Contractors Safety Code of Conduct

The Tata Power Company Ltd Contractor’s Safety Code of Conduct
Document No. Date of Issue:

TPSMS/GSP/CSM/015 REV 01 5/11/2015
Contractor’s Safety Code of Conduct
Confidential & Proprietary – The Tata Power Company Limited

Date of Issue:
Document No. 5/11/2015
TPSMS/GSP/CSM/015 REV 01
1. Objective ................................................................................................................................. 3
2. Scope ....................................................................................................................................... 3
3. Definitions............................................................................................................................... 3
3.1. Order Manager: ................................................................................................................ 3
3.2. Site Safety Management Plan .......................................................................................... 3
3.3. Contractor ......................................................................................................................... 3
3.4. High Risk Job ................................................................................................................... 3
3.5. Emergency:....................................................................................................................... 4
4. Responsibilities ....................................................................................................................... 4
4.1 Order Manager ................................................................................................................. 4
4.2 Contractor ......................................................................................................................... 4
4.3 Safety Concurrence Group ............................................................................................... 4
5. Procedure: ............................................................................................................................... 5
Appendix 1: Process Flow Chart for Vendor Registration ............................................................. 7
Appendix 2: CSM-F-1 Safety Category Qualification form........................................................... 8
Appendix 3: Safety Terms and Conditions ..................................................................................... 8
Appendix 4: CSM- F-3- Safety Performance Evaluation Criteria .................................................. 9
Appendix 5: CSM- F-4 Safety Violation Penalty Criteria ............................................................ 11
Appendix 6: Process Flow Chart for issuing RFQ and PO........................................................... 12
Appendix 7: CSM-F-7 Safety Competency Form ........................................................................ 13
Appendix 8: CSM-F-8 PPE requirements..................................................................................... 14
Appendix 9: CSM- F-10 Site Safety Management Plan ............................................................... 15
Appendix 10: Process Flow Chart for Safety Performance Evaluation ........................................ 18
Appendix 11: CSM- F-11 Safety Performance Score................................................................... 19
Appendix 12: CSM-F-5 Safety Potential Evaluation Criteria for Vendor Registration ............... 22
Appendix 13: CSM-F-9 Safety Bid Evaluation Criteria. .............................................................. 27
Appendix 14: CSM-F-11.1 CFSA Format .................................................................................... 30
Appendix 15: High Risk Jobs ....................................................................................................... 31

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Date of Issue:
1. Objective
The Tata Power engages contractor workforce to execute, run and maintain various operating
sites and facilities across locations for various business verticals including generation,
transmission, and distribution. The activities range from project execution, operation and
maintenance activities to facilities management.
The management of contractor safety represents a significant challenge for management. In

recent years, it is observed that around 70% of reported injuries have occurred with
contractor’s employees.
Tata Power has a responsibility to ensure that contractors are provided with sufficient
information enabling them to conduct their roles safely on our sites without endangering their
health and safety or that of our staff.
This document outlines the steps to ensure the health and safety of all stakeholders while
working with Tata Power.
2. Scope
This procedure is applicable for all Tata Power Sites and Plants including subsidiaries.
3. Definitions
3.1. Order Manager: Order Manager is the Tata Power representative, who has the
ownership of the given job.
3.2. Site Safety Management Plan: It is the safety plan agreed between Contractor
/contractor & Tata Power. It will contain the entire job specific safety requirement and
will be signed by the contractor.
3.3. Contractor: An individual or a company that provides services to Tata Power under a
signed contract.
3.4. High Risk Job: Any job which has significant health and safety risk associated with it.
The list of high risk jobs are identified at Tata Power level and form part of Annexure
15.

Page 3 of 31
Date of Issue:
3.5. Emergency: a serious, unexpected or dangerous situation requiring immediate action,

which may result in loss of revenue/property, business discontinuity.
4. Responsibilities
4.1 Order Manager : Order Manager is the Tata Power representative, who is responsible
for:
4.1.1 Finalizing the Site Safety Management Plan along with Contractor, Safety
Concurrences Group , Divisional Safety Head and Expert (External or Internal) if
required.
4.1.2 Supervise and ensure work is carried out as per the Site Safety Management Plan
including agreed Risk Assessment (HIRA/JSA) and Method Statement.
4.1.3 Conduct audit and evaluate Safety Performance.
4.1.4 Ensure contractors adhere to all statutory provisions.
4.2 Contractor : The person, entity or organisation who is executing the job for Tata Power
under a contractual agreement and will be responsible for the following
4.2.1 To follow all Tata Power Critical Safety Procedure, Rules and guidelines given in
Safety Terms and Conditions
4.2.2 Undertake job as per Site Safety Management Plan CSM-F10 and method
statements agreed with Tata Power.
4.2.3 Raise any concerns with regard to their work and its safety with the Tata Power
Order Manager.
4.2.4 Report all injuries, near misses, unsafe acts/conditions, and occurrences to the Tata
Power Order Manager immediately.
4.2.5 Ensure that all sub contractors follow the Tata Power Safety Procedure and agreed
Site Safety Management Plan CSM-F10.
4.2.6 To follow all statutory requirements as per the laws of the land.
4.3 Safety Concurrence Group: It is a CFT, which has representatives from Corporate safety,
Execution department and Divisional safety and it is responsible for the following
4.3.1 Assessment of Safety Potential of new vendor before registration as per CSM-F1-
Safety Category Qualification Form.

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Date of Issue:
4.3.2 Safety Evaluation of the bids as per evaluation format CSM-F-9 Safety Bid Evaluation
Criteria
4.3.3 Finalization of the Site Safety Management Plan CSM-F-10.
5. Procedure:
5.1 Vendor Registration
For Vendor Registration, Corporate Contract will issue following documents for evaluation of
contractor’s safety capability
1) CSM-F1 –Safety Category Qualification Form
2) Safety Terms and Conditions
The document Safety Terms and Conditions provides the information about Tata Power
safety System to the contractor. Contractor will submit the CSM-F1- Safety Category
Qualification Form with all relevant details and documents to corporate contracts, which will
in turn forward it to Safety Concurrence Group (SCG) for evaluation. The SCG will evaluate
the details submitted by the contractor based on a predetermined criteria CSM-F-5 Safety
Potential Evaluation Criteria for Vendor Registration and will determine the category
(Category A/B/C) for which the contractor will be registered. As mentioned in the above
criteria, a site visit may also be organized by SCG prior to registration under Category A and
B. In case, the contractor does not qualify the safety criteria, the contractor will not be
registered. However he may apply afresh for registration after 6 months. Please refer
Appendix 1: Process Flow Chart for Vendor Registration.
5.2 Bid evaluation
At the time of placing the Purchase Requisition (PR), Order Manager is required to declare
the type of the job. If the Job is High Risk or “High Value & Long Duration”, then RFQ will be
attached with following documents:
1) CSM-F7- Safety Competency Form

2) CSM-F8 PPE requirements
3) Safety Terms and Conditions
Otherwise the RFQ will be attached only with Safety Terms and Conditions.

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Date of Issue:
Corporate Contracts on receipt of bid documents from the contractor, will forward the duly
filled in CSM-F7 Safety Competency Form to SCG. SCG will evaluate the document as per the
CSM-F9 Safety bid evaluation criteria. In case, the contractor qualifies for the job based on
the above criteria, his bid will be considered for further evaluation. A Site Safety
Management Plan, defining the complete procedure of executing the job at site will be
signed by the contractor and SCG after mutual agreement. CC will attach a copy of site safety
Management Plan along with PO to the successful bidder. Please refer Appendix 6: Process
Flow Chart for issuing RFQ and PO
5.3 Safety Performance Evaluation
During the time of job execution, regular site inspection will be carried out by the Tata Power
officials and violations will be dealt as per CSM–F4 Safety Violation Penalty Criteria. Apart
from this, monthly safety performance of the contractor will be evaluated based on the
predetermined criteria as per CSM-F11 safety Performance Score and monthly score will be
maintained by the Order Manager. Certain percentage of each running bill will be retained as
Safety Retention amount and will be released on the basis of Safety Performance Score at
certain intervals as defined in CSM- F-3- Safety Performance Evaluation Criteria. Please refer
Appendix 10: Process Flow Chart for Safety Performance Evaluation.

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The Tata Power
ower Company Lt
Ltd Contractor’s Safety Code of Conduct
Date of Issue:
Appendix 1: Process Flow Chart for Vendor Registration

Page 7 of 31
Date of Issue:
Appendix 2: CSM-F-1 Safety Category Qualification form
1. “Safety Category Qualification Form” to be attached by Corporate Contract along with

vendor registration form.
2. It should be filled by the contractor at the time of Registration and to be submitted to
CC with all other documents.
3. “Safety Category Qualification Form” will be forwarded to Safety Concurrence Group
(SCG) for Safety Potential evaluation, as per the criteria given in CSM-F-5.
4. Information provided by contractor will be verified during site visit.
Safety Category Qualification Form
Name of the Vendor

Sr. No Safety Information Remarks Attachment
Provide attachment
1 Certification from OHSAS: 18001, ISO: 14001, and ISO: 9001 Yes/No
of certification
Yr Yr Yr
Safety Statistics for Last Three (3) Years 1 2 3
2 - LTIFR Yes/No
LTIFR
- LTISR
LTISR
Provide attachment
3 Safety training process Yes/No
of process
Provide attachment
4 Safety organization structure Yes/No
of structure
Site details to be
Name and address of sites where work is in progress or attached for
5
worked earlier inspection by Tata
Power Officials
Provide attachment
6 Safety policy Yes/No
of policy
Appendix 3: Safety Terms and Conditions

Please refer the attached document Safety Terms and Conditions.

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Date of Issue:
Appendix 4: CSM- F-3- Safety Performance Evaluation Criteria
1. A certain percentage of the bill value will be retained against every running bill as safety
performance retention. The amount will be released with the last invoice based on
Safety Performance Score. The amount is based on following table
Retention
Contract Value
Amount (%)
Upto 10 Lakhs 2.5
10 – 50 lakhs 2
0.5 to 10 Cr 1.5
>10 Cr 1
2. The evaluation criteria include Lead Indicators such as CFSA score, percentage of
workers trained in TPSDI, inspection of critical equipments. Lag indicators such as
Fatalities, LWDC and man days lost.
3. The retention amount saved will go to a separate Safety Improvement Fund.
4. For the contract value of more than Rs 1 Cr or contract duration more than 12 months,
the retention amount shall be released half yearly based on safety performance. For all
remaining contracts, the retention amount will be released with the final bill.
5. In case of job stoppage due to safety violations/ unsafe observations at the site, no time
extension shall be given to the contractor, if such delays are attributable to contractor.
6. In case of fatality, limb loss or loss of property, vendor has to pay for liability, legal,
statutory and additional mutually agreed settlement charges imposed by the appointed
committee. This charge is over and above the retention amount.
7. The committee will finalize an amount between 5 -50 lakhs based on factors such as
advise by statutory authorities, contract value and impact of accident etc.
8. Safety performance bonus 1% (limiting to 50 lakhs) of the invoice value will be
considered at the end of the job if the contractual safety performance score 100%.
9. During the progress of the work, concerned Supervisor/Engineer will visit and inspect
the work site regularly and evaluate the safety performance of the contractor based on
matrix attached herewith and apply the Consequence management policy as applicable.
10. Order Manager, divisional chief and SBU head have the authority to terminate the
contract in case of three consecutive serious violations.

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Date of Issue:
Safety Performance Evaluation report- CSM-F-3
Unit Of
Lead Indicators Target weight age
measurement
% of Employee certified
1 in TPSDI/Authorized % 50 10
agency
Average
CFSA score (Annexure
2 Severity of 1.49 20
6.1)
Violations
Monthly inspection
completed for Critical
3 Equipments, lifting % 80 5
Tools & Tackles and
hand tools used at site
Condition of tools,
4 % 100 15
tackles and equipments
Lag Indicators
1 Number of Fatalities No. 0 30
Number of Lost work
2 No. 0 10
day case ( LWDC)
3 Man-days Lost No. 0 10

Page 10 of 31
Date of Issue:
Appendix 5: CSM- F-4 Safety Violation Penalty Criteria

Penalty shall be imposed on the contractors under the following circumstances for breaching
the contractual agreements:
Sr No Description of violation Penalty / `
1 Working without Safety Helmet/ Safety Shoes 250/-
2 Riding without Crash Helmet (on 2 wheelers) 500/-
3 Working without Safety belt (for work at height) 5000/-
4 Working without Hand gloves - Material Handling, Welding, and Cutting. 100/-
5 Working without Safety goggles/ face shield - Welding/Cutting 500/-
6 Handling Chemical without PVC Apron 1000/-
7 Smoking in prohibited area 1000/-
8 Sleeping at Work Place 100/-
9 Driving beyond specified speed limit 1000/-
10 Driving without Seat Belt (for front seat passengers and driver) 500/-
11 Driving without license 1000/-
12 Driving Heavy Commercial vehicles without reverse horn 500/-
13 Driving Heavy Commercial vehicles without Non functional Head light/ tail light 100/-
15 Using Mobile Phone During Driving 5000/-
16 Damaged registration number plate/ without registration number 100/-
17 Driving without Side view mirror 100/-
18 Using cylinders without Pressure gauge on Oxygen/ LPG/ Acetylene cylinder. 500/-
19 Working without Flash back arrestor on Industrial Acetylene & Oxygen cylinders. 1000/-
20 Spillage of hazardous material/chemicals during transportation 2000/-
21 Working with Electrical equipment without Earthing / ELCB/ faulty cable. 5000/-
22 Using “lifting tools & tackles” without Test Certificates. 5000/-
23 Poor Housekeeping
• First Time Warning
• Second Time 1000/-
• Third Time 5000/-
st nd
24 Serious Violation Of House Keeping (after 1 or 2 warning to be decided by Rs.10000/-
Project Manager depending on the severity) and above

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The Tata Power
ower Company Lt
Date of Issue:
Appendix 6: Process Flow Chart for issuing RFQ and PO

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Date of Issue:
Appendix 7: CSM-F-7 Safety Competency Form
Numbers Qualification/Certification* Experience

Manpower Safety Officer
(attach Supervisor
supporting Technician Attach list
documents)
Type of tools Numbers Make and year of Certification
manufacturing authority and date
of certification
Tools and
Tackles
(attach
supporting
documents)
Details
Fatality LWDC
Safety Yr 1 Yr 2 Yr 3 Yr 1 Yr 2 Yr 3
Record(for
last 3 years)
Safety Plan Attach HIRA/Contract Job Safety Plan(Method Statement)
Accredited
Bodies Attach supporting documents
certificate
*In case the required workforce is not available, contractor has the option to get the workforce
certified from TPSDI at his/her own expense.

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Date of Issue:
Appendix 8: CSM-F-8 PPE requirements

The Contractor shall ensure that the following PPE of Approved standards shall be available at
all time and shall be used by his employees with no exception whatsoever.
1 All contractor’s employees at site Safety Florescent Jacket (orange colour), Safety
helmet & safety shoes with steel toe cap
2 Workers mixing asphalt , cement , Safety goggle & protective

lime / concrete Hand gloves and footwear,
Nose mask.
3 Welders / Grinders Welding screen/goggles , safety shoes,
leather hand gloves, aprons ,
leg guard
4 Stone breaker Protective goggle, hearing protection, anti vibration
hand gloves and Protective clothing.
5 Electricians Rubber hand gloves &
Electrical resistant shoes.
6 Workers engaged in insulation Respiratory mask & leather
using glass wool etc. Hand gloves, goggles.
Workers engaged in coal handling Dust mask, Hand gloves, protective goggles.
plant, ash handling plant and
working in high dust area.
7 Workers working at a height of 1.8 Double lanyard full body harness, Fall arrestor and
Meter or above. safety net made of reinforced nylon fiber ropes
firmly supported with steel structures
• PPE shall be conforming to BIS/DGMS/DIN specifications, in good condition and shall be

comfortable to his employees, when used.

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Date of Issue:
Appendix 9: CSM- F-10 Site Safety Management Plan
Project Information:
Name of the Project:
Location and address:
Order Manager:
Business Partners’ (Contractor) details
Name:
Contact person:
Site Office Phone:
Mobile phone:
Email:
Contract licence number:
<INSERT ANY OTHER
REQUIREMENTS>
Details of persons at workplace with Safety responsibilities
Name Position Safety Responsibilities

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Date of Issue:
Site Specific Requirements
Apart from general “Safety Terms and Conditions”, following are the specific site requirements
that the contractor has to follow during the entire period of contract.
Sr.no In charge Comments

1. Induction Program
including Medical,
security requirements
2. Tools and tackles

inspection and
requirements
3. HIRA and Method

Statement
4. Specific Workforce
requirement
5. Prohibited areas
6. PPE inspection and

requirements
7. 5s requirements
8. Any other

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Date of Issue:
Contractor has to provide emergency contact number in the following format.
EMERGENCY CONTACT NUMBERS
EMERGENCY CENTRE
Name:
Address:
Phone:
Operating hours:
LOCAL INFORMATION
Police Station Contact Number:
Electrical Emergency Contact Number::
Medical Emergency Contact Number::
Tata Power Safety Contact Number :
Agreed and signed by-
---------------------- -------------------------------------- ------------------------

Contractor Safety Concurrence Group Order Manager
Date -

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The Tata Power
ower Company Lt
Date of Issue:
Appendix 10: Process Flow Chart for Safety Performance Evaluation

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Date of Issue:
Appendix 11: CSM- F-11 Safety Performance Score
Sr. Unit of Weight Actual Actual

Parameter Target
No Measurement age Performance Score
Lead Indicator
% of Employee certified in
1 Number 50% 10
TPSDI/Authorized agency
Average
2 CFSA score (Annexure 6.1) Severity of 1.49 20
Violations
Monthly inspection
completed for Critical
3 Equipments, lifting Tools & Number 80% 10
Tackles and hand tools used
at site
Condition of critical tools,
4 Number 100% 10
tackles and equipments
Lag Indicator
1 Number of Fatalities No 0 30
Number of Lost work day
2 No 0 10
case ( LWDC) (reportable)
3 Mandays Lost Mandays 0 10
Final Score
Invoice
Value
Amount to
be released

Page 19 of 31
Date of Issue:
Safety Performance Evaluation Criteria
Lead Indicators
Target
% of Employee certified ≥50% 50-31% 30- 20% <20%
in TPSDI/Authorized
agency
Score 10 7 5 0
Target
CFSA score <=1.49 1.5 to 2.51 to >=3.51
2.5 3.5
Score 20 15 10 0
Target
Monthly inspection completed for >=80% 79 to 50% <50%
Critical Equipments, lifting Tools &
Tackles and hand tools used at site
Score 10 7 0
Target
Condition of critical tools, tackles 100% <100%
and equipments
Score 10 0

Page 20 of 31
Date of Issue:
Lag Indicators
Number Of
Fatalities 0 >0
Score 30 0
Number of
LWDC
(reportable) 0 >0
Score 10 0
Number of
man days
lost 0 1 to 5 >5
Score 10 5 0

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Date of Issue:
Appendix 12: CSM-F-5 Safety Potential Evaluation Criteria for Vendor

Registration
At the time of vendor registration, vendor will be registered under 3 categories
1) Category A- Vendors eligible to carry out High risk Jobs
2) Category B- Vendors eligible to carry out technical jobs that are low risk
3) Category C- Vendors eligible to carry out administrative and office jobs
For vendors to be registered under Category A, a safety potential evaluation will be carried out
based on following parameters.
Sr. Weight Actual

Description Remarks
No age (%) Score
1 Does the contractor have a valid 30

OHSAS 18001 Certification?
2 During site visit check for safety 30 Annexure -
adequacy at site 12.1
3 Check the Safety statistics of 10 Annexure -
Contractor 12.2
4 Check the Safety orientation & 15 Annexure
training process of Contractor 12.3
5 Check the organizational structure 10 Annexure -
for safety professionals & engineers 12.4
/ supervisors.
6 Certified/skilled workers as a 5
percentage of overall workforce
Total 100

Page 22 of 31
Date of Issue:
Evaluation Criteria for Category B
Sr. Weight Actual

Description Remarks
No age (%) Score
1 Does the contractor have a 30
valid ISO 9001 certification?
2 During site visit check for 30
Annexure -12.1
safety adequacy at site
3 Check the Safety statistics of 10 Annexure -12.2
Contractor
4 Check the Safety orientation 15 Annexure -12.3
& training process of
Contractor
5 Check the organizational 10 Annexure -12.4
structure for safety
professionals & engineers /
supervisors.
6 Certified/skilled workers as a 5
percentage of overall
workforce
Total 100

Page 23 of 31
Date of Issue:
Evaluation Criteria for Category C
Weight Actual
Sr. No Description Remarks
age Score
(%)
1 Does the contractor have a 40
valid ISO 9001 certification?
2 Check the Safety statistics of 40 Annexure -
Contractor 12.2
3 Check the Safety orientation & 20 Annexure -
training process of Contractor 12.3
Total 100
Annexure 12.1:
Checklist to be used: During site visit to check the adequacy Safety systems.
Observation Score* (1-
5)
1 Check the adequacy of safety policy and Safety
Management system of the contractor.
2 Does the contractor have written down safety
procedures?
3 Check the records of Near miss, unsafe act, unsafe
conditions and incidents.
4 Check the organization setup to implement the safety
systems at site (safety officer, safety supervisor)
5 Check whether safety meeting and tool box talk carried
out regularly and records maintained or not.
6 Is the process of incident investigation adequate or not?
7 Verify incident reporting and recording system
8 Check the usage of equipment/tools and tackles at site
9 Check for housekeeping at site
10 Check the use of PPEs and general behavior of
workforce towards safety
11 Check Safety Practices at site

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Date of Issue:
Total Score
Annexure 12.2
Annexure 12.3

Page 25 of 31
Date of Issue:
Annexure 12.4

Page 26 of 31
Date of Issue:
Appendix 13: CSM-F-9 Safety Bid Evaluation Criteria.

The User has to select whether the job is high risk/ high value/ long duration at time of raising
the PR.
1) The selection whether job is “high risk “or not has to be made based on the
comprehensive list of high risk jobs identified.
2) If a technical job is of low risk with estimated value more than Rs 1 Cr, the job should
be considered “high Value”.
3) If a technical job is of low risk with estimated duration of the contract more than 1
year, the job should be treated as “long duration”.
4) For all high risk or high value and long duration PRs, the vendor will be evaluated
based on following parameters.
Minimum Requirement Weight Score

age (%) Obtained
Safety Officer (1 Qualification- Officer shall possess 5
per 500 Advance Diploma In Safety by state
workers) technical board.
Experience- Minimum 1 year

experience in relevant field as
mentioned in the job in PR.
Supervisor (1 Qualification- Supervisor shall possess 5
per work site ITI/ Diploma in relevant field.
upto max. 50
workers) Experience- Minimum 2 year
Manpower experience in relevant field as
mentioned in the job in PR.
Training – Trained and certified by
TPSDI or equivalent institute in relevant
safety procedures.
Note: On request of the
contractor/Users -TPDSI should vet &
certify the skilled & experienced
Technician if Technical Qualification is
not adequate.
Technician Experience- Minimum 2 year 5

(Skilled workers experience in relevant field as

Page 27 of 31
Date of Issue:
as electrician, mentioned in the job in PR.

rigger, fitter,
welder, cable Training – Trained and certified by
jointer, line TPSDI or equivalent institute in relevant
men etc) safety procedures.
Tools & The list of all the tools and tackles to be 25

Tackles(lifting submitted by the contractor.
and shifting Evaluation of the list will be carried out
tools) based on
1) Suitability as per the relevant
Tools &
job
Tackles
2) Make and age of the tools from
authorized agencies defined by
the user.
3) Certification by the competent
authority of respective state.
Safety Records Safety Records for last 3 years (as per 15
Safety vendor or as per our knowledge) –
Records Recommendation?
HIRA/Contract Adequacy of HIRA and Job Safety Plan 15

Job Safety Plan with respect to relevant job. More
Safety Plan weight age will be given to vendor for
using mechanized work and advanced
tools and equipments
ISO-9001 ISO-9001 2
Accredited
Bodies ISO-14001 ISO-14001 3
certificate
OHSAS 18001 OHSAS 18001 15
Total Score
5) Vendor entitled to carry out the job only when qualified for the safety evaluation as
follows:

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Date of Issue:
a. High Risk jobs ≥ 70%.

b. High Value and long duration Jobs ≥ 70%
6) The Corporate Contract has to ensure that the vendor provides the filled “Safety
Competency Form” along with the quotation.
7) Corporate Contract will forward the Safety Competency Form received from the
contractor to the Safety Concurrence Group for evaluation.
8) In case SCG wants to visit the site, the Safety Competency will be based on evaluation
at the time of site visit Annexure 13.1
Annexure -13.1:
Checklist to be used: During site visit to check the adequacy Safety systems.
Observation Score*
(1-5)
1 Check the adequacy of safety policy and Safety
Management system of the contractor.
2 Does the contractor have written down safety
procedures?
3 Check the records of Near miss, unsafe act, unsafe
conditions and incidents.
4 Check the organization setup to implement the safety
systems at site (safety officer, safety supervisor)
5 Check whether safety meeting and tool box talk carried
out regularly and records maintained or not.
6 Is the process of incident investigation adequate or not?
7 Verify incident reporting and recording system
8 Check the usage of equipment/tools and tackles.
9 Check for housekeeping at site
10 Check the use of PPEs and general behavior of workforce
towards safety
Total Score
Site Visit Score
Score*- rating on the scale of 1-5 to be given based on the observations on site. Score of 1 is the lowest and core of
5 is the highest.

Page 29 of 31
Date of Issue:
Appendix 14: CSM-F-11.1 CFSA Format

CONTRACTOR FIELD SAFETY AUDIT
Project Name :
Date:
Description of Severity rating: Audit Team:
1 = Untidy area, minor issues, sets poor example

2 = Restricted access, unacceptable trash, disorderly
3 = Rule or procedure violation, potential injury
4 = Unsafe condition, serious injury potential
5 = Immediate serious injury potential, stop activity
Audit Time: 10:00hrs -11:30 hrs
immediately and correct
Weather: cloudy
Responsible Number Violations Remarks Leading Indicators

Personnel
Observed
4&5
PPE
Unsafe Act
Number of Violations
Violations x Severity
Unsafe Condition
Good Citizens
Contractors
Violators
Engineer
Severity
Description
Area
1
Sub Totals 0 0 0 0 0 0 0 0 0
% of Observed People Working Safely
Number of Violations
Average Severity of Violations
Number of Severity 4 & 5 Violations
% of 4 & 5 Violations
Approximate Number of Workers
Observed
Number of People on Site
% of Workers Observed

Page 30 of 31
Date of Issue:
Appendix 15: High Risk Jobs

To access the exhaustive list of High risk jobs, please refer the following documents
1) High Risk Jobs- Thermal
2) High Risk Jobs- Hydro
3) High Risk Jobs- T&D

Page 31 of 31

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The Tata Power Company Ltd Contractor’s Safety Code of Conduct

Document No. Date of Issue:

Contractor’s Safety Code of Conduct

Confidential & Proprietary – The Tata Power Company Limited

Confidential & Proprietary – The Tata Power Company Limited

The management of contractor safety represents a significant challenge for management. In

Confidential & Proprietary – The Tata Power Company Limited

3.5. Emergency: a serious, unexpected or dangerous situation requiring immediate action,

Confidential & Proprietary – The Tata Power Company Limited

5.2 Bid evaluation

1) CSM-F7- Safety Competency Form

Confidential & Proprietary – The Tata Power Company Limited

5.3 Safety Performance Evaluation

Confidential & Proprietary – The Tata Power Company Limited

Appendix 1: Process Flow Chart for Vendor Registration

Confidential & Proprietary – The Tata Power Company Limited

Appendix 2: CSM-F-1 Safety Category Qualification form

1. “Safety Category Qualification Form” to be attached by Corporate Contract along with

Safety Category Qualification Form

Name of the Vendor

Appendix 3: Safety Terms and Conditions

Confidential & Proprietary – The Tata Power Company Limited

Appendix 4: CSM- F-3- Safety Performance Evaluation Criteria

Confidential & Proprietary – The Tata Power Company Limited

Safety Performance Evaluation report- CSM-F-3

Confidential & Proprietary – The Tata Power Company Limited

Appendix 5: CSM- F-4 Safety Violation Penalty Criteria

Confidential & Proprietary – The Tata Power Company Limited

Appendix 6: Process Flow Chart for issuing RFQ and PO

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Appendix 7: CSM-F-7 Safety Competency Form

Numbers Qualification/Certification* Experience

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Appendix 8: CSM-F-8 PPE requirements

2 Workers mixing asphalt , cement , Safety goggle & protective

• PPE shall be conforming to BIS/DGMS/DIN specifications, in good condition and shall be

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Appendix 9: CSM- F-10 Site Safety Management Plan

Business Partners’ (Contractor) details

Details of persons at workplace with Safety responsibilities

Name Position Safety Responsibilities

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Site Specific Requirements

Sr.no In charge Comments

2. Tools and tackles

3. HIRA and Method

6. PPE inspection and

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Contractor has to provide emergency contact number in the following format.

EMERGENCY CONTACT NUMBERS

Electrical Emergency Contact Number::

Medical Emergency Contact Number::

Tata Power Safety Contact Number :

Agreed and signed by-

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Appendix 10: Process Flow Chart for Safety Performance Evaluation

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Appendix 11: CSM- F-11 Safety Performance Score

Sr. Unit of Weight Actual Actual

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Safety Performance Evaluation Criteria