personnel Protective Equipment and First Aid
All sites shall have a First Aid Post. The site shall arrange locally, for dealing with medical emergencies
and “Notices” shall be displayed so that all staff knows what action to take in the event of an incident. The
notice shall include all relevant telephone numbers and be written in all appropriate languages.
In remote operations, it shall be necessary to include the procedure for ‘Medevac’ stating authority and
responsibility for mobilization.
In high-risk areas, (e.g. Flammable gas, H2S) then appropriate gas detection devices respiratory protection
and clothing shall be provided for those personnel expected or designated as a fire fighting team member.
Where personnel are expected to deal with hydrocarbon fires and are remote from immediate medical
response then “Burn Kits” (water gel type) are to be considered. All requirements of the MSDS for
chemical first aid shall be provided.
The PPE and first aid equipment shall be checked on a monthly basis by the camp management and a
record of such checks shall be recorded and kept by the Manager of site.
8.5 Fire Warning System
A means of raising the alarm in the event of fire must be provided. A bell, gong or siren manual or manual
electric is to be provided. The travel distance that any person has to travel to raise an alarm must not
exceed 45 m.
Whether an automatic fire alarm system is provided or manual alternative, the warning device shall be
audible in all locations within the camp area. The warning system shall be tested once per week. A
practice fire drill shall be conducted once in every three months. One of these drills shall be conducted in
during the hours of darkness. A record of such drills shall be maintained by the camp manager and shall
be available at all times for inspection by Company.
8.6 Fire Hydrants

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All sites, new or existing sites, shall be provided with a hydrant system. The water supply must be of
sufficient pressure to provide a 6 m jet of water at the farthest hydrant point from the fire pump. The
system shall meet the water flow requirements and provide the minimum 730 L/min. The requirement is to
install a fire hydrant within 100 meters of every caravan/ unit. The hydrants shall be inspected and tested
monthly. A record of such tests shall be maintained by the camp manager and shall be available at all
times for inspection by Company.
8.7 Fire fighting Appliances (Portable extinguishers)
Each caravan/unit shall be provided with one portable 9 L (13A) stored pressure water extinguisher
(Standard to BS 5423 1987) mounted externally in a cabinet or protective frame, located at the front
entrance to the unit. The carrying handle of the extinguisher should be positioned at 1.2 meter height from
the floor level. The extinguishers shall be red in color and any cabinet or shade provision should also be
red in color. Other types of extinguishers shall be provided for the different risks.
All extinguishers must be provided with a pictorial design (how to use) instruction label. Each unit must be
provided with a maintenance inspection label, which must be of the gum type, (not tied to the extinguisher,
but stuck to the extinguisher). The extinguishers shall be inspected on a monthly basis and all
manufacturers’ requirements for discharge and hydrostatic testing shall be applied.
A record of such tests shall be maintained by the camp manager and shall be available at all times for
inspection by Company.
8.8 Fire Fighting Equipment
At each fire hydrant, an equipment cabinet for fighting hoses and nozzles shall be provided. This is termed
a fire point. At each fire, point there shall be 5 x 25 m lengths of 45 mm delivery hose. A small hand
operated brass/nylon/plastic type control nozzle is to be provided. Hoses shall be housed in a box painted
red and marked ‘Fire Hose’ written in Arabic and English or other appropriate language for the occupants
of the camp. A pictorial sign is to be provided in addition to the written words. The sign must meet BS
5499: Part 1 1990.
All fire equipment shall be inspected and tested on a monthly basis by the camp management. A record of
such tests shall be maintained by the camp manager and shall be available at all times for inspection by
Company.
8.9 Maintenance
All alarm and fire fighting equipment shall be maintained in working order and tested as required in the
sections above. The records of such inspections and tests shall be available for inspection at all times for
8.10 Fire Notices (to BS 5499 and 5378 – Pictorial design)
A clearly written and conspicuous notice shall be provided and maintained at each fire point to indicate the
action to be taken in the event of fire and the location of the nearest telephone. This notice, on discovery
of fire shall include:
Ensure the caravan/unit or site building involved is evacuated

Raise the alarm
Call the site office or Civil Defense
Attack the fire using the fire equipment provided when it is safe to do so.

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It is expected that all residents and workers, as well as visitors to the site, will be familiar with the above
routine and the method of operating the fire alarm and fire fighting equipment.
9. Liquefied Petroleum Gas
In all camps, new or existing, Liquefied Petroleum Gas (LPG) cylinders shall be stored outside under a
shaded canopy. Where existing camps have cylinders located in an internal store, bottom and top
ventilation is to be provided.
Where there is an existing internal store, the cylinder store shall be accessible direct from the outside
without traveling through an internal room. It is essential that the internal wall (adjoining the remainder of
the building) of the store is fire resistant to not less than 30 minutes standard (BS 467).
Ventilation of the storage area shall be provided at high and low level. Ventilation shall be directly to the
outside and each vent opening shall provide not less than 1/100 of the floor area of the storage area or 30
cm2 of a sidewall which ever is the greater. A notice or the symbol for a gas container locker should be
permanently fixed to the outside of the store indicating the presence of gas cylinders (Sign to BS 5378).
The storage of full and empty cylinders is to be separate.
10. Gas Installations
Pipe work shall be in copper or steel tube with compatible fittings. For detailed advice consider BS 5482
Part 2 1977 – Domestic Butane and propane. No pipeline within the building must exceed 50 mbar
pressure (This standard in general requires that no flexible hose is put through walls, and that the flexible
hose to the cooker is restricted in length).
Where flexible tubing is necessary it shall comply with BS 3212. The gas connection from supply to the
unit e.g. cooker; the length of the flexible hose must not exceed 1 meter. It is also recommended to use
steel armored type hose to reduce the risk of mechanical damage. In addition to the main control valve at
the cylinder, each appliance and gas burner fitting must be provided with a shut-off tap. A shut off valve
must be provided at the point of entry of the gas pipe into the building.
Gas installations shall be inspected on a monthly basis paying particular attention to cylinder storage and
flexible hoses. The camp manager shall keep records of these inspections and available at all times for
11. Fuel storage
All fuel storage containers or vessels shall be remote from residential areas. Tanks at risk from lightning
strike shall be suitably protected. Warning signs relative to the risk are to be provided.
Portable cans used for the storage of petroleum products shall be kept in a suitable location remote from
other flammable liquids, gases or solids.
The delivery valves of tanks shall be in good working order and leaks should not be tolerated. A metal drip
tray is to be provided underneath the filling points.
Where a fuel tank is part of an indirect supply system (e.g. to a generator), there should be a means of
isolating the fuel from the system. The valve must be clearly marked and indicated.
Where tank supplies fuels to an indoor facility then a fire break wall 60 minutes is to be provided between
the tank and the room.

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12. Telephones / RADIO
A direct line telephone shall be available at all times for calling the emergency services. This facility must
be centrally located, conspicuous and all personnel on site are to be notified of the facility. An information
sheet (in all appropriate languages) with all emergency contact numbers is to be positioned at each phone
location.
Where radios are utilized then the control room for the relevant operation is to be manned 24 hours at all,
times when the site is occupied.
13. Electrical Installations
New caravans are generally factory assembled; others may be refurbished locally. It is important that the
electrical standards incorporated in the design or installed locally meet the expected demands of the site.
In order to ensure that the equipment is maintained in a safe condition, the camp manager shall ensure
that all electrical equipment is examined regularly by a competent person. This shall include provision and
testing fuses, residual current devices, earth leakage circuit breakers or similar devices used to connect
equipment to the electrical installation to buildings on the site.
All electrical work must be installed and maintained in accordance with Institute of Electrical Engineers
(IEE) wiring regulations particularly in relation to the laying of subsurface cables.
The electrical installation shall be inspected at not less than once in every six months and at any other time
where changes are made to the building layout or a lease changes ownership.
A qualified electrician shall within one month of the bi-annual inspection issue an inspection report. This
report shall be retained by the site operator and displayed with the site license. The site operator will meet
the cost of the inspection.
14. General Fire hazards
The following items are to be addressed within a formal Safety program and a record of camp inspections
must be available at all times for inspection by Company.
Cooking is not permitted in private rooms. The catering facilities are to be used. The area underneath the
cabins shall not be used for storage.
Flammable materials shall be stored separately in an appropriate metal container and must be clearly
labeled. Where flue/exhaust pipes run through the structure of the cabins e.g. laundry, kitchen, the pipe
work shall be adequately insulated.
Carelessly drying clothes cause fires. Coat stands and drying racks shall be firmly positioned at a safe
distance from heaters, which should be thermostatically controlled and have enclosed elements.
All heaters and cooking appliances must be installed, and ventilation provided, to manufacturer
recommendations. Electrical or gas cookers are to be provided.
The use of large portable type gas rings used for cooking are not permitted unless they are fixed to a wall
or floor and at the appropriate height for cooking.
Temporary Building(s) should not contain more than the minimum of furniture and fittings made from
synthetic materials.

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15. Fire Prevention on Construction of Camp Sites
The Checklist below can be used to accumulate a record of the fire precaution history at a particular new
site or existing site undergoing refurbishment. The CHECKLIST takes the form of a series of questions, all
representing requirements of this standard, all of which demand a positive response if the works being
surveyed are to comply with the standard.
15.1 Purpose of the Check List
A Site Fire Safety Coordinator from the camp operator shall be nominated and asked to find out whether or
not fire precautions on a site are comprehensive and adequate in relation to the requirements of this
Guideline.
The format of this CHECKLIST has been designed to comply with two principal requirements:
The CHECKLIST is site specific and in the course of time, it will present the complete fire precautions
history of a site or building
The CHECKLIST works on a tick-box principle for a satisfactory response to a question, but contains
plenty of adjacent space for the person carrying out the survey, whether insurer or site executive, to make
notes about findings made in the course of the survey. This is particularly important when checking
precautions and working practices in the course of subsequent site re-inspection.
15.2 Availability of the ADNOC Guidelines

It is most likely that the surveyor will be thoroughly familiar with the ADNOC Guide. It is recommended that
every Site Fire Safety Coordinator must become equally familiar with its provisions.
15.3 Re-inspection (by Company)
The date for a re-inspection may depend on the purpose of the re-inspection. It may be a scheduled re-
visit to a site where fire precautions are comprehensive and properly applied. It may be that the surveyor
makes an early return to re-inspect a problem area. Alternatively, it could be that certain works have been
carried out to a stage where the site is changing and a reassessment is required.
Whatever the reason, any inspection shall ensure that features, which were satisfactory on the previous
visit, are still satisfactory. The Fire Safety Coordinator shall similarly carry out a process of continuous
quarterly inspections of the Site Fire Safety Plan.
16. Check list
16.1 Site Details
Address/description
Name/addresses/Tel. Nos. of Contractor – Site manager, Site Fire Safety Coordinator
Design Phase fire safety Coordinator (for new sites)
If there are any special or unique design features, unusual materials or uncommon construction methods
then it is suggested that they be described on a separate sheet and filed in the CHECKLIST at this point.
16.2 Design Phase
For new buildings and Relocations Tick (9) box for Yes

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Has a Coordinator been appointed for the Design Phase?
Does the Coordinator understand the full scope of his responsibilities?
Construction Phase
Has the Main Contractor appointed a Site Fire Safety Coordinator?
16.4 The Fire Safety Coordinator
(Operator of the camp or camps) - Has the Fire Safety Coordinator:
Formulated a fire safety plan?
Ensured that staff is familiar with the plan and understand it?
Monitored compliance with the fire safety plan?
Established a regime of checks and inspections of fire protection

equipment and escape routes?
Established effective liaison with security Contractors or staff?
Written records of checks, inspectors, maintenance work, fire patrols and fire drills?
Carried out a fire drill and analyzed the results?
Checked the arrangements and procedures for calling the fire Brigade?
16.5 Large Sites (in excess of 200 Persons)
On large sites, has the Fire Safety Coordinator:
Appointed fire marshals, deputies/Auxiliary fire teams as appropriate and trained them
and delegated responsibilities to them?
Provided site plans for the emergency services detailing the escape routes, fire protection
equipment and facilities for the Civil Defense?
16.6 Fire Safety Plan
Does the fire safety plan detail?

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The organization and responsibility for fire safety?
The site precautions?
The means for raising the alarm in case of fire?
The procedure for calling the fire brigade?
The means of escape in case of fire?
The hot work permit scheme? (if appropriate)
The site accommodation, its use, location, construction and maintenance?
The points of access and sources of water for the fire brigade?
The control of waste materials?
The security measures to minimize the risk of arson?
The staff-training program?
16.7 Emergency Procedures Tick box (9) for Yes
Is the means of warning of fire known to all staff?
Is it checked routinely and can it be heard in all areas above background noise?
Are fire instruction notices prominently displayed?

Is there a method of counting the evacuees?
Is the Civil Defense access routes clear at all times?
Have specified personnel been briefed to unlock barriers when the alarm sounds? (If
appropriate)
Have signs been installed indicating fire escape routes and the positions of fire protection
equipment?
16.8 Fire Protection
Have measures been taken to ensure the early installation and operation of?
Escape stairs (including compartment walls)?
Lightning conductors?
Automatic fire alarms?

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Automatic sprinkler systems?
Hose reels?
Are fire dampers and fire stopping provided at the earliest opportunity?
Is steelwork protected as soon as possible?
Are adequate water supplies available for fire fighting purposes?
Are all hydrants clear of obstruction?
Portable Fire Extinguishers
Are adequate numbers of suitable extinguishers provided?
Are sufficient personnel trained in their use?
Are extinguishers located in conspicuous positions near exits?
Are carbon dioxide extinguishers in place adjacent to electrical equipment?
Does all mechanically propelled site plant carry suitable extinguishers?
Have procedures been implemented for the regular inspection and maintenance of
extinguishers?
Site Security against Arson (optional)
Does site screening protect adequate areas of the site, including all storage areas?
Is security lighting installed?
If CCTV is in position; are the screens monitored and/or recorded?
Is the site checked for hazards at the end of each work period, particularly where hot work
has been in progress?
Temporary Buildings
Has the Contractor made application for a license to operate?
Is the firebreak between the temporary buildings satisfactory?
If the fire break is less than 6 meters

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Is the temporary building constructed with materials, which will not significantly contribute
to the growth of a fire?
Is the building fitted with an automatic fire detection system?
If the temporary building is within the building under reconstruction or refurbishment:
Is it constructed to comply with BS or otherwise made of materials, which will not

significantly contribute, to the growth of a fire?
Is escape for personnel sufficiently easy?
Do buildings/rooms contain the minimum of synthetic material?
Is access for the Civil Defense readily available?
Is the building fitted with an automatic fire detection system?

If the floor of the temporary building is raised above ground level, is the space beneath
enclosed with non-combustible material?
If separate buildings contain heaters for drying clothes, are the heaters thermostatically
controlled (with enclosed elements) and are drying racks fixed firmly at a safe distance?
Are all heaters and cookers properly installed and is adequate ventilation provided?
Are automatic fire and intruder alarms installed in temporary buildings used for the
storage of flammable liquids and gases?
Do temporary buildings contain the minimum of furniture and fittings made from synthetic
materials?
In areas of fire hazard, does a no smoking policy prevail and are there adequate 'No
Smoking' signs in place?

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16.12 Site Storage of Flammable Liquids and LPG
Are Containers of Flammable Liquids and LPG Stored in Purpose-Designed?
Compounds?
If flammable liquids are not stored in compounds, is the quantity less than 50 liters (or half
a day's supply, whichever is less) and is it kept in a fire resistant cupboard or bin?
Is the storage area at least 10 meter from temporary and permanent buildings?
If not, are the recommended precautions taken?
Are cylinders of oxygen and chlorine and containers of similar agents kept separately from
flammable liquids and LPG?
Are the stores properly signed?
Does the store have a paved or compacted base, and is it clear of weeds and rubbish?
Are all electrical fittings of intrinsically safe design?
Is automatic gas detection equipment installed?

Are suitable fire extinguishers provided at the entrances?
16.13 Electricity and Gas Supplies
Do electrical installations conform to ADNOC, U.A.E. other or

International Standard?
Does a competent electrician undertake all electrical work?
Are all installations inspected and tested regularly?
Are all circuits, other than those controlling security devices and security lights, turned off
when work ceases?
Are all gas supplies installed by a registered gas fitter?
Are all gas supplies in fixed piping or armored flexible tubing?
Where gas cylinders are used, are they located outside buildings, secured and protected
from interference?
Are flexible links used for LPG supplies only connected by a competent person?

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16.14 Hot Work Permit
(As appropriate, existing sites have workshop areas)
Is a permit to work system in operation?
Does that system include an adequately maintained register?
Is the area involved cleared of combustible materials before work commences, and is the
opposite sides of walls or partitions also inspected?
Is a careful watch maintained while hot work is in progress, with suitable extinguishers of
appropriate type at hand?
Is wooden flooring and other combustible material, which is not movable, covered before
work commences?
Is the work area screened when welding or grinding is undertaken?
Are gas cylinders secured vertically, and are they fitted with flashback arrestors?
Are tar boilers supervised by experienced operatives, and only taken on to roofs in
exceptional circumstances?
Is the work area thoroughly examined an hour after work has finished?
Waste Materials
Are provisions made for the safe storage and removal of waste materials?
Is there adequate provision for the handling of sewage and water discharge from the
site?
Are checks carried out routinely to ensure that waste materials are not accumulating on
the site?
Are metal bins, with metal lids provided for oily rags?
Is collected waste, awaiting disposal, kept away from temporary buildings, stores and
equipment?
Is all dry vegetation removed regularly from around the site?

Is there an absolute prohibition on burning rubbish on site?

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Plant
Is all plant with internal combustion engines positioned in well- ventilated, non-
combustible enclosures with the exhaust pipes clear of combustible materials?
Are compressors housed away from other plant?
Do notices and staff training make it clear that fuel tanks must not be refilled while
engines are running?
Is plant and equipment protected from accidental impact?
Are air intakes positioned so that air is cool and free from flammable gases and vapors?
Are sand trays provided to absorb drips of fuel and lubricant?
17. Local Conditions/Hazards
It is advisable to attempt a survey of local conditions and hazards, which might have an influence, however
remote, upon the fire safety of the site. The following list gives a few obvious examples, but local
experience should permit a more exhaustive survey:
Is there a history of break-ins in the area?

What is the character of the locality? (Extremely remote and access is difficult e.g. seismic)
Does site security generally inspire confidence?
Do adjacent properties constitute fire hazards, for whatever reasons?
Have all the hazards of nature been communicated to the workforce, Plants, Animals (snake), Heat, and
has appropriate education on personal health and in turn protection of endangered species been
considered.

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Appendix J Date: Nov 2009

Contractor Camp Survey Form
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Appendix J – Contractor Camp Survey Form

Public Health Survey for ADCO Contractors facilities
Please considering the following points prior to filling the underneath questionnaire:
Contractors Senior Manager – i.e. ADCO Counter Part

Contractor with more than one camp in different ADCO fields shall fill the questionnaire for each camp,
separately.
Attach to the questionnaire: the lay-out of the camp showing different compartments, areas and facilities.
Include a detailed scaled lay-out of the kitchen, food storage & dinning facilities.
General:
Camp Address:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Contact # of the Camp Supervisor:
Tel: ________________________
Mobile: ________________________
Fax: ________________________
E-mail: ________________________
3. How many residents are in the camp? (The maximum number of employees present at any one
time on a regular shift.)
___________________________________________________________________
Are you sponsoring all the employees residing in the Camp? YES NO
If no, who are their sponsors, and how many employees?
Category of Employees
Sponsor Number
(Senior, Junior or Other)
1 Camp Owner
2
3
4
5
6
7
Total
What is the camp surface area (m2)? _________________

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What type of service(s) you provide to ADCO?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Contract Period / duration of your contract with ADCO:
R Less than 1 year R 1-2 year R 2-3 years R 3-4 years

R 4-5 years R more than 5 years
When will the contract expire? After:
R Less than 1 year R 1-2 year R 2-3 years R 3-4 years

R 4-5 years R more than 5 years
Do you currently have contract(s) with other companies or bodies (e. g.: ADGAS, ATHEER, Municipality,
etc.) R Yes R No
If yes:
Who is the current company (s) you provide service? What type of service do you provide them? When
does the contract (s) end?
Company Services Provided End of Contract

_____________________________ ___________________ _____________
_____________________________ ___________________ _____________
_____________________________ ___________________ _____________
Water Supply
What is your water supply source? (Tick as appropriate)
R Municipality Water via Tanks R Municipality Water via pipelines

R ADCO R Private well R ADNOC
R Other: ____________________
What is the average daily water consumption per resident (in liter/ residence)?
R Less than 50 R 50- 100 R 100-150

R 150-200 R 200-250 R more than 250
What is the total drinking water tanks capacity (in cubic meters)? _________
What is the quality of water used for drinking?
R Unknown R Potable approved well water

R Municipality water
What is your routine inspection or cleaning for the reservoir tanks?
R No check until present R unscheduled cleaning/ inspection

R Every 6 months R once a year

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Is there any routine sampling for water analysis conducted? YES NO
If yes, is it every:
R Month R two months R annually

R Other ________________________
What are the tests? (Tick as appropriate)
R Chlorine level R Nitrate R Nitrite R TDS

R Coliforms
Salaries & Working Hours:
What is the minimum salary of your staff (without over time): _________ AED
Do you have employees on daily rate payment? How many? ________

What is their daily rate? ______________ AED
Do you confiscate laborers’ passports? Yes No
If yes, where do you keep the passports? _________________________________
How/ when do you release passports? ___________________________________
Do you pay for the overtime? Yes No
What are the maximum working hours per day: _____, per week _______, per month ________?
When was the last time you have paid the workers’ salaries? ___________. The salary is given on _____
day of the month.
Do you provide annual airfare round trip tickets: YES NO
Welfare, Accommodation & Other facilities:
What type of accommodations do you provide for your employees?
R Caravan R Blocks R Mason

R Other: ___________________________________
How many types of rooms do you have? If you categorize them, please give details (e.g. senior rooms,
juniors, labors, etc.)?
Seniors ________________________________________________________
Junior’s ________________________________________________________
Laborers ________________________________________________________
What are the dimensions of the room? How many employees does it accommodate?
Dimensions (m x m) How many/ room?

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Seniors __________________ _____________

Juniors’ __________________ _____________
Laborers __________________ _____________
What are the minimum facilities or installations provided to the rooms?
Individual
Fridge Bed Water/ Source Bathroom
cupboard
Senior
_________ _________ _________ ___________ _________
Junior
_________ _________ _________ ___________ _________
Laborers
_________ _________ _________ ___________ _________
What services do you provide for laundry without cost? How many machines?
R Washing machine _____________ R drying machine ___________

R Dry cleaning machines ________ R other: __________________
What other Public Facilities are provided for the residence?
R Bathrooms (number of toilets): _______ serving _________ employees.
R Showers (number of showers): _______ serving _________ employees.
R TV lounge (number of TVs): ___________ serving _________ employees.
R Gym (List types of equipment): ________________________________________

Outdoor playing yard (please describe): _______________________________
_____________________________________________________________________________________
_________________________________________________
R Other: ________________________________________________________
Catering facilities:
Who is supervising the catering services at this location?
Medic HSE Officer Rig Manager

Other __________________________
How frequently are inspections taking place?
Daily Weekly Monthly

other, explain ________________________________________________________
Is a camp inspection report issued per inspection?
Yes No Partially, explain ______________________________
Do the food handlers (FH) possess a Ministry of Health clearance certificate (FH certificate)?

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Page: 168 of 258
Are the food handlers vaccinated against Hepatitis B (all three shots)?
How many workers are dedicated for catering?
Total: ____ Cook/chef ____ Waiter ___ Assistants ___ Others _____
Are all kitchens provided with hand washing stations?
Yes Only Senior Only Junior None are provided
How many of the food handlers have attended Food Safety training? _______
When was the last training conducted ________ and by whom ___________________?
Date Company
Do you have catering procedures in relation to: (tick all that apply)
Personal Hygiene Hand Washing Receiving Food

Cooking Meat & Meat Products Sanitizing fresh, ready to eat items
Handling Leftovers Food Storage Cutting Board Color Coding
Cutting Board Sanitization Other: ________________________________
What inspection programs are followed in the camp?(brief description of each program):
_____________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________
What types/ number of kitchen appliances do you provide?
Chest Fridges ____ Fridges ____ Walk-in Fridges ____

Walk-in Freezers ____ Cookers ____ Bain Maries ____
Microwaves ____ Others: _____________________________________
Smoking:
What is the camp smoking policy? ___________________________________
___________________________________________________________________
Are there written rules & regulations related to the field smoking policy? (If yes, please attach a copy):
YES NO
Pest Control:
Do you have a pest control program? R Yes R No
If yes who is conducting it? R Self service
R By Contractor (name of the Contractor): ______________________________
What is the pesticide’s name? ________________________________________

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Page: 169 of 258
Do you have a MSDS for the pesticide? R Yes (please attach a copy)
R No
What are the in-house facilities available for pest control?
R Fogging machines R spray machines R gel gun

R Spray cans R others: __________________________________
What is the program frequency followed for pest control?
R Once per week R every other week R once per month

R Once in 6 months R once per year
What is the area covered by the pest control program?
R Whole camp (indoor/ outdoor) R indoors only

R Outdoors only R other: ________________________
Waste Water treatment:
Do you have a STP at the camp? YES NO
If yes, what is the treatment method used?
Chemical Biological Mechanical

Other: _______________________________________________________________
What is the volume of the STP effluent, in M3? ____________
What is done with the STP effluent?
Used for irrigation Land farmed Hauled off for disposal
Solid waste disposal:
What is the average volume of solid waste generated per month by the camp? _____ M3
Do you segregate the contents of the solid waste? Yes No
If yes, how? (tick all that apply)
Food Paper Workshop waste Glass

Cans Plastic Other: ________________________________
Where and how do you dispose of the solid waste?

_____________________________________________________________________________________
_____________________________________________________________
What is the frequency of solid waste disposal?
Daily Weekly Other: ________________________________
First Aid Facilities, Medical Services & Emergencies:
Do you provide medical care services? Yes No
If yes, who is your care provider (medical Contractor): ______________________________?

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Page: 170 of 258
_________________________________________________________________________
Do you provide medical insurance? YES NO

How many first aid kits do you have at the camp? _______
Where are they located? (Mark FS on the Camp’s plot plan)

Other than medics, how many trained first aid providers are at the camp? ____________
Do you have an Automatic External Defibrillator (AED) in the clinic? YES NO
Is there a Resident medic in the camp? Yes No

Do you have a written emergency response plan? Yes No
In case of an emergency, do employees at the camp have access to a Public Phone? YES NO
Infectious disease control:
Do you have an immunization program for the employees? Yes No
If yes, what type of immunizations? Hepatitis A Hepatitis B

Other _________________________________
- What are the target groups for the immunizations? ______________________________
Chemical Safety & Miscellaneous:
Please provide a list of all the chemicals used on the camp and in the WS.
What is the source of Power Generation? ____________________________________
What is the maximum capacity of the generators? ______________________________
How much is the daily consumption of Fuel ( _______ Gallon)
What type of fuel is used? ____________________________________
Do you have an Accident/ Incident Reporting procedures? If yes, please attach a copy.
Name: ___________________________________________________________
Title: _____________________________________________________________
Signature: __________________________________________________________
Date: _______________________________

ADCO- HSED web page
Appendix K Date: Nov 2009

List of Documents for Contractor Camp Page: 171 of 258
Appendix K – List of Documents for Contractor Camp
NOTE: It is the Contractor Management's responsibility to maintain the documents. During any audit and/ or
inspection, Contractor will be required to produce all or part of these documents. For Contractors with multiple
Camps, it is the Contractors' responsibility to maintain a copy of the documents at each Camp. Non-availability of
documents during the audit/ inspection will constitute as a discrepancy.
DOCUMENTS Y/ N COMMENTS
General
Contractor Survey Checklist-updated
Civil Defense certificate for Fire Protection System and/ or Diesel Fuel Storage
area
Permit for well-water installation (groundwater supply)
Permit for waste transportation
List of Camp Residents with Room numbers
Camp Layout sketch (Lay-out for the Field Facilities location showing
Accommodation & other major structures, Sewage Treatment Plant, Location of
Fire Extinguishers, Location of hose reels or fire hydrants, Evacuation Routes
with Assembly Points, Pull Stations or Call-Points, Diesel Storage area, Fire
Water Pumps, etc.)
Task-Activity Checklist for tasks related to the Camp
Health, Safety & Environmental Manual for the Camp-based on Task-Activity

Checklist
Training Matrix for all employees residing in the Camp {It should match with
Task-Activity Checklist}
Last three HSE audit reports with an updated Action Plan
Current year HSE Plan-updated
Last three (3) Internal Daily, Weekly, Monthly, Quarterly or Annual inspection
records related to Overall Camp, Catering, Amenities, Laundry, Fire protection
system, Fire Extinguishers; Evacuation Drills, etc.
Material Safety Data Sheets for all chemicals used in the Camp, including STP,
Workshop & Kitchen
A/C Filter Cleaning Schedule
Training certificates {HSE induction, First Aid, Fire Fighting, Fire Warden, ADSD,
H2S, Waste Handling and any other HSE training provided at the Camp}

ADCO- HSED web page
Appendix K Date: Nov 2009

List of Documents for Contractor Camp Page: 172 of 258
Drinking Water & Waste Water
The last three STP performance reports (effluent records)
Water chlorination monitoring test results
Kitchen & Food Safety
Food Safety Training Certificates of Food Handlers
Vaccination cards of FH
Last two semi-annual medical checkup for all Food Handlers
Temperature log book for the fridges, freezers, delivery vehicles, etc.
Waste-General, Food, Hazardous & Medical
Waste disposal records for last two years, including Medical Waste (Ensure that
FINAL DESTINATION is included in the records.
Workshop & Other Areas
Noise survey records to include Diesel Generator area, nearest accommodation

and fence line
Lifting equipment / tackles third party certification that are used and/ or stored at
the Camp
Contractual Terms & Conditions
Salary payment sheets for the last two months
Leave settlement/ payment document for employees and proof of Airline tickets,
if required by the contract
Severance pay details of resigned/ terminated employees and proof of one-way

airline ticket
Employees Health Insurance Policy

Workmen's compensation policy
Signed employment labor contract of employees

ADCO- HSED web page
Appendix L - Medical fitness assessment standards Date: Nov 2009
Section I - General
Page: 173 of 258
Appendix L- Medical fitness Assessment standards

I. General
Policy
ADCO’s policy is to ensure that all personnel working in any of its locations in Abu Dhabi Town,
Fields or the Jebel Dhanna Terminal (collectively referred to herein as “Work Locations”) shall be
medically fit to work and are not suffering from any health problem which could affect their
performance at work or during an emergency or could put any person or property at risk. Such
personnel shall meet ADCO’s Medical Fitness Assessment Standards, hereinafter referred to as
“Medical Standards”
Personnel who are already subject to mandatory medical examination requirements (e.g. those
professions under 1.4.5 below) shall also satisfy these Medical Standards. Due to the nature of
their employment, other groups of personnel in Work Locations may be subject to additional
medical requirements.
These Medical Standards are meant to help evaluate the fitness of individuals employed
particularly in remote Work Locations, which are isolated from sophisticated medical facilities.
CONTRACTOR and his sub-Contractors shall be responsible for the procurement and cost of the
medical examinations and certification.
Personnel required to comply with the Medical Standards shall be classified as follows according
to the duration and frequency of their visits to the Work Locations:-
Category “A”-:
Those whose usual place of work is in any of the Field areas or the Jebel Dhanna Terminal.
Category “B”:
Those whose usual place of work is in Abu Dhabi Town, but who, in the course of their duty are
expected to make frequent trips to the Fields/Terminal locations and their total stay may exceed
45 days/night in a calendar year.
Category “C”:
expected to make less frequent trips to the Fields/Terminal locations and their total stay shall not
exceed 45 days/night in a calendar year.
If any single visit exceeds 14 days /nights consecutively, the employee shall be treated under
category B stated above.
Category “D”:
expected to make occasional trips to the Fields/Terminal location and their total stay shall not
exceed 14 days/nights in a calendar year and who would usually be accompanied, when outside
the accommodation, by a person from Category “A” or Category “B”
If any single visit exceeds 2 days /nights consecutively, the employee shall be treated under
category C stated above.
The following professionals shall be treated as category “A” regardless of the period they
spend in any of the fields or terminal:

ADCO- HSED web page

Section I - General
Page: 174 of 258
Divers
Drivers
Fire fighters
Seafarers
Process plant Operators
Service Engineer
Supervisor
Labor
Rigger
Banks man
Foreman
Technicians
Machine operators
Crane operators
Forklift operators
Food handlers
Workers working at height
Workers require respiratory apparatus.
Considering the nature of the Work Location and job duties involved, the examining physician will
determine the suitability of an individual’s physical and mental state of health for work in such a
location. The object of this assessment is to anticipate and, where possible, prevent the
occurrence of ill health or deterioration of condition that could put such person or other persons
or property at risk.

ADCO- HSED web page

Section I - General
Page: 175 of 258
Medical Examinations
The following examinations/tests shall be carried out on each employee before mobilization to any work
location or as per the frequency under part 5.1 of this appendix:-
Pre employment
36
Category A Category B Category C Category D
Age group Age group Age group Age group
<4 40- 51- 40- 51- 40- 51- 40- 51-
0 50 55 >55 <40 50 55 >55 <40 50 55 >55 <40 50 55 >55
Physical Examination
Cardio-vascular. e.g. 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Pulse, BP, resting ECG.
Respiratory. Respiratory 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt

rate, Air Entry, etc.
Alimentary 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Genito-Urinary 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
INTG e.g. Skin & hair 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Musculo-Skeletal 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Central nervous 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Ears 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Eyes e. g. Visual Acuity, 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt

Color vision; Night
Obesity. g. BMI 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Diagnostic Lab
Spirometry e. g. VC, 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
F.E.V.
Urine test e.g. Urinalysis, 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt

C/S
Audiometry 9 9 9 9 9 9 9 9 9 9 9 9 opt opt opt opt
Blood Test
Blood Grouping 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
Hepatitis profile 9 9 9 9 9 9 9 9 9 9 9 9 No No No No
Lipid Profile 9 9 9 9 9 9 9 9 No No No No No No No No
Stress ECG No 9 9 9 No 9 9 9 No 9 9 9 No No No opt
N.B any personnel who enters UAE under mission visa and has no resident permit shall have the following tests
conducted by an ADCO approved clinic / hospital:
o Blood grouping
o HIV
o Hepatitis B/C
o X-ray
36
Medical examination for this category shall at meet the UAE Government (M.O.H / HAAD / Labor Law) requirements
as a minimum

ADCO- HSED web page

Section I - General
Page: 176 of 258
Periodical Checks
37
Category A Category B Category C Category D
Freq per Age group Freq per Age group Freq per Age group Freq per Age group
40- 51- 40- 51- 40- 51- 40- 51- >5
<40 >55 <40 >55 <40 >55 <40
50 55 50 55 50 55 50 55 5
Physical Examination
Cardio-vascular.
3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
e.g.Pulse, BP, resting ECG.
Respiratory. Respiratory 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt

rate, Air Entry, etc.
Alimentary 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
Genito-Urinary 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
INTG e.g. Skin & hair 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
Musculo-Skeletal 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
Central nervous 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
Ears e. g. Audiogram 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
Eyes e. g. Visual Acuity, 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt

Color vision
Obesity e. g. BMI 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
Diagnostic Lab
Spirometry e. g. VC, 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
F.E.V.
Urine test e.g. 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt

Urinalysis, C/S
Audiometry 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y opt opt opt opt
Blood Test
Blood Grouping No No No No No No No No No No No No No No No No
Hepatitis Profile 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y 3Y 2Y 1Y 1Y
Lipid Profile Opt Opt Opt 1Y Opt Opt Opt 1Y No No No No No No No No
Stress ECG No 2Y 1Y 6M No 2Y 1Y 6M No 2Y 1Y 6M No No No opt
Costs of all examinations, tests and certification shall be borne by and to the account of CONTRACTOR.
Medical Certificates
For each of its personnel be deployed to one of the Work Locations, CONTRACTOR shall provide:
A valid Medical Fitness Certificate (MFC) issued by an approved clinic/hospital indicating that the person
concerned has undergone, within the time frame stated in the Medical Standards, a full medical
examination and other prescribed tests and is certified as medically fit to work in the environment of the
Work Location in which he will be staying. The medical examinations and subsequent issuance of the
MFC should be carried out in accordance with the terms of these Medical Standards.
A valid health card issued by the UAE Ministry of Health or other competent authority.
37
Medical examination for this category shall at meet the UAE Government (M.O.H / HAAD / Labor Law) requirements
as a minimum

ADCO- HSED web page

Section I - General
Page: 177 of 258
A stamped, signed and valid certificate of immunization (Optional, but mandatory for catering Contractors
in line with Ministry of Health guidelines).
A recent certificate of dental fitness (if requested by ADCO).
CONTRACTOR shall ensure at all times that, a current valid MFC is maintained for each of its personnel
working at or visiting any of ADCO’s Work Locations.
All documents referred to herein shall be made available for inspection and verification by ADCO prior to
mobilization of CONTRACTOR’s personnel to a Work Location. ADCO reserves the right to inspect such
documents at any time to ensure the continued compliance with the requirements stated herein.
Notwithstanding the above, ADCO reserves the right at all times, through its own medical officers, to
decide the medical fitness of any CONTRACTOR’s employee who is to work at or visit any of the Work
Locations.
Following his evacuation from any work location for medical reasons, a CONTRACTOR’s employee shall
not return to work until he is medically rechecked and a new MFC is issued as stipulated herein.
Approved Clinics/Hospitals
Any of the following approved clinics, hospitals and medical centers shall be used by CONTRACTOR to
carry out the medical fitness examination and other required tests and to issue MFCs:-
New Medical Centre

Al Noor Hospital
Al Ahlia Hospital
Other clinics/hospitals prescribed by ADCO from time to time.
a) National Hospital, Abu Dhabi
b) Gulf Diagnostic Centre (GDC), Abu Dhabi
Frequency of Examination
All personnel in Category “A” shall be examined prior to mobilization to a Work location and thereafter at
the following intervals with his MFC continuously re-validated:-
Under 40 years of age - every 3 years
Between 40-50 years of age - every 2 years
Between 51-55 years of age - annually
Over 55 years of age (high risk) - every 6 months
Drivers:
Every year for employees of age 55 years or below.
Every 6 months for age above 55 years
The medical checkup frequency can be altered by the physician based on the health condition of the
individual
N.B drivers lie under a special category according to ADNOC COP. This is elaborated in Appendix O
sections 14 and 23.
The assessing physician may recommend increasing the frequency of periodic assessments if deemed
clinically necessary, such as for those persons with chronic, but not disqualifying conditions. In some
circumstances specific vocational testing may be required, e.g. visual acuity, auditory acuity… etc as may
be prescribed by the physician.
CONTRACTOR shall, at ADCO’s request, re-validate the MFCs of employees upon renewal or extension
of the Contract regardless of the validity of MFCs issued prior to such renewal or extension.
If the injury or illness of an employee necessitates giving him time off from work, he shall be re-examined
and certified fit before he can resume duty.
Where an employee has been evacuated from a Work location for medical reasons, he shall be fully
examined by one of the approved clinics/hospitals and an up-to-date MFC issued prior to his return to duty.

ADCO- HSED web page

Section I - General
Page: 178 of 258
Procedures
In view of the importance of the medical assessment, the following procedures shall be adhered
to:-
A comprehensive clinical history of the employee shall be recorded. ADCO’s standard health surveillance
questionnaire must be completed and signed by the examinee (employee / new recruit or potential recruit).
The assessing physician shall discuss all positive answers in the questionnaire with the examinee and the
results recorded. In all cases where information available from the history/examination is insufficient to
make an assessment, the assessing physician shall request further relevant medical information from the
employee’s personal physician.
Permanent Light Work Recommendation

There is no permanent “light work” in any Fields / Terminal and the employee must be capable of
performing all tasks related to his job. In an emergency situation, he must be physically and mentally
capable of performing satisfactorily without putting himself, other persons or property at risk.

ADCO- HSED web page
Appendix L Medical Fitness Assessment Standards Date: Nov 2009

Section II Medical questionnaire
Page: 179 of 258
II. Medical Questionnaire

ADCO- HSED web page

Section II Medical questionnaire
Page: 180 of 258

ADCO- HSED web page

Section III Consent for Release of Medical Report
Page: 181 of 258
III. Consent for Release of Medical Report

Name: DOB:
Address:
I give permission for my doctor or Specialist to report on my medical history to the

Occupational Health / Medical Team of Abu Dhabi company for Onshore Oil Operations
(ADCO) or RAMS Clinics.
I understand that the report will remain confidential to the health care practitioners but
that the information will be used to advise my employer about my fitness to work only.
Signed: Date:

ADCO- HSED web page
Appendix L Medical Fitness Assessment Date: Nov 2009

Standards
Section IV - Medical Report (Examination)
Page: 182 of 258
IV. Medical Report (Examination)

ADCO- HSED web page

Section V - Medical Report (Examination)
Page: 183 of 258
V. Fitness Certificate
Abu Dhabi Company for Onshore Oil Operations
Fitness / Return to Work Advisory

ADCO Medical Center OHU / Remote Area Medical Services (RAMS)
To : _____________________________ CC: ____________________________________________________
Subject : ____________________________ Company No:____________ Job Description: ___________________
Department: ________________ Location: ____________________ Date: ______________________________
Based on the assessment done on ……/……/……; thorough evaluation of outside medical consultant the following is/are
recommended:
Fit To Work in both Tow n and Field/Terminal w ithout any restriction
Fit To Work in Tow n based job only w ith / w ithout restriction
Fit To Work in Field/Terminal job w ith / w ithout restriction
Temporarily Unfit To Work in both Tow n and Field/Terminal until Medical Condition is treated
Unfit To Work in both Tow n and Field/Terminal

Restrictions (Light Duty):
Permanent Temporary for at least _______________days / months
Not allow ed to participate in active sports or any streneous physical activity
Not allowed to pull, push or lift heavy weight more than _____ kg.
Not allow ed to w ork on heights
Not allow ed to climb ladders
Not allow ed to w ork or enter confined spaces
Not allow ed to drive company vehicles
Not allow ed to travel for more than ______minutes staight
Not allow ed shift-w ork job
Not allow ed extended w orking hours (______ w orking hours from _______ to ______)
Desk job only

Desk job only but may perform inspection at ground level
Others: _______________________________________
Requires follow -up w ith RAMS / ADCO Medical on a regular basis
Requires re-assessment at ADCO Occupational Health Unit on _________________________ (Note: It is line
management responsibility to remind employee on their follow -up)
Requires recent w ork-place health risk assessment report
For your information and necessary action.
Thanks and regards,
_____________________________ Noted by: ______________________________

OH ADCO / RAMS Medical officer Chief Medical Officer ADCO or RAMS

ADCO- HSED web page
Appendix M Date: Nov 2009

Medical Requirements for Caterers
Page: 184 of 258
Appendix M – Medical Requirements for Caterers

Pre-Employment Examination Standard (All Items are MANDATORY)
Chest X-Ray
Spirometry
Blood Test Fasting Blood Sugar
Complete Blood Count
Blood Grouping
Hepatitis Profile
HIV
Blood Culture For infectious pathogen
Urine Test
Eye Test
Audiometry
ECG For persons over the age of 40 years
Body Mass Index (BMI)
Throat Culture
Stool Examination Enteric Pathogens or parasites
Physical Examination Attention to:
Skin
Respiratory Tract
Gastrointestinal
Vaccination
Periodic Medical Examination Standard (6 months and/ or anyone returning from leave and/ or anyone following an episode with an
infectious disease like cough, cold, fever, etc.)
Chest X-Ray
Only with obvious signs and symptoms of respiratory illness or history of exposure to areas with
endemic or epidemic infectious illnesses
Spirometry
Only with obvious signs and symptoms of respiratory illness
Blood Test Fasting Blood Sugar

Complete Blood Count
Hepatitis Profile (if not vaccinated)
Blood Culture
Only with obvious signs and symptoms of an infectious disease
Urine Test
Eye Test
Audiometry
Only for persons exposed to noise over 85 dBA over an eight hour period
ECG For persons over the age of 40 years

Body Mass Index (BMI)
Stool Examination Enteric Pathogens or parasites
Physical Examination Attention to:
Skin
Respiratory Tract
Gastrointestinal
Throat Culture
Only with obvious signs and symptoms of respiratory illness or history of exposure to areas with
endemic or epidemic infectious illnesses

ADCO- HSED web page
Appendix N Date: Nov 2009
Weekly Self-Inspection Checklist for Caterers

Page: 185 of 258
Appendix N – Weekly Self-Inspection Checklist for Caterers
ADCO FOOD SAFETY PROGRAM

SELF-INSPECTION CHECKLIST
MONTH:
/
Date:____________________________ Observer ________________________________
Use this checklist once in a week to determine areas in your operation requiring corrective action. Record corrective
action taken and keep completed records in a notebook for future reference.
Personal Dress and Hygiene

Correcti
Yes No Corrective Yes No
ve
Action
Action
Employees wear
proper uniform Yes No Hands are washed thoroughly using proper hand- Yes No
including proper washing procedures at critical points
shoes
Smoking is observed only in designated areas away

Hair restraint is Yes No Yes No
from preparation, service, storage, and ware washing
worn
areas
Fingernails are short, Yes No Eating, drinking, or chewing gum are observed only in Yes No
unpolished, and clean designated areas away from work areas
Jewellery is limited
to watch, simple Yes No Employees take appropriate action when coughing or Yes No
earrings and plain sneezing
rings
Hands are washed
or gloves are Yes No
changed at critical
points
Open sores, cuts or Disposable tissues are used and disposed of when Yes No
splints and coughing/blowing nose.
bandages on hands Yes No
are completely
covered while
handling food
Food Storage and Dry Storage

Temperature is
Yes No There is no bulging or leaking canned goods in Yes No
between 10°C and
storage.
21°C
All food and paper
Yes No Yes No
supplies are 6 to 8 Food is protected from contamination
inches off the floor
All food is labeled
Yes No Yes No
with name and All surfaces and floors are clean
delivery date

ADCO- HSED web page

Page: 186 of 258
The FIFO (First in,
First Out) method of Yes No Chemicals are stored away from food and other food- Yes No
inventory is being related supplies
practiced.
Large Equipment
All other pieces of equipment are clean to sight and

Food slicer is clean Yes No Yes No
touch - equipment on serving lines, storage shelves,
to sight and touch
cabinets, ovens, ranges, fryers, and steam equipment
Food sliver is
sanitized between
Yes No Yes No
users when used Exhaust hood and filters are clean
with potentially
hazardous foods
Refrigerator, Freezer, and Milk Cooler

Thermometer is
Yes No Yes No
conspicuous and Proper chilling procedures have been practiced.
accurate
Temperature is
Yes No Yes No
accurate for piece of All food is properly wrapped, labeled, and dated
equipment
Food is stored 6
Yes No
inches off floor in
The FIFO (First in, First Out)method of inventory is Yes No
walk-ins
being practiced
Yes No
Unit is clean
Food Handling
Frozen food is Corrective A Corre
thawed under Yes No action Food is handled with utensils, clean gloved hands, or Yes No ctive
refrigeration or in clean hands A
action
cold running water
Food is not allowed
to be in the
Yes No Utensils are handled to avoid touching parts that will Yes No
"temperature
be in direct contact with food
danger zone" for
more than 4 hours
Food is tasted using Yes No
proper method Reusable towels are used only for sanitizing
Yes No
Food is not allowed equipment surfaces and not for drying hands,
Yes No utensils, floor, etc.
to become cross-
contaminated
Utensils and Equipment
All small equipment
and utensils, including
Yes No Yes No
cutting boards, are Thermometers are washed and sanitized between each use
sanitized between
users
Small equipment and Yes No Yes No
Can opener is clean to sight and touch
utensils are air dried
Work surfaces are
Yes No Yes No
clean to sight and Drawers and racks are clean
touch
Work surfaces are
Yes No Small equipment is inverted, covered, or otherwise protected Yes No
washed and sanitized
from dust or contamination when stored
between uses

ADCO- HSED web page

Page: 187 of 258
Hot Holding
Yes No Yes No
Unit is clean Temperature of food being held is above 64°C
Food is heated to
Yes No Yes No
74°C before placing Food is protected from contamination
in hot holding
Cleaning and Sanitizing
Three-compartment Yes No If heat sanitizing, the utensils are allowed to remain Yes No
sink is used immersed in 77°C water for 30 seconds.
Three-compartment
sink is properly set
Yes No Yes No
up for ware washing If using chemical sanitizer, it is the proper dilution
(wash, rinse,
sanitize)
Chlorine test kit or
thermometer is Yes No The water is clean and free of grease and food Yes No
used to check particles.
sanitizing rinse
Yes No
The water The utensils are allowed to air dry
Yes No
temperatures are
accurate Wiping cloths are stored in sanitizing solution while in Yes No
use
Garbage Storage and Disposal
Kitchen garbage Yes No Yes No
Loading dock and area around dumpster are clean
cans are clean
Garbage cans are
Yes No
emptied as
necessary Yes No
Dumpster is closed
Boxes and
Yes No
containers are
removed from site
Pest Control
Screens are on
open windows and Yes No Yes No
No evidence of pests is present
doors and in good
repair

ADCO- HSED web page
Appendix O Date: Nov 2009
HSE Rules & Conditions (Appendices) Contractor

Page: 188 of 258
Requirements
Appendix O – HSE Rules & Conditions (Appendices) Contractor

Requirements
Cross Reference between Rules & Conditions to Procedure Manuals.....................................................190

General Significant Information for Contractor .......................................................................................192
Appendix “O- 1”: HSE Policy................................................................................................................194
Appendix “O-2”: Incident Investigation and Reporting.......................................................................195
Appendix “O-3”: Permit to Work (PTW) Procedure ............................................................................196
Appendix “O-4”: HSE Audits and Inspections.....................................................................................198
Appendix “O-5”: Protection against H2S Toxic Gas ...........................................................................199
Appendix “O 6”: Personal Protective Equipment (PPE) .....................................................................200
Appendix “O-7”: Pressure and Leak Testing ......................................................................................202
Appendix “O-8”: Welding & Flame Cutting.........................................................................................203
Appendix “O-9”: Handling, Store, use & disposal of Compressed Gas Cylinders.............................204
Appendix “O-10”: Scaffolding................................................................................................................205
Appendix “O-11”: Lifting Operation ......................................................................................................206
Appendix “O-12”: Excavation ................................................................................................................207
Appendix “O-13”: Ionizing Radiation.....................................................................................................208
Appendix “O-14”: Welfare Standards...................................................................................................209
Appendix “O-15”: Catering Services .....................................................................................................212
Appendix “O-16”: Management of Contractors HSE............................................................................214
Appendix “O-17”: Requirement for HSE Professionals ........................................................................215
Appendix “O-18”: Waste Management .................................................................................................219
Appendix “O-19”: HSE Training...........................................................................................................220
Appendix “O-20”: Incentive Scheme ...................................................................................................225
Appendix “O-21”: HSE Statistics Reporting ..........................................................................................226
Appendix “O-22”: Emergency Response ..............................................................................................228
Appendix “O-23”: Transportation/ Vehicles/ Moving Machinery ...........................................................229
Appendix “O-24”: Laboratory Safety....................................................................................................232
Appendix “O-25”: Penalties scheme for HSE Non- Compliance ..........................................................233

ADCO- HSED web page

HSE Rules & Conditions (Appendices)
Page: 189 of 258
List of compulsory ticked Rules and Conditions

The following items that are ticked or marked shall be part of the above mentioned Contract38:
Section
Title Required
No.
General Significant Information for Contractor 9
1 HSE Policy 9
2 Accident Investigation & Reporting
3 Permit to Work
4 HSE Audits and Inspections
5 Protection Against H2S Toxic Gas
6 Personal Protective Equipment
7 Pressure and Leak Testing
8 Welding & Flame Cutting
9 Handling of Compressed Gas Cylinders
10 Scaffolding
11 Lifting Operation
12 Excavation
13 Ionizing Radiation
14 Welfare Standards
15 Catering Services
16 Management of Contractors HSE
17 Requirement for HSE Professionals
18 Waste Management
19 HSE Training
20 Incentive Scheme
21 HSE Statistics Reporting
22 Emergency Response
23 Transportation/ Vehicles/ Moving Machinery
24 Laboratory Safety
25 Penalties scheme for HSE Non- Compliance
Prepared by:
__________________ _______________ _______
Name (ADCO HSE Signature Date
Professional only)
38
This page is to be completed by ADCO HSE Professional and sent to SCMD with Scope of Work

ADCO- HSED web page

Page: 190 of 258
Cross Reference between Rules & Conditions to Procedure Manuals

Note: This page is for ADCO representatives use only and not for Contractors. In case Contractor received
it by mistake, the Contractor should ignore it and discard it.
Equivalent Chapter in ADCO

Contractor HSE Appendices for Contracts Procedures Manual Volume 10 &
Others
General : Significant Information for Contractor -----------
Section 1: HSE policy CRP-HSE-10-01
Section 2: Accidents investigation & reporting CRP-HSE-10-02
Section 3: Permit to work CRP-HSE-10-03
Section 4: HSE audits and inspections CRP-HSE-10-04
Section 5: Protection against H2S toxic gas CRP-HSE-10-08
Section 6: Personal protective equipment CRP-HSE-10-09
Section 7: Pressure and leak testing CRP-HSE-10-11
Section 8: Welding & Flame Cutting CRP-HSE-10-12
Section 9: Handling of compressed gas cylinders CRP-HSE-10-13
Section 10: Scaffolding CRP-HSE-10-16
Section 11: Lifting operations CRP-HSE-10-19
Section 12: Excavation CRP-HSE-10-20
Section 13: Ionizing Radiation CRP-HSE-10-31
Section 14: Welfare standard CRP-HSE-10-33
Section 15: Catering services CRP-HSE-10-35
Section 16: HSE management of Contractors CRP-HSE-10/4
Section 17: Requirement for HSE professionals CRP-HSE-10/4
Section 18: Waste management CRP-HSE-10-37
Section 19: HSE training -----------
Section 20: Incentive scheme -----------
Section 21: HSE statistics reporting -----------
Section 22: Emergency Response Volume 10/2
Section 23: Transportation/ Vehicles/ Moving Machinery Volume 10/3
Section 24: Laboratory Safety CRP-HSE 10 - 14
Section 25: Penalties scheme for HSE Non- Compliance -----------

ADCO- HSED web page

Page: 191 of 258
General HSE Appendices

Section 1: HSE Policy
Section 2: Accident Investigation & Reporting
Section 3: Permit to Work
Section 4: HSE Audits and Inspections
Section 5: Protection Against H2S Toxic Gas
Section 6: Personal Protective Equipment
Section 7: Pressure and Leak Testing
Section 8: Welding & Flame Cutting
Section 9: Handling of Compressed Gas Cylinders
Section 10: Scaffolding
Section 11: Lifting Operation
Section 12: Excavation
Section 13: Ionizing Radiation
Section 14: Welfare Standards
Section 15: Catering Services
Section 16: Management of Contractors HSE
Section 17: Requirement for HSE Professionals
Section 18: Waste Management
Section 19: HSE Training
Section 20: Incentive Scheme
Section 21: HSE Statistics Reporting
Section 22: Emergency Response
Section 23: Transportation/ Vehicles/ Moving Machinery
Section 24 Laboratory Safety
Section 25 Penalties scheme for HSE Non- Compliance

ADCO- HSED web page
General Significant Information for Contractor Page: 192 of 258
General Significant Information for Contractor
a. The health, safety and welfare of ADCO and Contract employees is of prime importance to
ADCO, and together with protecting the environment is essential to the operation of the
undertaking.
b. The Contract HSE requirements have been prepared to ensure the safety of ADCO and
Contractors employees. Contractor shall see that his employees are conversant with the HSE
clauses and ensure its compliance.
c. These clauses do not exempt the Contractor from his statutory duties on Health, Safety, and
Environment, but it is intended to assist him in attaining a high standard of compliance with
those duties.
d. The ADCO HSE appendices are mandatory for the Contractor to fully comply with and
implement. CONTRACTOR is deemed to have incorporated in its Contract Price all costs
associated with the rules and conditions contained in these Appendices.
e. Contractor is obliged to comply with and implement any recommendations raised by ADCO
Representatives during inspections, audits, site visits, tours, etc, which are in compliance with
the HSE requirements of the Contract are deemed to be unsafe acts and/ or conditions that
may lead to accidents/ incidents.
f. The HSE appendices that are attached to the Contract are considered the latest updated
requirement that the Contractor shall comply with and implement.
g. Contractor’s breach of any of its obligations under HSE Appendices is deemed a contractual
breach and would give ADCO the right to impose all its remedies for contractual breach as per
the Contract
h. Contractor shall complete the assigned task in accordance with statutory legislation [and all
HSE requirements listed or attached to this Contract] including but not limited to:
o Abu Dhabi Emirate Law No. 8 of the year 1978 “Conservation of Petroleum Resources”
o Abu Dhabi Emirate Law No. 21
o Ministry of Labor and Social Affairs Federal Law No. 8 of the year 1980
o Ministry of Labor and Social Affairs Ministerial Order No. 32 of the year 1982
o Environmental Law # 24 for 1999
i. ADCO Representative shall have the right to suspend work being performed by the Contractor
at any time, if ADCO Representative deems that the Contractor has or is about to violate
statutory or ADCO health, safety or environmental rules and regulations. The cost of such
stoppages of work in this regard will be borne by the Contractor.
j. Contractor shall adhere to HSE Plan attached to this Contract covering all aspects of the
Contract HSE Requirements. It is the Contractor's responsibility to monitor and report on its
implementation to ADCO Representative
k. Contractor shall obtain written permission from ADCO before the Contractor starts work on site
and before the Contractor arranges for deliveries prior to work commencing.
l. Contractor employees shall possess a valid security pass at all times while they are on ADCO
premises.

ADCO- HSED web page
General Significant Information for Contractor Page: 193 of 258
m. Contractor employees shall at all time act in a courteous manner when dealing with site
security and shall cooperate fully with any instructions given to them. Site security has the right
to prevent entry/exit to the Contractor employees and if deemed necessary may confiscate the
individuals security passes.
n. Contractor shall carry out audits/ inspections as outlined in their HSE Plan. Copies of the
inspection reports shall be submitted to ADCO Representative.
o. ADCO shall have the right at any time to audit/ inspect the Contractor’s facilities, procedures,
and HSE Management Systems. Contractor shall fully co-operate in such reviews and shall
implement recommendations at his own cost where ADCO or statutory rules and regulations
are contravened. Additionally, Contractor shall be responsible to mitigate/ correct all agreed
upon deficiencies found during their own internal audit/ inspection or an audit/ inspection
conducted by an ADCO employee during the course of the contract. These deficiencies shall
be corrected within a specified time as agreed by ADCO and the CONTRACTOR.
p. Contractor is deemed to have incorporated all costs associated with its compliance with the
rules and conditions contained in this Appendix.

ADCO- HSED web page
No. 1 - HSE Policy Page: 194 of 258
Appendix “O- 1”: HSE Policy
a. Contractor should have its own company HSE policy relevant to the nature of business undertaken
and in-line with ADCO HSE policy. The policy shall be dated and signed by the most senior
person in the organization, framed in color of A3 size print and posted in strategic places within the
company.
b. Contractor shall communicate ADCO HSE Policy to all his employees from top management to
laborers workforce in understood language (beyond English & Arabic) and shall fully implement it
practically.
c. Contractor should obtain copies of the ADCO HSE policy booklet and the presentation material
(from ADCO Health, Safety & Environment Division - Systems & Procedures Department in Abu
Dhabi) that shall be communicated to all his employees.
d. All Contractor employees shall receive and attend the presentation on ADCO's HSE policy. It shall
be presented by a qualified / competent Contractor HSE practitioner with attendance documents
maintained.

ADCO- HSED web page
No 2 - Incident Investigation and Reporting Page: 195 of 258
Appendix “O-2”: Incident Investigation and Reporting

a. For the purpose of this document, Contractor shall use the term incident instead of accident.
b. Contractor shall report immediately (no later than one hour from the time of the event) all types of incidents
including near-misses irrespective of their category or severity to:
i. ADCO control room in the respective area
ii. ADCO direct line supervisor
Therefore, it is the Contractor responsibility to obtain the ADCO control room emergency number and that of the
ADCO line supervisors.
c. Types of incidents and near-misses involve:
a. Injuries and fatalities (including natural fatality)
b. Fire and explosions
c. Damage to assets
d. Leaks or spills whether water, oil or gas
e. Vehicle crashes
f. On-the-job (work-related) illnesses
d. Contractor should supply and provide his workforce (Line Managers, Supervisors & Foreman) with suitable means
of communication to report incidents to control room and line supervisors. Communication means should be
agreed and accepted by ADCO is Representative and could be either Intrinsically Safe mobile phone or radio.
Each separate / isolated Contractor crew should have at least one communication device.
e. All the communication devices provided to the workforce for the Business shall be supplied with all the necessary
accessories (such as SIM cards for mobile phones). Contractor shall pay all costs related to the mobile phones.
f. Contractor senior staff shall participate effectively (as member) in the investigation of incidents and HIPO near-
misses that takes places in the course of employment at ADCO work sites that involves his employees or
equipment. All work related incidents will be investigated by a team led by ADCO. In this case, ADCO incident
investigation and reporting procedure will be used and followed.
g. All incidents and near-misses that take place at the Contractor’s facilities, such as residential camps and
recreation facilities, that are classified as non-work related shall be reported to ADCO as mentioned above but
fully investigated by the Contractor with report submitted to ADCO. In this case, Contractor incident investigation
and reporting procedure shall be used and followed; for such a purpose, Contractor should have a written
procedure for Incident Investigation and may issue his own Terms of Reference (TOR) requesting ADCO to assist
in the investigation as a member.
h. As part of the compliance assurance to the above items, Contractor is required to have at least two people from
the organization (one from the management and another one from HSE staff) trained in incident investigation and
root cause analysis technique. Training should be carried out by a recognized 3rd party with copies of the
certificates maintained and presented to ADCO upon request.
i. Contractor incidents and near-miss reports shall be communicated to ADCO by two different means:
i. Fax
ii. Electronic Mail (e-mail)
j. By all means, the investigation reports shall always be typed and not hand written.
k. Contractor shall also adhere to the relevant UAE Labor law and governmental legislations related to incidents
reporting.

ADCO- HSED web page
No. 3 Permit to Work (PTW) Procedure

Page: 196 of 258
Appendix “O-3”: Permit to Work (PTW) Procedure

a. Any task or work activity in the ADCO concession area as part of this Contract shall only take place
after obtaining prior approval from the ADCO relevant Supervisor/ Engineer through the permit to
work system unless specified otherwise by ADCO.
b. The PTW system covers both Permits and Certificates.
c. PTW are only issued to Contractor employees who are trained and certified in ADCO's PTW
system.
d. Therefore, Contractor is required to have his Job Performers (JP), those who will be carrying out
(performing) the work or supervising it, trained and certified on ADCO's PTW system by an ADCO
approved training provider. The cost of training is sole responsibility of the Contractor.
e. Contractor's JP will only be allowed to attend ADCO's PTW training, if he is competent in English
language and technical related to his discipline. JP is required to have minimum English language
skills in the three categories: read, write and speak.
f. PTW training is conducted by an ADCO approved 3rd party. Contractor is required to approach
ADCO Health, Safety & Environment Division; Systems & Procedures Department in Abu Dhabi to
obtain the list of the latest approved 3rd parties for PTW training.
g. Contractor is required to present to ADCO HSE Division with the training attendance certificates
and the assessment/ exam results stamped and signed by the trainer 3rd party in order to register
the successful candidates in ADCO PTW system approvals list.
h. Contractor employees can only obtain PTW after successful registration in ADCO's PTWS
approvals list such as the electronic e-PTW. Successful registration normally takes two days if all
the documents supplied by the Contractor are complete and accurate.
i. According to ADCO PTWS, each JP can only have one permit at a time. JP cannot request a new
PTW unless he closes out the permit in hand.
j. Contractor shall provide free of charge Intrinsically Safe Mobile Phone to his Job Performer to
enable immediate communication with him in case of H2S gas release emergencies within the field
areas.
k. ADCO adopt / implement e-PTW system which requires the Contractor JP to apply for a permit
through a computer (i.e. JP needs to have the minimum computer skills) either from the Contractor
camp via internet (any time, 24 hours a day) or by using a dedicated PTW computer (during
working hours only) which are stationed at different places at ADCO sites.
l. Basic training on e-PTW and provision of passwords will be managed by ADCO HSE Department
at the work sites.
m. Attachments such as "risk assessments" and "method of statements" need to be scanned by the
Contractor and submitted along with the e-PTW.
n. PTW is issued daily for the maximum duration time of the daylight hours. Work after daylight hours
is not allowed, but if required and strongly justified, needs ADCO management approval in the
respective work area.

ADCO- HSED web page
No. 3 Permit to Work (PTW) Procedure

Page: 197 of 258
o. If the work activity falls in a shared area between ADCO and sister company (such as GASCO),
then the approval of both companies is required before starting the work. Training & certification in
GASCO PTW is required in this case.
p. To ensure continuity of the business and as a contingency plan, in case the ADCO server shuts
down which makes the e-PTW in-operable, hard copies of PTW can be obtained from the HSE
Department at the work location and used as a temporary measure. .

ADCO- HSED web page
No. 4 HSE Audit and Inspection

Page: 198 of 258
Appendix “O-4”: HSE Audits and Inspections

a. Contractor shall develop an annual HSE audit and inspection program.
b. HSE inspections shall cover the camp facilities, workshops, work-sites, vehicles, machines, etc.
c. HSE audits should cover compliance with procedures, systems safe systems of work, PTW, lifting
operations, etc
d. ADCO will accept audits/ inspections conducted by qualified 3rd Party HSE Professionals and/or
audits/ inspections conducted by Contractor HSE Officers who have been approved by ADCO.
e. Contactors may include but not limited to geophysical survey, drilling rigs, well services,
completion, construction and fabrication activities within segregated and controlled area managed
by Contractor, plant/ facilities maintenance Contractors/ subcontractor, logistics service provider,
supplying land, marine and air transportation, wire line contactors/ subcontractors; catering and
food providers.
f. Copies of all the HSE inspections and audits shall be submitted to ADCO with quarterly follow-up
reports until all the findings have been resolved and the recommendations have been implemented.

ADCO- HSED web page

No. 5 – Protection against H2S Toxic Gas
Page: 199 of 258
Appendix “O-5”: Protection against H2S Toxic Gas
a. In case, the Contract activities requires Contractor to work in an area or field that has the presence
of H2S, then approved positive pressure self contained breathing apparatus (SCBA) sets with
spare cylinders shall be obtained and supplied by the Contractor.
b. It is the Contractor responsibility to inspect and maintain these life saving devices in good condition
at all times including re-filling of the cylinders.
c. Contractor personnel who are required to work in toxic environment shall all receive/ attend the
H2S certification training course with an ADCO approved 3rd party as per the following category:
a. ½ day awareness for labors
b. 1 day for staff
c. 2 days certification course for supervisors and foremen
d. 3 days rescue certification course for rescue teams
d. H2S certification training is provided by certain instructors approved by ADCO. The Systems &
Procedures Department within the HSE Division in Abu Dhabi should be approached to obtain the
updated list of the approved Instructors. Any training or certificates from non-ADCO approved
Instructors list will not be accepted.
e. Contractor shall present the training certificates to ADCO HSE prior to sending their employees to
the work site. Contractor workforce can only be allowed to work in ADCO toxic gas areas if they
have successfully completed the two days certification training and obtained ADCO's permission.
f. Contractor shall supply and provide at his own cost each single employee / driver who may be
exposed to toxic gas release during the course of Contract execution with an ADCO approved H2S
personal monitor that shall be with the employee all the times and he shall use when on duty.
g. Contractor shall supply and provide at his own cost each single employee / driver who may be
exposed to toxic gas release during the course of Contract execution with an ADCO approved
positive pressure escape set that shall be with the employee at all times while at work.
h. The specifications of both escape mask and H2S personal monitor are detailed in the personal
protective equipment (PPE) appendix.

ADCO- HSED web page

No. 6- Personal Protective Equipment (PPE)
Page: 200 of 258
Appendix “O 6”: Personal Protective Equipment (PPE)

a. Contractor shall provide PPE to all employees inline with the amount and frequency mentioned in the table
below39. The PPE shall be free and at NO cost to all employees and provided at the frequency specified in
this Appendix.
b. The PPE shall be from the ADCO approved brands (set forth herein) only:
Quantity/
Sr.
Description of PPE Employee Frequency
No.
1 Safety glasses / spectacles 1 No. Annually
2 Work uniform of good quality and of 4 sets Annually

standard color approved by ADCO.
3 Winter jacket 1 No. Every two years
4 H2S personal monitor 1 No. At the beginning of the contract
5 H2S escape set (Positive Pressure 15 1 No. At the beginning of the contract
Minutes)
6 Safety Boots (Short / long neck) 1 Pair Annually
7 Safety helmet of approved 1 No. Every 3 years

color (except drivers)
8 Cap for driver of approved color 2 Nos. Annually
c. Additional sets/pieces shall be provided in case of damage or wear.

d. Other PPE are:
o Appropriate Ear protection according to the noise level survey when working in noisy areas
o General gloves for all workers at all times
o Rubber gloves and rubber boots for chemical handling
o Leather gloves for hot work jobs such as welding
o Dust masks at all times when workers are exposed to dust, mist and sand
o Approved spectacles for protection against sunrays and blowing sand. At least one set per
employee per year
o Face-shield for protection against chemical splashes for every employee assigned to work with
chemicals
o Safety harness for every worker assigned to work at height greater than 2 meters
o Safety harness with life-line for every worker assigned to work in confined spaces such as entry
into tank, vessel, drain pit, etc.
39
PPE amount and frequency shall be agreed between the HSE professional and End User and the requirement shall
be endorsed by the HSE Professional before passing to the SCMD.

ADCO- HSED web page

No. 6- Personal Protective Equipment (PPE)
Page: 201 of 258
o Respirator of cartridge type and appropriate (fit for the type of chemical) filter for every employee
exposed to chemical or fumes during normal work activities or as part of normal activity such as
painting
o Others as may be specified or directed by ADCO HSE staff during the execution of work or as may
be indicated in the PTW system
e. All PPE should conform and meet the following approved brands: (any deviation shall be approved by
ADCO HSED before ordering)
Sr.
PPE Equipment Type Approved Brands
No.
1 Safety helmet MSA V-Gard (Refer MSA Data Sheet, No. 06-00-01)
2 Ear protectors MSA MK IV Noise foe, Part No. 95635
3 Safety glasses or 1. KESTREL Model K 712 A Lens, color: light green/ shade No. 2
spectacles 2. UVEX Astrospec Model UW9168-067 blue frame dark lens.
4 Safety boot (short 1. Redwing Model No. 8212

neck) 2. BACOU Super Boot IMPERFOR P/No. 6210790.
5 Safety clothing 1. Big Ben, USA.

(100% cotton 2. REDWING: PRC.
coveralls)
6 H2S escape set (Positive DRAEGER 'SAVER' DEMAND FLOW ESCAPE ORDER CODE:
Pressure 15 Minutes) 3334478
7 Full body harness Model PR2 Range BS 1397/1979 type 'D' along with safety lanyard
with Lanyards - (for LH-18 complete with J-560 hooks.
severe free falls)
8 H2S Personal Monitor BW Gas-Alert Clip 2 or 3 model

ADCO- HSED web page
Part : Appendix O Date: Nov 2009

Section -7 Pressure and Leak Testing
Page: 202 of 258
Appendix “O-7”: Pressure and Leak Testing
a. All personnel involved with testing shall be aware of, and trained in, the procedures to be
implemented, and familiar with the hazards and risks associated with the activity.
b. The pressure at which equipment can be safely tested, and subsequently may be approached for
close examination shall be specified in the test procedures.
c. Controls/gauges must be located at a safe distance from the equipment to be tested and gauges
shall be clearly visible to the operator controlling the pressure.
d. Standard warning signs are to be strategically posted on equipment being tested and at the
perimeter of the test area. Lookout personnel are to patrol the area perimeters continuously during
the testing operation.
e. Safety valves of adequate size, properly set, seated and marked with the set pressure, shall be
installed in the test supply line to prevent the test pressure from being exceeded.
f. Prior to any hydraulic test taking place, an assessment shall be made to determine that any
foundations and/or supports for the equipment to be tested are rated and capable of withstanding
the combined weight of any equipment and the test medium.
g. A non-hazardous fluid for the leak test shall only be used; usually nitrogen or water.
h. Leak test with a hydrocarbon gas or liquid; shall only be done in exceptional circumstances with the
written approval of the Site Manager following a suitable and sufficient risk assessment.
i. Systems that have contained air following the test shall be inserted prior to the introduction of
hydrocarbons to avoid any possible explosive pockets during process phase.

ADCO- HSED web page

No. 8 - Welding & Flame Cutting
Page: 203 of 258
Appendix “O-8”: Welding & Flame Cutting
a. Ignition of oxy-acetylene or propane torches must only be made using the “gas lighters” (flint
lighters) which shall be supplied for this purpose by the Contractor.
b. Personnel engaged in welding, cutting, chipping and grinding operations must wear the appropriate
protective clothing/ equipment provided such as face shield.
c. Where gases/ fumes are produced, they must be effectively disposed of either by natural ventilation
or forced mechanical extraction ventilation.
d. Within restricted areas, no welding or cutting may be done without a risk assessment and hot work
permit.
e. When working at a height, precautions must be taken to prevent welding rods and spent stubs from
falling.
f. Following cessation of work, the work area shall be left in a safe condition.
g. Blowpipe and hoses must not be left in vessels or enclosed spaces, when they are not in use, e.g.
during a meal break or over-night.
h. Pressure regulators that filter the gas and provide a constant delivery pressure shall be provided.
i. All welding sets, cables, connectors and terminators must be maintained in good condition.
j. Welding/cutting cylinders when in use shall be clamped vertically in a suitable trolley.
k. Diesel driven welding sets must be approved for the area in which they are sited. Engine driven
machines must not be refueled whilst in operation.
l. For all AC welding transformers, the transformer low voltage winding must NOT be earthed, but the
transformer case must be effectively bonded to an earthling system adjacent to the equipment.
m. “Hot Tapping” will only be performed only after written authorization has been obtained from the
Divisional Manager of the site concerned following completion of a suitable and sufficient
assessment of the hazards and risks

ADCO- HSED web page
No. 9 - Handling of Compressed Gas Cylinders Page: 204 of 258
Appendix “O-9”: Handling, Store, use & disposal of Compressed Gas

Cylinders
a. Storage areas for both full and empty cylinders shall be purpose-built secure compounds in the
open air, shaded and fenced to a height of two meters. Gas cylinders shall always be kept and
stored in a safe location; they shall not represent any risk to the surroundings. No sources of
ignition shall be allowed in the storage compounds where compressed flammable gases are kept.
b. Lighting, instruments, switches and junction boxes or any electrical apparatus in storage
compounds containing combustible gas cylinders suitable for Zone 1.
c. Storage compounds for flammable gases shall have at least two means of exit at opposite ends of
the storage area.
d. Gas cylinders shall be color coded in accordance with the content and as per the international color
code system such as BS 349 and 1319.
e. Only hose that conforms to BS 5120 shall be used to connect the torch to the gas cylinders
f. Hoses shall be new, in very good working condition and comply to the following color coding:
o Blue for Oxygen
o Red for Acetylene
o Orange for Propane
g. Flashback arrestors which quench flash back flames and cut off the gas flow automatically, must be
installed in both oxygen and fuel gas lines.
h. Traveling with equipment attached to the cylinders is prohibited. Protective valve caps shall be
fitted where provided.
i. Whenever gas cylinder is to be left unattended, valves shall be closed.
j. The main cylinder valve shall always be kept shut during transit and valve protection guards or
caps shall be fitted.
k. Safe work practices shall be always applied when working and dealing with gas cylinders and the
necessary caution / safety signs are provided
l. Cylinders shall never be lifted by their valve cap or guard. Cylinders shall not be rolled. Cylinders
shall normally be stored upright and secured so that they will not fall.
m. Safe work practices shall be always applied when working and dealing with gas cylinders and the
necessary caution / safety signs are provided.
n. Lengths of hose shall be kept as short as possible. Non-return check valves shall be fitted to each
hose at the torch. Flashback arrestors designed to quench the flashback and release pressure shall
be fitted to both fuel gas and oxygen regulators. Flashback arrestors shall be tested and replaced in
accordance with the manufacturer's instructions.
o. Cut-off valves shall also be incorporated for automatically shutting off the gas supply. Hoses shall
not be dragged around sharp corners or placed where they can be run over by vehicles.

ADCO- HSED web page

Section-10 Scaffolding
Page: 205 of 258
Appendix “O-10”: Scaffolding

a. It is the Contractor's full responsibility to arrange for all scaffoldings that are required to carry out the
Contract activities in a safe manner
b. Contractor is responsible to arrange/ obtain "Approved International Standard Scafftag" for scaffolding
inspection by the approved "Inspectors"
c. Scaffolding must be checked and ensure that it is in good condition before use
d. Scaffolding must be erected by well trained and certified "Scaffolding Erectors"
e. Scaffolding once erected must be inspected by trained and certified "Scaffolding Inspectors" either
from ADCO or from an approved independent party outside ADCO
f. Contractor shall supply and provide each worker at the scaffolding with an approved full body safety
harness
g. Record shall be maintained of all inspections, tags and certifications for ADCO checking upon request

ADCO- HSED web page

Section-11 Lifting Operation
Page: 206 of 258
Appendix “O-11”: Lifting Operation

a. For the purpose of this document, the lifting operation equipment include lifting appliances such as
but not limited to cranes, Hiab trucks, hoist, winch and lifting gears such as slings, eyebolts,
shackles, hooks and belts.
b. The entire Contractor's lifting operation equipment must be inspected and certified "fit for use" by
ADCO approved 3rd party.
c. Only lifting operations equipment that are certified and color coded shall be used at ADCO work
sites.
d. The color code of the lifting equipment shall conform to ADNOC specified colors (can be obtained
from ADCO HSE Departments in Abu Dhabi and Fields/ Terminal).
e. Record of all the checks, inspections and certificates shall be maintained and presented to ADCO
upon request.
f. The Contractor Operators involved or assigned to lifting operation activities must be trained and
certified by an ADCO approved 3rd party.
g. Lifting operation should only take place by a competent certified Operator and with the presence
and assistance of trained and certified "Rigger" and "Banks man".
h. Contractor to approach the Systems & Procedures Department at ADCO HSE Division in Abu
Dhabi to obtain the latest updated list of the approved 3rd parties for lifting operations certification.
i. Contractor will be responsible of validity of lifting equipment test and examination certificates.
Contractor shall pull out of service any lifting equipment piece that is due for re-certification or test.
j. Contractor is responsible for daily, weekly and any other regular checks that will ensure the
continuous integrity of the lifting equipment

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Section-12 Excavation
Page: 207 of 258
Appendix “O-12”: Excavation

a. Whether inside or outside restricted areas, it requires excavation certificate and may be PTW from
the ADCO area authority
b. Excavation activities require risk assessment carried out by the Contractor HSE staff and the
relevant Engineer/Supervisor and submitted to ADCO
c. Exposure of any suspected under-ground services shall take place only by hand digging
d. Mechanical excavations shall not be used within three meters of any ADCO service equipment or
facility
e. No mechanical excavation work is allowed within five meters of another OPCO’s pipelines
f. Shoring is required for excavation of depth greater than 1.2 meters. Shoring must be designed by a
qualified person
g. Temporary crossing for personnel shall be provided over any trench in excess of 1.5 meters in
depth
h. All pits, trenches, and excavations shall be roped off and provided with suitable warning signs and
may be lights

ADCO- HSED web page

No. 13 – Ionizing Radiation
Page: 208 of 258
Appendix “O-13”: Ionizing Radiation
a. All activities irrespective of the location which involve the use of ionizing radiation, whether from
radioactive materials or radiation generators, shall be performed in accordance with the
Radiography Certificate
b. A qualified Radiation Protection Supervisor (RPS) shall be appointed. RPS's shall possess a valid
certificate of competence from a recognized authority, such as the NRPB (National Radiological
Protection Board of the United Kingdom).
c. All Classified Persons shall be subject to continuous medical control (Classified Person - All
personnel whose work is in contact with sources of ionizing radiation)
d. During work, all Classified Persons shall continuously wear personal cumulative dosimetry badges
(Such badges shall be controlled by a recognized and competent dosimetry service, who shall
provide reports on the dose received during the period of use of the badge and the cumulative
annual and lifetime dose of the wearer)
e. Classified Persons conducting the work shall carry a calibrated personal dose meter. The readings
for each individual for each day shall be recorded.
f. When any sources of ionizing radiation utilized under contract to ADCO is disposed of, all pertinent
details as listed above, together with the date and method of disposal shall be noted.
g. All sources shall be contained in specific transport shields, which reduce the maximum radiation
level to 2 mSv/hr at the shield surface and 0.1 mSv/hr at 1 meter from the surface.
h. All transportation by road shall be carried out in vehicles specifically licensed and registered by the
Traffic Police of the United Arab Emirates for that purpose.
i. All source shields shall carry permanent labeling with the following information:
o type of radioactive material (nuclide);
o activity in Becquerel (Bq);
o trefoil radiation sign in black on yellow background;
o Custodian’s name and contact telephone (within U.A.E).
j. Formal contingency plans shall be prepared to deal with any emergency, which might arise from
the storage, transportation or use of ionizing radiation.

ADCO- HSED web page

No. - 14 Welfare Standard
Page: 209 of 258
Appendix “O-14”: Welfare Standards
a. The workforce must be provided with free accommodation meeting at minimum standards
stipulated in Appendix I "Contractor Camps and Temporary Building" attached hereto.
b. Following Contract effective date, Contractor shall fill in and submit to ADCO Representative the
Contractor Camp Survey Form set forth in Appendix J attached hereto.
c. Contractor shall provide free food and free services of dining hall, recreation; kitchen and other
indoor facilities to all their employees and any other residents staying in their Camps.
d. All the living bedrooms, kitchens, dining halls, recreation rooms and indoor facilities shall be
provided with sufficient number of air-conditioning to provide cool temperatures. Power supply to
all Camp facilities shall be provided 24 hours a day.
e. ADCO has the right to audit Contractor's camps at any time after sending a notice to Contractor.
Contractor shall make available all documents listed in Appendix K "List of Documents for
Contractor Camp" attached hereto. Contractor shall only utilize Camps that were inspected and
accepted by ADCO HSE Department in the respective area.
f. Camp must have a suitable sewage treatment plant (STP) with capacity equal to double the
anticipated population. The STP must be maintained all the time and lab test of the effluent is
carried out every 3 months.
g. The Contractor shall effectively manage the camp garbage/ refuse with a plan in place that is
checked and approved by ADCO.
h. The Contractor shall apply two weeks pest control program.
i. Notwithstanding other Contractor’s liabilities hereunder, based on the number of population residing
at the camp, Contractor shall provide at his own cost the facilities as identified in the table below:
Total Camp Population including

non-Contractor workers residing at Contractor shall provide
the camp
Population exceeds 20 people Sewage Treatment Plant (STP)
Population exceeds 50 people Free food and free laundry by a qualified 3rd party. At
no circumstances, the Contractor shall provide the
food/ catering service or laundry to the workers using
his own manpower
Population exceeds 100 people First aid room fully equipped and qualified Medic/
Nurse
Population exceeds 300 people Ambulance and driver

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j. Sport facilities both indoor and outdoor and recreation rooms shall be provided at the camp and
equipped with the necessary item for use by the residence free of charge.
k. Pure natural mineral water bottles with disposable plastic cups and tissue papers shall be provided
at all time by the Contractor free of charge for residents to drink at the dinning halls, recreation
rooms and living rooms.
l. There shall be a Contractor’s smoking policy that prevents smoking inside shared living rooms or
offices, kitchen, dinning halls, sports facilities, etc. Designated smoking rooms shall be provided for
smokers. Smoking includes cigarettes, cigars, haply bubbly, pipes or any other type of tobacco.
m. Contractor shall provide to his employees at Contractor’s own expense, medical treatment at an
ADCO approved medical center / hospital.
n. All Contractor’s employees working directly or indirectly under the Contract shall go through free
medical checkup in accordance with appendix L attached hereto (at an ADCO approved medical
center / hospital) at Contractor’s own expense, before the commencement of the Services / Works
regardless of any previous medical checkup. ADCO Representative will not allow any employee to
start working without the medical fitness to work certificate.
o. Contractor shall provide periodical medical examinations to his employees in accordance with the
frequency stipulated in Appendix L attached hereto.
p. Medical checkup records shall be forwarded to ADCO Medical Center or nearest RAMS Clinics
who shall advise the Contract Administrator on the fitness to work.
q. Post illness or injury the individual shall not be allowed to resume duty without Return to Work
(RTW) certificate from an approved medical authority.
r. All medical requirements set forth above shall be in full compliance with appendices L & M attached
here to.
s. On case by case, the minimum salaries of Contractor employees will be determined with reference
to ADNOC Manpower Agreement No. 2220695, salary structure and to be approved by
Delegated Authority and include it in the scope of work.
t. Salary shall be paid in full within 5 days of the completion of the working month. Contractor shall
not keep on hold any worker or driver salary for any period except the end of service benefits.
u. Abu Dhabi Professional drivers shall be either provided with adequate accommodation at least of
same standard as that recommended by ADNOC for remote area camps.
v. Contractor shall provide accommodation (at least of same standard as that recommended by
ADNOC for remote area camps) for each professional driver who has to make an ADCO business
travel after working hours outside the fields where he can not return to the respective field before
sunset (such as Abu Dhabi).
w. Contractor shall arrange and provide leave / relief to maintain and ensure that the listed total
numbers of Employees in this contract are made available to ADCO at all times at each field /
location.
x. Each professional heavy vehicle driver, light vehicle driver and machine operator shall be entitled
for 30 days gross salary paid leave every 5 months.
y. Each worker / driver / operator is entitled for one paid rest day per week according to the UAE
Labor Law.

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z. Each worker / driver / operator shall be provided with free round trip air ticket to his point of origin or
cash payment of the air ticket cost. The passport stamp shall be made available to ADCO upon
request.
aa. Free air-conditioned transportation shall be provided to all workers to and from accommodation to
worksite, Abu Dhabi and airport for rest days, holidays, medical trips and leaves.
bb. The Contractor shall arrange free hotel accommodation, messing and food for employees going on
or coming back from home leave or pay each employee an allowance of AED 750 per night.
cc. Contractor shall be audited at least annually by a cross field team to check and verify compliance
with the workforce welfare issues as described in this contract.
dd. It shall be mandatory that the labor / driver reports back to the original work site when resuming
duties from leave. Contractor has no right to change or replace any worker without written approval
from ADCO Line Supervisor.
ee. Any worker whom the Contractor decided to remove from ADCO sites or opts to resign and leave
shall be sent to ADCO to be interviewed by the relevant ADCO Department Manager to investigate
the case and take the necessary corrective action.

ADCO- HSED web page

Appendix-15 Catering Services
Page: 212 of 258
Appendix “O-15”: Catering Services

a. All the food handlers must possess valid Ministry of Health Fitness Certificates and obligatory
vaccination cards, which should include hepatitis “A & B” vaccines. Also, six months periodical
medical checkup is required to be carried out in accordance with the provisions of Appendix M
"Medical Requirements for Caterers" attached hereto.
b. Each of the food handlers shall be provided free of charge with at least four standard work
uniforms, apron, hair net (cap) and three non-slip foot wears.
c. All the food handlers and all the waiters shall have same standard of work uniforms but different
colors according to each group.
d. Catering Supervisory Staff shall be trained in Hazard Analysis Critical Control Points (HACCP) and
all food handlers shall be certified in food safety (basic & intermediate) from a recognized third
party.
e. Catering staff shall receive periodical training on safety, health and food hygiene.
f. There shall be designated food stores sufficient in quantity and size to meet the demand of food.
g. Food storage and handling shall be of high standard in terms of maintaining the correct
temperatures, segregation, inspections, stocking, etc.
h. Contractor shall provide variety of food to assure providing the different food groups (balanced and
sufficient diet).
i. The Contractor shall post the weekly menu at a visible place in the dining hall.
j. The menu shall be endorsed by ADCO Public Health Inspector in the Area and shall address the
different clients’ cuisine (meat, poultry, fish, vegetable and fruit). The menu shall address the
vegetarian personnel needs.
k. The food premises shall meet at least the basic requirements to assure cross contamination and
food poisoning prevention.
l. Fresh fruit and green salad shall be part of the daily menu.
m. Contractor must adopt all the possible prevention measures (segregation, separation of material
and processing) to avoid cross contamination.
n. Contractor should provide dish washing machine for the camp with occupants > 50 residents.
o. Contractor must follow the color-coding of the kitchen cutting boards and knifes.
p. Contractor must provide sufficient number of fridges and freezers to accommodate the cold items.
q. Pest control shall be contracted to a third party professional controller.
r. Contractor shall adhere to and use the ADCO unified inspection checklist set forth in Appendix N
"Weekly Self Inspection Checklist for Caterers" attached hereto and sends copy to ADCO Public
Health Inspector (PHI) of the related field.

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Appendix-15 Catering Services
Page: 213 of 258
s. The water quality used in the kitchen shall be assured to meet ADCO/ ADNOC standards.
t. Contractor shall provide storage facilities of sufficient capacity, pest proof, well organized and meet
standards.
u. All food items to be labeled according to the date of receiving or preparation.
v. Special record and shelves shall be provided for the expiree or damaged items.
w. Record shall be available for kitchen equipment, which includes the history and parts changed/
replaced, etc.
x. Contractor shall arrange and conduct deep cleaning two times a year for ducts and on monthly
basis for utensils.

ADCO- HSED web page

Appendix-16 Management of Contractor HSE
Page: 214 of 258
Appendix “O-16”: Management of Contractors HSE

a. Contractor shall fully comply with all the terms and conditions of all the HSE appendices attached to
the Contract.
b. ADCO has the right to audit the Contractor for his compliance with the Contract terms and
conditions including HSE as any time with a short notice of 24 hours.
c. Contractor is fully responsible to carry out all the activities in a safe manner as to prevent harm to
people and damage to property. This requires Contractor to conduct risk assessments by a
qualified HSE and Supervision staff.
d. Contractor is fully responsible to ensure that the selected sub-Contractors have a good HSE
standard not less than hereunder and are implementing it.
e. Contractor should maintain a good HSE standard at all stages of the project and hence provide
qualified personnel for the execution of work and supervision.
f. Contractor should have a competent technical clerk to work with his HSE Team and be responsible
of all the office work.

ADCO- HSED web page

No. 17 – Requirement for HSE Professionals
Page: 215 of 258
Appendix “O-17”: Requirement for HSE Professionals

a. As a minimum, the Contractor shall employ the following number of HSE professionals depending
on his total number of personnel working for an ADCO contract:
Total Number of
Number of HSE Engineers Required **
Contractor Personnel
on a ADCO Site
10 to 50 1 part-time HSE Engineer
51 to 100 1 full-time HSE Engineer
101 to 250 1 full-time Senior HSE Engineer
250 + 1 full-time Senior HSE Engineer and 1 additional HSE Engineer
for every extra 250 or part of 250 Contractor personnel
b. These requirements may be increased for operations that are:

¾ deemed by ADCO to be of high risk (as defined by Contract Administrator);
¾ Spread over large geographical areas.
c. The Contractor shall submit curriculum vitas (CVs) of HSE Engineers (part or full-time) to ADCO
HSE Engineer for screening and selection approval.
d. All Contractors HSE Engineers who are selected/ assigned to work in ADCO contracts shall be
interviewed for qualification and competency by ADCO HSE Engineer Advisors.
e. Only after interviews, those who found competent shall be allowed to work for an ADCO Contract.
f. As a minimum, the Contractor’s HSE Engineers shall be qualified according to the following
requirement:
Work a. Minimum 3 years experience related to the activities to be carried
Experience out under the terms of the contract
b. Ability to communicate in written and spoken English language
c. Ability to conduct in-house HSE training
d. Ability to carry out HSE inspections, audits and accident
investigation & prevention
Engineer Possessing any one or more of the following:
Qualifications 1) Bachelor of Science or Master degree in HSE discipline
2) Diploma in safety management
3) Certified HSE professional
4) NEBOSH diploma certification
g. A part-time HSE Engineer is defined as a fully qualified & competent HSE Engineer who may be
assigned to more than one contract at one time and he must devote at least 50% of his time for one
contract.
h. Change / replacement of HSE Engineers shall be subject to ADCO’s written approval and based on
interview
i. Unavailability, absenteeism, change / replacement of HSE Engineers without written approval from
ADCO is a clear violation that demands disciplinary action as follows:

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a. 1st violation – warning letter and suspension of contract for 2 weeks without any
compensation
b. 2nd violation – final warning letter and suspension of contract for one month without any
compensation
c. 3rd violation – termination of the contract without any compensation
j. ADCO’s approval to Contractor’s HSE Engineer is limited to the relevant contract. There should be
separate HSE Engineers for different contracts unless written approval is obtained from ADCO
Contract Administrator and endorsed by HSE Manager
k. HSE Engineers shall be provided with good standard free living accommodation at the Contractor’s
camp in addition to other welfare facilities such as food, water, laundry, etc.
l. Each HSE Engineer shall be provided with a dedicated 4-wheel drive vehicle and dedicated
Intrinsically Safe mobile phone equipped with SIM card at the sole cost of the Contractor Company.
This arrangement shall include the mobile phone monthly usage charges except for personal calls
that shall be paid by the phone user “HSE Engineer”
m. Contractor HSE Engineer shall be solely dedicated for the HSE Business related to the contract
without being involved in any other business.
n. The Contractor HSE Engineer shall meet the below job description and therefore the selection of
HSE Engineers candidates for ADCO ‘s interview and approval shall be based on these minimum
requirement

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Contractor HSE Engineer Job Description

Here is a summary of ADCO’s expectation from the Contractor’s HSE Professionals engaged in ADCO
Contracts. ADCO have the right to update and amend these expectations at any time and request
Contractors to meet those new requirements. The Contractor’s HSE Professional shall be able to deliver
the following tasks and targets:
1. Develop annual HSE plan for the Contractor company inline with ADCO HSE Management
System manual and fully meets mode 2 contract HSE requirements.
2. Ensure that Contractor is implementing the annual HSE plan and provide quarterly progress
report to ADCO
3. Communicate ADCO’s HSE policy and its implementation steps to all Contractors’ employees.
4. Has the good knowledge of ADCO’s road safety HSE requirements for vehicles and drivers and
minimum knowledge of ADCO’s land transportation manual 10/3.
5. Trained and certified in ADCO’s PTW system and Gas Testing.
6. Ability to pass ADCO’s exam in the following main competencies within one year period:
a. Competency in ADCO’s PTW Procedure
b. Competency in ADCO’s H2S and Facial Hair Procedure
c. Competency in ADCO’s HSE Management System
d. Competency in ADCO’s Land Transportation Manual 10/3
e. Competency in ADCO’s Manual 10/4 “Management of Contractors HSE”
f. Competency in ADCO’s Task Risk Assessment (TRA) Process
7. Has the knowledge and skills to conduct and review task risk assessments
8. Has the knowledge and skills to conduct proper accident investigation and submit
comprehensive report including safety flashes
9. Ability to develop or enhance / improve Contractor’s emergency response procedure
10. Ability to establish fire warden, develop their emergency checklists and train them on their roles
and responsibilities
11. Ability to develop and run table top and small scale emergency exercises at the camp and work
sites
12. Develop and implement HSE orientation / induction to workers and new recruits
13. Conduct HSE inspection of camp facilities and work locations and report findings. Follow up
until the close out of the recommendations
14. Conduct HSE audits and report findings in a proper manner. Audits shall include but not limited
to Contractor’s senior management high visibility tours, BBSA, PTW audits, Road Safety audits
and spot checks, etc.
15. Conduct self audit on contract HSE requirements and identify compliance and non-compliance
items including welfare standard
16. Conduct periodical HSE meetings within the Contractor company and produce minutes of
meeting

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17. Closely monitor the implementation and close out of findings and recommendations arising
from Client inspections, audits, meetings, etc. and report progress to ADCO
18. Ensure that the Contractor’s fire and safety equipments are receiving timely preventive
maintenance. Examples: vehicles, fire fighting system, fire detection system, emergency
equipment, first aid boxes, etc.
19. Have received at least training on fire extinguishers, fire hose-reels and fire hoses through
water hydrants
20. Having sufficient knowledge and received certification in H2S & BA and certification in gas
testing
21. Trained, certified and holding ADCO’ Document for Safe Driving (ADSD)
22. Having sufficient knowledge and skills in lifting operations safety requirement

ADCO- HSED web page

No. 18 – Waste Management
Page: 219 of 258
Appendix “O-18”: Waste Management
a. Contractor should make every effort to keep the environment clean while performing the project
activities
b. Any waste whether liquid, solid or non-hazardous generated from the Contractor’s activities shall be
collected in an approved designated skips, transported and disposed at an approved recycling
facilities or Municipality disposal facilities
c. Evidences and records shall be maintained and presented to ADCO on all waste and quantities that
were disposed or managed
d. Waste should be firmly secured and covered to avoid any possible pollution while transporting it on
the road to the approved disposal areas
e. Workers in charge of the waste handling and management shall be provided with proper personal
protective equipment (PPE) suitable to the waste being managed or as identified in the Material
Safety Data Sheets (MSDS)
f. If the project is expected to generate various types of waste or a mixture of hazardous and non-
hazardous material, then the Contractor shall provide an experienced Environmental Engineer for
the duration of the project
g. Disposal of hazardous waste must be conducted by a waste management provider approved by the
Health Authority of Abu Dhabi.
h. Contractor shall ensure continuous good housekeeping by the continuous waste removal from site
to avoid waste accumulation

ADCO- HSED web page

No. 19 – HSE Training
Page: 220 of 258
Appendix “O-19”: HSE Training
a. Contractor staff shall attend the ADCO free of charge HSE induction training on arrival to the site
and before commencing the work. Contractor staff shall also attend all training courses set forth in
the below table.
b. Contractor in the course of execution of the project shall arrange the training courses set for, in the
below table, at his own cost free to employees. ADCO may provide some of the training to the
Contractor employees as well. The responsible party to provide the training is indicated in the table
below which covers but not limited to the training requirements. Any unforeseen training
requirement (not indicated in the table below) shall be provided by ADCO. Contractor shall make
his workforce ready for the required training.
c. All the HSE certification courses must be attended at an ADCO approved 3rd party. Contractor to
approach ADCO Systems & Procedures Department in HSE Division in Abu Dhabi to obtain and
receive the latest updated list of the approved training agencies.
d. Contractor shall develop a project HSE training matrix for the duration of the project listing project
related HSE training, timing and who will attend.
e. Contractor shall develop a training program for his employees, both internal and external training,
relevant to the project training requirement. The Contractor shall adhere to the program and
present it to ADCO upon request.
f. Contractor should collect from ADCO the HSE Training Passports for his employees. All the
training courses shall be recorded in these HSE passports.
g. Contractor shall provide documented evidence of all HSE training to ADCO Representative. Upon
request, trained employees must be able to give practical demonstrations of such training. ADCO
Representative has the right to check HSE training passports to ensure that ADCO specified HSE
training courses is given to the Contractor employees.
h. Contractor shall ensure that all personnel are qualified in their tasks and Contractor employees are
performing and undergoing further training to meet the needs of the working environment when
specified by ADCO Representative.
i. Prior to commencement date of the contract, Contractor shall provide copies of all qualifications
and competencies of their personnel. To determine the Contractor employee’s competency,
Contractor shall release his employees at his expense to sit for an examination.

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Manage
Site / Project managers SEN. &
Foreme
Kitchen
n Tech
Mngmt
Labor
ment
MID
Site
Site eng & supervisors
Foremen /Operator/
Admin. & planning
Admin. & planning

HSE professional
Lifting equipment
Certified courses
Duration (days)
Validity (years)
HSE - COURSES40
Site Admin
operator
All staff
Drivers
Labors
tech
1 Behavioral Safety Auditing 1 C C C
C
HSE Induction – Site specific 1 A A A A A C* C* C* C* C*
2 *
3 Fire Fighting Essential 1 C C C C C C C C ** C
4 H2S & BA Awareness 1 1 C C C C C C C C C C
5 H2S & BA Awareness for Labors 3h 1 C
6 H2S & BA Intensive Certification 2 1 X C C C C
7 ADCO Doc. for Safe driving 2 3 X C C C C C C C

8 Certified Scaffolding Erectors 8 X C
9 First Aid Certification - ** 3 3 X C C
10 Gas Testing - ** 2 3 X C C C
11 Int"l Well Control (IWCF) Certification 5 1 X C C C
12 Permit to Work (JP) 2 3 X C C C
Lifting Operation (Rigger/Slinger/Banks
2 3 X C C C
13 man Certification)
14 Lifting Operation (Crane Operator) 3 3 X C
15 Certified Safety Audits and Site Inspection 3 X C C C
16 Incident Investigation & Reporting 2 A A A A
17 Chemical Handling Awareness 1 A A
18 Food Hygiene and Handling for caterers 1 X C
19 Task Risk Assessment (TRA) 1 C C C
20 Environmental Awareness 1 A A A A A C C C C C C
21 Intermediate Food Safety 3 X C
40
This table of required training shall be amended by the HSE Professional and agreed by the End User before
forwarding to the SCMD

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* training to be provided by the Contractor key personnel who are trained by ADCO
** 10% of Contractor personnel to be trained
A Training will be arranged by ADCO

C Training will arranged by Contractor at ADCO approved 3rd party.

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j. Below is the list of the approved training providers and approved instructors41. Contractors shall
limit the training to this list only. They shall not approach any other training provider without prior
approval from ADCO. If there shall be any training requirement that is not listed in the table
contractor shall approach ADCO HSED to advice approved training provider.
Company Instructor
No. Name name HSE Training course
PTW (JP)
Gas Testing
1 Stephen Keppler
Scaffolding
Emirates Risk
1 management & BBS audit
Consultancy (ERM) 2 Ahmed Al Menhali Incident investigation
Excellence through supervision
H2S & SCBA Awareness & Intensive

3 Marwan Itani
training
Incident Investigation & reporting

1 Hari Sathya
Safety Audit and Site Inspection
2 TUV NORD 2 Rajesh Nair Incident Investigation & reporting
Dr. Noor
3 Food Hygiene/Handling
Mohammed
Gulf Human 1 PTW (JP

Resources
3 Development 2 Steve Moremon Gas Testing
Company H2S Awareness, and H2S & BA
3
(GHRDC) Intensive certified
41
This list is subjected to change. When a change is necessary, the HSED will provide the amended version of the list
on tender by tender base.

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Page: 224 of 258
Company Instructor
No. Name name HSE Training course
1 Ali El Sayed H2S Awareness
Gulf Technical
4 Safety Training 2 Mohanad Tayeb Gas Testing
Centre (GTSC)
3 Arthuro M. Solis Fire Fighting Essential courses
Mohammed
1
Maarouf
H2S Awareness, and H2S & BA
5 AL GHAITH
Intensive certified
2 Geoffrey D'brass
BUREAU
6 1 Silwan Noor All Lifting Operations courses
VERITAS
Emirates
Technical & Safety H2S Awareness, and H2S & BA
7 1 Marwan Qutishat
Training Centre Intensive certified
(ETSDC)
Safety Audits and Inspection (ISO 14001

8 ECTC 1 Dr. Osama and OHSAS 18001 Integrated Internal
Auditor Course
PTW (JP,IA,AA)
Arabian Bureau of H2S & BA Awareness
9 1 Kevin A. McGuire
Services
Gas Testing

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Appendix “O-20”: Incentive Scheme
a. ADCO HSE incentive scheme shall be used as a guideline.

b. Good performance and safe driving by Contractor employees should be recognized in the form of
incentives to promote positive safety culture in the organization.
c. Contractor shall recognize his drivers, who have managed to complete one year at ADCO sites
without an incident or any type of Road Safety violation. ADCO HSE is responsible to verify the
records before any award is given by the Contractor.
d. Incentive should be in the form of appreciation certificates or letters and financial reward.
e. Types of recognition should cover but not limited to Safety Man of the month, HIPO near-misses,
best HSE suggestion, safe driver of the month, best performer, etc.
f. The criteria of the incentive scheme recognitions shall be documented and communicated to all
employees in their languages
g. All the rewards and incentives shall be arranged and paid by the Contractor in a function attended
by all employees and representatives from ADCO
h. Photos of the monthly winners shall be posted in the Contractor’s magazine (if any) and on notice
boards.
i. The minimum financial rewards shall be as outlined in the below table:
No Category Financial Reward AED
1 Safety Employee of the Month 1000
2 Safety Employee of the Year 3000
3 Safe Driver of the Month 1000
4 Professional Diver of Clean Record Throughout the One Month Gross Salary
Year
5 Approved HIPO Near Miss/ Hazard Report 500

ADCO- HSED web page

No. 21 – HSE Statistics Reporting
Page: 226 of 258
Appendix “O-21”: HSE Statistics Reporting
a. Contractor is required to submit a monthly safety statistics report as per the ADCO format attached
b. The monthly safety statistics report shall be submitted to the HSE Department of the ADCO
Division in-charge of the contract
c. Monthly safety statistics report shall reach ADCO on the 1st of every month
d. Monthly safety statistics report will be checked by ADCO and Contractor may be requested to
prove and confirm some of the data provided. Therefore, Contractors should make sure that the
data provided is accurate
e. Monthly safety statistics report can be submitted to ADCO by hand, fax or e-mail
f. Contractor shall provide ADCO Representative with copies of HSE Minutes of Meeting (MOM).
g. The Senior Contractor Representative on site or his immediate superior in his organization shall
attend and actively participate in the ADCO Contractor's HSE Meetings.

ADCO- HSED web page

No. 21 – HSE Statistics Reporting
Page: 227 of 258
Monthly HSE Statistics Report
Contractor Name: ________________ Month: _______ Date: _______ Field: ______
Sr. Current Month YTD

Performance Indicators
No. Statistics Statistics
1 Total number of employees
2 Man-hours worked
3 Fatalities (death)
4 Fatal accident rate (FAR)
5 Permanent total disabilities (PTD)
6 Permanent partial disabilities (PPD)
7 Lost workday cases (LWDC)
8 Lost time injuries (LTI)
9 Lost time injury frequency rate (LTIFR)
10 Lost workdays (days lost)
11 Severity rate
12 Restricted workday cases (RWC)
13 Restricted workdays
14 Medical treatment cases (MTC)
15 Total recordable cases (TRC)
16 Total recordable cases frequency (TRCF)
17 Total number of vehicles
18 Vehicle incident, category 1 (serious)
19 Cost of vehicle damage ($)
20 Vehicles kilometers driven
21 Vehicle accident frequency rate (VAFR)
22 Total employees trained (actual)
23 Total training hours
24 Total training hours/employee (average)
25 First aid cases
26 Near misses
27 Fires
28 Property damage or process loss
29 Cost of property damage and process loss
including fires ($)
30 HSE meetings conducted
31 HSE inspections carried out
32 Emergency exercises / drills conducted
33 Total road safety violations by IVMS
Reported by (Name): ____________________ Designation: ________________________
Signature: __________________________ Telephone Number: __________________

ADCO- HSED web page

No. 22 - Emergency Response
Page: 228 of 258
Appendix “O-22”: Emergency Response

a. Contractor site key personnel needs to understand ADCO emergency response procedure by
attending the HSE induction training by ADCO.
b. It should be clear to Contractor that once the emergency siren is activated, all works must stop
immediately and workers vacate the area
c. Work can only resume once ADCO declare the area is safe and that Contractor can do so
d. At most circumstances, PTW will be ceased and there is a need for new approval from ADCO
Area Authority to resume the work by Contractor
e. Contractor is responsible to ensure that his employees are made aware of ADCO emergency
response procedure
f. Contractor is responsible to provide his employees with all the necessary emergency and saving
equipment such as toxic gas breathing apparatus, escape masks, H2S personal monitors, fire
extinguishers, wind socks, communication means, transportation means, stretchers, first aid kits,
etc.
g. Contractor is required to have an emergency exercises / drills plan and implement it
h. Contractor must cooperate and respond positively to all ADCO real and drill emergencies
i. Contractor shall provide to ADCO Representative prior to arrival on ADCO premises, a 24-hour
contact numbers, and facility in the event of an emergency.
j. In addition to the above, Contractor shall maintain a register of employee's next of kin details,
which shall be made available to ADCO Representative upon his request.

ADCO- HSED web page

No. 23 - Transportation/ Vehicles/ Moving Machinery
Page: 229 of 258
Appendix “O-23”: Transportation/ Vehicles/ Moving Machinery

1. All light and heavy vehicles used in the performance of the Work/Works/Services* contract shall
comply with all Abu Dhabi and UAE laws, rules and regulations.
2. Only vehicles meeting ADCO Standards and possess a valid security pass shall be allowed to
enter/ transport contract employees or deliver goods within ADCO concession area. ADCO
reserves the right to check the contents of all such vehicles both on entry and on exit and if
necessary to confirm that, the vehicle and personnel conform to ADCO HSE requirements.
3. All Contractor employees driving on ADCO property shall follow ADCO posted speed limits, signs,
etc. At all times, pedestrians and emergency vehicles shall have the right-of-way to the road. All
drivers shall pull their vehicle at the side of the road and give way to emergency vehicles.
4. All light and heavy vehicles (except wheel / chain dozers, 966 & 824 machines, dumpers, tractors,
trailers, forklift trucks, cranes, side booms, JCB, Bobcat, Golf cars, scrapers, excavators, backhoe
loaders, trenchers, loading shovels, graders/compactors/rollers, tipper trucks, ambulance cars, fire
trucks, others as may be specified at any time by ADCO) shall have In-Vehicle Monitoring System
(IVMS) integrated with GPS and GPRS fitted with an Etisalat SIM card installed and fully
operational and approved by ADCO (VDO or Vehicle Logger Manager- VLM).
5. Contractor shall continuously monitor the proper operation of the IVMS, as well as, the manner and
the behavior in which professional drivers conduct themselves when driving the vehicles. Such
monitoring shall be carried out by employees certified by the IVMS provider, or by any other
qualified and certified third party approved by ADCO. A monthly performance report of IVMS output
shall be submitted to ADCO Representative(s) and ADCO HSE Department in the manner
specified by ADCO.
6. All vehicles that would be driven off road (in desert/sand) shall be provided with a flag pole of 3
meters height.
7. All the 4-wheel drive light vehicles shall be fitted with a rollover bar and partition/net as per ADCO’s
approved specifications.
8. All light and heavy vehicle professional drivers (except drivers/operator of wheel / chain dozers, 966
& 824 machines, dumpers, tractors, trailers, forklift trucks, cranes, side booms, JCB, Bobcat, Golf
cars, scrapers, excavators, backhoe loaders, trenchers, loading shovels,
graders/compactors/rollers, tipper trucks) must have and obtain ADCO Document for Safe Driving
(ADSD) before they are allowed to drive vehicles in ADCO concession area. The training shall be
conducted by an ADCO approved third party and shall be arranged by CONTRACTOR for its
drivers. CONTRACTOR shall, at his own cost and expense, pay for all the training required, with no
financial impact on the drivers.
9. Each professional driver must be provided with a dedicated "driver identification key" to operate the
vehicle allocated to his name and be used by him only. General or common use blue keys are not
allowed under any circumstances.
10. All light and heavy vehicles shall be equipped with an operational reverse alarm except saloon
cars.
11. Heavy vehicle tires shall be suitable for the terrain and shall be in very good condition. Tires shall
be immediately replaced in case of significant threads wear, cracks or damages.
12. All four wheel drive light vehicle shall be equipped with a built in air compressor for tires inflation
mounted under the hood of the vehicle with expanded hose able to reach all tires. The
specifications of the compressor are listed under point aa of this section.

ADCO- HSED web page

Page: 230 of 258
13. Light vehicle tires shall be suitable for the terrain, in very good condition and of age not more than
two years. Tires are immediately replaced in case of threads wear, cracks or damages and in case
of being driven more than 40,000 kilometer, whichever comes first.
14. Vehicles entering ADCO’s restricted areas, such as fenced stations, wells and Rig sites shall have
spark arrestors fitted to them.
15. ADCO has the right to request the removal of any driver who found to be violating the road safety
rules and regulations.
16. All vehicles should receive at least monthly maintenance by a qualified mechanic provided by the
Contractor or at a qualified workshop or agent with records reserved for inspection by ADCO. The
mechanic provided by the Contractor shall be qualified and competent. He shall hold a minimum
qualification of diploma in auto repairs with minimum five years related experience.
17. A well defined journey management system shall be in place and shall be well monitored, Journey
forms to be used, tracked and closed. Forms must include driver’s name, number of passengers,
route taken, mobile number, and approval authority. Night driving approval forms shall be used to
control night and other high risk journeys. Sample forms can be collected from HSE division in
ADCO.
18. ADCO shall have the right to audit Contractor’s compliance with its land transportation safety
requirements
19. All four wheel drive vehicles intended to be driven in the desert shall be equipped with desert
survival kit as per specification stipulated below.
Smoke canisters (2) Heavy duty tow rope (steel)

Heliograph signaling mirror (1) Tire Pressure gauge
Space blanket (1) Foldable shovel
Light sticks (2) Torch/ flashlight with spare batteries
Special DATREX water- volume: enough for 2
Glare paper roll (1)
days supply for 5 passengers
Contents to be in heavy duty army type
bag approved by ADCO
20. All vehicle shall be provided with a first aid kit comprising of the following:
Ten band-aid plasters Two eye pads

Ten cotton balls Providone Iodine Solution 50ml
21. All light vehicles assigned for the fields and terminal shall be provided with built in telephone
holders suitable to fit for ADCO ePTW Personal Digital Assistant (PDA)
22. All light vehicles assigned for the fields and terminal shall be provided with built in amplifier and a
flashing light (or equivalent approved by ADCO) located outside the body of the vehicle to alert the
employees of any calls received while they are 30 meters away from the vehicle and the mobile
phones are kept inside it.
23. All vehicles’ drivers assigned for the fields and terminal operations shall be provided with an
intrinsically safe mobile phone and SIM card for emergency communication.

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Page: 231 of 258
24. All heavy vehicles shall be provided with a built-in hard mount steel compressor to be mounted
under the hood, 25ft. nylon coil hose with clip-on air chuck, and jumper cable style battery
connectors. To be hooked up to the battery power Cord Length: 10 ft. - Air Hose Length: 25 ft.
technical specs:
1/3 Horsepower permanent

Flow rate: 3.65 CFM
magnet motor
Maximum pressure: 70 psi Max duty: 40 minutes @ 40 psi
25. Pre-employment and ongoing routine medical examinations shall be a requirement for all drivers
employed by ADCO and Contractors in accordance with “Medical Fitness Standards” attached
hereto.
26. The medical checkup frequency shall be one year for the Drivers up to the age of 55 years and 6
months for the age above 55.
27. Drivers who transport hazardous materials shall receive particular considerations in the medical
checkups regarding the exposure limits.
28. Approved medical centers / services shall only be utilized in obtaining drivers fitness to drive.
29. Drivers shall not work more than 12 hours shift per day; his driving time shall not exceed 8 hours
per shift and shall take at least 15 minutes rest after each 2.5 hours driving.
30. Off duty / rest shall not be taken in the cab of the vehicle unless it is equipped (sleeping birth).
31. Taking rest under or behind any part of the vehicle is totally prohibited.
32. Drivers shall receive free of cost proper personal protective equipment as specified in section 6 of
this appendix.
For ADCO Hire Vehicles Only (Light and Heavy Transport Contracts)
33. Six vehicles from the light vehicle transport contractor at each Asab, Bab, Buhasa and NEB, and
two vehicles at each Sahil, Shah and JDA shall be provided with Projector Light for Search and
Rescue (SAR) operations at night. The projector light shall have an interior control handle and
rotate 360 degrees horizontally and 180 degrees vertically and operates on 12 VDC.

ADCO- HSED web page

No. 24- Laboratory Safety
Page: 232 of 258
Appendix “O-24”: Laboratory Safety
a. The Contractor shall identify all hazards and risks occurring in a petroleum laboratory
from the handling of corrosive, flammable and toxic substances, the use of fragile
apparatus and the effects of extreme temperatures and pressures.
b. The Contractor shall ensure precautions and safe systems of work for his employees
who are exposed to laboratories’ hazards and risks achieved:
• Provide guidance to staff on the use of PPE for work in laboratories
• Set standards for laboratory equipment
• Describe waste disposal methods
c. Laboratories shall be designed, constructed and maintained in accordance with the
relevant regulations and guidance, notably for electrical area classification, ventilating
systems, fire protection, and waste disposal, as per the National Fire Protection
Association (NFPA).
d. Contractor shall provide free of charge all Personnel Protective Equipment as
described in section 6 of theses rules and conditions to all employees working in the
laboratories and shall be responsible that the employees are properly trained on
using these PPE .
e. Safety showers, eye, and face washers shall be provided and well maintained for use
of personnel coming into contact with hazardous materials.
f. Laboratories where crude oil or its products including gases are handled, tested, or
stored, shall be designated as restricted areas. Any non-routine activities that are not
done frequently as a normal part of the laboratory activities, conducted in
Laboratories shall be subjected to a Hot/Cold PTW and the relevant certificates.
g. Flammable solvents stored in drums shall be located outside the main building.
h. Application of heat shall be by means of a “black heat” type of appliance. The use of
Bunsen burners and gas rings shall be a means of last resort and not normally used.
A Bunsen burner or gas ring may be used subject to the authorization of the relevant
PTW and constant supervision at the work area.
i. Where flammable vapors may be released, a ventilation system shall be installed to
prevent the accumulation of hazardous vapors. As a minimum, the ventilation system
shall be capable of six to eight air changes per hour as a minimum.
j. A special drainage system provided with vapor seals shall be installed and use for the
disposal of flammable liquid. The disposal of other waste materials shall be made with
care and subject to their nature.
k. In cases where volatile, flammable or toxic fumes are likely to result from a distillation
test, the to be conducted within a fume cupboard equipped with a fire-resistant
shield.

ADCO- HSED web page
No. 25- Penalties scheme for HSE Non- Compliance Page: 233 of 258
Appendix “O-25”: Penalties scheme for HSE Non- Compliance
Contractor adherence to the HSE rules and conditions set forth herein is mandatory to execute the
Services/Works. Any violation or omission to any of these rules and conditions shall entitle ADCO to apply
the following penalties as applicable:
Financial Penalty Against Contractor % of Item Cost (AED) /AED
Sr. HSE Requirement 1st 2nd 3rd
No. Failure Failure Failure
1 Failure to prepare project / contract / annual HSEMS
2 Non-compliance with any of the following Items as outlined in Appendix-O of the
attachments such as but not limited to:
Failure to prepare HSE policy
Failure to report accident
Execute work without PTW
Failure to provide protection / training against H2S
Failure to comply with pressure and leak testing
requirement
Improper handling and management of gas cylinders
Execute lifting operations without inspected, certified
and color coded equipment
Execute lifting operations without competent and
certified operator, rigger or banks man
Carry out excavation without excavation certificate or
violating the procedure on the excavation certificate.
Failure to provide ionization radiation protection
equipment
Improper handling of ionizing radiation material
Ionizing radiation related activities carried out by
uncertified personnel
Uncertified or unvaccinated food handlers
Failure to provide or maintain competent HSE
professionals for a period exceeding one week at any
time during the period of the contract without prior
approval from ADCO
Improper handling / management of waste generated
which affects air, land or water
3 Non-compliance with welfare standard set by ADCO
Failure to provide accommodation / messing according

to ADNOC standard detailed in appendix I of the
manual
Failure to provide food and dining services or equivalent
allowance
No or inoperable STP.

ADCO- HSED web page
Improper camp waste management violating the

guidelines in the appendix
No biweekly pest control the camp
Failure to provide 1st aid room fully equipped and
qualified medic (for residents >100)
Failure to provide ambulance and driver (for residents
>300)
Failure to provide natural mineral water in the dining
hall, recreation rooms and living rooms.
Failure to provide tissue papers, toilet papers and soap
bars
Employee pays for resident permit
Employee pays for the labor card
Employee pays for health card
Employee pays for medical check up
Delay of salary payment beyond 10 days of the
completion of the working month
Driver’s living allowance in Abu Dhabi is less than the
amount stated in the contract
Daily allowance for drivers on trip to Abu Dhabi after
working hours. Is not paid or less than the amount
stated in the contract
Leave free air ticket is not provided or equivalent value
is not paid
Travel allowance for leave and return to work per head
(transport, accommodation, messing and food in Abu
Dhabi) is not paid or less than the value stated in the
contract
Monthly or annually rewards for drivers safety man is
not paid as stated in the contract.
4 Failure to provide / Maintain any of the following PPE
Safety glasses / spectacles

Work uniform of good quality and of standard color
approved by ADCO
Winter jacket
H2S personal monitor
H2S escape mask
Safety boots (short / long neck)
Safety helmet of approved
Color (except drivers)
Cap for driver of approved color
Self contained breathing apparatus
Mobile breathing air compressor / air-loop system
High pressure breathing air compressor
Fireman's helmet
Welding helmet with face shield
Ear protectors

ADCO- HSED web page
Rubber hand gloves

Hand gloves cotton spotted
Hand gloves leather rigger
Gloves (mechanical hazards) general purpose
Gloves (chemical hazards)
Gloves (thermal risks) for welders
Gloves (fire fighting)
Gloves (drillers)
Fireman's boots
Safety boots - for MV/ HV electrical works
Hazmat splash clothing
Safety clothing (fire fighting suit)
Safety harness
5 Failure to arrange/provide HSE training and
certification as determined in HSE appendices
attached to the contract
6 Failure to provide / maintain any of the following road safety requirement:
IVMS integrated with GPS
IVMS integrated with GPS, GPRS & SIM Card
Rollover bar
Partition net
Flag pole
ADSD certification
Desert survival kit
First aid kit
Dry powder fire extinguisher
Reverse alarm.
Built in air compressor for tires inflation (4WD and
heavy vehicles)
Heavy vehicle tires set
4 wheel drive vehicle tires set
Saloon vehicle tires set
IVMS administration training

ADCO- HSED web page
Appendix P Date: Nov 2009
Contractor Camp Audit/ Inspection Checklist Page: 236 of 258
Appendix P – Contractor Camp Audit/ Inspection Checklist

Level Level Level Level Level
Item Description [1] [2] [3] [4] [5]
Location AA N/A
0 12 24 36 60
Mandatory / High Risk/ Costly
points points points points points
G A1 Fire Detection / Alarm System
G A2 Fire Protection System
G A3 Fuel Storage and Fuel Station
G A4 Sewage Treatment Plant (STP) or Holding

Tank
G A5 Air Conditioning / Ventilation
G A6 UAE Labor laws, Ministerial decrees and

Contract Terms & Conditions
G A7 Emergency Preparedness
G A8 Camp Layout
G A9 Medical Facility (as per Contract)
G A10 Kitchen Facility
G A11 Dining Facility
Total Score
0 0 0 0 0
Item Description
[1] [2] [3] [4] [5]
Location C N/A
Site Provisions/ Conditions/ Performance/ 0 2 5 7 9
Experience points points points points points
ACC C1 Accommodation Occupancy Level
ACC C2 Toilets with washing facility
ACC & O C3 Lighting Levels

ACC, K, WS, O C4 Overall Camp condition (General Hygiene/
Sanitation/ Cleanliness/ Janitorial Works).
ACC, K, WS, O C5 Electrical Installations / Fittings / Wiring (as per
ADCO)
G C6 Camp Housekeeping
ACC, K, WS, O C7 Hazardous Material Storage
ACC, K, WS, O C8 Furniture/ Fittings used by Camp Residents

ADCO- HSED web page
Appendix P Date: Nov 2009
Contractor Camp Audit/ Inspection Checklist Page: 237 of 258
ACC, K, WS, O C9 First Aid boxes
ACC, K, WS, O C10 HSE signs
ACC, K, WS, O C11 Waste Management

ACC, K, WS, O C12 Smoking policy
WS C13 PPE – Chem. Coveralls, Goggles, Gloves,

Mask, Hard Hat, Boots
O C14 Dry vegetation
O, WS C15 Machines/ Tools/ Equipment/ hoses/ piping/

fittings/ equipment vibrations, etc.
K, WS C16 Industrial compressed gas cylinders
WS C17 Lifting gear and equipment in W/S
O C18 Diesel Generator

O C19 Noise (environmental & occupational)
G C20 Water Quality (for drinking and non-drinking

water)
G C21 Bonus Points for Camps that achieve above
and beyond UAE-ADNOC-ADCO requirements.
State reasons why "bonus" points were
awarded.
Score 0 0 0 0 0
TOTAL INSPECTION SCORE
0 0 0 0 0 0
MAX % OF ACTUAL
>60% <30%
SCORE TOTAL SCORE
FIRE 6
PROTECTION A1+A2+A3+A7+C12 months
SYSTEM 249 27.39 149 to 75 0
ENVIRONMENT comply
A4+C11 for
AL 69 7.59 41 21 0
ACCOMMODAT total
C1+C2+C3+C8 score
ION 36 3.96 22 11 0
OVERALL which
A5+A8+C4+C6+C14+C18+C19+C20 is more
CAMP 183 20.13 110 55 0
than
KITCHEN & §
A10+A11 30%
DINING 120 13.20 72 36 0
but
SAFETY
C5+C7+C9+C10+C13+C15+C16+C17 less
ISSUES 72 7.92 43 22 0
than
EMPLOYEE
A6 60%
WELFARE 60 6.60 36 18 0
MEDICAL §
A9
FACILITY 60 6.60 36 18 0
BONUS POINTS C21 60 6.60 36 18 0
TOTAL 909 100.00 545 273 0
§ If it is N/A, then enter "zero" in MAX SCORE. All other scoring columns will
adjust accordingly.

ADCO- HSED web page
Appendix Q Date: Nov 2009

Road Safety Audit Checklist
Page: 238 of 258
Appendix Q – Road Safety Audit Checklist

LEVEL [0] – Not Provided / Missing / Sub Standard [Scores 0 point)
LEVEL [1] – Poor / Partially Available / Insufficient / Not Suitable [Scores 2 point)
LEVEL [2] – Satisfactory / Need little more attention / require upgrading / average [Scores 4 point)
LEVEL [3] – Good / Acceptable but can be improved further [Scores 6 point)
LEVEL [4] – Excellent / Advanced [Scores 8 point)

N/A
[0] [1] [2] [3] [4]
A MANAGEMENT
A2 Company has definite road strategy or plan
Management is showing their visible commitment to

A3
strategy / plan.
A4 Effectively the strategy / plan are implemented.
Management is monitoring, encouraging and

A5 recognizing the good driving performances by the
individuals.
Risk management – All drivers are made aware of

A6
the toxic/ Flammable nature of goods being carried.
Written Procedures For Emergencies like Accident/

A7
Spill/ Fire etc are issued and drivers are aware of it.
A system in place for drivers violating rules and it

A9
is properly dealt with
Company has a training matrix for the drivers with

A10
stipulated dates.
Company has internal awareness training and

A11
drivers orientation program
Each vehicle / Driver is provided with

A12
communication means
Monthly IVMS reports / returns are submitted in

A13
electronic / hard copy.

ADCO- HSED web page

Page: 239 of 258
B Journey Management
B1 Journey Management System is in place
B2 Its effective use is evident from the records.
Controls are in place to ensure its effectiveness

B3
and compliance
Journey management System in your company is

B4
monitored by a responsible person
All drivers book-out and book-in upon reaching

B5
destination
Proper strategies and procedures in place to

B6
search & rescue.
B7 Fog Control Procedure in-place
C MAINTENANCE MANAGEMENT SYSTEM
C1 A proper Maintenance system in place.
There is well-defined checklist for Daily / Weekly /

C2
Monthly Checks.
Proper equipped workshop with adequate spares,

C3 air compressor, type management system and well
experienced staff are available for maintenance
C4 Maintenance record maintained for each vehicle.
Break down service system or procedures in place

C5
to respond quickly to emergency breakdowns.
Vehicles regularly serviced on a programmed

C6
basis.

ADCO- HSED web page

Page: 240 of 258
D DRIVERS
Do you make use of the Fog visibility signboards

D3 available on the entrance / exit of the camp during
low visibility?
Do you check the vehicle prior to use as per the

D5
checklist.
All crane operators and banks men are trained and

D7
certified by ADCO approved third party
E VEHICLES
All the vehicles are conforming to the vehicle

E1
Checklist (Light /Heavy)
E2 Vehicles are fitted with IVMS & and it is operational.
E3 All vehicles have reverse alarm installed.
All vehicles driving in the desert have “Desert

E5
Safety Box” with all items.
Chain Binders are phased out and only ratchet

E6
type binders used

ADCO- HSED web page
Appendix R Date: Nov 2009

Closeout Report Page: 241 of 258
Appendix R – Closeout Report
Introduction
This document is to be used as part of the overall Contractor assessment. The importance of this
document is not to be overlooked as it recognizes Contractor’s achievement or failure and will assist in
determining the status of that Contractor for further service provision in ADCO.
The ADCO Representative will review, date and schedule a Contractor discussion, if necessary. The
evaluation form once completed, will be included within the Contractor’s file and data base, which will be
used as a reference for future contract award.
Guidance
At the closeout of the contract / project, ADCO is required to rate the performance of the Contractor. The
rating system has two parts:
i. Technical / service performance

ii. HSE performance appraisal
The following rating criteria shall be used for guidance
Rating Score Criteria

0 points Unsatisfactory or poor
3 points Needs Improvement or below average
6 points Good or average
8 points Highly Effective or very good
10 points Outstanding or excellent
N/A Not Applicable

ADCO- HSED web page

Closeout Report
Page: 242 of 258
Contractor Name Date
Contract Title Timescale

From: To:
Contract Man-hours Worked

Administrator
I. Technical / service performance [To be filled-in by the Contract Administrator]
Sr. Technical / Service Description Rating Remarks

No. Score
1 Contractor compliance with the project or
service manpower requirement
2 Contractor compliance with equipment and
materials requirement
3 The quality of services / project work provided
or executed
4 Execution of the service / work is achieved as
per the planned schedule
5 Contractor timely response to ADCO
enquiries
6 Workforce qualifications and experience
7 Contractor’s cooperation and coordination

during the contract period
8 Contractor’s fulfillment of the contract
obligations and rights
9 Timely and effective mobilization
10 Timely and adequate demobilization
Overall Service Performance Rating
Further Comments on Technical / Service Performance:

ADCO- HSED web page

Closeout Report
Page: 243 of 258
II. HSE Performance Appraisal [To be filled-in by the Business Unit HSE Team Leader]
Sr. Rating Comments

No. HSE Description Score
Compliance with Contract HSE Terms &
1
Conditions
2 Quality of HSE Supervision
3 HSE Protection at Work Sites
4 Suitability & Adequacy of HSE Manpower
5 Camp HSE Standard
6 HSE Plan Implementation
Compliance with HSE Procedures and Systems
7
such as: PTW, PPE, Lifting Operations, etc.
8 Road Safety
Welfare Aspects such as: Salary, Leave, Food,
9
etc.
10 Workforce Comment's on his Contractor
Overall HSE Performance Rating
Further Comments on HSE Performance:

ADCO- HSED web page

Closeout Report
Page: 244 of 258
III. Overall Contractor’s Performance Rating
Performance Category Score/ Minimum Acceptable Score

Rating
Technical / Service Performance Rating
HSE Performance Rating 70%
Overall Contractor’s Performance Rating (Pass
or Fail but no Score Points)
Business
Signed: ________________ Name & Title: __________________ Date: ______
HSE Unit:
End User: Signed : ________________ Name & Title: __________________ Date: ______
FOR SCMM DEPARTMENT USE ONLY
Signed: ______________
Company’s Registration No: __________________
Date of Logging into Business Registration System (BRS): Title: ________________
____________

ADCO- HSED web page
Appendix S – Contractor Performance Date: Nov 2009
Section I : Criteria for identification Contractor’s Page: 245 of 258

Performance
Appendix – S Contractor Performance

Section I Criteria for identification Contractor's Performance
(Refer to Part 11 of the manual- Consequences of Compliance & Non-compliance)
RAGB (Red, Amber, Green & Brown) Contractor’s

Performance Annual Report Criteria
Sr. Criteria Description Ranking Score

No. Color (Points)
1 Serious non-compliance with ADCO road safety rules
and regulations such as: 25 points
No IVMS for each
IVMS not in use single event
tampering with IVMS
using dummy/general blue keys
2 Less serious non-compliance with ADCO road safety

rules and regulations such as: 10 points
No ADSD for each
Using other driver’s blue key single event
Repeated over-speeding
Repeated not wearing seat belts
Seat belts defective
Repeated talking on the telephone while driving
Repeated driving in fog when visibility is less than
25m
Repeated night driving
Smoking in vehicle
Not parking car in reverse
Parking in un-authorized place
Tailgating
Vehicle without adequate flag pole

ADCO- HSED web page
Appendix S Contractor Performance Date: Nov 2009
Section I Criteria for identification Contractor's Performance Page: 246 of 258
3 Contribution in Serious road crash involving: 25 points

1. LTI for 3 days & above for each
2. Severe damage greater than $ 50,000 single event
3. Rollover involving LTI
4. Head-on collision involving LTI
4 Contribution to less serious road crash involving: 10 points

1. LTI less than 3 days for each
Damage greater than $ 10,000 and below $ 50,000 event
5 Serious on-the-job incidents such as: 25 points

1. Fatality for each
2. LTI [for 3 days & above] single event
3. Food poisoning
4. Significant or serious fire/explosion or property
damage whereby the damage is greater than $
50,000 due to system deficiency]
5. scaffolding collapse >=6 meters height
6 Less serious on-the-job incidents such as: 10 points

1. LTI < 3 days for each
2. minor fire or property damage whereby the single event
damage is greater than $ 10,000 and less than
$ 50,000
7 Camp HSE standard is below the minimum ADNOC 50 points

expectations i.e. below 60% score.
8 Failure or delay [more than 3 months] in closing out 25 points

the HSE inspection/audit findings from the target date
9 Not having qualified HSE staff i.e. the Contractor’s 25 points

HSE staff are not formally approved by ADCO
10 Not responding or delay to any ADCO formal >3 months=

correspondence 25 points
<3 months
= 10 points
11 Building or expanding the camp without ADCO prior 25 points
approval

ADCO- HSED web page
12 Serious environmental non-compliance such as: 25 points

1. dumping sewerage waste in the desert
2. removing gatch without ADCO approval
13 Hiding or intentionally not reporting incidents to 50 points

ADCO
14 Not having annual HSE and road safety plans 25 points

each
15 Not providing or late [more than one month] providing 25 points

the quarterly progress report and feedback on the
implementation of the annual HSE and road safety
plans
16 Not complying with ADCO PTW system and rules 50 points
such as:
1. Working without permit or certificate
2. Start working before obtaining ADCO AA/IA
approvals
3. JP is not certified or his certificate is expired
4. Deviate from the permit conditions
5. Make changes without ADCO formal approval,
etc.
17 Using the mobile phone or sources of ignition such 50 points

as matches, lighters, etc. in ADCO restricted areas

ADCO- HSED web page
18 Not complying with ADCO mandatory PPE 25 points

guidelines related to:
1. Specifications (quality)
2. Quantity
3. Coveralls color
4. Helmets color
5. Other PPE
19 Not paying salary for more than one month or 100 points
holding the salary or paying less salary
20 Not allowing workers to go on leave on time 25 points
21 Forcing workers to work more than 12 hours a day or 25 points

to work between 1230 and 1500 hours during the
months July and August
22 Not providing power / electricity 24 hours a day at 25 points

the camp
23 Not providing adequate air-conditioned 25 points

transportation to workers from camp to site and vice
versa

ADCO- HSED web page

Section II Contractor's Performance Appraisal Criteria and Checklist Page: 249 of 258
Section II Contractor's Performance Appraisal Criteria and Checklist
Criteria Bullet Points Points System
Compliance with Identify items implemented verses 90 % = [10] points

Contract HSE total items stipulated in the 80 % = [8] points
Terms & contract and calculate the % of 70 % = [6] points
Conditions performance 50 % = [3] point
Less than 50 % = zero
points
Quality of HSE Supervision is skilled and [2] point for each of

Supervision competent items: a & b
Supervision is available most of [3] points for each of
the time items: c & d
Supervision prevented short cuts
of procedures and systems
Supervision provided control over
hazards and prevented violations
and incidents
HSE Protection Emergency equipment provided [2] point for each item
at Work Sites Workers are aware of emergency
procedures
Protection against heat stress and
heat stroke is provided
Safety signs are provided
First aid is provided
Suitability & HSE staff provided [2] point for each item
Adequacy of HSE staff are competent and
HSE Manpower approved by ADCO
Number of HSE staff is inline with
the contract appendix /
requirement
HSE staff are visiting work sites
HSE staff are ensuring compliance
with procedures and systems

ADCO- HSED web page

Section II Contractor's Performance Appraisal Criteria and Checklist Page: 250 of 258
Criteria Bullet Points Points System
Camp HSE As per the standard HSE 90 % = [10] points

Standard inspection checklist in 80 % = [8] points
Management of Contractor HSE 70 % = [6] points
Procedure Manual Volume 10 / 4 50 % = [3] point
points
HSE Plan Identify items implemented verses 90 % = [10] points

Implementation total items stipulated in the plan 80 % = [8] points
and calculate the % of 70 % = [6] points
performance 50 % = [3] point
points
Compliance with Compliance with PTW [4] points for PTW

HSE Procedures Compliance with PPE [2] point for each other
and Systems Compliance with lifting operation item
such as: PTW, Compliance with others
PPE, etc.
Road safety Compliance with IVMS [4] points for IVMS
Compliance with ADSD [2] point for each other
Compliance with Vol. 10/3 item
Compliance with RSMS
Welfare Aspects Salary is paid in full and on time [4] points for salary
such as: Salary, Leave is earned on time [2] point for each other
Leave, Food, Food is provided and meet the item
etc. quality
Laundry is provided
Others
Workforce Find out the % of workforce 90 % = [10] points

Comment's on commending their company in all 80 % = [8] points
his Contractor aspects 70 % = [6] points
50 % = [3] point
points

ADCO- HSED web page

Section III Contractor's Performance Appraisal Page: 251 of 258
Section III Contractor's Performance Appraisal
Contractor Name: Contract Title: Contract No.:

ADCO Contract Administrator: Date:
Evaluate performance by ticking the appropriate column where applicable
Sr. V Good Above Avge Below Poor Comments

No Evaluation Criteria [[10pts] Averg [6 pts] Avge [0Pt]
[8 pts] [3 pts]
Compliance with Contract
1
HSE Terms & Conditions
Quality of HSE
2
Supervision
HSE Protection at Work
3
Sites
Suitability & Adequacy of
4
HSE Manpower
5 Camp HSE Standard
6 HSE Plan Implementation
Compliance with HSE
Procedures and Systems
7
such as: PTW, PPE,
Lifting Operations, etc.
8 Road Safety
Welfare Aspects such as:
9
Salary, Leave, Food, etc.
Workforce Comment's on
10
his Contractor
Overall Performance
Rating*
*To be carried forward to the relevant part in the overall “Contractors Performance
Appraisal Form”.

ADCO- HSED web page

Section III Contractor's Performance Appraisal
Page: 252 of 258
ABU DHABI COMPANY FOR ONSHORE OIL OPERATION (ADCO)
Further Comments on HSE Performance
Prepared by: Signed: Title: Date:

HSE Professional
Approved by:
Signed : Title: Date:
[Contract
Administrator ]
FOR Supply Chain Management Division – COS/SCS] USE ONLY
Signed:
Company’s Registration No:
Date of Logging into [Business Title:
Registration System] BRS:

ADCO- HSED web page

Section IV Contractor's HSE RAGB Report
Page: 253 of 258
Section IV RAGB Report
Contractors HSE RAGB Report of the Year ________
The below ranking is based on visible and physical ownership of HSE within each listed
Contractor company according to the records at ADCO during the period of January to
December of the respective year. The list below reflects the position of Contractors
ranked in a priority order from TOP (HIGH) to BOTTOM (LOW) standard. The next
RAGB report will be published at similar time of next year.
GREEN BAND CONTRACTORS – TOP ONES IN PRIORITY ORDER
M/s AAA
M/s BBB
M/s CCC
M/s DMD
YELLOW BAND CONTRACTORS IN PRIORITY ORDER
M/s AAA1
M/s BBB1
M/s CCC1
M/s DMD1
RED BAND CONTRACTORS IN PRIORITY ORDER
M/s AAA2
M/s BBB2
M/s CCC2
M/s DMD2
BROWN BAND CONTRACTORS [NOT YET EVALUATED]
M/s AAA3
M/s BBB3
ADCO HSE Manager

ADCO- HSED web page
Appendix T- HSE Cost Break down Date: Nov 2009
Page: 254 of 258
Appendix T - HSE Cost Break Down

The bidder shall fill this table and it will be part of the commercial bid and consequently
the contract Document
Sr. HSE Requirement ADCO Contractor

No. Estimated Bid Cost
Cost (AED)* (AED)
1 Camp / accommodation meeting ADNOC standard and ADCO specified
HSE requirement as outlined in the attachment (Contractor camps and
temporary buildings)
Equipment No
Fire fighting system (pumps, tanks, lines, valves)

Water extinguisher (9 liters)
Dry powder extinguisher (9 kg monnex /9 kg ABC)
Dry powder extinguisher (2 kg)
Foam extinguisher (9 liters)
Carbon dioxide extinguisher (2 kg /5 kg)
Dry powder extinguisher (trolley)
Fire hose
Fire hose reel
Cabinets for hose reels & extinguishers
Fire equipment cabinet
Fire hydrant cabinet
Fire extinguisher cabinet.
Fire and gas detection system
2 Supply, provision, quality, quantity and maintenance of employees’ PPE.

PPE No
Safety glasses / spectacles
Work uniform of good quality and of standard color
approved by ADCO.
Winter jacket
H2S personal monitor
H2S escape mask
Safety boots (short / long neck)
Safety helmet of approved
Color (except drivers)
Cap for driver of approved color
Self contained breathing apparatus
Mobile breathing air compressor / air-loop system

ADCO- HSED web page
Page: 255 of 258

Cost (AED)* (AED)
Fireman's helmet
Welding helmet with face shield
Ear protectors
Rubber hand gloves
Hand gloves cotton spotted
Hand gloves leather rigger
Gloves (mechanical hazards) general purpose
Gloves (chemical hazards)
Gloves (thermal risks) for welders
Gloves (fire fighting)
Gloves (drillers)
Fireman's boots
Safety boots - for MV / HV electrical works
Hazmat splash clothing
Safety clothing (fire fighting suit)
Safety harness
3 Compliance with welfare requirements as outlined in the HSE rules and
conditions (appendices) Contractor requirements as a minimum.
Requirement No
Daily cost of accommodation / messing in camps
per head according to ADNOC standard detailed
in appendix I of the manual
Food and dining services per head per day
Monthly cost of operation, maintenance and
testing of STP.
Monthly cost of camp waste management
Monthly cost for pest control the camp
Monthly expenses for 1st aid room fully equipped
and qualified medic (for residents >100)
Annual expenses for ambulance and driver (for
residents >300)
Monthly cost of natural mineral water in the dining
hall, recreation rooms and living rooms.
Monthly cost of the supply of tissue papers, toilet
papers and soap bars
Annual cost of resident
Annual cost of the labor card
Cost of health card per employee
Cost of medical check up per employee

ADCO- HSED web page
Page: 256 of 258

Cost (AED)* (AED)
Monthly salary for:
Site / camp supervisor
Foreman
Heavy vehicle driver / machine operator
Light vehicle driver
Craftsman
Labour
Cost of salary payment delay / 1000 dh /week
Monthly living cost per driver in Abu Dhabi
Daily allowance for drivers on trip to Abu Dhabi
after working hours. The no of trips < 10 per area /
month.
Average cost per air ticket to the far east
Average cost per air ticket to the Indian sub
continent
Average cost per air ticket to the middle east
Cost of travel allowance for leave and return to
work per head (transport, accommodation,
messing and food in Abu Dhabi)
Monthly cost of rewards for the safe drivers and
safety man of the month.
Annual cost of the rewards for divers with clean
and safe records per driver
4 Average monthly expenses per HSE
professional
5 HSE training and certification as outlined in the HSE rules and conditions
(appendices) Contractor requirements as a minimum.
Cost of training per employ of the following
training:
Certification in permit to work (PTW)
Accident investigation and reporting
Personal protective equipment
Certification in H2S and breathing apparatus
Chemical handling
Certification in lifting operations such as crane
operator certification, rigger, banks-man, etc.
Confined space entry
Certification in defensive driving and ADCO
Document for safe driving (ADSD)
Certification in hazard analysis critical control points
First aid
Fire fighting

ADCO- HSED web page
Page: 257 of 258

Cost (AED)* (AED)
Emergency response
7 Rewarding and incentive scheme contribution professionals as outlined in
the HSE rules and conditions (appendices) Contractor requirements as a
minimum.
Safety employee of the month
Safety employee of the year
Safe driver of the month
Diver of clean record through the year
HIPO near miss/ hazard report
Best performer
8 Compliance with the transportation / vehicles safety requirements
professionals as outlined in the HSE rules and conditions (appendices)
Contractor requirements as a minimum.
Cost of GPS / GPRS capable IVMS per
vehicle
Cost of rollover bar per vehicle
Cost of the partition net per vehicle
Cost of the flag pole per vehicle
Cost of ADSD certification per driver
Cost of desert survival kit per vehicle
Cost of first aid kit per vehicle
Cost of dry powder fire extinguisher
Cost of reverse alarm per vehicle.
Cost of built in air compressor for tires
inflation
Average cost of heavy vehicle tires set
Average cost of 4 wheel drive vehicle tires
set
Average cost of saloon vehicle tires set
Cost of IVMS administration training
Total (Sum) HSE Cost
• For internal use

ADCO- HSED web page
Appendix U- Tender’s List of HSE Appendices
Date: Nov 2009
Page: 258 of 258
Appendix U- Tender’s List of HSE Appendices

The following HSE appendices that are ticked with “9” are applicable to the subject Tender:
Tender Contract
App No. Appendix Title
Doc Doc.
App D Technical HSE Checklist for Mode 2 Contractors
App E Technical HSE Checklist for Mode 1 Contractors

Technical HSE Checklist (Consultancy ADCO HQ
App E1
office or Contractor’s office) Mode 3
App F Project HSE Plan for Mode 1 Contractors
App G Project HSE Plan for Mode 2 Contractors
App H Medical Services Assessment
App I Contract Camp & Temporary Building
App J Contractor Camp Survey
App K List of Documents for Contractor Camp
App L Medical Fitness Assessment Standards
App M Medical Requirements for Caterers
App N Weekly self-inspection check list for Caterers

HSE Rules and Conditions (Appendices)
App O
App T HSE Cost Break Down
Prepared by:
__________________ _______________ _______
Name (ADCO HSE Signature Date
Professional only)

ADCO- HSED web page

MNGMNT CNTRCTR HSE Procedure Manual 10-4

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ADCO - (Procedure Title)

Part : Date: Nov 2009

Section : Revision History Page: 3 of 258

Use Letters for drafts, numerals of approved.

Document No: CRP-HSE-10 / 4, Revision 3

Date: Nov 2009

Table of Contents Page: 4 of 258

III. Objectives .................................................................................................................... 12

1. Definition & Glossary .................................................................................................. 13

2. Overview of Contracting Process .............................................................................. 16

3. Roles and Responsibilities......................................................................................... 23

4 Registration and Pre-Qualification ............................................................................ 27

5 Tendering Process ..................................................................................................... 31

6 Bid Evaluation and Contract Award .......................................................................... 44

Document Number : CRP-HSE-10 / 4

File Location : ADCO- HSED web page

Date: Nov 2009

Table of Contents Page: 5 of 258

11 Consequences of Compliance & Non-compliance................................................... 53

Appendix A- Contractor/ Vendor’s HSE Standard Booklet .................................................... 66

Document No: CRP-HSE-10 / 4, Revision 3

Date: Nov 2009

Table of Contents Page: 6 of 258

15.0 Personal Protective Equipment..................................................................................................76

Appendix B Contractor HSE Pre-Qualification Checklist.................................................. 79

Appendix C Task Activity Checklist.................................................................................. 109

Appendix D – Technical HSE Checklist for Mode 2 Contractors......................................... 112

Appendix E – Technical HSE Checklist for Mode 1 Contractors......................................... 121

Appendix E1 – Technical HSE Checklist for Consultancy (Mode 3) ................................... 126

Appendix F – HSE Plan Guidelines for Mode 1 Contractors................................................ 128

Appendix G – Project HSE Plan Guidelines for Mode 2 Contractors.................................. 131

Appendix H Medical Services Assessment ..................................................................... 143

Appendix I– Contractor Camps & Temporary Buildings...................................................... 147

Appendix J – Contractor Camp Survey Form ....................................................................... 164

Appendix L- Specialized Medical fitness standards........................................................... 173

Document No: CRP-HSE-10 / 4, Revision 3

Date: Nov 2009

Table of Contents Page: 7 of 258

Appendix M – Medical Requirements for Caterers ............................................................... 184

Appendix N – Weekly Self-Inspection Checklist for Caterers.............................................. 185

Appendix P – Contractor Camp Audit/ Inspection Checklist............................................... 236

Appendix Q – Road Safety Audit Checklist ........................................................................... 238

Document No: CRP-HSE-10 / 4, Revision 3

Date: Nov 2009

Table of Contents Page: 8 of 258

Appendix R – Closeout Report ............................................................................................... 241

Appendix – S Contractor Performance................................................................................ 245

Appendix T - HSE Cost Break Down ...................................................................................... 254

Appendix U- Tender’s List of HSE Appendices .................................................................... 258

Document No: CRP-HSE-10 / 4, Revision 3

Date: Nov 2009

Preface Page: 9 of 258

Shareholders requested ADCO to improve our management

ADCO Contracts Contractor

(ADCO’s top 30 key contractors)

Severity Non- Communication Consequences Sanction Corrective Action

HSE Audit HSE Audit

Document No: CRP-HSE-10 / 4, Revision 3

Date: Nov 2009

I - Purpose Page: 10 of 258

The purpose of these procedures can be summarized as follow:

Document No: CRP-HSE-10 / 4, Revision 3

Date: Nov 2009