Introduction To CSMS Introduction To CSMS: What Is CSMS ? Contractor Safety Management Systems

Introduction to CSMS
What is CSMS ?
Contractor Safety
Management Systems
Introduction to CSMS
Why do we
need CSMS ?
The Loss Causation Model
T
H
R
E
Lack of Basic Immediate S
Control Causes
Incident H Loss
Causes O
Inadequate Personal Substandard Event L Unintended
• System Factors Acts/Practices D Harm
or
• Standard Job/System
L or
Substandard Near I
• Compliance Factors Conditions Miss Damage
M
I
T
Measurement Measurement of Measurement of

of Control Causes Consequence
It is very important to recognize the Basic Causes ...

ACCIDENT STATISTICAL DATA 1995-2002
DAFWC by FREQUENCY RATES
Base: 200,000 man-hours
0.4 0.37
0.35 0.31
0.29 0.3
0.3 0.26
0.25
0.2
0.148
0.15 0.13
0.11
0.093
0.1 0.06 0.06 0.069
0.05
0.05
0 0 0 0 0
0
1995 1996 1997 1998 1999 2000 2001 2002 2003
YTD
VICO Contractor
VICO INDONESIA DAYS AWAY FROM WORK CASE
ACCIDENT FREQUENCY BODY CHART IN 2002 RECORDABLE
FIRST AID
18 I HAVE BEEN HURT THIRTY TIMES IN
4 8 THE LAST MONTHS. FIVE OF WHICH
25 Nature of the Accident DATE OF ACCIDENT
2 12 HAVE RESULTED IN DAYS AWAY
21 26 FROM WORK. PLEASE LET ME HEAL 1 Burn on left foot contact w/ car engine 04-JAN
27 FOR A WHILE!! 2 Eyebrow injury was caused by car roll over 04-JAN
10 24 3 Left forehead abrasion caused by contact w/ road 04-JAN
16 3 4 Head injury (crown) contact with door rim 05-JAN
5 Abrasion to left foot when stepping down from pipe 25-JAN
6 R/ hand finger injury caused by contact blade grass/cutter 02-FEB
7 Right index finger wound cause by hammer handle 09-FEB
8 Head injury (back) caused by hitting the pipe 15-FEB
31 9 Ankle sprain caused by falling from 5 meters work area 18-FEB
10 Right side jaw injured when falling from height 5M 18-FEB
11 R/ hand of little finger laceration caused by hammer 27-FEB
12 Left ear laceration caught on side of the car 10-MAR
13 Left thumb nail lost (pinch) injury 26-MAR
23 14 Finger/R hand II, III laceration caused by master bushing 02-APR
28 15 15,16 Right & chain hand burn caused by cutting touch 07-APR
17 Right fingers caught in door 25-APR
14 30 18 Head injury laceration caused by iron bar 29-APR
7 6 19 Right heel sprain caused by jumping from the truck 30-APR

17 13 20 Right fingers allergy caused by contact with cement 28-MAY
11 29 21 Right cheek minor scratch caused by car glass 28-JUN
20
22 Right knee laceration caused by collision w/ car 28-JUN
Right 5
Left 23 Left elbow injury caused by car seat 28-JUN
24 Bottom lip laceration caused by iron bar 29-JUN
25 R/ eyebrow puncture wound caused by over pressure tire 08-JUL
26 Nose bleed caused by exploding tire fragment 08-JUL
22 27 Top gum inflammation caused by catching on pipe 22-JUL
28 Thumb nail right finger lost caused by chain 31-JUL
29 Laceration little finger trapped between rope and pipe 15-AUG
30 The left palm (hand) stretched by knife 30-SEP
1 31 The left chest injury 8-DES
9
19
Updated on 14st April, 03
Personal Injury – Q1’2003
 RIIC
1. R/H knee hit by cutting knife while
cleaning tree branches
2. R/H thumb get caught when pushing
BOP with forklift
3. Head hit to staircase when lost of
consciousness at rig’s stair way
4. Elbow was cut by razor wire while
installed
 First Aid Case
1. Abrasions on L/H finger, R/H leg, and
R/H elbow due to traffic incident
2. Burns on chin during fire training
3. Scratched on L/H middle finger while
handling hazardous container = RIIC
= First Aid
DAFWC Record 1995-2003 YTD
1 Contractor with 11 DAFWC’s

7 Contractors with 2 DAFWC’s
9 Contractors with 1 DAFWC’s
And VICO with 10 DAFWC’s
TRAFFIC ACCIDENT DATA 1995-2003 YTD
VICO Contractor
45
39
40 36
35 33
31
29
30
24
25 22
20 1819
16
14
15
9
10 6 6
4 5 5
5 1
0
1995 1996 1997 1998 1999 2000 2001 2002 2003
YTD
TRAFFIC INJURY
9 9
9
Fatality (3rd Party)
8 LTA
8
Minor
7
7
6
5
5
4
3 3 3
3
3
2 2 2 2
2
1 1
1 1
0 0 0
0 0 0
0 0 0
1995 1996 1997 1998 1999 2000 2001 2002
Correlation between Number of Accident, STOP & ASA in 2001 - 2003
( Monthly )
7 25
STOP ASA
Accident Poly. (Accident)
6
20
5
Cards/ Trained Employee
Number of Accident
15
4
3
10
2
5
1
0 0
1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3
2001 2002 2003
2003 VICO Indonesia Safety Input Output Matrix for
Asset/Division based on rank
Mutiara
Badak
Input Input Frequency Increasing Bad Luck Box Semberah
VICO Average
High Performer Box
Tech. Support
ASA 30% HSES & OI
SO 25%
Training 25%
% closure of HR & Serv.
Action on time 20% Low Performer Box
Comm. & Legal
Nilam
Lucky Box SCM

Finance
Decreasing Injuries / Illnesses
Fatalities 40% Output

DAFWC 30% (12 months + 3 months) rolling
RII 30%
December 2002 Upstream Safety Matrix
32 VICO
Algeria
Tangguh Rus/Kaz
Dec Kangean
Onshore Indonesia
USA Middle VICO August
North Sea Azerbaijan
Trinidad GoM West Java
Gulf States Projects North Sea
Venezuela
Pakistan Infrastructure
GoM
Shelf
Norway
Input Frequency Increasing
ASAs
SOs
30%
25%
Northern
Colombia
North America VICO July
BU Central Exploration
Training
Closure
25%
20%
16 North Sea VICO_June
GoM Office
Alaska DWP
Southern
BU
Southern
Canada Cone NBD
Alaska Canada
PL
China
Vietnam
Upstream
Brazil
UTG/UTD
NACS Angola
Egypt Dyce
VICO_January
0
0 17
Decreasing Injuries / Illnesses 34
Fatalities 40%
DAFW 30%
TRIR 30%
Accident/Incident Pyramid
Fatality
0
Fatality
1 DAFWC
0
Major Accident
10
Minor Accident
11
Minor Accident
30
Near Miss
56
Near Miss
600
At Risk Behavior
44,000
At Risk Behavior
24,000
VICO – 1Q 2003
Bird - 1969
The Cause of Injuries
98%of Accident is due to

unsafe Acts.
17
Top Management Decision
RMT decided setting

a task force to develop
(Contractor Safety Management System)

The CSMS Task Force
Goal: To attain the same high level of
protection for our contractors as is
provided for VICO Indonesia Employees
Charter: Recommended a method for

implementing consistent,effective
CSMS across all of VICO Indonesia
operations
Basic Aspect of Any Business
Quality
Production
Business
Success
Cost
Safety
Employee
Relations
Contractor HSE Guidelines
CSMS Structure
Contracted Work
Admin Administration Phase: Select A Qualified Contractor
Pre-Qualification
Risk Assessment Selection CSMS
Contract Award
Data Bank
Field Field Implementation Phase: Ensure Field Safe Work
Pre Job ActivityWork In ProgressFinal Evaluation

CSMS Structures
Contracted Work
Risk Assessment Pre Job Activity
CSMS Field Implementation Phase

Required?
No Yes
No Pre Qualification
Required? Administration Phase Pre Job Activity
Yes
Contract Award Feedback
Pre Qualification Work In Progress Mechanisms
No Required?
No Yes
Selection Required? Work In Progress
Yes
Selection Final Evaluation
Data Bank
Risk Assessment in CSMS
Risk Assessment
Contracted Work
Administration Phase: Select A Qualified Contractor
Pre-Qualification
Contract Award
Data Bank
Field Implementation Phase: Ensure Field Safe Work

Risk Assessment
Contractor Safety Guidelines
C o n tr a c to r S a fe t y G u id e lin e s
Risk Assessment
R isk A sse ssm e n t
Risk Assessment is a D ate

PR O J E C T R I S K A S S E S S M E N T R E S U M E
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
must in CSMS P r o j e c t P e r io d
J o b T it le
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
All jobs shall be assessed C ontract N o
W o r k L o c a t io n
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
and categorized into R is k C a t e g o r y
E x p la n a t io n
: L (L o w ) M ( M e d iu m ) H (h ig h )
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
one of Risk Level Category:

:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
A sse ssed b y: A pproved b y:
L (Low) M (Medium) or H (High) (… … … … … … … … … … … … … … … … ) ( … … … … … … … … … … … … … … … … .)
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Risk Assessment
ASSESSED RISK OF WORK
PHASE
LOW MEDIUM HIGH
RISK ASSESSMENT REQUIRED REQUIRED REQUIRED
PRE-QUALIFICATION OPSTIONAL REQUIRED REQUIRED
SELECTION REQUIRED REQUIRED REQUIRED
PRE-JOB ACTIVITIES REQUIRED REQUIRED REQUIRED
WORK IN PROGRESS REQUIRED REQUIRED REQUIRED
FINAL EVALUATION REQUIRED REQUIRED REQUIRED

Risk Assessment
How to assess the risk of a job ?

Personnel Safety or Health Risk & Process Safety Impact
• Nature of the Work • Simultaneous Work

• Location of the Work by different Contractor
• Potential Exposure to work site hazards • Duration of Work
• Impact to VICO Personnel and others • Contractor’s Experience
Risk Assessment
Overall
No Type of Contract Relative Risk
Level
Drilling and associated works such as cementing mud
1 H
services, logging, well velocity survey etc.
Hotwork activities such as welding, hot tapping, cutting,
2 H
sandblasting in the wellsite and process unit area.
3 Well services and work-over activities H
4 Sea and Air Transportation Services H
5 Fabrication and construction jobs. H
6 Mechanical, Electrical and Instrumentation Repairs. H
7 Vessels and Separators Cleaning H
8 Marine Diving Services, Water Blasting. H
9 Testing, Inspection and Recertifications. H
10 EPC Contracts H
Technical/Administration Support such as Engineering,
Environmental study, technical consultant, medical services,
11 L
training unless located in the wellsite and / process unit, and
labor supply.
12 Catering Services M
13 Pipeline Maintenance / Leak Repairs H
General services work not in the well site or in the process
14 unit such as Housing maintenance, Xerox copy services, L
office and equipment repairs etc.
15 Seismic Survey H
16 Warehouse Rental / Services. H
17 Land Transportation H
CSMS Distribution
of Responsibility
Risk Assessment Pre- Qualification Selection
VICO End User (Contract C&P Dept. and
End User End user
Indonesia Initiator)
Prepare the Submit Bid
Contractor None
administrative Documents
Pre- Job Activity Work In Progress Final Evaluation

VICO End User together
Reviewer (End User) End User initiate
Indonesia with contractor
End User together Review together with
Contractor Preparation
with contractor Contractor
CSMS Reporting Systems
Part of Process Tender Procedures
Risk Assessment
C o n tr a c to r S a fe ty G u id e lin e s
E ARCO IN DONES IA
R isk A sse ssm e n t CONTRACTOR’S SAFETY PRE-QUALIFICATION FORM
GENERAL INFORMATION
P R O J E C T R I S K A S S E S S M E N T R E S U M E
1. Company Name Telephone :
Street address : Mailing Address :
RISK ASSESSMENT
D a t e
P r o j e c t P e r io d
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
2. Officers
President
Vice President
Treasurer
Name Years With Company
No Specific
CSMS Report
3. How many years has your organization been in business under your present firm name?
J o b T it le :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
4. A. Parent Company name :

City : Stat e : Zip :
C o n t r a c t N o :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
Subsidiaries :
W o r k L o c a t io n :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
B. Principal Company name :
for
City : Stat e : Zip :
R is k C a t e g o r y : L (L o w ) M ( M e d iu m ) H ( h ig h )
5. Under Current Management Since (Date) :
6. Contact for Insurance Informatio n :
E x p la n a t io n :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . Title : Telephone : Fax :
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . 7. Insurance Carrier(s) :

Name Type of Coverage Telepho ne
Selection
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
PRE-QUALIFICATION
A s s e s s e d b y : A p p r o v e d b y :
8. Are you self insu red fo r Worker’s Compensation Insurance ? Yes No
9. Contact for Requesting Bids :
(… … … … … … … … … … … … … … … … ) ( … … … … … … … … … … … … … … … … .) Title : Telephone : Fax :
10. PQF Completed By :*)

*) This PQF Form must be completed and signed by the Company’s authorized firs t level Management
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Risk Assessment Resume Pre-Qualification Report Selection Report

Office Report Office Report Office Report
Field / Job Site Inspection and Control

Contractor Safety Guidelines Evaluation
FinalEvaluation
E Work
Workin
inProgress
Final
Progress
E
Guideli nes
SafetyGuidelines
ContractorSafety
Contractor
ContractorSafety
SafetyGuidelines
Guidelines
Contractor
Contractor Work
WorkininProgress
ContractorSafety
SafetyGuidelines
Guidelines Progress
Pre
PreJob
JobActivities
Activities Work
Workin
INTERIM EVALUATION CHECK LIST
inProgress
Progress
E
Contractor
ContractorSafety
SafetyGuidelines
Guidelines
Work INTERIM EVALUATION CHECK LIST
WorkininProgress
Progress
PRE-JOB ACTIVITY CHECKLIST
PRE-JOB ACTIVITY CHECKLIST Date : INTERIM EVALUATION CHECK LIST
……………………………………..…………………………….………………………………. FINAL EVALUATION CHECKLIST
Date : INTERIM EVALUATION CHECK LIST
……………………………………..…………………………….………………………………. FINAL EVA LUATION CHECKLIST
……………………………………..…………………………….……………………………….
……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Date : ……………………………………..…………………………….……………………………….
Date : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….……………………………….
PRE-JOB ACTIVITY
Job Title :
Date ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Project Period :……………………………………..…………………………………………….…………………………. Job Title Date: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
FINAL EVALUATION
Project Period :……………………………………..…………………………………………….…………………………. Period : ……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….……………………………….
Contract No :
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Job Title :……………………………………..…………………………………………….…………………………. Contract No :
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Job Title :……………………………………..…………………………………………….…………………………. Job Title : ……………………………………..…………………………….……………………………….
Job Title : ……………………………………..…………………………….………………………………. Job Title : ………………………………….…………………………..…………………………………….
Contract No : ……………………………………..…………………………….………………………………. Job Title : ………………………………….…………………………..…………………………………….
Contract No : ……………………………………..…………………………….……………………………….
Work Location Job: Title ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contract No :……………………………………..…………………………………………….…………………………. Contract No : ……………………………………..…………………………….……………………………….
Work Location : ……………………………………..…………………………….………………………………. Contract No : ………………………………….…………………………..…………………………………….
Contractor’s Name Contract
: No
……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contractor’s Name :
Contract ……………………………………..…………………………….……………………………….
No : ……………………………………..…………………………….……………………………….
Work Location :……………………………………..…………………………………………….…………………………. Work Location : ……………………………………..…………………………….……………………………….
Contractor’s Name : ……………………………………..…………………………….………………………………. Work Location : ………………………………….…………………………..…………………………………….
Address : Location
Work ……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
Address Work: Location
……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
Contractor’s Name :……………………………………..…………………………………………….…………………………. Contractor’s Name : ……………………………………..…………………………….……………………………….
Address : ……………………………………..……………………………………….……………………. Contractor’s Name : ………………………………….…………………………..…………………………………….
Contractor’s Name : ……………………………………..…………………………….……………………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. N
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Pre-Job Activity Report Work In Progress Report Final Evaluation Report

Office & Job Site Job Site Job Site & Office
Pre-Qualification in CSMS
Administration
Contracted Work
Qualification Phase: Select A Qualified Contractor
Pre-Qualification
Contract Award
Data Bank

Pre-Qualification
Unsafe Contractors:
First Screen to No !
allow only safe
candidates follow
tender
Pre-Qualification
•Contractors commitment & Leadership regarding HSE
•Policy & Strategic Objectives
•HSE Communications, Training, Management of Subcontractors,
Performance Standards
•Hazards & Effect Management
•Planning & Procedures
•Implementation & Performance Monitoring
•Audit & Review Procedures
•Other Additional Features
Conditional Acceptance : Specific requirements with specific time periods &

control measures necessary f/relative level of risk f/the work to be performed.
CSMS Distribution
of Responsibility
VICO End User (Contract SCM Dept. and End user
Indonesia Initiator) End User
Contractor None

Pre-Qualification
Risk Assessment
Contracted Work
No Pre Qualification
Required ?
Yes
Existing Contractors New Contractors
Candidates fill
Safety Pre - Qualification Forms:
General and
Specific Safety Requirements
Review by
VICO Indonesia
Required HSE Yes

Standard Any Required
No
No No
Meet VICO Indonesia Could VICO help
Criteria ? Fill the gap ?
Yes Yes
Conditional Acceptance
Candidate
List the gaps and
Disqualified
required actions
into the bidder list

Risk Assessment
R is k A ss e s s m e n t
C o n tr a c to r S a fe ty G u id e lin e s
E ARCO INDONES IA
CONTRACTOR’S SAFETY PRE-QUALIFICATION FORM
GENERAL INFORMATION
RISK ASSESSMENT
1. Company Name Telepho ne :
D a t e
P r o je c t P e r io d
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
2. Officers
President
Vice President
Treasurer
No Specific
CSMS Report
J o b T i t le :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .

City : State : Zip :
C o n t r a c t N o :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … . … … … … … … … … … … .
Subsidiaries :
W o r k L o c a t io n :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
for
R is k C a t e g o r y : L (L o w ) M (M e d iu m ) H (h ig h )
5. Under Cu rrent Management Since (Date) :
6. Contact for Insurance Information :

Name Type of Coverage Telepho ne
PRE-QUALIFICATION Selection
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
A s se s s e d b y : A p p r o v e d b y :
8. Are you self insured for Worker’s Compensation Insurance ? Yes No
9. Contact for Request ing Bids :
10. PQF Comp leted By :*)

*) This PQF Form must be completed and signed by the Company’s authorized first level Management
N
I
C
R
A
D
O
E
O
NA
S
E
A
F
SE
5
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Contractor
ContractorSafety
SafetyGuidelines
Guidelines Evaluation
FinalEvaluation
Work
WorkininProgress
Final
Progress Guidelines
SafetyGuidelines
Contract orSafety
Contractor
ContractorSafety
SafetyGuidelines
Guidelines
Contractor
Contractor Work in Progress
ContractorSafety
Safet yGuidelines
Guidelines Work in Progress
E
Pre Contractor
ContractorSafety
SafetyGuidelines
PreJob
JobActivities
Activities INTERIM EVALUATION CHECK LIST
Guidelines
E
Work in Progress
Work in Progress
Contractor
ContractorSafety
SafetyGuidelines
Guidelines
WorkininProgress
Progress
PRE-JOB ACTIVITY CHECKLIST Date
Date
:
:
……………………………………..…………………………….……………………………….
……………………………………..…………………………….……………………………….
E FINAL EVALUATION CHECKLIST
FINAL EVALUATION CHECKLIST
Date
Date :
: INTERIM
INTERIMEVALUATION
EVALUATIONCHECK
CHECKLIST
……………………………………..…………………………….……………………………….
LIST
……………………………………..…………………………….……………………………….
PRE-JOB ACTIVITY
Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Period : ……………………………………..…………………………….……………………………….
FINAL EVALUATION
Date :……………………………………..…………………………………………….…………………………. Date : ……………………………………..…………………………….……………………………….
Date : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….……………………………….
Job Title :
Date ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….……………………………….
Contract No :
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contract No : ……………………………………..…………………………….……………………………….
Work Location : Title ……………………………………..…………………………….……………………………….
Work Location Job : ……………………………………..…………………………….……………………………….
Job: Title ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contract ……………………………………..…………………………….……………………………….
No : ……………………………………..…………………………….……………………………….
Contract ……………………………………..…………………………….……………………………….
No : ……………………………………..…………………………….……………………………….
Address : Location
Work ……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address : ………………………………….…………………………..…………………………………….
Address : ………………………………….…………………………..…………………………………….
INTERIM EVALUATION
Address : ……………………………………..……………………………………….…………………….
Address : ……………………………………..……………………………………….……………………. N
I
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_

Selection in CSMS
Administration
Contracted Work
Qualification Phase: Select A Qualified Contractor
Pre-Qualification
Contract Award
Data Bank

Selection
Selected Contractor
should be best in:
 Safety
 Technical
 Commercial
Selection
Documents that are to be included
in the Bid Package :
•VICO Indonesia HSE Goals and objective

•HSE Plan Scope & Known Hazards
•HSE Controls Procedures & Compliance
•VICO & Contractor anticipated
Interfaces
•Minimum Specification Requirements
Contract Award in CSMS
Contract Award
Contracted Work
Pre-Qualification
Contract Award
Data Bank

CSMS Distribution
of Responsibility
VICO End User (Contract C&P Dept. and End user
Contractor None

Risk Assessment
RISK ASSESSMENT
C o n tr a c to r S a fe ty G u id e lin e s ARCO INDONES IA
R is k A ss e s s m e n t CONTRACTOR’S SAFETY PRE-QUALIFICATION FORM
GENERAL INFORMATION
D a t e
: … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
: … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
2. Officers
President
Vice President
Treasurer
No Specific
CSMS Report
3. How many years has your organization been in business under yo ur present firm name?
J o b T it le : … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .

C o n t r a c t N o : … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … . … … … … … … … … … … .
Subsidiaries :
W o r k L o c a t io n : … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
for
E x p la n a t io n : … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . Title : Telephone : Fax :
PRE-QUALIFICATION
: … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . 7. Insurance Carrier(s) :
Name Type of Coverage Telephone
Selection
: … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
A s s e s s e d b y : A p p r o v e d b y :

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S Title : Telephone : Fax :
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Contractor
ContractorSafety
SafetyGuidelines
FinalEvaluation
Work
Workin
inProgress
Final
Progress
E
actororSafety
Contract Guidelines
SafetyGuidelines
Contractor
ContractorSafety
SafetyGuidelines
E
Contr
Guidelines
Contract or Safet Work in Progress
Contractor Safety yGuideli
Guidelines
nes Work in Progress
Pre
PreJob
JobActivities
Activities Contractor Safety Guidel ines
Workin
inProgress
Progress
Contractor
ContractorSafety
SafetyGuidelines
Work in Progress
Work in Progress
Guidelines
E
PRE-JOB ACTIVITY CHECKLIST Date
Date
:
:
INTERIM
INTERIMEVALUATION
EVALUATIONCHECK
CHECKLIST
……………………………………..…………………………….……………………………….
LIST
PRE-JOB ACTIVITY
FINAL EVALUATION
……………………………………..…………………………….……………………………….
D ate : INTERIM EVALUATION CHECK LIST
……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Date : ……………………………………..…………………………….……………………………….
Date : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….……………………………….
Job Title :
Date ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….……………………………….
Contract No :
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contract No : ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: No
……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: No
……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Address : Location
Work ……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
INTERIM EVALUATION
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. N
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Pre Job Activity in CSMS
Pre Job Activity
Contracted Work
Pre-Qualification
Selection
CSMS
Risk Assessment
Contract Award Data Bank
Pre Job Activity Work In Progress Final Evaluation

Pre-Job Activity
To open First Communication between
VICO and Contractor among fieldwork level
Pre-Job Activity is not equal to Pre-Job Safety Meeting

Pre-Job Activity
 STEPS:
Pre-mobilization
Kick off Meeting**)
HSE Site Orientation
HSE Training
Mobilization & Demob
CSMS Distribution
of Responsibility
End user
Contractor None

Pre-Job Activity
E
Pre Job Activities
No. ITEM YES NO N/A REMARKS
I. Work Plan
Has HSE issue been addressed in the work

1.1 program or procedure and reviewed with the
contractor?
Has Contractor reviewed VICO HSE

1.2
Handbook and Permit System?
Has contractor's equipment that related to

1.3 the job performed, passed safety
PRE-JOB ACTIVITY
inspection?
1.4 Are all critical jobs identified and analyzed?
Are the procedures for critical jobs written

1.5 and reviewed with the contractor before the
CHECKLIST
work begins?
Are materials handling equipment and

1.6
procedures available?
Is the facility schedule available? (e.g. camp,

warehousing, delivery of construction
materials or equipment on site, contractor
1.7
responsibility for loading, unloading, storing
of contractor / VICO Indonesia furnished
materials)
Contractor's competent person as the safety

1.8
representative :
1.8.1. Is it available?
1.8.2. Does he/she have sufficient authority

to implement change?
Contractor Reps: ___________________ VICO Indonesia Reps: _________________

(Name/Date) (Name/Date)
______________________________________________________________________________________
2 of 1
E SAFE
ARCO
INDONESIA
Risk Assessment
E
C o n t ra c to r S a fe ty G u id e lin e s ARCO IN DONES IA
R isk A s s e s sm e n t CONTRACTOR’S SAFETY PRE-QUALIFICATION FORM
RISK ASSESSMENT
GENERAL INFORMATION
D a t e
P r o j e c t P e r io d
: … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
: … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
2. Officers
President
Vice President
Treasurer
Name Years With Co mpany
No Specific
CSMS Report
3. Ho w many years has your organization been in business under your present firm name?
J o b T it le : … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .

C o n t r a c t N o :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
Subsidiaries :
W o r k L o c a t io n : … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
for
R is k C a t e g o r y : L (L o w ) M ( M e d iu m ) H ( h ig h )
E x p la n a t io n : … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . Title : Telephone : Fax :
: … … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . 7. Insurance Carrier(s) :

Selection
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
A s s e s s e d b y : A p p r o ve d b y :
PRE-QUALIFICATION

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Contractor
ContractorSafety
SafetyGuidelines
FinalEvaluation
Work
WorkininProgress
Final
Progress Guidelines
SafetyGuidelines
Con tractororSafety
E Contractor
ContractorSafety
SafetyGuidelines E
Contract
Guidelines
Contractor Work in Progress
ContractorSafety
SafetyGui
Guidelines
delines Work in Progress
Contractor
Pre
PreJob
JobActivities
Activities ContractorSafety
SafetyGuidelines
Guidelines
Work in Progress
Work in Progress
Contractor
ContractorSafety
SafetyGui delines
Guidelines E
WorkininProgress
Progress
PRE-JOB
PRE-JOBACTIVITY
ACTIVITY CHECKLIST
CHECKLIST Date : INTERIM EVALUATION CHECK LIST
……………………………………..…………………………….……………………………….
……………………………………..…………………………….………………………………. FINAL EVA LUATION CHECKLIST
……………………………………..…………………………….……………………………….
……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Date : ……………………………………..…………………………….……………………………….
Date : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….……………………………….
Job Title :
Date ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
PRE-JOB ACTIVITY
Period : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
FINAL EVALUATION
Job Title : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….……………………………….
Contract No :
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contract No : ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: No
……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: No
……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Address : Location
Work ……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
Address :
Work Location……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. N
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Work In Progress in CSMS
Work In Progress
Contracted Work
Risk Assessment
Pre-Qualification
Selection CSMS
Contract Award
Data Bank

Work In Progress
HSE Scope & Standards:
• Contractual Obligation
• Conditional Acceptance List
Scope of Work Yes

Changes
Additional hazards?
No
Interim Evaluations:
• Safety Inspection Checklist
• Safety Program Checklist
Interim Evaluation Accidents / Incidents Contractor SHEP Performance

Reports Reports Report
No No
Corrective Actions
made ?
Yes
No
Job Completed ?
Yes
Final Evaluation Disciplinary Actions

Work In Progress
INTERIM EVALUATION CHECKLIST
SAFETY INSPECTION CHECKLIST
SAFETY PROGRAM CHECKLIST

Work In Progress
INTERIM EVALUATION = CORRECTIVE ACTION
HSE
SHEP
SHEP
SHEP
HSE
+ PERFORMANCE
STANDARD
STANDARD CORRECTIVE
CORRECTIVE
CORRECTIVEACTION
ACTION
STANDARD
STANDARD
PERFORMANCE CORRECTIVEACTION
ACTION
PERFORMANCE
PERFORMANCE
PERFORMANCE
INTERIM
INTERIMCHECKLIST:
INTERIM CHECKLIST:
CHECKLIST:
INTERIM
SAFETY CHECKLIST:
INSPECTION
SAFETY
SAFETYINSPECTION
INSPECTION
SAFETY
SAFETY INSPECTION
PROGRAM
SAFETY
SAFETY PROGRAM
PROGRAM
SAFETY PROGRAM
CSMS Distribution
of Responsibility
End user
Contractor None

Risk Assessment
Con tractor Safety Guidelines
E
C o n tr a c to r S a fe ty G u id e lin e s ARCO INDONES IA
R is k A ss e s s m e n t CONTRACTOR’S SAFETY PRE-QUALIFICATION FORM
RISK ASSESSMENT
GENERAL INFORMATION
1. Co mpany Name Telephone :
D a t e
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
2. Officers
President
Vice President
Treasurer
Name Years With Comp any
No Specific
CSMS Report
J o b T i t le :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .

C o n t r a c t N o :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
Subsidiaries :
W o r k L o c a t io n :… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
B. Principal Comp any name :
for
6. Co ntact for Insurance Information :

Selection
:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … .
PRE-QUALIFICATION
A ss e s s e d b y : A p p ro v e d b y :
9. Co ntact for Requesting Bids :

O
IN
DS
E
NIA
C
R
AO
Title : Telephone : Fax :
E A
SE
F
5
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_


Contractor
ContractorSafety
SafetyGuidelines
FinalEvaluation
Work
WorkininProgress
Final
Progress Guidelines
SafetyGuidelines
ContractorSafety
Contractor Safety Guidelines Contractor
Contractor
Contr actorSafety
SafetyGuidelines
Guideli nes
E Work
Workin
inProgress
Progress
E
Pre Contractor
ContractorSafety
SafetyGuidel ines
PreJob
JobActivities Guidelines
Activities Work
Workin
inProgress
Progress
E
WorkininProgress
Progress
PRE-JOB ACTIVITY CHECKLIST Date : INTERIM EVALUATION CHECK LIST
……………………………………..…………………………….……………………………….
……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Period : ……………………………………..…………………………….……………………………….
Date :……………………………………..…………………………………………….…………………………. Date : ……………………………………..…………………………….……………………………….
Date : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
Period : ……………………………………..…………………………….………………………………. Date : ………………………………….…………………………..…………………………………….
PRE-JOB ACTIVITY
Period : ……………………………………..…………………………….……………………………….
Job Title :
Date ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
FINAL EVALUATION
: ……………………………………..…………………………….……………………………….
Period : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….………………………………. Period : ………………………………….…………………………..…………………………………….
Job Title : ……………………………………..…………………………….……………………………….
Contract No :
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Period ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contract No : ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
: ……………………………………..…………………………….……………………………….
Contract ……………………………………..…………………………….……………………………….
No : ……………………………………..…………………………….……………………………….
Contract ……………………………………..…………………………….……………………………….
No : ……………………………………..…………………………….……………………………….
Address : Location
Work ……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
……………………………………..……………………………………….…………………….
: ……………………………………..…………………………….……………………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address :……………………………………..…………………………………………….…………………………. Address : ……………………………………..……………………………………….…………………….
Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. Address : ………………………………….…………………………..…………………………………….
Address : ……………………………………..……………………………………….……………………. N
I
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Final Evaluation in CSMS
Final Evaluation Contracted Work
Risk Assessment
Pre-Qualification
Selection CSMS
Contract Award
Data Bank

Final Evaluation
Contractor Safety
Performance
Evaluation
Final Evaluation
Gather all
Interim Evaluation Reports
Summarize into
Final Evaluation Report
Communicate the results

with the Contractor
Yes Issue letter of Reprimand

Result far below
Expectation ? to Internal
No
Yes
Result far exceeding Issue letter of appreciation
Expectation ? to Internal
No
Compile files into

Data Bank Records
for Future Job
Final Evaluation
Based on:
• HSE Contractual
Obligation
• Pre-Job Activity Report
• Interim Evaluation
Reports
• Follow up on Conditional
Acceptance
CSMS Distribution
of Responsibility
VICO End User (Contract C&P Dept. &
End user
Contractor None

Contractor Preparation Contractor
with contractor
CSMS Feedback Mechanism
Contracted Work
Risk Assessment
Pre-Qualification
Selection CSMS
Contract Award
Data Bank

CSMS Program Evaluation
1. PLANNING:
CSMS Teams
CSMS Program
VICO 2. IMPLEMENTATION:
4. CORRECTION:
Program Evaluation OPERATING CSMSGuidelines
Program Implementation
3. MEASUREMENT:
Low RCIR
Gap Analysis
CSMS Program Evaluation
Short Term Evaluation Medium Term Evaluation Long Term Evaluation
(Yearly) Bi-annually every Three Years
Program Appraissal Performance Bench Marking Program Reformulation
Strengths, Weaknesses Compare RCIR with other Observed latest API RP,
and Areas need PSCs, other Industy Sectors (if possible) other Companies Systems,
improvement ISO, MIGAS, AIOGC, etc.
Improved Program / Guidelines

where deemed required:
• Strategy
• Corrective Actions
• Schedule
• Resources
Final Discussion
Ask participants to discuss who will be
responsible for:
 Initiate Risk Assessment ?
 Handle Pre-Qualification process?
 Selection Process?
 Conduct Office and Field Pre-Job Activity?
 Accountable for Work In Progress?
 Make Final Evaluation Report?
Final Discussion
Please Discuss and Note :

 Positive
Positive Aspects
Aspects ofof CSMS
CSMS

 What
What are
are the
the Contractor’s
Contractor’s roles?
roles?

 Constraints
Constraints to
to implement
implement CSMS
CSMS

 What
What should
should wewe do
do to
to ensure
ensure CSMS
CSMS
implementation?
implementation?
Final Discussion

 Review
Review the
the questionnaires
questionnaires

 What
What steps
steps (action
(action plan
plan isis needed)
needed) to
to
follow
follow VICO
VICO Pre-Qualification
Pre-Qualification ??
Final Discussion

 Review
Reviewthethequestionnaire
questionnaire

 What
Whatsteps
steps(action
(actionplan
planisisneeded)?
needed)?

 Who
Whoisisresponsible
responsible//accountable
accountablefor
for
CSMS
CSMSField
FieldImplementation?
Implementation?

 Constraints
Constraintstotoimplement
implementCSMSCSMS

 What
Whatshould
shouldwe we do
do toto ensure
ensure CSMS
CSMS
implementation?
implementation?
Final Discussion
 Who is responsible to implement CSMS?
 Who is accountable to sign CSMS Check List?
 Positive Aspects of CSMS
 Constraints to implement CSMS
What should we do to ensure CSMS implementation
in the field ?

Introduction To CSMS Introduction To CSMS: What Is CSMS ? Contractor Safety Management Systems

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Introduction To CSMS Introduction To CSMS: What Is CSMS ? Contractor Safety Management Systems

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Introduction to CSMS

Measurement Measurement of Measurement of

It is very important to recognize the Basic Causes ...

ACCIDENT FREQUENCY BODY CHART IN 2002 RECORDABLE

14 30 18 Head injury laceration caused by iron bar 29-APR

7 6 19 Right heel sprain caused by jumping from the truck 30-APR

1 Contractor with 11 DAFWC’s

Lucky Box SCM

Decreasing Injuries / Illnesses

Fatalities 40% Output

98%of Accident is due to

RMT decided setting

(Contractor Safety Management System)

Charter: Recommended a method for

Admin Administration Phase: Select A Qualified Contractor

Pre Job ActivityWork In ProgressFinal Evaluation

Risk Assessment Pre Job Activity

CSMS Field Implementation Phase

Pre Job ActivityWork In ProgressFinal Evaluation

Risk Assessment is a D ate

All jobs shall be assessed C ontract N o

and categorized into R is k C a t e g o r y

one of Risk Level Category:

A sse ssed b y: A pproved b y:

L (Low) M (Medium) or H (High) (… … … … … … … … … … … … … … … … ) ( … … … … … … … … … … … … … … … … .)

RISK ASSESSMENT REQUIRED REQUIRED REQUIRED

PRE-QUALIFICATION OPSTIONAL REQUIRED REQUIRED

SELECTION REQUIRED REQUIRED REQUIRED

PRE-JOB ACTIVITIES REQUIRED REQUIRED REQUIRED

WORK IN PROGRESS REQUIRED REQUIRED REQUIRED

FINAL EVALUATION REQUIRED REQUIRED REQUIRED

How to assess the risk of a job ?

• Nature of the Work • Simultaneous Work

Pre- Job Activity Work In Progress Final Evaluation

4. A. Parent Company name :

:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . 7. Insurance Carrier(s) :

10. PQF Completed By :*)

Risk Assessment Resume Pre-Qualification Report Selection Report

Field / Job Site Inspection and Control

Pre-Job Activity Report Work In Progress Report Final Evaluation Report

Pre Job ActivityWork In ProgressFinal Evaluation

Conditional Acceptance : Specific requirements with specific time periods &

Pre- Job Activity Work In Progress Final Evaluation

Required HSE Yes

into the bidder list

4. A. Parent Company name :

:… … … … … … … … … … … … … … ..… … … … … … … … … … … … … … … … … .… … … … … … … … … … . 7. Insurance Carrier(s) :

10. PQF Comp leted By :*)

Risk Assessment Resume Pre-Qualification Report Selection Report

Field / Job Site Inspection and Control

Pre-Job Activity Report Work In Progress Report Final Evaluation Report

Pre Job ActivityWork In ProgressFinal Evaluation

•VICO Indonesia HSE Goals and objective

Pre Job ActivityWork In ProgressFinal Evaluation

Pre- Job Activity Work In Progress Final Evaluation

4. A. Parent Company name :

10. PQF Completed By :*)

Risk Assessment Resume Pre-Qualification Report Selection Report

Field / Job Site Inspection and Control

Pre-Job Activity Report Work In Progress Report Final Evaluation Report

Administration Phase: Select A Qualified Contractor

Contract Award Data Bank

Field Implementation Phase: Ensure Field Safe Work

Contractor Reps: ___ VICO Indonesia Reps: _