HSE Management System for sub-contractors

• Project

• Location
  Address

• Conducted on

  Date

• Prepared by

Section 1 - HSE Management

HSE Overview

• Does the sub-contractor have a written HSE Policy?<br>

  Yes

  No

  N/A

• Does the sub-contractor have an HSE Managment System?

  Yes

  No

  N/A

Responsibilities

• Are health and safety responsibilities clearly identified for all levels of staff?

  Yes

  No

  N/A

HSE Consultation

• Does the sub-contractor conduct regular meetings conducted with employees (e.g. safety meetings, tool box talk etc.)?

  Yes

  No

  N/A

• Are the sub-contractor's employees involved in decision making over HSE matters?

  Yes

  No

  N/A

• Does the sub-contractor have a HSE representative? Have they received HSE training?

  Yes

  No

  N/A

• How does the sub-contractor identify and communicate HSE issues?

  Yes

  No

  N/A

HSE Management System

• Is a documented Risk Analysis, Safe Work Method Statement and Emergency Response Plan conducted prior to commencement of a job?

  Yes

  No

  N/A

• Does the sub-contractor have a permit to work system (e.g. Hot Work, Confined Space, etc.)?

  Yes

  No

  N/A

• Does the sub-contractor have a process for the selection, assessment, monitoring and review of sub-contractors that incorporates HSE requirements?

  Yes

  No

  N/A

• Do the sub-contractor have procedures in place for the maintenance & inspection of equipment owned and/or operated by your organization?

  Yes

  No

  N/A

• Do the sub-contractor have procedures for selection, use, storage, handling, spill management & disposal of hazardous substances?

  Yes

  No

  N/A

• Do the sub-contractor have procedures for identifying, assessing and controlling risks associated with manual handling?

  Yes

  No

  N/A

• Does the sub-contractor have procedures to prevent & reduce environmental emissions & damage?

  Yes

  No

  N/A

• Do the sub-contractor's environmental procedures address containment and recovery processes?

  Yes

  No

  N/A

• Does the sub-contractor have emergency response plans and/or management process?

  Yes

  No

  N/A

• Does the sub-contractor conduct regular HSE audits of your HSE Management System by external parties?

  Yes

  No

  N/A

Hazard Management

• Is there a process by which the sub-contractor employees can report hazards at workplaces (and potential health, safety & environmental hazards)?

  Yes

  No

  N/A

• Does this process involve a regular Hazard Register?

  Yes

  No

  N/A

• How does the sub-contractor communicate hazards to your employees and your sub-contractors?

  Yes

  No

  N/A

HSE Training & Induction

• Are records maintained of all training (certificates & licenses) and induction programs undertaken for the sub-contractor's employees (existing and new employees)?

  Yes

  No

  N/A

• How does the sub-contractor plan to manage inductions for personnel involved in projects?

  Yes

  No

  N/A

• Is there other specific HSE training for employees?

  Yes

  No

  N/A

HSE Workplace Inspection

• Does the sub-contractor have a process for regular HSE inspections at worksites?

  Yes

  No

  N/A

• Does the sub-contractor use standard workplace inspection checklists to conduct health, safety and environmental inspections?

  Yes

  No

  N/A

Incident Management

• Does the sub-contractor have a documented incident investigation procedure?

  Yes

  No

  N/A

• Does the sub-contractor have a system for the notification of incidents to regulatory agencies?

  Yes

  No

  N/A

HSE Offences

• Has the sub-contractor had any enforcement activity or been convicted for a HSE offense in the past 3 years (e.g. improvement/prohibition notices, etc.)?

  No

  Yes

  N/A

Section 2 - HSE Performance Monitoring & Statistics

Performance Monitoring

• Does the sub-contractor have a system for recording and analyzing HSE performance?

  Yes

  No

  N/A

• Are the sub-contractor employees regularly provided with information on HSE performance?

  Yes

  No

  N/A

Statistics

Lost time injury cases for current and previous 3 Months

• Current Month: February 2024

• January 2024

• December 2023

• November 2023

Current number of First Aid cases for current and previous 3 Months

• Current Month: February 2024

• January 2024

• December 2023

• November 2023

Total Recordable Incidents for current and previous 3 Months

• Current Month: February 2024

• January 2024

• December 2023

• November 2023

Number of Environmental Incidents for current and previous 3 Months

• Current Month: February 2024

• January 2024

• December 2023

• November 2023

Summary/Grading

• Final Rate

  Select SUPERIOR - Has well exceeded all requirements ADVANCED - Has exceeded some minimum requirements ACCEPTABLE - Has met all minimum requirements NOT ACCEPTABLE - Has not responded or met any requirements

  • SUPERIOR - Has well exceeded all requirements
  • ADVANCED - Has exceeded some minimum requirements
  • ACCEPTABLE - Has met all minimum requirements
  • NOT ACCEPTABLE - Has not responded or met any requirements

Completion

• Click + to add people involved in the HSE process

People Involved

• Full Name and Signature

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