Contractor Orientation- Phase I

Information

FIRST NAME/LAST NAME of Contractor/Contractor Company Name/Contractor Orientation Phase 1
Client Name / Rig Name Contractor will be deployed to
Conducted on
Expected First hitch start date and time
Picture of the contractor

HSE To be completed by BOS:

HSE BOS Requirements

Attached picture of Resume
Contractor has the following tickets / training certification valid for the length of contract • CANADA – PST, H2S Alive, Confined Space Entry, Fall Pro, CPR/First Aid, Respirator Fit Test • USA – Safeland, H2S, CPR/First Aid, Respirator Fit Test, (Heavy Equipment/Loader/Excavator if applicable) Photocopies of tickets / training certification to be attached to this document. Include photocopies of any additional tickets required for the job if applicable.
Contractor has been set up in I-Auditor through a Help Desk Ticket and is assigned to correct District that they will be working in.
If the Contractor has a vehicle they are going to drive they must: • show proof of Driver License, Vehicle Registration, and BOS must have on file the contracting company Insurance coverage of $2MM • Have all equipment listed in Schedule B to the contract Photocopy of Driver License, Vehicle Registration, Insurance
If the Contractor will operate Heavy equipment on location on behalf of BOS: • Has proof of third party certification qualifying them to operate the heavy machinery • Has completed a BOS competency evaluation with qualified BOS employee before operation of the heavy machinery Photocopy of ticket / training certification to be attached to this document.
Contractor has completed any Customer Required Site Specific HSE Orientation (insert N/A if the Customer does not require any specific information)
Contractor has over 1 year of Solids Control Experience on the application on the job they will be going to
Contractor has a clean Alcohol and Drug test taken within the time period required by the Customer. Photocopy of test result to be attached to this document. Insert N/A if not required.
Contractor has the correct PPE to deploy to the job (White Hard Hat, Blue Coveralls, Fall Protection and SRL, Mask with cartridges, Impact Gloves, Safety Toed Boots, Eye Protection (Glasses), Lock Out Tag Out Kit, H2S monitor if applicable.
Review applicable HSE Expectations, Programs, and Standards to include LOTO, Permits to Work, Stop Work Authority, Accident Reporting and Investigation, and Injury Case Management.
Supply Contactor or ensure rig has applicable Operational SOPs for Scope of Work.
Operations Coordinator to added Contractor into G-Force

Items to be Answered by the Contractor

I have been informed and understand that I have the right and responsibility to stop or refuse work if I believe: • A hazard exists, or has the potential to exist and/or the proper controls are not in place • I observe an unsafe act or condition
I have been informed and understand that I must report any actual or potential Health and Safety loss event immediately to my BOS supervisor and the company man on location.
I have been informed and understand that I must report any environmental risks or loss events immediately to their BOS supervisor and the company man immediately.
I have been informed and understand that I must participate in various HSE functions including but not limited to safety monitoring, safety observations, safety meetings, job safety risk assessments and pre-job meetings
I have been informed and understand that I must provide BOS with a list of all hazardous chemicals brought onto a BOS worksite whether the hazardous chemical is used for work or not. All hazardous chemicals brought onto a BOS worksite must have a Safety Data Sheet and be properly labeled per regulatory requirements. The chemical must be current and all labels must be legible and in good condition
I have been informed and understand that I must not engage in horseplay, discrimination, sexual harassment or intimidation
I have been provided with and understand the BOS site specific HSE orientation
I have been provided with and understand an orientation on the site specific emergency reporting and emergency response plan
I have been provided with an emergency phone contact
I confirm that I am physically and mentally fit for duty
I have been provided with and understand the following BOS specific training (must be completed using BOS Training material) • Hazcomm / WHMIS as it relates to chemicals supplied by BOS • Fall Protection as it relates to BOS equipment • Respiratory Protection as it relates to working with Invert etc. on BOS equipment • Hearing Protection as it relates to BOS equipment • Electrical Safety as it relates to BOS equipment • Fatigue Management – banned driving hours & maximum hours worked • BOS Driving Standards (if driving own vehicle)

BOS Requirements and Permits to Work

To be completed by the Contractor

I have been shown how to complete a Daily Pre Job Risk Assessment and understand when one is required and who to submit it to
I have been shown how to complete a Hazard ID and understand when one is required and who to submit it to
I have been shown how to complete a Lock Out Tag Out Permit and understand when one is required and who to submit it to
I have been shown how to complete all other Permits to Work that are applicable and understand when one is required and who to submit it to.
I have been shown how to complete a Site Field HSE Plan and understand when one is required and who to submit it to
I have been shown how to complete a Service Report and understand when one is required and who to submit it to
I have been shown how to complete the Customer Required Site Specific Report and understand when one is required and who to submit it to Insert N/A if the Customer does not require any specific information
I have been informed and understand that I must report any actual or potential Service Quality events (such as equipment or process issues) immediately to my BOS supervisor
Contractor has completed Phase 1 Orientation