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Action Development Plan

Candidate Name: Position: Rig Number: Assessor's Name:

Knowledge Performance
No. Proposed action Unit Number Target date Responsible party Department
Or Skills Criteria #
Name :
Position :
PHOTO Emp # :
Department :
Unit : Rig #
Unit # Total Rating Skills Knowledge Achieved
Unit 1 Work Safely In Drilling Operation 0.00 0.00 0.00
Unit 2 Contribute to effective team working 0.00 0.00 0.00
Unit 3 Comply with Lifting & Drops Management 0.00 0.00 0.00
Unit 4 Comply with inspection & Maintenance 0.00 0.00 0.00
Total Total 0.00 0.00 0.00
Total Rating % Total Rating % 0.00 0.00 0.00
Grand Total % 0.00

4
3
2
1
0

Total Rating %
Total
Carry-out Incident Investigation and Notification
Manage Quality Management System
Plan & Monitor Rig Move operations
Plan & Monitor Stuck Pipe Prevention & Losses
Plan & Monitor Well Control response
Manage Maintenance Management
Plan & Monitor Drilling Operations
Leadership Management
Manage Emergency Response
Plan & Carry-out Risk Assessment & MoC
Plan & Monitor Lifting & Drops Management
Plan, monitor & carry-out PTW & LOTO System, JSA & TRIC
Manage HSE Management System Onsite
0 10 20 30 40 50 60

Knowledge Skills
Introduction:

The Competence Assessment is designed to help the Employee to do his job more safely and effectively, and to progress in his career with NDSC. It is rig-based, and
focuses on the tasks specific to each job.

The program allows Employee to progress at a specified time frame, with the help of his Supervisor and the assessor.

This Portfolio contains details of the things a competent employee should know and with ability to perform the job of his position. It contains a number of assessment
sheets for the relevant elements selected and determined as part of competence Map. Each Element contains some Knowledge with things candidate need to know, and
some Skills with things candidate need to be able to perform the job..

If Candidate found incompetent to some of the elements or some of the performance criteria then both the assessor and candidate shall agree on the action plan such as
awareness, training, more practice or coaching required in the job along with target date to close the gap for improvement then the assessor can re-assess the candidate.

Once all the relevant assessment sheets have been completed and signed off then assessor shall send it to HR Manager for further record keeping and other formalities.

Upon successfully completing the assessments of all assigned elements Candidate should be able to demonstrate a clear understanding of his role and responsibilities of
his position and perform his main tasks safely and competently.

Candidate Details

Candidate Name:

Employee number :
Position: PHOTO
Rig Number:
Department Name:
Assessment Start date:
Direct Supervisor (Name, Job Title & Signature)
Department Manager Name:

Competence Portfolio Acceptance Form and Induction Confirmation

I have received the induction & understood the program details and its requirement as well as my role & responsibilities.
I accept the terms & conditions set in NDSC Competence Assurance Program.
I assure NDSC Management that I will comply with program plan and Assessor's instruction.

I have been assigned for the following Elements of Competence .............................................................................................................................................................

Candidate Name:
Employee number :
Position:
Rig Number:
Date:
Signature:

Copy of this page shall be forwarded to the HR Manager for entering into the Database

Completion Notification Form

To: HR Manager

We certify that this Candidate has completed to our satisfaction all the Competence Elements as per the set competence assurance program.

Candidate Name:
Employee number :
Position:
Rig Number:

Assessor's Name & Signature:


Date:
Verifier's Name & Signature:
Date:
Competence Assurance System - Guidelines :
a. Competence Assurance Program Presentation
Shall be presented to the candidate which includes Assessment Process (Induction & Planning, Execution, Decision Making, Disputes & Appeals, Action Plan/development,
and Record Keeping)
b. Each Element is made of two different parts:
1. Skills Assessment : This details the required standard for each element & is used to assess and record a persons skills against an Element
2. Knowledge Assessment : This is used to assess and record a persons knowledge, Knowledge can be assessed by asking questions or examination and may also be
inferred having observed the candidate complete a task against an Element.
c. Assessment Plan shall be formulated and followed by the candidate and the assessor.
Definitions :
Competence : An individual’s knowledge, skills, abilities, and behavioural attributes that enable him or her to perform his or her work consistently, precisely, and reliably.
Note: Although the definition of Knowledge, Skills, and Abilities—often referred to as KSAs—is not exactly the same as competencies, they serve the same purpose and are
often used interchangeably.
Knowledge : An employee’s clear and practical understanding of the material needed to perform his or her job successfully and efficiently. Knowledge can be tested.
Skill : An employee’s ability to perform the job tasks consistently, precisely, and reliably. Skills can be assessed.
Ability : An employee’s physical capabilities (e.g., climbing, lifting, seeing, hearing). Ability can be determined but typically cannot be enhanced.
Competence Assurance Program A structured and documented process of identifying, defining, assessing, developing, and managing the continuous competence of
company personnel. It includes the formal systems, tools, and processes that ensure personnel are competent to complete tasks to a determined standard.
Not Yet Competent (NYC) : The term NYC is used to describe an Individual who has been assessed in their current job and gaps have been identified
Competent : The term competent is used to describe an Individual who has been assessed in their current job and has satisfactorily demonstrated knowledge
understanding and implementation of all the performance criteria outlined in the task or skill being assessed and no further action is required.

Assessment Plan :
HR Manager shall initiate a plan with timeline for initial assessment as well as reassessment of the candidate and communicate to all involved. The plan must be
recorded/documented to ensure consistency in applying the program and continued competence of individual employees

Candidate :

Candidate must be able to demonstrate that he meet the performance criteria which have been set in the assessment sheets. He shall be responsible for the followings:

a.Must take an active part in the assessment process & be able to demonstrate to his assessor that he can meet the standard.
b.Must produce evidence of assessment within a reasonable timescale making sure it is authentic & legible and meets the requirements of the relevant Assessment sheet.
c. Shall Identify opportunities for observations and other assessments to their assessor
d. Identify opportunities for observations and other assessments to their assessor
e. Take responsibility for own progress to help their crew and Rig achieve their competency targets.

Assessor :

The assessor is responsible for supporting, assisting & ultimately assessing the individual and complete the assessment sheet as well as coordinating with the verifier. He is
responsible to do the followings:

a. Agree a plan with the candidate on how the assessment will be completed within agreed timeframe
b. keep the competence portfolio book secured and always available until its finalized then to be sent to verifier.
c. Help candidate to understand the competencies they need to demonstrate and what evidence they will require to substantiate assessment.
d. Assess the candidate through using a combination of observation, questions & examining work product & records which the individual has been involved in.
e. Record the feedback assessment to show how each performance criteria have been met & been satisfied
f. Provide feedback to the candidate to see his progress & any issues, difficulties or problems are highlighted and resolved
g. Communicate with the assigned Verifier to ensure consistency in the assessments

Verifier :

Part of Competence Assurance Program (CAP) that quality of assessments shall take place as a first step by the assigned verifier. He shall review the completed
assessments to ensure fair assessment being done and as per NDSC CAP.

The following main Role & responsibilities of the verifier :

a. Ensures processes are being followed and records are being managed in accordance with program processes and company policy.
b. Verifies the accuracy and validity of records.
c. Provide support & assistance to Assessors whenever is requested & provide feedback
d. Manage individual progress by tracking & monitoring the progress of each individual Competence Portfolio Book assigned to him and deal with any issues as they arise
e. Reports findings of non-conformance.
f. Upon completion of the verification process, verifier shall sign off and send the Competence Portfolio book to HR Manager who shall update the employees’ records
accordingly.

Documentation :

Every individual will be issued with the Competence portfolio Book covering their role. It is the assessor responsibility to look after the book until its sent to verifier for
further verification.
Assessment sheet has been developed for each identified competence element and shall be signed off after completion by the Candidate, Assessor and Verifier.
once the

On the completion of the assessments, the verifier shall send the completed Competence Portfolio book to HR Manager (Focal Point) for retention in the candidates
personal file and issue of a Certificate of Competence. copy of the certificate only to be given to the candidate.
Assessment Tools :
Methods that produce the highest quality evidence of competence should be selected. Assessment methods include the followings, but are not exclusive to:

Disputes and Appeals Process :


Candidate is entitled to appeal an assessment decision if they have reasonable concerns that the assessment was not conducted in a fair and just manner. Disputes in
assessment decision will be handled through the following appeals Process:
Drilling Operations Cmap - Forklift Operator
Item# Skill Group Skill&Ability
Comply with Safety and emergency procedure for
1.1
Work Safely In Drilling drilling operations
1.0
Operation 1.2 Identify and Control hazards and risks
1.3 Work safely at heights
Establish and maintain productive working
2.1
Contribute to effective team relationships
2.0
working 2.2 Work With Others
2.3 Handle Conflict
3.1 Lifting Gears and Slinging Techniques
Comply with Lifting & Drops
3.0 3.2 Forklift Equipment Operation Basic Awareness
Management
3.3 Forklift Attachments
4.1 Alarms And Safety Devices
Comply with inspection &
4.0 General Maintenance And Inspection
Maintenance 4.2
Requirements
NDSC Competency Assurance Program (Forklift Operator)

Skills Assessment Feedback


Unit 1 : Work safely in drilling operations.
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Item Final
Rating Method Assessment Reference Date Target Verifier Comments Date Rating
# Skills Assessment (1-2) Tool/Evidence #
Assessor's Comments
Assessed
Proposed Action
date Verified (1-2)

1 Apply evacuation procedures in case of accident emergency.


2 Apply working processes as per Standard Operating Procedure (SOP) in the event of
fires/fire drills and the evacuation of premises and work areas.

3 Use Emergency tools and equipment such as BA set & escape packs, BOP control
panels, etc.
4 Identify hazards and intervene to protect others from harm.
5 Apply first Aid in event of accidents involving injury.
6 Use the appropriate clothing and personal protective equipment (PPE) and safety
equipment for the work activity.
7 Inspect safety equipment and PPE prior to use.
8 Apply PTW process.
9 Apply safety procedures when working at heights and taking preventive measures
against dropped objects.
10 Handle hazardous materials
11 Seeking & applying the appropriate information identify hazards associated with any
substance used.
12 Perform risk assessment in line with hierarchy of control requirement
13 Perform MOC, TRIC, STOP cards, JSA.
14 Perform inspections for PTW, DROPs, working at heights etc.
15 Maintain Two-way communication at all times.
16 Carry out rescue from working at height.
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 1 : Work safely in drilling operations.
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Item Rating Method Assessment Reference Date Target Verifier Comments Date Final
Knowledge Assessment Assessor's Comments Proposed Action
Verified Rating
# (1-2) Tool/Evidence # Assessed date
(1-2)
1.1 Element 1: Comply with Safety and emergency procedure for drilling operations
1.1.1 Comply with duties and obligations in accordance with organization’s directives,
guidelines and prevailing statutory regulations.
1.1.2 Follow organizational accident and emergency procedures
1.1.3 Use appropriate manual lifting and handling techniques
1.1.4 Maintain communication with team members at all times.
1.2 Element 2: Identify and Control hazards and risks
1.2.1 Identify any potential workplace hazards and risks.
1.2.2 Evaluate the risks associated with the tasks to be undertaken.
1.2.3 Take appropriate action to minimize the risk from workplace hazards
1.2.4 Report any hazards identified and any actions you have taken
1.3 Element 3: Work safely at heights
1.3.1 Obtain permits to work at height before commencing work
1.3.2 Check work area regularly for obstructions that may interfere and cause restrictions
in work at height
1.3.3 Follow an agreed plan to work at height in line with procedures.
NDSC Competency Assurance Program (Forklift Operator)

1.3.4 Identify DROP objects and apply mitigations as per procedures


1.3.5 Work safely at heights in extreme environmental conditions
1.3.6 Carry out pre-use checks on PPE, PFPS and access equipment in line company
procedures and manufacturer's instructions
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:

Position : Position : Position :

Employee # : Employee # : Employee # :

Department Name : Department Name : Department Name :

Unit # : Unit # : Unit # :

Signature : Signature : Signature :


NDSC Competency Assurance Program (Assistant Mechanic )

Skills Assessment Feedback


Unit 2 : Contribute to effective team working.
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Final
Rating Method Assessment Reference # Date Target Verifier Date Rating
Item # Skills Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified (1-2)

1 Use of team working techniques to achieve common goals.


2 Develop a conflict resolution plan.
3 Use different communication techniques in a team environment to achieve common goals!
4 Using conflict handling and problem-solving methodologies to achieve team effectiveness.
5 Understanding team dynamics in dealing with people.
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 2 : Contribute to effective team working
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Method Assessment Reference # Date Target Verifier Date Final
Item # Knowledge Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified Rating
(1-2)
2.1 Element 1: Establish and maintain productive working relationships

2.1.1 Make sure that any actions that you take are within the limits of one’s own responsibility and
authority
2.1.2 Communicate in a manner which promotes understanding, good will and trust
2.2 Element 2: Work with others

2.2.1 Present one ‘self in the workplace on time and in a way that does not cause concern to other
team members.

2.2.2 Work in accordance with the roles and responsibilities identified for individual and team
activities

2.2.3 Ask for information, advice and / or help politely, without causing disruption to one’s own or
other team members’ work.
2.2.4 Offer help to others willingly to ensure team objectives are met.

2.2.5 Contribute to team discussion / briefing sessions in a positive manner that shows respect for the
views and rights of others

2.2.6 Refer requests for information and / or assistance that are outside one’s authority/responsibility
to the involved personnel.
2.3 Element 3: Handle conflict

2.3.1 Deal with problems in team relationships in ways which minimise offence and maintain mutual
respect.
2.3.2 Work together to resolve disagreements and difficulties in team relationships.
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:

Position : Position : Position :

Employee # : Employee # : Employee # :


Department Name : Department Name : Department Name :

Unit # : Unit # : Unit # :

Signature : Signature : Signature :


NDSC Competency Assurance Program (Forklift Operator)

Skills Assessment Feedback


Unit 3 : Comply with Lifting & Drops Management
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Final
Rating Method Assessment Reference # Date Target Verifier Date Rating
Item # Skills Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified (1-2)

Demonstrate different kind of slinging and load securing techniques before lifting to overcome the
1
load drop?
2 Demonstrate adhering to the permit to work system for routine and non routine rigging tasks
Demonstrate the correct and safe use of taglines attached to loads including proper positioning and
3 quantity
4 Demonstrate following the lifting plan for critical lift rigging tasks
Demonstrate how to correctly rig a load according to its specific center of gravity and the ability of
5 identifying the center gravity of various load configurations
6 Demonstrate how a drop inspection for the load being lifted and secured is done ?
Demonstrate the ability of controlling load lifting throughout various levels ( lower and higher
7
landing areas)
8 Demonstrate the use of forklift lifting at different forks and buckets angles
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 3 : Comply with Lifting & Drops Management
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Method Assessment Reference # Date Target Verifier Date Final
Item # Knowledge Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified Rating
(1-2)
3.1 Element 1 : Lifting gears and slinging techniques
3.1.1 Explain the effect of the sling angle on the sling maximum load lifting capability
3.1.2 what type of lifting gears needed for load securing used before lifting the load ?
3.1.3 what is the difference between the different types of slings?
3.1.4 Explain the lifting gear color coding system

3.1.5 Explain how to safely the Lifting, Transporting and Set down procedures whilst handling
drill-pipe/tubular(s)

3.1.6 Explain what Checks must be made to ensure tie-downs are secured or removed as per operational
requirements
3.2 Element 2 : Forklift equipment basic awareness
3.2.1 Explain the concept of the load centers and lifting capacities when utilizing the various attachments
available to machine

3.2.2 Explain the checks to be done on the inbound and outbound shipments to ensure they are accurate and
undamaged as per documentation

3.2.3 Explain
loads
the main usage of the forklift balancing weights and how to ensure their compliance with lifted

3.3 Element 3 : Forklift Attachments


3.3.1 Explain different types of buckets and different load capacities
3.3.2 Explain different types of forks and different load capacities
3.3.3 Explain the different types of forks mounts and how to properly secure them
3.3.4 Explain the different types of forklift forks blades
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:

Position : Position : Position :

Employee # : Employee # : Employee # :

Department Name : Department Name : Department Name :

Unit # : Unit # : Unit # :

Signature : Signature : Signature :


NDSC Competency Assurance Program (Forklift Operator)

Skills Assessment Feedback


Unit 4 : Comply with inspection & Maintenance
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent

Final
Rating Method Assessment Reference # Date Target Verifier Date Rating
Item # Skills Assessment (1-2) Tool/Evidence
Assessor's Comments
Assessed
Proposed Action
date Comments Verified (1-2)

1 Demonstrate Inspection (Visual and Audible) of Forklift - Loader


2 Demonstrate how to inspect Split Wheel Rims and Tires
3 Demonstrate the daily check to be performed on the forklift before usage
4 Demonstrate the daily check to be performed on the forklift engine
Demonstrate all functional start up checks to be done on the forklift before lifting
5 operation
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Knowledge Assessment Feedback
Unit 4 :Comply with inspection & Maintenance
Competence Rating : 1= No yet Competent (Needs Improvement) and 2= Competent
Rating Assessment Date Target Verifier Date Final
Item # Knowledge Assessment (1-2) Method Tool/Evidence Reference # Assessor's Comments Assessed Proposed Action date Comments Verified Rating
(1-2)
4.1 Element 1: Alarms and Safety Devices
4.1.1 Explain all alarms installed on the forklift
4.1.2 Explain all safety devices equipped with the forklift and how you can utilise them
4.2 Element 2: General Maintenance and inspection requirements
Explain the lubrication, water, fuel and oil checks that must be carried out prior to use
4.2.1 before operation ?

4.2.2 Explain
policy
the first line maintenance required as per the OEM requirements and company

4.2.3 Explain the critical areas in the forklift where we need to go for MPI inspection
4.2.4 Explain the difference between buckets and forks inspection criteria and main critical areas

4.2.5 Explain the procedure to be followed when changing or servicing wheels or tires on
vehicles with split rims
Total achieved Rating 0.00 Total Final Rating Achieved 0.00
Candidate Name : Assessor's Name: Verifier's Name:

Position : Position : Position :

Employee # : Employee # : Employee # :

Department Name : Department Name : Department Name :

Unit # : Unit # : Unit # :

Signature : Signature : Signature :

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