Professional Documents
Culture Documents
Documentation Score
1
Minimal procedural documentation in place. There are inadequa
implemented.
2
Processes and procedures for key system requirements have be
in place.
4
Systems, processes, procedures and expected behaviors are full
All records are easily accessible. There is evidence of a continua
Implementation Score
Personnel are clearly aware of, and can discuss, the HSE Expecta
3
Processes are in place for all high risk and other key activities. Th
Exceptions are identified and the causes understood with appro
incidents and near misses occur. There is a formal system imple
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
and inclusion in contract or purchase order
implementation) requires Addressment in Bridging Document
Any Score <3 for an Element (either documentation or
tion Score
ocedural documentation in place. There are inadequate records maintained to verify that processes and procedures are being
ed.
and procedures for key system requirements have been identified and developed. Deployment is underway. Inconsistent recordkeepin
rocesses, procedures and expected behaviors are fully documented and communicated to the workforce. All records are easily accessi
rocesses, procedures and expected behaviors are fully documents and communicated to the workforce.
are easily accessible. There is evidence of a continual improvement process through the revision of documents.
ation Score
evidence that work practices are aligned with their company HSE system and expectations. Where processes have been defined
are unaware of them and / or they are generally not followed. It is likely that there are numerous and repetitive non-conformances or
ents or near misses.
are generally aware of the company system and Expectations and often demonstrate alignment with these in their work practices. Wh
have been defined personnel are generally aware of and follow them. Whilst non-conformances and incidents / near misses may occur
onscious effort to learn from them and to take actions to prevent repetition.
are clearly aware of, and can discuss, the HSE Expectations relevant to their work. Their actions are consistent with these Expectations
are in place for all high risk and other key activities. These are routinely followed.
are identified and the causes understood with appropriate corrective actions consistently taken. HSE performance meets targets. Few
nd near misses occur. There is a formal system implementation plan and all personnel understand their part in it.
not only understand and behave consistently with the company HSE system and expectations, but also contribute to improving not on
performance but also of others around them.
e continual improvement process is in place.
mance exceeds targets consistently.
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Supplier HSE
Prequalification Questionnaire
Applicable to HSE Risk Category Type A and B as defined by the Supplier HSE Risk Categorization Matrix
Checklist
Suppliers can best prepare for the prequalification by compiling the evidence for each requirement prior.
For Category A Suppliers, the implementation of those items marked with an * shall be confirmed by a
field inspection. For Category B Suppliers, the implementation of those items marked with an * should be
confirmed by a field inspection. The MS-HS-FRM-0147 Worksite HSE Inspection Form should be populated
as a record of observed onsite HSE performance.
Some requirements in sections 6 (Engineering) and 8 (Field Execution) may not be applicable
Distribution
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Summary of Findings
Implementation
12. Assessment and Improvement
Documentation
Implementation
11. Incident and Behavior Analysis
Documentation
Implementation
10. Crisis and Emergency Management
Documentation
Implementation
09. Management of Change
Documentation
Implementation
04. Selection and Competency
Documentation
Implementation
03. Caring for People and the Environment
Documentation
Implementation
02. Risk Management
Documentation
Implementation
01. Leadership and Governance
Documentation
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Implementation
Documentation
01. Leadership and Governance Examples of Evidence to be Sighted/Verified.
Does your Company set HSE Objectives and Targets? Provide evidence over the last 2 years.
Does your Company have formal HSE Leading Key Performance Indicators? How were these developed? How
* communicated? How performing?
How are HSE responsibilities identified for all levels of staff? View position descriptions.
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Do Managers hold regular HSE discussions with their major contractors
and suppliers on HSE Management expectations and how they are met? View meeting agendas and minutes.
Do staff understand and are they engaged in meeting HSE systems and
expectations?
Have the HSE risks of the business been identified. View risk register
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
View register of documents to be maintained.
Have records which need to be retained been identified? Are these records
being maintained appropriately?* Check a selection of documents for storage
method.
Have applicable legislation, codes, regulations and standards been Identify method by which applicable items
identified? where identified.
Score 0 0
Are the people who lead or carry out risk management activities
appropriately competent?
Are assessed risks and associated risk prevention and mitigation plans
reviewed by the level of management appropriate to the nature and
magnitude of the risk?
Score 0 0
Total Possible Score 32 32
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Average Score 0.0 0.0
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Implementation
Documentation
03. Caring for People and the Environment Examples of Evidence to be Sighted/Verified.
Are processes in place to confirm that staff working for or on behalf of View procedures. Do they cover management
your Company are fit for work and not compromised by external
influences such as drugs or alcohol?* of external influences?
Score 0 0
Total Possible Score 40 40
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Are candidates recruited and engaged, relative to their skills, View recruitment procedures. Do these
experience, competence and ability to demonstrate expected include previous work history, referee checks,
performance results and behaviors. pre-placement medical examinations?
Are the job specifications which describe the required skills, experience,
knowledge, training and performance expectations documented and
communicated in job descriptions, and are they reviewed periodically. *
Are staff are aware of their specific roles and responsibilities, including
their contribution to achieving the company HSE expectations and
vision. Are individual contributions to this performance assessed and
recognized.
How do you identify and record HSE training needs for your personnel?
Have training matrix's been developed for all personnel and tasks?
Score 0 0
Total Possible Score 52 52
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Do you develop bridging documentation via a gap analysis which
demonstrates alignment with customers and customer nominated
suppliers, in relation to your health, safety and environmental
expectations, standards, processes and procedures? Does this bridging
documentation also addresses how any differences are to be addressed?
Are plans developed which specify and effectively manage the interfaces
with your customers?
Score 0 0
Total Possible Score 28 28
Are your new plant, equipment and processes designed or selected with
consideration of known and projected health, safety and environmental
requirements, including provision for decommissioning and disposal?
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Total Possible Score 24 24
Implementation
Documentation
07. Working with Suppliers and Contractors Examples of Evidence to be Sighted/Verified.
Score 0 0
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Implementation
Documentation
08. Field Execution Examples of Evidence to be Sighted/Verified.
Are methods for field work documented, risk assessed, utilized and
maintained through periodic review? Are tasks and activities with
potentially higher risks identified and managed? *
Do you have a formal permit to work system? * View permit to work system
Do you have procedures for management of hazardous energy - Verify for pneumatics, electrical and
Isolation and lock out procedures. * hydraulic.
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Implementation
Documentation
08. Field Execution cont'd Examples of Evidence to be Sighted/Verified.
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Do you ensure that the original scope and duration of changes is not
exceeded without review and re-approval?
Score 0 0
Implementation
Documentation
10. Crisis and Emergency Management Examples of Evidence to be Sighted/Verified.
Are crisis and emergency plans for managing identified and unforeseen
events documented, easily accessible, clearly communicated and
maintained? *
Have suitable tools, equipment and resources been identified, provided
and maintained to adequately respond to, and recover from emergency
crisis and emergency events? *
Are your staff and support services trained in specific crisis and
emergency plans? Are their roles and responsibilities and the use of
emergency response equipment and resources included in this training?
Score 0 0
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Do you record injury frequency and severity rates?
View last five years data using definitions
provided in worksheet 4 of this file.
Are external incident and near miss data, investigation reports and
lessons learned communicated internally and assessed for improvement
opportunities?
Score 0 0
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020
Are assessments conducted by multi-disciplinary teams, including an
appropriate mix of external and independent expertise?
Score 0 0
Total Score
Item / Area
01. Leadership and Governance 0.0 0.0 0.0
02. Risk Management 0.0 0.0 0.0
03. Caring for People and the Environment 0.0 0.0 0.0
04.
05. Selection and Customers
Working with Competency 0.0 0.0 0.0
06. Engineering 0.0 0.0 0.0
0.0 0.0 0.0
07. Field
08. Working with Suppliers and Contractors
Execution 0.0 0.0 0.0
0.0 0.0 0.0
09. Management of Change 0.0 0.0 0.0
10. Crisis and Emergency Management 0.0 0.0 0.0
11. Incident and Behavior Analysis 0.0 0.0 0.0
12. Assessment and Improvement 0.0 0.0 0.0
Overall Average Score 0.0 0.0 0.0
Possible Average Score 4.0 4.0 8.0
Overall Actual Score 0 0 0.0
Overall Possible Total Score 532 532 1064
MS-HS-FRM-0130 Supplier HSE Prequalification Questionnaire Form Rev 0 Date 01 May 2020