PROJECT NAME: Main Stormwater Connection from the Free Zone – Al Falah to the Mainline on E11
Contract No: DMT-CR-066-2025
EMPLOYER NAME:
EMPLOYEE NAME:
DESIGNATION:
DATE:
STATUS: Staff Sub-Contractor
Worker Visitor
TOPICS COVERED
1 HSE Policy ✔ 19 No Smoking Policy ✔
2 Project Information ✔ 20 Ladders ✔
3 First Aid Procedure ✔ 21 Cranes /Hoist ✔
4 Fire Protection ✔ 22 Excavation ✔
5 Site Specific Hazards ✔ 23 Dewatering ✔
6 Emergency Preparedness ✔ 24 Openings ✔
7 Personal Protective Equipment ✔ 25 Overhead / Underground Services ✔
8 Public Safety ✔ 26 Electrical Safety ✔
9 Substance Hazardous to Health ✔ 27 Air Driven Equipment / Tools ✔
10 Health & Welfare Facilities ✔ 28 Hand Tools ✔
11 Housekeeping/Tidiness ✔ 29 Cutting Tools& Abrasive Wheels ✔
12 Storage ✔ 30 Welding Equipment ✔
13 Manual Handling ✔ 31 Compressed Cylinders ✔
14 Confined Space Safety ✔ 32 Site Fencing / Security ✔
15 Safety Signs ✔ 33 Supervision/HSE Officer ✔
16 Barriers ✔ 34 Environment Safety ✔
17 Scaffolding / Working Platforms ✔ 35 Covid-19 Controls ✔
18 Notice Boards ✔ 36 Others:
Note: Topics in bold are mandatory to be given; select other topics relevant to the project stage.
By signing below, I confirm that I have received Safety "HSE" Induction and I will be abiding by the
Declaration: site safety "HSE" rules and regulation at all times.
ACKNOWLEDGEMENT OF TRAINING
Employee ID. Number:
Employee IND. Number:
Employee CONT. Number:
Employee’s Signature:
Instructor’s Name:
Instructor’s Position:
Instructor’s Signature
HSE RULES AND RESPONSIBILITIES
Construction Manager
The Construction Manager has the following responsibilities, accountabilities, and
activities concerning Health, safety and environmental management.
His Responsibilities are:
➢ Accountable for ongoing development and implementation of project HSE
activities and HSE practices during the project
➢ Specify and make available resources to enable execution of the HSE activities,
➢ Ensure participation and involvement of all employees
➢ Select and delegate HSE assignments to line managers
➢ Arrange and conduct regular sub Contractors’ HSE reviews
➢ Monitor effectiveness of the HSE induction and training processes
➢ Monitor incident/hazard reports
His Activities are:
➢ Involvement and attendance at HSE meetings
➢ Review and discuss incident/hazard reports
➢ Review and raise HSE training requirements
➢ Review work planning and hazard analysis requirements
➢ Consult with HSE team on HSE promotional concepts
➢ Determine balance between HSE and workload and develop appropriate
interventions.
➢ Motivate supervisors and HSE personnel via positive discussion on HSE initiatives.
NAME -----------------------------------------------------------------------------------------------
INDUCTION NUMBER -----------------------------------------------------------------------------
SIGNATURE ----------------------------------------------------------------------------------------
Date ----------/----------/-----------
