Environmental, Social, and Governance (ESG)External Provider Rating Form

Supplier /Contractor Firm Name: NEWATT ELECTRIC PRIVATE LIMITED Date: 24.02.2023

Address:
Self evaluation Allocated
Remarks by External
Sr. No. Criteria Marks by External marks by Remarks by evaluator
Provider
Provider CZ
Whether labour contractor license is - Available - 10
1 available as applicable. Attach the same - Not available - 0 10
- Not Applicable
Whether ESIC/WC registration certificate - Available - 10
2 available as applicable. 0
Attach the same - Not available - 0
10 - if all the details are given
Provide details like manpower details 5- If partial details are provided
like 0- If no details are provided
3 a. numbers, 10
b. relevant qualification, experience
c. Relevant Skill, trainings etc. Not Applicable

10 - if all the details are given

Specify name of customers where similar 5- If partial details are provided
work is done, 0- If no details are provided
4 Provide Commendation letter received in 10
any project during last three years with
specific mention of EHS practices Not Applicable

Please declare that no child labour is Declared- 10

5 10
employed Not declared - 0
10 - if trainings are given on the given topics
5- If partial trainings are provided
Whether require trainings like on
a. Basic safety awareness,
b. Emergency management 0- If no trainings are provided
c. work permit system
d. PPEs usage, maintenance and disposal
6 e. waste management etc. 10
are imparted in last 6 months.
Provide details of such trainings
imparted in last 6 months like Not Applicable
photographs, attendance sheets etc.

Whether any past EHS incident/ criminal

case is registered against your EHS incident and / criminal case is not registered
organisation. and monitoring of Safety Statistics is provided - 10
Give Safety Statistics for Last Three Years
7 for Fatalities, Major Accidents, Minor EHS incident and / criminal case are available 10
Accident. however actions are taken against the same- 5
What actions are taken in incidents are
available. EHS incident and / criminal case are available and
no action is taken against the same- 0
If require PPEs with IS marks are available - 10
Whether require PPEs with IS marks are
available as specified in EHS agreement If require PPEs with IS marks are not available - 0
8 10
based on activities to be carried out.
Specify PPEs available
Not Applicable

PPEs are in good working conditions and

mechanism exist for inspection of PPEs- 10
Whether PPEs are in good working PPEs are in good working conditions however no
9 conditions and what mechanism exist for mechanism exist for inspection of PPEs- 5 10
inspection of PPEs. Provide Photos etc. PPEs are not in good working conditions and no
mechanism exist for inspection of PPEs- 0
Not Applicable
Provided details are adequate to TCZL
Whether Hazard Identification and Risk requirements- 10
assessment and Aspect Impact register Details provided are partially adequate to TCZL
or Job Safety analysis (JSA) is done for requirements- 5
10 10
activities carried out in past,
Attach few samples Provided details are inadequate to TCZL
requirements- 0
Not Applicable

Attached- 10
Your need to submit signed EHS
agreement after receipt of order of
Tecso Charge Zone Ltd before starting
11 the work. Along with agreement, you 0
need to provide applicable Not Attached - 0
ESIC/WC/comprehensive insurance
policy copies

a. Whether applicable medical check-up Provided details are adequate to TCZL

is done for manpower working. Provide requirements- 10
details.
Provide confirmation that you will
submit medical check-up reports to
occupational health centre of TecSo Details provided are partially adequate to TCZL
Charge Zone Ltd and obtain clearance for requirements- 5
working from Permit authoriser or
12 10
obtain fitness certificate from medical
officer (Minimum MBBS qualified doctor)
Provided details are inadequate to TCZL
b. Whether any person working is requirements- 0
suffering from Epilepsy, Colour
F:EHS:CE:1 blindness, Deafness,
Issue 2 dtd. May-19 Unfit to work at Page 1 of 2
height, Unfit to work in confined space
 a. Whether applicable medical check-up
is done for manpower working. Provide
details. Environmental, Social, and Governance (ESG)External Provider Rating Form
Provide confirmation that you will
submit medical check-up reports to
Supplier /Contractor Firm Name:
occupational health centre of TecSo NEWATT ELECTRIC PRIVATE LIMITED Date: 24.02.2023
Charge Zone Ltd and obtain clearance for
Address:working from Permit authoriser or
12 10
obtain fitness certificate from medical
officer (Minimum MBBS qualified doctor) Self evaluation Allocated
Remarks by External
Sr. No. Criteria Marks by External marks by Remarks by evaluator
b. Whether any person working is Provider
Provider CZ
suffering from Epilepsy, Colour
blindness, Deafness, Unfit to work at
height, Unfit to work in confined space
Not Applicable

Safe, certified and tested tools and equipment are

For safe and secure available 10
transportation/handling/usage of safe, certified and tested tools and equipment are
13 material while working, whether safe, not available- 0 10
certified and tested tools and equipment
are available. Attach certificates
Not Applicable

10 - if mechanism for safe access to work at

Specify mechanism for safe access to different height level mentioned is OK
work at different height level being
14 followed from your side, Like below 5 - if mechanism for safe access to work at 10
ground level below 1 mtrs., On ground, 6 different height level mentioned is partially OK
feet above ground, at roof etc. 0- If no details are provided
Not Applicable
10 - if management of emergency and trainings
imparted for the same are adequate
How management of emergency is being
15 ensured. Specify the details like 5- If partial details are provided for management 10
firefighting, first aid trainings etc of emergency and trainings imparted for the same

0- If no details are provided

Do you have Safety Policy, Safety
Organization Structure, Qualified Safety 45001/OHSAS 18001) - 10 marks
personnel in your organisation.
16 Whether your organisation is certified
for ISO 9001, ISO 14001, OHSAS
18001/ISO 45001
Provide details
Not Applicable
If Safety policy, Safety Organization Structure,
Qualified Safety personnel are working and
contractor organisation is certified for ISO 9001,
ISO 14001, ISO 45001/OHSAS 18001.
(1 marks each for ISO 9001, ISO 14001, ISO
If Safety policy, Safety Organization Structure, 10
Qualified Safety personnel are working in
contractor organisation - 7 marks
If Safety policy, Safety Organization Structure,
Qualified Safety personnel are not available - 0
marks
Not Applicable

Guidelines:
utility services etc.,
For HR-Admin/Facility management e.g. Housekeeping, gardening, AC services, building maintenance services, civil & road services, STP, ETP O&M, contractor carrying
out activities
ii) EHS within
Evaluation premise,
criteria for project work,
selection Transporter- This
for contractors (material
form and
needemployee),
to be used monitoring
for selectionservices like workplace monitoring, Man power, Security
of all contractor.
iii) If there is no transaction with already on boarded contractor for more than six months then contractor evaluation need to be carried out again based on this form.

Caveat :All the above information provided is correct and I understand that the contract can be terminated in case of false declaration.

Signature of External Provider :

Only for Charge Zone Use: % Evaluation score by TCZL

Total Marks- 160

(Minimum Qualifying Marks - 70%.
If any point is Not applicable (NA) them 10 marks per each point will be reduced from total 0 0 #DIV/0!
marks of 160)

Whether contractor is selected (tick

against Yes/no) Yes ÿ No ÿ

Evaluation done by Signature of evaluator

F:EHS:CE:1 Issue 2 dtd. May-19 Page 2 of 2