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HSE PLAN Checklist - 140713
HSE PLAN Checklist - 140713
EHS- Construction
Revision No.
Management Plan Check List
Effective Date
Please Note: The check sheet is a guide. The section no.1 to 4 is a minimum requirement for the HSE Plan, hence 100%
score is mandatory. For section no. 5, if it fails to achieve 80% score is an immediate rejection of the HSE Plan. However,
any one area may deem the plan rejected if it constitutes a serious failure in HSE requirements.
When reading a question and the HSE Plan is for a continuous moving site i.e. sewerage line, please consider the
question on this basis.
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5.8 Manual Handling Operations 4 0 0
5.9 Working at Height/Roofs 6 0 0
5.10 Fixed and Temporary Electrical Installations 10 0 0
5.11 Personal Protective Equipment 4 0 0
5.12 Plant and Equipment 4 0 0
5.13 Housekeeping Arrangements/Slip,Trip & fall 4 0 0
5.14 Lifting Equipment and Lifting Operations 14 0 0
5.15 Welfare and Site Accommodation 4 0 0
5.16 Scaffolds and Ladders 6 0 0
5.17 Cantilevers and Platforms 6 0 0
5.18 Formworks and Structures 6 0 0
5.19 Excavations and Trenches/Existing Services 14 0 0
5.20 Confined Spaces 8 0 0
5.21 Demolition and Decommissioning 8 0 0
5.22 Piling 8 0 0
5.23 Electrical and Gas Welding/Gas Cutting 8 0 0
5.24 Working over or Adjacent to Water 8 0 0
5.25 Portable Tools 6 0 0
5.26 Animals and Reptiles 4 0 0
5.27 Workplace Bullying and Violence 4 0 0
5.28 Impacts / Hazards from Adjacent Activities 4 0 0
5.29 Services Coordination 8 0 0
5.30 Occupational Health Arrangements 4 0 0
5.31 Environmental Arrangements 4 0 0
TOTAL
Comments
Item Section One – Project Details Yes No (Refer. to HSE Plan section)
1.1 Name/title of the project or industry mentioned?
1.2 Name and contact information of Client, Consultant, Principal contarctor, Sub
contractor and other relevant personnel mentioned?
1.3 AD EHS Center Registration Number.
1.4 Proposed list of sub-contractors is attached?
Total Max score 8, pass mark 8 0
Comments
Item Section Two – Document Control Yes No (Refer. to HSE Plan section)
2.1 Does this section contain initial issue date of the EHS plan?
2.2 A record of ongoing issue?
2.3 Documentation and data control procedure included ?
2.4 Mechanism to record the persons who have been briefed on the plan?
2.5 Does it contain distribution list?
Total Max score 10 pass mark 10 0
3.1.1 Does the plan explain general description of the location and environment at the
project site and surrounding area?
3.1.2 Maps to show the geographic location of the project area & surroundings?
3.1.3 Location of sensitive receptors and distance to sensitive receptors identified?
Total Max score 6 pass mark 6 0
3.2 Scope
3.2.1 Objectives of the project & Scope of Construction project explained?
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Total Max score 2 pass mark 2 0
3.3 Project Schedules and Milestones
3.3.1 Schedule for the project, including a proposed completion date for construction?
3.3.2 Does it include main anticipated milestones?
3.3.3 Does it identify hours when construction activities will take place outside typical
work hours?
3.3.4 Does the plan identify anticipated manpower requirements?
Comments
Item Section Four – Project EHS Management Yes No (Refer. to HSE Plan section)
4.1 EHS Policy and Management
4.1.1 Commitment statement towards continual improvement included?
4.1.2 Does EHS Policy demonstrate how senior management will lead by example?
4.1.3 Does this section contain commitment to comply with applicable legislation?
4.1.4 Does EHS policy signed by senior management?
Total Max score 8 pass mark 8 0
4.2 Roles and Responsibilities Yes No
Comments
(Refer. to HSE Plan section)
4.2.1 Project organization chart showing name & designation of project personnel and
their roles & responsibilites ?
4.2.2 Does each role identified have defined responsibilities and accountabilities with
regards to EHS?
Total Max score 4 pass mark 4 0
4.3 EHS Legal Requirements Yes No
Comments
(Refer. to HSE Plan section)
General
4.3.1 Does the plan include a list of the applicable EHS regulations with which the
PRINCIPAL CONTRACTOR will comply?
4.3.2 Does the plan include Federal & Emirate Laws and International Standards and/or
Agreements?
4.3.3 Does it include listing of any applicable EHS Standards, such as ambient noise
levels, air quality or water quality?
4.3.8 Does the plan describe the nature of the interest and how this will be managed?
Comments
4.4 Management of Contractors Yes No (Refer. to HSE Plan section)
4.4.4 Does the plan include review procedure with regards to contractor’s / sub-
contractor’s competency to complete the task?
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4.4.5 Does the plan identify that the contractors / sub-contractors have appropriate
resources, both in terms of financial and personnel to complete the project?
Ongoing Management
4.4.6 Does the plan include procedures for the ongoing management of contractors &
sub-contractors?
4.4.7 Does the plan describe formal reviews of performance and reporting procedures of
contractors & sub-contractors?
4.4.8 Does the plan provide clearly defined KPIs and timelines for reporting?
Total Max score 16 pass mark 16 0
Comments
4.5 EHS Risk Management Procedures Yes No (Refer. to HSE Plan section)
4.5.2 Does the procedure define roles and responsibilities for all key stakeholders with
regards to EHS?
4.5.3 Does the plan outline methods to identify hazards and impacts and how these
shall be assessed and subsequently managed?
Comments
4.6 Training and Awareness Yes No (Refer. to HSE Plan section)
Induction Training-
4.6.5 Programme,Procedure & record keeping
Toolbox Talks-
4.6.6 Programme,Procedure & record keeping
Total Max score 12 pass mark 12 0
Comments
4.7 EHS Incidents Yes No (Refer. to HSE Plan section)
Investigation Procedures, Investigation team, Roles & Responsibilities,
Page 4 of 11
4.7.2 Does the procedure include organization chart and outline roles and
responsibilities of incident investigation team?
4.7.3 Does the procedure include the monitoring and review of all incidents and incident
reports from contractors, sub-contractors or other parties involved?
4.7.4 Incident Reporting -Notification, reporting procedure, timescales & responsibilities.
Comments
4.8 Consultation and Communication Yes No (Refer. to HSE Plan section)
EHS Meetings-
4.8.2 List of all planned EHS meeting,frequency,attendicies & agenda.
Internal & External Communications
4.8.3 Procedure for internal & external communication management?
4.8.4 Does the procedure address internal communication at various levels and
functions of the entity?
4.8.5 Does the procedure address communication with contractors and other visitors to
the workplace?
4.8.6 Does the procedure explain about receiving, documenting and responding to
external communication?
Consultation-
4.8.7 Procedure, EHS committee/team for consultantion,Role & responsibilities of EHS
team.
4.8.8 Does the procedure define appropriate involvement of the team in hazard
identification, risk assessment and determination of controls?
4.8.9 Does the procedure ensure appropriate involvement of the team in incident
investigation?
4.8.10 Does the procedure ensure involvement in the development and review of EHS
policies and objectives?
4.8.11 Does the procedure ensure consultation in change management that affects EHS
(including Contractors)?
4.8.12 Does the procedure ensure employee representation on EHS matters?
4.8.13 Does the plan include procedure to receive and address complaints from external
parties?
Comments
4.9 Monitoring, Inspection and Auditing Yes No (Refer. to HSE Plan section)
General
4.9.1 procedure for monitoring and auditing of EHS performance?
4.9.2 Does the procedure contain EHS checklists system?
Internal Audit and Inspection
4.9.3 Does the plan contain internal audit and inspection procedures (including
contractors)?
4.9.4 Contents-Types of audit & inspection, Roles & responsibilities and audit
frequencies.
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Non Conformance and Corrective Action
4.9.5 Does the plan include procedure for Non Conformance and Corrective Action?
4.9.6 Timelines for responding to noncompliance findings.
EHS Monitoring Requirements
4.9.7 Does the plan contain information about monitoring requirements for EHS
performance?
4.9.8 Does it discuss how identified hazards and impacts will be monitored?
4.9.9 Does it contain Key Performance Indicators (KPIs) to be measured?
4.9.10 Does it explain frequency of measurements?
4.9.11 Does it contain detection limits?
4.9.12 Does it explain regarding corrective actions?
4.9.13 Does it identify responsible person?
4.9.14 Does it explain about health surveillance?
EHS Reporting Requirements
4.9.15 Does the EHS Plan contain procedures for reporting requirements & reporting
frequency?
Does the EHS Report contain the following (as a minimum)?
4.9.16 Pre-operation compliance reports.
4.9.17 Incident reports.
4.9.18 Periodic or annual performance reports.
4.9.19 Auditing reports.
4.9.20 Non-compliance reports.
4.9.21 Corrective action reports.
4.9.22 Complaints management reports.
4.9.23 Any special reports required by government agencies.
Total Max score 46 pass mark 46 0
Comments
4.10 EHS-CMP Review and Update Yes No (Refer. to HSE Plan section)
4.10.1 Does the plan include procedure for the periodic review of the EHS Plan?
4.10.2 Does the procedure contain list of trigger points for review and update of EHS
Plan?
Total Max score 4 pass mark 4 0
4.11 EHS File (Project Close out Report)
4.11.1 Does the EHS Plan contain EHS file system for the project?
Does the EHS File contain the following (as a minimum)?
Comments
Item Section 5.1-Site Security Plan and Access Control Yes No (Refer. to HSE Plan section)
5.1.1 Does the plan describe the control of the boundary of the project?
5.1.2 Does the plan describe access and egress points?
5.1.3 Visitors and crowd control stated?
5.1.4 Does the plan describe security checks?
5.1.5 Does the plan describe shift work and control of night work?
Page 6 of 11
Total Max score 10 pass mark 8 0
Comments
Item SECTION 5. 2- Project Permit to Work Procedures Yes No (Refer. to HSE Plan section)
5.2.1 Does the plan describe Permit to work Procedure?
5.2.2 Are roles & responsibilities clearly defined?
5.2.3 Does the procedure describe- Training & competency, the PTW documentation,
Internal permits & authorization, Communication, emergency arrangements &
record keeping?
Total Max score 6 pass mark 5 0
Comments
Item SECTION 5.3- Traffic Management Plan Yes No (Refer. to HSE Plan section)
5.3.1 Does the plan describe the following?
General site description and details of the type of traffic on site;
Site layout drawing clearly showing traffic routes, pedestrian crossing points,
signage location and pedestrian routes;
Details of the traffic control measures at junctions and pedestrian crossing points
including arrangements for the segregation of pedestrians and vehicles;
Comments
Item SECTION 5.4- Material Storage Plan Yes No (Refer. to HSE Plan section)
5.4.1 Does the plan describe how material will be stored and protected?
5.4.2 Does the plan describe how to access the materials & arrangement of safe loading
& unloading the materials?
Total Max score 4 pass mark 3 0
5.5.3 Does the plan describe method of removing ACM & PPE to be used?
5.5.4 Does the plan describe Health surveillance & monitoring and Air Monitoring?
5.5.5 Are the role & responsibilities identified?
Total Max score 10 pass mark 8 0
Comments
Item SECTION 5.6 -Site Safety Rules Yes No (Refer. to HSE Plan section)
5.6.1 Does the plan describe the minimum set of site safety rules & display location?
5.6.2 Site signages stated?
Total Max score 4 pass mark 4 0
Page 7 of 11
5.7.3 Does the Emergency evacuation plan shows-,fire extinguishers locations,
assembly point locations egress routes ,HSE notice board locations, first aid boxes
location, first aid room location, location of EM vehicle, EM telephone ?
5.7.4 Does the plan list the first aiders & list of emergency numbers ?
5.7.5 The nearest hospital identified?
5.7.6 Are the roles & responsibilities of emergency personnel identified?
5.7.7 Does the procedure describe communication & reporting?
Total Max score 14 pass mark 12 0
Item SECTION 5.10- Fixed and Temporary Electrical Installations Yes No Comments
5.10.1 Does the plan describe safe system of work?
5.10.2 Does the plan describe Electrical Maintenance, Inspection & Testing Procedure?
5.10.3 Are the training and competency requirement for electrical work discussed?
5.10.4 Does the plan describe permit to work system –LOTO?
5.10.5 Does the plan describe work on or near live conductor?
Total Max score 10 pass mark 8 0
Item SECTION 5.14- Lifting Equipment and Lifting Operations Yes No Comments
5.14.1 Does the Lifting Plan describe safe lifting procedure?
Training & competency
Roles & Responsibilities
Type & capacity of Lifting equipment & accessories to be used identified ?
3rd Party certification of lifting equipment & accessories ?
Physical inspection of lifting equipment & accessories
Permit and Record keeping
Total Max score 14 pass mark 12 0
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Item SECTION 5.15 -Welfare and Site Accommodation Yes No Comments
5.15.1 The welfare provision for workers described?
Toilets, access to drinking water, showers, cleaning & transport arrangements
Page 9 of 11
5.22.4 Does the plan describe the permit to work system?
Total Max score 8 pass mark 6 0
Item SECTION 5.23 -Electrical and Gas Welding/Gas Cutting Yes No Comments
5.23.1 Does the plan describe the safe system of work?
5.23.2 Training & competency requirements?
5.23.3 Does the plan describe the permit to work system and fire control measures?
5.23.4 Does the plan describe the Storage & Handling of Gas Cylinders?
Total Max score 8 pass mark 8 0
Item SECTION 5.28 - Impacts / Hazards from Adjacent Activities Yes No Comments
5.28.1 Does the plan identify the Hazards from adjacent activities:-
such as partial occupation / use of the building /facility during construction, nearby
schools / playgrounds, retail malls / shops, use of hazardous materials nearby ,
surrounding land use.
5.28.2 Does the plan describe the controls measures of identified hazards?
Total Max score 4 pass mark 4 0
Page 10 of 11
5.31.1 Does the plan describe how it will deal with environments issues?Noise, dust,
waste, land protection, nuisance.
5.31.2 Does the plan describe what it will do with its waste & hazardous waste?
Total Max score 4 pass mark 4 0
OVERALL COMMENTS:
Reviewed by:
Name:
Designation: Signature:
Date:
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