EHSS Plan, Cummins Rev-01

Doc No.
CA-EHSS-02
Environmental, Health, Safety and Rev 01
Security (EHSS) Plan Date 02/10/2022
Page 1
Project RFx 5500326497 | SP-181400034 | Diesel Generator G-660, G-1660 & G-4660
G-3660 Replacement
Client Sabic Ar-Razi
Cummins Arabia
Environmental, Health, Safety and Security (EHSS)
Plan
Prepared by Reviewed & Accepted By

Cummins Arabia Approved By Client
Signature
Name Maheshvar Sekar Maqsood Meer Ali

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TABLE OF CONTENTS
Sl. No Description Page

1 Introduction 4
2 Purpose 4
3 Scope 4
4 Project Objective 4
5 HSE Goals 4
6 Kick-off Meeting 4
7 Health & Safety Policy 5
8 Training Plan 6
9 Key Activities 6
10 Work Permit System 6
11 Organization Chart 7
12 Responsibilities 7
13 Hazard Identification and Risk Management 8
14 SHE Meeting/Tool Box 8
15 SHE Audit Program 9
16 Fire Extinguishers 9
17 Incident Report 10
18 First Aid 10
19 Emergency Response Procedures 10
20 Electrical work 11
21 Electrical Equipment and Inspection 11
22 Work at Height 11
23 Confined Space Entry 12
24 Excavation 12
25 Civil work 12
26 Vehicles, Mobile& Mechanical Equipment 12
27 Cranes and Rigging Equipment 13
28 Security Procedures 13
29 Traffic Plan 13
30 Hazardous Materials/Waste Management 13
31 Site Supervision, Housekeeping & PPE 14
32 Contaminated Land 15
33 Air Quality 16
34 Noise & Vibration 16
35 Working Hour and Working Days 16
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36 Hot Work 16
37 Fire Prevention & Control 16
38 Radiography Test 16
39 Transportation, Handling & Storage Materials 17
40 Scaffolding 17
41 Medical Surveillance & Substance Abuse 17
42 Demobilization 17
43 EHSS motivation Awards & Recognition Program 17
44 Welfare Facilities, Sabic Mobilization Layout-Site Mobilization Layout & 18

Checklist
45 EHS Site Staffing Ratio 18
46 Annexes 18
Annex 1. Welfare Facilities Checklist Format 19
Annex 2. Tool Box Talk Format 20
Annex 3. Walkthrough Inspection Checklist Format 21
Annex 4. Annual Medical Test List 25
Annex 5. Environmental Inspection Checklist Format 26
Annex 6. Fire Extinguisher Checklist Format 27

Annex 7. Emergency Plan Awareness Training Attendance 28
Annex 8. HSE Weekly Statistical report Format 29
Annex 9. Incident & Near Miss Report Format 31
Annex 10. PPE Check List Format 32
Annex 11. Portable Tools Inspection Checklist Format 33
Annex 12. Meeting Attendance Form 34
Annex 13. List Of Tools and equipment 35
Annex 14: Training calendar 36
Annex 15: Emergency contact No 37

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1. Introduction
Cummins Arabia, one of the leading ISO 9001-2008, OHSAS 18001:2007 and Cummins Arabia is committed to
provide excellent services in professional manner in the field of Manufacture, Design, Engineering, Trading,
Fabrication, Construction, Plant Maintenance, Spare parts through competent employees who understand
current and future industrial requirements.
2. Purpose
The purpose of this Environmental, Health, Safety and Security Plan is to set the requirements and
expectations for conducting Replacement of Diesel Generator Project. So as to assure the health and safety of
all employees, protect the environment and equipment.
Cummins Arabia EHS Management System (CAEHSMS) procedures SABIC Ar-Razi shall be the basis of this
EHSS Plan and to be submitted to the client to meet all the EHSS requirements.
3. Scope
The Cummins Arabia identifies and provides general instructions on implementing the various elements of the
program including, Health, Safety of Client other Contractors employees & Environment Protection, Safety
Representative Program, Work Permit System, Auditing Program, Recognition and Unit Specific Equipment.
4. Project HSE Objective

To manage the Replacement of DG Project, works safely, and prevent environmental violations.
To arrange adequate resources to manage the works. The client safety procedure shall be followed during all
work activities.
Communicate and share Replacement of DG Project, information with all key personnel of client.
Plan and schedule in advance for Replacement of DG Project, activities to maintain a continuous improvement
so as to avoid any delays in schedule. To highlight any areas that may require any improvement. To ensure all
employees have with them and use all the relevant PPE.
5. HSE Goals
The following HSE Goals are intended for all persons involved Replacement of DG Project
• To make the HSE on top priority.
• Zero Recordable Injuries.
• Zero Fires.
• Zero Environmental violations such as Spillages.
6. Kick-Off Meeting
Cummins Arabia Management will attend kick-off Meeting along with all the other involved key personnel for a
brief Replacement of DG Project and to clarify the roles and the responsibilities for the effectives management
of the work plus to voice any concerns that they may have, on any aspect, regarding the safe execution of the
activities.
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7. Environment, Health & Safety Policy

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8. Training Plan
All employees shall be trained by the Contractor in Basic Fire Extinguisher use, Basic First Aid,
working at height, Ionization Radiation, Electrical Safety, proper use of required Personal
Protective Equipment (PPE) &Lifting Equipment before mobilization to site.
Separate special training shall be arranged throughout the construction period as per the
requirement. Safety training record shall be prepared and maintained.
The following Safety Training shall be applied:
 Safety induction Course organized by Customer
 No employee shall be permitted to work at the construction site or allowed access to the
construction site without first having attended this course.
Coverage: All new employees
When: Immediately upon arrival at the construction site and Before commencement of work
Instructor: Competent person appointed by Site Manager
Special Training for Specific Hazardous Jobs
Coverage: Persons engaged in operation and handling of specific machines and
equipment ‐ Persons engaged in hazardous jobs
When: Before commencement of work
Instructor: Competent person appointed by Site Manager
Coverage: Persons engaged in operation and handling of specific machines
and equipment ‐ Persons engaged in hazardous jobs Competent
Instructor: person appointed by Site Manager
 R
: refresher Safety Training
Coverage: Employee who has violated any safety rules or requirements.
When: Upon occasion
Instructor: Competent person appointed by Site Manager.
9. Key Activities during Activities

Cummins Arabia Management, Supervision and Safety will be involved in the following:
Safety audits of daily work activities.
Impose all HSE Controls.
• Engage in all Safety Coordination Meetings.
• Engage with the daily meeting with all key personnel in the plant.
• Daily/as per client Tool box Talk to all Cummins employees.
• Ensure all food waste and rubbish is disposed in the designated bins
• Ensure to follow all the instructions on the work permit.
10. Work Permit System

All work permits must be issued during Replacement project accordance with SABIC Procedures: All work
permits will be issued, endorsed & closed at the jobsite as per client procedure.
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11. EHSS Organization Chart

Typically, the organization will be as shown below; this may be adapted according to any specific service
authorization
HSE Manager
HSE Engineer
HSE Supervisor
Safety Officer
12. Responsibilities
HSE Manager
• Overall responsibility for HSE related matters.
• Implementation of rules and regulations imposed on the project by ‘CA/Client HSE Manual’ and the ‘HSE
Arrangements.’
• Implementation of the HSE rules and regulation for client satisfaction
• Attend HSE Meetings scheduled by the client and provide input as required.
• Report of any incident or accident, to the Cummins HSE representative on site.
• Initiate and/or participate in Risk Assessments
• Depending on contract requirements the Quality Plan/Inspection and Testing plan for the job will be
reviewed for Risk Assessment factors, section marked accordingly, monitor and supervise all activities that
are identified as "High Risk".
HSE Supervisor
• Delegated responsibility for implementation of all HSE related matters.
• HSE induction of staff prior to and during the execution of the job.
• Firm commitment to the avoidance of incidents and accidents.
• Maintain daily log, entering all HSE-related incidents.
• Execution of all HSE rules and regulations as applicable to the job.
• Conduct Toolbox Talks/Meetings with staff at the beginning of each job.
• To carry out unsafe act audits as required and the results to be reported to the GSCC HSE representative.
Follow up on all directives from client HSE supervisor
• HSE Officer
• The HSE Representative shall co-ordinate the HSE effort on site.
• Conduct HSE assessments as required and represents the HSE representative in HSE or other meetings,
if so required.
• Carry out monitoring, assessments and audit activities as per this HSE document or as per the
requirements agreed with the client, including the planned audit and review activities.
• Provide guidance and training to Assistant HSE Officers as directed by the HSE Advisor/supervisor.
• Perform equipment checks throughout the duration of the Cummins activities on the client premises.
• Maintain a daily report on all HSE-related activities on the client premises.
• Co-ordinate HSE related activities for the night shift HSE Officer, if applicable.
• Maintain HSE awareness among the Cummins workforce.
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13. Hazard Identification & Risk Management

HS&E risks are those arising from occupational exposure associated with construction, tie-ins and
commissioning activities.
Cummins shall compile the outputs from the HS&E risk workshops into a formal HS&E register together with
action plans to mitigate the risks.
HS&E risks shall be assessed using the Risk methodology and risk will be rolled up into a project risk register in
order to assess their contribution to the overall risk profile for the project. Risk assessment shall be undertaken
whilst considering activities involving:
• Light Vehicles
• Civil Construction
• Mobile Equipment
• Hazardous materials
• Equipment safeguarding
• Isolation of energy
• Working at heights
• Lifting operations
Job Safety Analysis
Job safety analysis shall be conducted with the fully engagement of work crew on all tasks having potential for
injury or incidents. Line management shall undertake a JSA for the development of Replacement of DG Project
and shall review employee developed JSA’s to ensure completeness & facilitate improve quality. Employees shall
develop a personal or team JSA prior to starting at the beginning of shift or for all new work.
Rigging Plan
A rigging plan for the critical lifting operation shall be prepared by Cummins rigging supervisor or Rigger level 1
and submitted to Sabic for review and approval prior to start of lift in accordance with the requirement of Sabic.
The contents of lifting plan shall include required documents (method statements, work area condition,
coordination about interfaces with any other works in proximity of its lifting, emergency response) and reviewed by
competent personnel or equivalent.
All lifting operation may need the work permit with adequate document e.g., JSA, risk assessment.
14. HSE meetings & Tool box talk
Sabic and Cummins safety Representative shall meet daily to discuss and share the latest developments on
HSE performance. The Meeting attendance format is in Annex.
Additional SHE Tool-Box talks shall be conducted by the Cummins/Client supervisors with the presence of the
safety personnel at the commencement of each shift in the language and level of understanding. Tool box talk
format is in Annex. The tool box talk topics are:
• Last Incident, Accident or Near Miss If any.
• PPE.
• Working at heights.
• Scaffolding.
• Falling Objects.
• Electrical.
• Road Transportation.
• Permits to work.
• Lifting Operation.
• Cleaning Of Piping.
• Pressure Testing
• Barricade.
• Housekeeping.
• Scope of work to be performed.
• Safety aspects of the work to be performed, hazards in the work location and the ones related to job.
• Safe work system shall be discussed and effectively executed.
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15. HSE Audit Program
To improve SHE performance by measuring compliance of findings through Internal & SABIC SHEM Audit
To verify that the Management System is adequate & functioning.
Responsibilities/Accountabilities:
SHEM SPONSOR – shall announce for SHEM Internal audit
 One of the Operation & Maintenance Managers shall be the SHEM Internal audit chairman & members are the
following:
1. Operation / Maintenance Superintendent

2. Section SHE Heads
3. Fire Section Heads
4. Environmental Engineer
5. Industrial Hygienist
6. Safety Engineer
The audit team leader shall publish schedule one (1) week before the audit
Internal Audit shall be conducted once every year
Self Audit
 Annual self-audit evaluation shall be conducted for each SHEM Element administrator & sub-elements
Administrator.
 Shall be submitted to SHEM sponsor
 Status report shall be issued to SHEM Sponsor & SHEM Coordinator at least every six (6) months until all
outstanding actions items are resolved
Actions plans shall always be considered.
16. Fire Extinguishers
DCP (Dry chemical powder) CO 2 AND Foam Fire extinguisher shall be provided by Cummins and
maintained in good working condition. As a part of the HSE-training program by Sabic, Cummins personnel
are trained in the use of fire extinguishers to fight with fire. Periodic checks are made of fire extinguishers to
ensure that they are ready for use. Storage and lay-down areas will be laid out in accordance with client
standards. Fire extinguisher checklist format is in Annex.
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17. Incident Report

All accident and incident, however small, shall be reported. Following an accident or incident an oral report shall
be made immediately to the local safety officer and the immediate supervisor. Cummins Accident and incident
report shall be completed for all accident and incident not matter how small they may appear to be. (A judgment
on seriousness will be made at a later stage). An immediate oral report shall be made to Client in the case of
all: The Incident Report format is in Annex.
• Fatal injuries
• First Aid
• Injuries requiring medical attention that results in lost time.
• Any damage to client property.
• Fires
• Damage and all accidents involving cranes and heavy equipment.
• All work-related injuries.
• Traffic accident. All incidents with the potential to cause personal injury or damage to property.
• Incident report submitted by ‘ Y ‘form as SABIC standard
18. First Aid Facilities

Sabic shall provide and maintain adequate first aid facilities at the Replacement of DG set shall make available
an emergency vehicle to transport injured personnel to the nearest health care facility. First Aid Checklist is in
Annex.
19. Emergency Response Procedures

Emergency: A fire, explosion, toxic release or condition that poses an immediate threat to the
safety of life to persons or serious damage to property or environment.
Emergency Operations: Activities related to emergency incidents, including response to the scene of
the incident and specific duties performed at the scene.
Emergency Response Plan (ERP): A documented and exercised plan of incident mitigation;
formulated after conducting a hazard assessment of the subject area or condition.
Emergency Response Team (ERT): An organized group of employees within who are designated,
knowledgeable, trained, certified and skilled in firefighting, hazardous materials, first‐aid and technical
rescue operations and related activities.
In all cases when working within a Client controlled area personnel shall be instructed and fully aware of the
in-place emergency response procedures laid down by SABIC and fully comply with all requirements.
Dial Emergency contact No (Given in Emergency Contact No List)

• Give the location of the emergency specific area.
• Give the extent and nature of injury, if known.
• Give any details that may be important in a rescue.
Evacuation /Emergency Procedure Upon hearing “Emergency Alarm” every Supervisor

shall ensure the following:
• All work should stop immediately.
• All equipment should be shut down.
• All personnel are evacuated to the pre‐determined assembly point.
• A roll call is taken and every person is accounted for.
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The Safety Monitors are responsible for:

• Familiarizing personnel with emergency procedures.
• Acting as liaison between management and their work area.
• Ensuring that occupants have vacated the premise in the event of an
evacuation, and for checking assigned areas.
• Knowing where their Designated Meeting Site is and for communicating
this information to occupants.
• Having a list of personnel in their area of coverage, so a head count can be
made at their Designated Meeting Site.
• Evaluating and reporting problems to the Emergency Coordinator after an emergency event.
• Posting the "Area Evacuation Plan" in their work areas, communicating plan to
occupants, and updating the plan annually.
20. Electrical Work
All electrical work shall be done under the supervision of certified electrical personnel in accordance with Sabic
requirement.
All tools shall be equipped with proper safeguards and used only in application for which they were designed.
Portable power tools should be of the double insulated type or three wire grounded type.
Plug fitting will be of an approved industrial type. Electrical power extension cords and welding cables shall not
be coiled while use. Cords/cable shall be kept at least 2.0 meters off the ground level to protect from tripping
hazards.
21. Electrical Equipment and Inspection/Hand and Portable Power Tools
• The condition of the hand tools must be checked before they are used.
• Electrical power tools must be checked for defective cords, cracked plugs etc. before use.
• All electrical power tools must be grounded before use.
• Ensure guards are kept in place on all power tools.
• Before making repair or adjustments to a power tool, the power source must be disconnected.
• Appropriate Personal Protective Equipment must be used while working with power tools.
• Use the correct tools for the job.
• Ensure fellow workers in the immediate vicinity are warned before using power and striking tools. No
general-purpose extension cords shall be used in areas requiring explosion proof fittings.
• All the electrical tools and equipment shall be inspected by client Electrical Section and possess a valid
inspection sticker prior to enter inside the plant.
22. Working at Heights
Special precautions shall be planned and implemented for all elevated work to protect persons working at
height.
Cummins will provide safe working platforms e.g., scaffolds, man lift etc. when working above 1.8 Meter.
Where fall distance exceeds 1.8 Meters, scaffold, ladders, catch platforms or safety harnesses with double
lanyard attached to lifelines or substantial objects for the 100% fall protection shall be used. Cummins shall
provide proper fall protection with the worker working at height.
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23. Confined Space Entry
If there is any work location inside confined space the work preparation (e.g., the confined space work permit
with relevant documents as JSA, Risk Assessment, Rescue Plan and methods of statement etc.) shall be
required.
The work responsible personnel as superintendent or supervisor shall brief the task of the date with safe
practices as tool box meeting prior to work start.
No one may enter any vessel or manhole without specific approval and a current work permit, permit issuer and
receiver shall be do joint inspection of the site before issuing the permit and shall be conduct gas test, LEL must
be 0% for any type of hot work.
Prior to entering confined space all employees are required to log in & log out and to check the working
atmosphere to be monitored with gas tester. All Cummins employees shall follow the SABIC Confined space
entry Permit requirement.
24. Excavation
Cummins shall ensure that all excavation work is carried out according to the requirements of SABIC. All banks
1.2 meters high or more shall be sloped as per requirements and unless soil is analyzed by competent person
allowing a greater slope angle or shall be adequately shored.
Approved Drawing and as per the approved method of statement will perhaps be required in case of deep
excavation. Cummins ensures that access way to excavation area & excavation platforms such as stairs,
walking platform, temporary ladders etc., shall be provided. Those all things shall be inspected and approved by
competent personnel.
25. Civil Works
Cummins shall ensure that all civil work is carried out according the requirement of Sabic. Work will execute as
per approved method statement and MSDS of all chemicals must be present at site and employees will use
MSDS recommended PPE during the chemical handling. This is responsibility of Cummins to provide safety
training about handling of chemicals. All protruding reinforcing steel which employees could fall shall be
guarded to eliminate the hazards of impalement. No employee shall be permitted to ride neither concrete bucket
nor work under concrete bucket while bucket is being elevated or lowered into position. Employees will be
required to wear proper clothing, gum boots, rubber coated gloves, hard hat safety glasses to prevent cement
burn. Employees applying cement, sand and water mixtures through a pneumatic hose will wear face protection
in addition to safety glasses. No employee shall be permitted to place or tie reinforcing steel more than 6 feet
above any adjacent working surface unless the employee is protected by the use of a safety full body harness
or equivalent fall protection. Civil Works we will use Jack Hammer/Hand Shovel/Hand Tools for the Small
Excavations work &Concrete Chipping work/ to Repair/rectify for Generator Plot form works and Cable
Trenches.
26. Vehicles, Mobile and Mechanical Equipment
All equipment such as cranes, boom truck and earth moving equipment shall be inspected by approved 3rd
party inspection company prior to use in the plant.
Cummins will submit third party certificate of Lifting (Crane) equipment prior to use in the plant.
All operators of lifting equipment will be certified by third Party and local government valid license also. The
operator of equipment shall possess a valid government license and client authorization.
Operators of heavy equipment must leave the equipment in the safe condition at the end of the work day, and
remove the keys from the equipment, unless equipment is located in an Operating area.
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27. Cranes & Rigging Equipment
All cranes shall be inspected by an approved 3rd. party inspection company and it shall be inspected Sabic prior
to mobilize at site, inspection sticker shall be available.
All lifting gears, hooks, slings, shackles and other equipment used for lifting purposes shall be used correctly by
trained and certified riggers and maintained in good condition and shall possess current month color code.
All lifting gears shall be certified by third party. All mobile lifting equipment and crane operators shall possess a
valid heavy equipment operator's license and be certified by third party & Sabic to operate such equipment.
Lifting operations should be done by competent third-party certified Crane Operator and Rigger.
The Rigger should wear visible jacket to be easily identified at job location. At least two riggers to be assigned
for any lifting activities, only certified rigger is allowed to control the load by tagline.
Lifting & Hosting
Cummins has full responsibility for safe operation when using hoisting equipment to make lift. Cummins shall
verify the weight of all loads prior to being lifted. Hazards energy control program shall be the part of load lifting
risk assessment and job hazard analysis. No load shall be lifted which exceeds the manufacturer’s rated
capacity of crane and Hoisting equipment.
During hoisting operations, the load shall be controlled from ground by means of one or more ropes, “Taglines,
“to prevent the load from turning and swinging. Lifting operations can only be carried out with assistance of a
competently trained signalman.
28. Security Procedures
The security procedures of client shall be complying with Cummins personnel, including the use of ID cards.
Cummins do not have any special security requirements. Any material losses or thefts while on client premises
will be reported to the client Security Department.
29. Traffic Plan
Vehicle Entrance to Plant Area is prohibited unless prior Authorization has been obtained. All vehicles entering
inside the plant shall have a valid Vehicle Access Pass in accordance with client Safety Procedures.
Speed limits to be strictly adhere to on plant road as specified by the client driving rules. Vehicles are restricted
to make up roads only. No overtaking inside the plant area is allowed. Parking of vehicle should only be at
appropriate designated places only. No parking of vehicle will be allowed near the plant facilities. Wearing of
seat belt should be strictly adhered to while inside the plant area. Movement of heavy vehicle inside the plant
road to be avoided as far as possible or escort by flagman, all heavy equipment /vehicle must equip reverse
with reverse alarm.
Client controls traffic movements and the control of vehicles on site. A lay-down / parking area will be allocated
for Cummins to use during the course of the work, vehicles shall be parked, handbrake applied, so that they are
not interfering with operations and so that they do not cause an obstruction, either to plant or other vehicles.
30. Hazardous Material/Waste Material
Cummins are responsible for the disposal of hazardous/ wastes material as per the client procedure, will take
into account the requirements of client. All waste shall be disposed of responsibly using a recognized and
approved waste disposal facility. Hazardous wastes as defined by the applicable local regulations will be stored
separately from non-hazardous wastes in accordance with applicable regulations, and Cummins shall Comply
project specific requirements, good waste management practices and provide all necessary PPEs as required
for the task.
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31. Site Supervision, Housekeeping & PPE
Housekeeping:
Good Housekeeping practices as listed below shall be followed

• Only the materials and tools that are needed to carry out the required activities shall be
kept at the workplace.
• Trash, scrap, and debris shall not be allowed to accumulate.
• Departments shall ensure that arrangements are made for its disposal to keep the
accumulation to a minimum.
• Protruding nails and other sharp objects shall be removed or bent over in such a manner
that they no longer present a risk.
• Material and equipment shall be placed back in storage when the job for which they were
utilized is finished.
• Material and equipment shall not be stored, parked or left in a manner that obstructs access to;
◊ Fire extinguishers,
◊ Fire/water/gas valves,
◊ Electrical switches,
◊ Emergency showers/eyewashes, etc.
• Storage shelving, racks, cabinets, files, etc. shall be anchored and secured in a manner to prevent
tipping over.
• Stacking of material shall be done in designated places and located in such a
manner that material will not fall.
• While stacking proper clearance shall be allowed between the ceilings and the top of the stacks.
• Machinery related spills (i.e., oil, dust metal shavings, hydraulic fluids, etc.) onto walkways and
working surfaces shall be prevented with the use of collection bags or other effective means.
• Spills shall be immediately cleaned and disposed of properly.
• Potentially flammable and combustible materials shall be placed back in approved storage
cabinets at the end of each shift, or when not in use.
• Compressed gas bottles/cylinders shall be removed from the work area and placed in their
approved storage location at the end of each shift, or when not in use.
• Good housekeeping practices shall be followed & maintained all the time especially at the
end of the day before closing the permit.
• Personnel shall ensure that at the end of each shift, work areas and break areas are neat and orderly.
• Floors of work environments shall be maintained in a clean and oil free manner.
• Additionally, repair requests shall be prioritized in a manner that places the greatest
emphasis on reducing the level of employee exposure to a hazardous condition.
• Tripping hazards such as telephone lines, power cords, air lines, furniture, rope, hoses,
pallets, etc. shall not obstruct employee walkways, emergency exits, or stairs. If such a
practice is unavoidable, proper barricade and covering of the hazard shall be provided.
• After the maintenance of equipment or work location, the area should be cleaned and all
tools, used consumables, damage parts, etc.; should be removed by the concerned
section before clearing of PTW and tags to Operation.
• No material shall be kept on hand‐rails of stairways. Any pipelines or cables shall be
routed either overhead or underneath the stairs but not along stairways.
• Tools shall always be kept clean and shall be placed its designated location after its use.
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• Tools and materials shall not be placed on overhead locations, such as scaffolding, window edges,
unless they are prevented from falling by means of toe boards or guards.
• All access ways, passageways and emergency exits must be kept clear at all times.
• Stacked materials shall not project into access ways and passageways.
• All roads shall be kept clear of materials at all times and must be properly illuminated.
• All waste shall be thrown in waste bins or shredding machine.
• Wastes shall be classified and segregated in labeled containers according to their nature as general
waste, scarp material, combustible materials like oily and solvent contaminated rags, paper, hazardous
chemical waste, etc.
• All food waste shall be cleared off from site daily.
• Regular in‐house inspections shall be scheduled and carried out to monitor and maintain good
housekeeping.
Personal Protective Equipment

Cummins will provide monitor and ensure that each employee will wear and follow the guidelines in using
personal protective equipment.
• All project personnel entering the project site will comply with dress code Fire Retardant
clothing. Safety hats or helmets made in plastic of non‐conductive material; Bump caps
shall not be worn.
• Employees shall wear safety glasses at all times while on site.
• Employees shall wear safety goggles or face shields as eye and face protection when dealing with
chemicals or chipping guns and whenever there is a danger of flying particles.
• Welder shall wear an approved type of welding gloves.
• It is mandatory that all employees shall wear working gloves while working in the project
site and whenever there is danger of damaging their hands by handling rough surfaces or
substances that could burn, cut or tear.
• Gloves or loose clothing should not be worn where there is a danger of being caught up in
moving machinery.
• All employees in the jobsite shall wear safety footwear, boots or shoes with steel toecap protection.
• Employees are not allowed to wear short pants in the jobsite.
• Employees shall wear long cuff leather or insulating gloves when handling hot materials.
• Personnel who will be working in elevated areas more than six (6) feet with no
guardrails shall wear full body harness.
32. Contaminated Land
Some field execution sites will be located on sites where previous activities may have resulted in the
contamination of the soil and / or groundwater. Prior to the start of any work on site, it is important to review
any existing assessments and investigations to identify the potential risks and any areas of contamination. If
no assessments / investigations have been undertaken and there are reasons to believe that the site may be
contaminated, then steps should be taken to evaluate the site conditions and confirm responsibilities for the
existing site conditions and any associated problems due to field execution activities, prior to work starting.
Any assessments or investigations shall be agreed with the client. The potential for contamination to be
present on the site is normally determined. Desk study to identify any previous land uses that may have
resulted in contamination. These land uses can be on or adjacent to the site. Information relevant to a
preliminary investigation includes.
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33. Air Quality
Those activities that have the potential to affect local air quality and cause environmental nuisance to local
residential and surrounding areas must be identified. Project Management must adopt appropriate control
measures to mitigate these impacts.
Dust, emissions and odors can adversely affect air quality.
34. Noise and Vibration
Activities that have the potential to cause environmental nuisance to client operations, local residents, local
wildlife and surrounding commercial activities must be identified. The adoption of appropriate control measures,
monitoring and close liaison with the client will assist in the mitigation of these impacts.
35. Working Hours
Per shift working hours will be 8 hours and there shall be one break after every 4 hours and weekly off will be
accordingly Saudi Labor Law .
36. Hot Works
Cummins will assign trained working crew for hot work activities. Sabic certified and trained fire watch will be
deputed with air horn as per the numbers of hot work activity. Fire watch will stay 30 minutes in the hot
worked location to monitor. Cummins will provide Dry chemical powder (DCP) fire extinguisher at a hot work
place. Cummins crew will follow Sabic approved hot work procedure to perform the hot work. Atmospheric
test shall be done before start hot work and during the activity.
Hot work location shall be isolated by a good quality OHSAS approved fire blanket.
37. Fire prevention & Control

The battery-operated smoke detector will be fixing inside the office, DCP/CO 2 fire extinguisher will be fix to
different location inside and outside the office.
38. Radiography Test

Cummins all works will be stop at radiography test area & Restrict entry by covering Warning Tape to prevent
radiation exposure to employees, Cummins will follow the client radiation procedure and approved JSA, and
distance, time, and shielding are the usual methods of reducing radiation exposure. Only Sabic certified
radiographer or contractor will be involve in radiation work.
Cummins shall maintain and keep the source of radiography safe in accordance with SABIC requirement.
Cummins shall ensure that any radiography source is with the prior written approval from SABIC in
accordance with its requirements.
Before starting the radiography test, a PA announcement or communication with the other contractor is
required.
Doc No. CA-EHSS-02
Page 17
G-3660 Replacement
39. Transportation, Handling & Storage of Materials

Cummins shall follow Sabic transportation guideline for the transportation of materials. Cummins
shall be ensuring that all materials must be secure properly during transportation. All heavy
Equipment shall be guided by certified flagman from the gate of SABIC to job area, and vehicle
entry.
Permit shall be issued by Sabic on the request of Cummins. Cummins shall be storing all materials
near the job site after clearance Sabic area owner, area to be barricaded and “TEMPORARY
STORAGE AREA “sign board to be posted.
Only approved containers and portable tanks will be used for storage of flammable or liquids. No more
than 100 liters will be stored in a room outside of a storage cabinet. Storage cabinets will be labelled with
conspicuous lettering “FLAMMABLE – KEEP FIRE AWAY”.
All hazardous/chemical materials will be stored & handle according the Material Safety Data Sheet.
40. Scaffolding
Cummins foreman will check scaffolding tag before use for work. Incomplete scaffolding platform will not be
used and inform to client/Cummins scaffolding supervisor to make safe for use. All scaffolding
platform will be built by third party certified Scaffolder and tag will be sign by third party approved
scaffolding supervisor or inspector.
41. Medical Surveillance and Substance Abuse

Cummins shall follow client’s requirements for pre-medical and or annual medical check-up.
Random Testing for employees suspected in drugs and alcohol abuse shall be conducted,
including Random Inspections at all Cummins premises and project sites. The list of annual
medical test is in annexes.
42. Demobilization
Cummins employees and equipment will demobilize after complete the work as per assigned
work scope. Welfare facilities will be removed from site in last phase of demobilization.
43. EHSS motivation Awards & Recognition Program

Cummins shall recognize the performance of every project-based craft employee by awarding an
EHS Man of The Month as per the below criteria and shall be awarded with certificates and an
equivalent amount of not less than 100 SAR for motivation of the employee, hence, some examples
of learning mechanisms to give some appreciation of their variety and power and their importance to
rational decision making.
Evaluation Category Points Distribution

Number of Near Miss Reporting Max 10 points
Quality of Near Miss Reporting Max 10 points
Hazardous Working Environment Max 10 points
Work Attitude towards Safety Max 10 points
Contribution to Improve EHS Max 10 points
Active Participation in EHS meeting (Toolbox, Etc.) Max 10 points
Participation in Housekeeping activity Max 10 points
Proactive actions to prevent incidents Max 10 points
Doc No. CA-EHSS-02
Page 18
G-3660 Replacement
44. Welfare facilities
Suitable and sufficient washing facilities, including showers where needed, will be provided or made
available at readily accessible places. Washing facilities will be provided in the same location as toilets
and changing rooms. Washing facilities includes a supply of clean cold, or running water, soap or other
suitable means of cleaning; and towels or other suitable means of drying. Rooms containing washing
facilities must be sufficiently ventilated and lit. Washing facilities and the rooms containing them must be
kept in a clean and orderly condition. Separate whole body washing facilities must be provided for men
and women, except where they are provided in a room where the door can be secured from inside and the
facilities in each room are intended to be used by only one person at a time. The welfare Facility Checklist
Format is in Annex.
Drinking water
• Wholesome drinking water must be provided or made available at readily accessible places.
• Every supply of drinking water must be conspicuously marked by an appropriate sign.
• Sufficient cups or other drinking vessels must be provided, unless the supply of drinking water
is in a jet from which persons can drink easily
Rest Facilities
• Sufficient, suitable rest rooms or areas must be provided or made available at readily
accessible places.
• Rest rooms and areas must be equipped with an adequate number of tables and seating with
backs for the number of persons at work likely to use them at any one time. Where necessary,
include suitable facilities for any woman at work who is pregnant or who is a nursing mother to
rest lying down. Include suitable arrangements to ensure that meals can be prepared and eaten
and means of boiling and maintaining water at an appropriate temperature.
45. EHSS Site Staffing Ratio will be according to Sabic SHEM Standard 1:20 will be maintained.
46. Annexes.
(1) Annex 1: Welfare facilities Checklist
(2) Annex 2: Tool Box talk Format:
(3) Annex 3: Walkthrough Inspection Checklist Format
(4) Annex 4: Annual Medical test List
(5) Annex 5: Environmental Inspection Checklist Format
(6) Annex 6: Fire extinguisher Checklist Format
(7) Annex 7: Emergency Plan Awareness Training List
(8) Annex 8: HSE weekly Statistical report format
(9) Annex 9: Incident & Near Miss report format
(10) Annex 10: PPE Checklist Format
(11) Annex 11: Portable Tools Inspection format
(12) Annex 12: Meeting Attendance Format
(13) Annex 13: List of Tools and equipment
(14) Annex 14: Training Calendar
(15) Annex 15: Emergency Contact No.
Doc No. CA-EHSS-02
Page 19
G-3660 Replacement
Doc No. CA-EHSS-02

Checklist for Welfare Rev 01
Date 27/09/2022
Facilities Page 1
Replacement
Location: Date:
Yes No Action required
Is there an adequate supply of cool and safe drinking water at convenient
places in the factory and away from the toilets?
Unless the water is piped, is the water contained in suitable vessels,
renewed daily and, as far as possible, free from contamination?
Are clean cups or drinking vessels provided?
Are adequate and suitable washing facilities provided?
Are soap, running water and clean towels available in the
washrooms?
Are there the required number of separate toilets for men and
women?
Are the toilets regularly cleaned and close to the working areas?
Are the toilets properly illuminated?
Have "lockers" been provided for workers to keep their personal
belongings and clothes separately for men and women?
Have clothes drying facilities been provided?
Are suitable resting facilities available for female workers?
Is there a separate, clean, comfortable and hygienic place for meals
separate from the work area available?
Are cooking facilities available?
Are properly equipped first‐aid kits available with a full list of
contents?
Are the first‐aid kits clearly marked, accessible and unlocked?
Are there the correct numbers of first‐aid kits as specified under the
regulations?
Is there at least one first‐aid kit on every floor of the factory?
Is the first‐aid kit placed under the responsibility of a trained first
aider?
Is a trained first‐aider available at all times and on each floor of the
factory?
Is there a notice that clearly identifies the name (and picture) of the
trained first‐aider(s)?
Do the first‐aider(s) wear any identifying clothes/ badges?
Is there a well‐equipped medical room in the factory?
Is there a company doctor or nurse on site as specified under the
regulations?
Is there an occupational accident/illness book on site that records all
workplace accidents and ill health?
HSE Representative: Designation: Signature:
Doc No. CA-EHSS-02

Page 20
G-3660 Replacement
Tool Box Talk Doc No.

Rev
CA-EHSS-02
01
Date 27/09/2022
Page 01
G-3660 Replacement
Date: Time:
Duration: Total Participants:
Topic Discussed:
Participants
S. N NAME EMPLOYEE JOB TITLE SIGNATURE
NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Doc No. CA-EHSS-02

Page 21
G-3660 Replacement
Walkthroughs Inspection Checklist:

Walkthroughs are conducted to improve SHE performance by measuring compliance of findings through
Internal group walkthroughs at least once in a week or as client’s requirements.
Signed By No of
Date Contractor Report Ref. No. No of Pages
(HSE) Photos
Cummins Arabia 4
Items Inspected Findings Remarks
1. Job Information Yes No N/A
1.1 HSE Plan available, updated and circulated to all
concerned superiors
1.2 HSE Policy Statements posted?
1.3 Emergency Nos. posted/updated?
1.4 Weekly Safety Meetings / Toolbox talks up to date?
1.5 Work areas properly signed and barricaded?
1.6 Have all employees undergone project HSE induction
and records maintained up-to-date?
1.7 Male Nurse / First Aiders / First Aid Box / First Aid
Room / Medical Supplies
1.8 Are portable drinking water, toilet and rest facilities
available at the site?
2. Housekeeping
2.1 Food waste handling (separated from the construction
waste) acceptable?
2.2 General neatness of the work area?
2.3 Projecting nails removed or bent over?
2.4 Waste containers provided and used properly?
2.5 All spillage cleaned up promptly?
2.6 Passageway and walkways clear?
3. Fire Prevention
3.1 Personnel trained on firefighting?
3.2 Adequate fire extinguishers, checked and accessible?
3.3 Emergency nos. posted?
3.4 "No Smoking" posted and enforced near flammables?
4. Electrical Safety
4.1 Extension cords or attachments cords with bare wires
or missing ground prongs or damaged taken out of
service?
4.2 ELCB's / Ground fault circuit interrupters being used?
4.3 Terminal boxes equipped with required covers?

4.4 Are flexible cords and cables protected from damage?
4.5 Are unused openings in cabinet boxes and fittings

closed?
Doc No. CA-EHSS-02
Page 22
G-3660 Replacement

4. Electrical Safety (Continuation) Yes No N/A
4.6 Proper warning signs posted on electrical
installations?
4.7 Are all cabinets, panels and switches located
in wet locations enclosed in weather proof
enclosures?
5. Hand & Power Actuated Tools
5.1 Hand tools inspected regularly? Broken
handles and mushroom heads?
5.2 Guards in place in machines such as saws?
5.3 Right tool being used for job at hand?
5.4 Operators of power actuated tools are trained
/ licensed?
6. Fall Protection
Safety Rails and cables are secured
6.1
properly?
6.2 Employees exposed to fall hazards are using
approved full body harness and tied off a
proper anchorage point?
Employees below are protected from falling
6.3
objects
6.4 Are employees working more 2m above a
lower level protected by guard rails, safety 1
nets. Personal fall arrest system?
7. Ladders
7.1 All ladders are fixed at the right angle (1:4
ratio)?
7.2 Ladders extend at least about 1m above the
landing?
7.3 Ladders are secured to prevent slipping,
sliding or falling?
7.4 Ladders with split or missing rungs taken out
of service?
7.5 Stepladders used in fully open position?
7.6 Step at top rungs of stepladder?
8. Scaffolding
8.1 Trained and competent scaffolding team and
supervisor available?
8.2 All scaffolding inspected weekly? Scaff Tag
available?
8.3 Erected on sound rigid footing?
8.4 Tied to structure as required?
8.5 Guardrails, intermediate rails, toe-boards and
screens in place?
8.6 Planking is sound and sturdy?
8.7 Proper access provided
8.8 Employees below are protected from falling
objects?
9. Floor & Wall Openings
9.1 All floor or deck openings are planked over or
barricaded?
9.2 Perimeter protection is in place?
Doc No. CA-EHSS-02
Page 23
G-3660 Replacement

Yes No N/A
9.3 Deck planks are secured?

9.4 Materials are stored away from the edge?
10. Trenches, Excavations & Shoring
10.1 Competent person on hand inspecting daily?
10.2 Excavations over about 1.5m in depth are
shored or sloped back?
10.3 Materials are stored at least 1m away from
trench?
10.4 Equipment is a safe distance from the edge of
the trench or excavation?
10.5 Ladders provided every 8m in trench more

than 1.2m deep?
10.6 Have underground utility installations been
located?
10.7 Are employees exposed to vehicular traffic
wearing warning vests of high visibility
material?
11. Material Handling
11.1 Materials are properly stored or stacked?
11.2 Employees are using proper lifting methods?
11.3 Tag lines are used to guide loads?
11.4 Proper number of workers for each operation?
12. Welding & burning
12.1 Gas cylinders are transported, handled and
stored safely?
12.2 Gas cylinders kept upright and secured?
12.3 Proper separating distance between fuels and
oxygen? (min 6m)
12.4 Burning/welding goggles or shields are used?
12.5 Fire extinguishers are nearby?
12.6 Pressure gauges and flash back arrestors
fitted?
12.7 Protective caps on gas cylinders?
12.8 Hoses and regulators are in good condition?
13. Cranes
13.1 Load test certificate available?
13.2 Operator trained / licensed?
13.3 Safe working load indicator working?
13.4 Trained banks men available?
13.5 Taglines being used properly?
13.6 Outriggers are fully extended and swing
radius barricade in place?
13.7 Operator is familiar with load charts?
13.8 Crane maintenance record up-to-date
13.9 Fire extinguisher available?
13.10 Employees kept from under suspended
loads?
13.11 Chains and slings inspected and tagged as
required?
Doc No. CA-EHSS-02
Page 24
G-3660 Replacement
Item Inspected Findings Remarks

Yes No N/A
13.12 Hand signal charts are on the crane?
14. Concrete Construction
14.1 Employees are protected from cement dust?
14.2 Exposed skin covered?
14.3 Runways are adequate
14.4 Walls over 2.5m are supported?
14.5 Are all protruding reinforcement rods
covered?
14.6 Swing area of booms/moving parts/riggers
cordoned off?
15. Personal Protective Equipment (PPE)
15.1 Hard Hats & safety shoes are being worn?
15.2 Safety Glasses are being worn when
required?
15.3 Respirators are used when required?
15.4 Hearing protection being worn when
required?
15.5 Traffic vest being worn?
15.6 Gloves worn when handling sharp edges or
skin contaminants?
16. Vehicles and Mechanical Plants

16.1 Registered, maintained and in safe working
conditions?
16.2 Drivers / Operators trained and licensed?
16.3 Do vehicles, earth moving or compacting
equipment with an obstructed view to the
rear have backup alarm or used with an
observer?
16.4 Do vehicles and earth moving equipment
have seat belts and they are used?
16.5 Are flagmen wearing reflective garments and
using flags, sign paddles or lights?
17. Stairs
17.1 Are flights of stairs with 4 or more risers
equipped with standard stair railings or
handrails?
18 Miscellaneous
18.1 Is a written Hazard Communication Program
on site including MSDS, material list,
containers labeling and employee training
18.2 Is exposure to lead or lead based paint, such
as paint removal controlled?
18.3 Is exposure to silica such as sand blasting,
using sand or cutting brick or cinder block
controlled?
18.4 Is exposure to asbestos controlled?
19 Environmental Matters
19.1 Noise pollution controlled?
19.2 Dust pollution controlled?
19.3 Marine pollution prevented and controlled?
19.4 Ground contamination controlled?
19.5 Air pollution controlled?
Doc No. CA-EHSS-02
Page 25
G-3660 Replacement
Annual Medical Check-up List

Sr# Name Iqama No Nationality Profession Test Date
1 Bharanidharan Sundarajan 2479442358 India Labor 18-08-22

2 Aabid Salam Hashmi 2479052371 India Labor 03-01-22
3 Shaik Illias 2479157030 India Labor 05-02-22
4 Meer Magsood Ali 2307275517 India Safety Manager 29-08-22
5 Deepak Phanisai 2334371081 India Projects Manager 19-06-22
6 Gobinath Rengarajan 2479081289 India Labor 18-08-22
7 Mohammad Rizwan Idrees 2310902792 India Labor 03-01-22
8 Mohammad Nadeem Khan 2331666665 India General Welder 28-08-22
9 Mohammad Alam 2316958905 India Labor 05-01-22
10 Kamaruddin Jallel Ahmad 2389112729 India Plumber 18-08-22
11 Naresh Mamidala 2479250686 India Labor 03-01-22
12 Naresh Suruvu 2479152981 India Labor 06-01-22
13 Sugunthan Selvarasu 2490379548 India Planning Manager 19-05-22
14 Mumtaj Ahmad 2332827241 India Labor 29-08-22
15 Meraj Alam 2331923736 India Labor 29-08-22
16 Manikandan Munusamy 2511427656 India Labor 28-08-22
17 Aswin James 2521492724 India Labor 28-08-22
18 Raj Kumar Murugan 2511177178 India Labor 28-08-22
19 Mohammed Ayub 2442820615 India Work Shop labor 28-08-22
20 Tamilselvam 2519848820 India Engineer 28-08-22
21 Baskra Rao Racharla 2508027808 India Labor 29-08-22
22 Chandru Dhakshna 2509643413 India Labor 28-08-22
23 Ashad Mohiudeen 2509332223 India Labor 28-08-22
24 Abdul Gaffar Gulam 2362885804 Pakistan Painter 28-08-22
25 Rashid Iqbal 2362886000 Pakistan Painter 28-08-22
26 Saqib ALI Azam 2413715364 Pakistan Labor 04-01-22
27 Mohammad Ramzan Iqbal 2332989546 Pakistan Labor 05-01-22
28 Roshan Bhujel 2350562183 Nepal Labor 03-01-22
29 Kishan Pradhan 2526466913 Nepal Ass Safety Tech 28-08-22
30 Ahmed Mohamed Hassan 2331339784 Sudan Insurance Specialist 05-01-22
31 Elsyed Fathi Mohamed 2377378571 Eygpy Labor 18-08-22
32 SURESH ANBAZHAGAN 2324876248 India Labor 18-08-22
33 RAVIKUMAR PALANISAMY 2475897928 India Labor 18-08-22
34 SHIV NATH SAH 2363345782 India Labor 29-08-22
35 Bhagirath Neupane 2376691487 Nepal Labor 28-08-22
36 Gulam Nabi Imam Hussain 2316958616 Indian Labor 18-08-22
37 Bilal Hussain Mohammad 2444487900 Pakistan Labor 18-08-22
38 V.Thirugnansam Bamdam 2310809385 Indian Labor 18-08-22
39 Muralidharan Vijaykumar 2509643454 Indian Labor 28-08-22
40 Arun Kumar Panwsamy 2510622075 Indian Labor 28-08-22
41 Premjith Meethal 2511073112 Indian Labor 28-08-22
42 Nur Alam Sadique 2184318521 Bangladesh Labor 05-01-22
43 Karthik Srinivasan 2509800229 Indian Labor 30-01-22
Doc No. CA-EHSS-02
Page 26
G-3660 Replacement
ENVIRONMENTAL Doc No. CA-EHSS-02

INSPECTION CHECKLIST Rev 01
Date 27/09/2022
Page 01
Project RFx 5500326497 | SP-181400034 | Diesel Generator G-600, G-1660 &
G-4660 Replacement
Location: Date:
No. Questionnaire Y N NA If No – Corrective

Action Taken
A Waste Storage & Disposal
Are there appropriate collection containers (skips) and bins at suitable
1 locations near the generation areas? Are they
properly labelled?
Do the above containers and/or collection areas allow the segregation into
2 different types?
Is the waste storage properly carried out (e.g., segregation into different
3 types of wastes, etc.)?
Are the storage areas properly marked? Are the containers in the storage
4 areas properly labelled (e.g., clear demarcation
into hazardous and non-hazardous waste with clear signage)?
Are there available copies of waste subcontractors
5 authorizations (transporters, waste disposal/recycling
contractors, etc.) and waste transfer forms?
B Hazardous Substances
Are the hazardous substances storage areas provided with proper
containment systems (e.g., liquids are stored in bounded areas, with an
1 impervious base and appropriate
drainage system)?
2 Are hazardous substances isolated to avoid errors and improper uses?

Are the substances storage areas properly marked? Are the containers
both in the storage areas and in the work, areas properly labelled (e.g.,
3 clear demarcation into hazardous and
non-hazardous substances with clear signage)?
C Spills
Are site personnel aware and trained upon minimization / mitigation /
1 emergency reactions to be undertaken after an
accidental spill?
Do workers know what to do in case of hazardous substance leakage?
2
Are Spill-Contingency Kit and PPE available in those areas where
3
spillages have a concrete possibility to occur?
CA /HSE/EIC/01/22
Rev:01
Doc No. CA-EHSS-02
Page 27
G-3660 Replacement
Fire Extinguisher Doc No. CA-EHSS-02

Rev 01
Checklist Date 27/09/2022
Page 01
G-3660 Replacement
Carrying Handle
Lock Pin & Seal
Hose Condition
Body condition
Trained user
Accessibility
Tag/Sticker
Discharge
available
nozzle
S/N Type Kg. Location Expiration Remarks
Pressure
Date
10
Project: Date :
Signature: Contractor:
CA/HSE/FEC/01/22
Rev:01
Doc No. CA-EHSS-02
Page 28
G-3660 Replacement
Emergency Plan Awareness Training Attendance:

Doc No. CA-EHSS-02
Page 29
G-3660 Replacement
Doc No. CA-EHSS-02

HSE Weekly Statistical Report Rev 01
Date 27/09/2022
Page 1
G-3660 Replacement
Report number:
Report period:
SL.NO DESCRIPTION THIS PERIOD CUMULATIVE

1. Total manpower worked
2. Total man hour worked
3. Fatal Accident
4. Incident/Dangerous Occurrences
5. Lost Time Injury (LTI)
6. Medical Treatment Case (MTC)
7. Vehicle/Property/Equipment Damage Accident
8. No. of First Aid Cases (FAC)
9. No. of Heat Related Illness/Injury
10. No. of Reported Near Miss (NM)

11. No. of Observation Report (from Daily)
12. No of Observation open
13. No of observation closed
14. No. of Environmental Findings
15. No. of Toolbox Meeting Conducted
16. No. of special/spot Training Conducted (Internal)
17. No. of induction training
Reported By: Sign:

Doc No. CA-EHSS-02
Page 30
G-3660 Replacement
Doc No. CA-EHSS-02

HSE Weekly Statistical Report Rev 01
Date 27/09/2022
Page 2
G-3660 Replacement
HSE and Quality Statistics

1. HSE Statistics
1.1. Total Manhours =
1.2. Weekly Manhours =
1.3. Stop Work Notice Issued =
1.4. Near Misses =
1.5. Non-serious Injuries =
1.6. Serious Injuries =
1.7. Fatalities =
1.8. Others =
2. Quality Statistics
Material Inspection
NCR's Inspection Requests Requests
Issued Approved Approved
Open Rejected Rejected
Closed Pending Pending
Doc No. CA-EHSS-02
Page 31
G-3660 Replacement
Doc No. CA-EHSS-02

Incident & Near Miss Report Rev 01
Date 27/09/2022
Page 1
G-3660 Replacement
Date Occurred: Time Occurred:
Location: Name of Person Involved:
Designation: Nationality:
Contact Number:
CA Employee: Sub-Contractor: Visitor: Others:
Death: Serious Accident: Occupational Disease: Other:
Description of Incident:
Incident Witnessed by:

Person Name: Position: Person Name: Position:
Person Name: Position: Person Name: Position:
Corrective Action / Preventive Action: By: Target Date:
Report completed by: Position: Date:

Reviewed by: Position: Date:
CA/HSE/INR/01/22
Rev/ 01
Doc No. CA-EHSS-02
Page 32
G-3660 Replacement
Doc No. CA-EHSS-02
Page 33
G-3660 Replacement
PORTABLE TOOLS Doc No.

Rev
CA-EHSS-02
01
INSPECTION Date 27/09/2022
CHECKLIST Page 01
Project RFx 5500326497 | SP-181400034 | Diesel Generator G-660, G-1660, G-4660 &
G-3660 Replacement
No. Question Y N NA If No – Corrective
Action Taken
Are hand and portable powered tools and equipment
1
maintained in such a manner that they are safe to
use?
2 Is equipment information plate legible
Are machine guards in place and intact? (Machine
3
guards should not be modified, tampered or
removed)
Electrical hand tools cord or cable is free from damage
4
and sockets, plugs are fitted correctly and in good
condition?
5 Are any Mushroom head chisels still used or found at
site?
In case home-made tools found at site and are they
6
removed?
Are electrical tools protected by ELCB? Where ever
7
applicable?
Is the tool isolated from the electrical supply when not

8
in use? (Disconnected)
9 Do emergency stop buttons work properly?

Are correct PPE being worn (Goggles, face shield, Ear
10
-plugs / muffs)?
11 Are Electrical hand tools fed by 110 V?
12 Are Electrical hand tools double insulated?
Are portable electrically powered hand tools

13
properly grounded?
Is the maximum permissible spindle speed clearly

14
marked on the grinding machine in rpm? Does it match
wheel?
Are the abrasive wheels being used suitable for the
15
type of work with suitable speed rating?
CA/HSE/PTIC/01/22
Rev:01
Doc No. CA-EHSS-02
Page 34
G-3660 Replacement
Doc No. CA-EHSS-02
Page 35
G-3660 Replacement
LIST OF TOOLS / EQUIPMENT

1 Flayer
2 Tester
3 Screwdriver
4 Wire Cutter
5 Punching Tools & Clamping Flyer (RG 11+RG 45)
6 Continuity Tester
7 Test Lamp
8 Rawal Punch Holder & Bit
9 Measurement Tape
10 Hammer (Per Person, Small, Middle, Big Size) )
11 Chhini (all Size)
12 Drilling Machine
13 Hole saw Cutter
14 Hacksaw Frame
15 Rawal Jumper
16 Adjustable Spanner
17 Pipe Wrench
18 Electrical Knife
19 Grip Plier
20 Crimping Tool
21 Ring Spanner
22 Split Level
23 Square
24 Cutting Plier
25 Nose Plier
26 Wire Striper
27 Double End Spanner
Doc No. CA-EHSS-02
Page 36
G-3660 Replacement
Training Calendar
Professional / Skills In-House Training Calendar for Year 2022
Sr. Training Topic Planed Date Trainer Trainees Actual Date of Status
of Training Training
1. Maheshvar Sekhar
1. First Aider 03-02-2021 Al-Naami 2. Pravin Kumar 03-02-2021 done
Specialist 3. Bharanidharan Sundarar
hospital Ajan
4. Shaik Illias
5. Aabid Salam
2. Scaffold Erectors 19-01-2022 Toveleeds 1. Rajesh kumar Danuwar 19-01-2022 Done
Certification & 2. Md. Alam M. khalik
Inspection 3. Md. Umar M. Zahoor
4. Md. Parvez Abdul Majid
5. Md. Ramzan M. Iqbal
6. Roshan Bhujel
1.
3. Welder 4G 19-01-2022 Toveleeds 1. Shivnath Sah 19-01-2022 Done
Certification &
Inspection T
4. Rigger Level III 19-01-2022 Toveleeds 1. Md. Ramzan M. Iqbal 19-01-2022 Done
Certification & 2. Md. Rijwan M. Idris
Inspection 3. Kamruddin Jaleel
Ahmad
5 Rigger Level II 10-08-2022 Toveleeds Sheshagiri Pandilla Pamdilla 10-08-2022 Done
Certification & Ram
Inspection
6. Welder 6G 19-01-2022 Toveleeds 2. Nasir Ali Jumman 19-01-2022 Done
Certification & Kommari Dhamodher
Inspection Jallaiah
7. Personal Protective 05-11-2022 Meer Maqsood All employees TBA TBC
Equipment Ali
Compliance
8 Electrical Safety 18-12-2022 Meer Maqsood All supervisory staffs & TBA TBC
Awareness Ali Technicians
9 Team Building 12-11-2022 Shaik Illias Managerial and Site TBA TBC
Supervisory Staff
10 Fire Protection 06-12-2022 Meer Maqsood All employees TBA TBC
Ali
11 COSHH 20-12-2022 EHS All concerned TBA TBC

Department
Doc No. CA-EHSS-02
Page 37
G-3660 Replacement
Emergency Contact No
FIRW DEPAETMENT 333
MEDICAL EMERGENCY 222
SECURITY 9999
HSE MANAGER +966572617805

EHSS Plan, Cummins Rev-01

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Copyright:

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EHSS Plan, Cummins Rev-01

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Doc No.

Prepared by Reviewed & Accepted By

Name Maheshvar Sekar Maqsood Meer Ali

Sl. No Description Page

37 Fire Prevention & Control 16

39 Transportation, Handling & Storage Materials 17

41 Medical Surveillance & Substance Abuse 17

43 EHSS motivation Awards & Recognition Program 17

44 Welfare Facilities, Sabic Mobilization Layout-Site Mobilization Layout & 18

Annex 1. Welfare Facilities Checklist Format 19

Annex 2. Tool Box Talk Format 20

Annex 3. Walkthrough Inspection Checklist Format 21

Annex 4. Annual Medical Test List 25

Annex 5. Environmental Inspection Checklist Format 26

Annex 6. Fire Extinguisher Checklist Format 27

Annex 9. Incident & Near Miss Report Format 31

Annex 10. PPE Check List Format 32

Annex 11. Portable Tools Inspection Checklist Format 33

Annex 12. Meeting Attendance Form 34

Annex 13. List Of Tools and equipment 35

Annex 14: Training calendar 36

Annex 15: Emergency contact No 37

4. Project HSE Objective

7. Environment, Health & Safety Policy

9. Key Activities during Activities

10. Work Permit System

11. EHSS Organization Chart

13. Hazard Identification & Risk Management

15. HSE Audit Program

SHEM SPONSOR – shall announce for SHEM Internal audit

1. Operation / Maintenance Superintendent

Actions plans shall always be considered.

16. Fire Extinguishers

17. Incident Report

18. First Aid Facilities

19. Emergency Response Procedures

Dial Emergency contact No (Given in Emergency Contact No List)

Evacuation /Emergency Procedure Upon hearing “Emergency Alarm” every Supervisor

The Safety Monitors are responsible for:

21. Electrical Equipment and Inspection/Hand and Portable Power Tools

22. Working at Heights

23. Confined Space Entry

25. Civil Works

26. Vehicles, Mobile and Mechanical Equipment

27. Cranes & Rigging Equipment

28. Security Procedures

29. Traffic Plan

30. Hazardous Material/Waste Material

31. Site Supervision, Housekeeping & PPE

Good Housekeeping practices as listed below shall be followed

Personal Protective Equipment

32. Contaminated Land

33. Air Quality

34. Noise and Vibration

35. Working Hours

37. Fire prevention & Control

38. Radiography Test

39. Transportation, Handling & Storage of Materials

41. Medical Surveillance and Substance Abuse

43. EHSS motivation Awards & Recognition Program

Evaluation Category Points Distribution

44. Welfare facilities

Doc No. CA-EHSS-02