1

1.1
1.2
1.3
1.4
1.5
2
2.1
2.2
3
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
3.1
3.11
3.12
3.13
4
4.1
4.2
4.3
4.4
4.5
4.6
4.7
5
5.1
5.2
5.3
5.4
5.5
5.6
6
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
6.1
6.11
6.12
6.13
6.14
6.15
6.16
6.17
6.18
6.19
7
7.1
7.2
8
8.1
8.2
H
H1
H2
H3
H4
H5
H6
H7
E
E1
E2
E3
E4
E5
RS
RS1
RS2
RS3
RS4
RS5
RS6
RS7
RS8
RS9
RS1
0
RS1
1
CK
CK1
CK2
CK3
CK4
CK5
CK6
CK7
CK8
Leadership & Management Commitment
Do top management visit the site regularly?
Apakah manajemen mengunjungi site secara rutin?
Do all contractor, supervisor and sub contractor staff attend onsite HSE meetings
(Are minutes available? What is discussed in the meetings?)
Are Supervisor involved in inspections of safety critical tasks
(Is the Rig HSE file up-to-date?)
Is priority for Safety clear with all staff?
Apakah prioritas untuk Keselamatan jelas untuk semua staf?
Are sufficient funds allocated to HSE?
Apakah dana yang cukup dialokasikan untuk HSE?
Policy & Strategic Objectives
Is the HSE Policy clear?
Apakah Kebijakan HSE jelas?
What are the contractors HSE targets/objectives for the year?
Apa HSE target/sasaran kontraktor untuk tahun ini?
Organisation, Responsibilities, Resources, Standards & Documents
Is the Organisation Structure defined?
Apakah Struktur Organisasi didefinisikan?
Are Individual HSE responsibilities known and understood?
Apakah tanggung jawab individu HSE diketahui dan dipahami?
Is Empowerment to STOP a reality?
(What would staff do if saw their boss doing something not safe?)
Are HSE meetings effective?
Apakah pertemuan HSE yang efektif?
Competency/attitude of HSE advisers?
Kompetensi / sikap penasihat HSE?
Are subcontractors managed on-site?
Apakah subkontraktor yang dikelola di tempat?
Is the standard and involvement of PDO supervision high?
(Is he involved in the HSE meetings, site inspections, STOP program, coaching of staff?, completed Hiitch Hikers guideto HSE?)
Has the CSR attended the HSE Mangmt of Conrt course?
Does the CSR have a Contract Monitoring Plan?
Does PDO effectively cascade HSE information?
(Evidence of recent issues, DOIRC, Lat Learning, Alerts?)
Are staff briefed about procedures for their current job?
(Ask them - who does it, when, where?)
Are documents current/controlled?
Are record kept of step outs to procedures?
Hazards and Effects Management
What are the big HSE issues on this site?
(What are the main causes of accidents and what action is being taken?)
Are all Hazards known?
(Does a hazard register exist on site?)
Are Hazards routinely identified?
(Are toolbox talks conducted with the prompt card?)
Who attends and conducts TBTs?
(Everybody? Senior man on site?, who directs? Are they recorded?, how is the quality assessed?)
What language are they conducted in?
(What is done about it?)
When is the PTW required?
(Are procedures available?, are they raised and closed out correctly check a couple?, are any open now?)
Is a STOP observation system used?
(Who is trained?, Review some cards - Quality? How do the give Feedback?)
Planning & Procedures
Is the HSE plan known?
Is it aligned/related to the PDO HSE plan?
Is progress against the plan discussed?
How do staff know of procedure changes?
Is Emergency response known?
(Emergency tel. no. posted?, Do staff know what the no. is?, have CSR and Contractor Sen Supvr had OSC
training?)
Is Muster control adequate?
(Is a Persons-On-Site POS board maintained accurately?)
Implementation & Monitoring
Site access control was a site brief conducted
(Was it clear?, complete?, available in all languages ?, were GSMs prohibited?)
Was the HSE plan presented to the staff, do they know what the focus is for this year?
Are HSE improvement suggestions by the staff logged and actioned?
Is staff training adequate and controlled?
(Do all staff get an induction?, are there accurate records of training for all staff?, including refreshers?, IWCF
current?)
Are Near miss reported by the staff?
Are incident reports completed as per procedures?
(Notification in 24hrs?, copies filed?, copies of completed reports?, latest procedure on site?)
Are recent HSE Alerts, posters displayed?
How are the learnings from incidents discussed/actioned?
(Are Lateral Learning sheets posted on-site?, are DOIRC minutes discussed?)
Is the work ever stopped because it was unsafe?
How are unsafe tools or equipment reported, repaired, replaced?
How are staff encouraged to report deficiencies?
(Non-conformity integrity register maintained?)
What is the standard of Housekeeping?
(Look around the site, in containers, pump stores)
Are all drills/exercises up-to-date
(Are they reported?, what action is taken? , are they varied?)
Hands & Fingers!
(What evidence is there of awareness and/or exposure reduction efforts?)
Is Hazard identification embedded?
(Are the Haz-ID files on-site, used in meetings and/or toolbox talks?)
Is the DESC/HSE case available and used?
(Are HSE critical staff aware of the HSE requirements, HSE critical tasks?, MOPO?, is the case live?)
Is the a lifting equipment register available
(Check some items are they current, up-to-date, correct colour code ?)
Are Drillpipe/teststring..etc effectively inspected?
(Are certifications and inspection records available and up to date?)
Are Pressure vessels effectively inspected?
(Are certifications and inspection records available and up to date?)
Audit
Is there a contract audit and inspection plan?
(Is it current and up-to-date?, what records of recent inspection - Quality?)
Is there a formal system to track and close out non-conformances on the worksite?
(Are audit and inspection points in it?)
Management Review
Evidence that HSE MS has been reviewed by Management and/or improved recently?
Have the Contractors implemented any new non-PDO HSE initiatives?
Health
Are eye wash stations well stocked?
Are First aid boxes well stocked?
Are First aiders listed?
Has Medic received correct training?
What are the conditions of the Medical Facilities?
(Medical Supplies adequate?, Latest procedures and guidelines available?, SHOC cards available?, Facilities
inspected by PDO medical department?)
Are employees fit for work?
(Is there a register of medical certification for all workers?, has action been taken on Occ health issues?)
Is potable water checked?
(Check the records, how often? Quality?)
Environment
Are Waste management procedures followed?
(Check skips segregation?, Waste consignment notes?)
Quality of Chemicals storage?
(Are they stacked neatly?, segregated?, first in first out ?, covered with tarpaulins?)
Are SHOC cards available for all chemicals?
(Are they printed and filed/ are key hazardous chemical SHOC cards laminated and kept on site?)
Are prevention controls in place at potential spill points?
(Inspect crude connectors, pumps, lub oil storage for drip and spill protection)
Does the site and camp have adequate sewage facilities?
(Is there overflow or overloading?, what water conservation methods have been employed?)
Road Safety
Do drivers themselves know the rules?
(Register of approved drivers? Valid PDO licences? DDC?
completed vehicle checks)
Are PDO safety videos shown to drivers?
(Inspect some vehicles - RAS stickers? General condition? Tyres OK?)
Who is responsible for vehicle condition?
(Is there a system for scheduled vehicle maintenance?)
Response when faults reported?
(What records are there? How long to get things fixed?)
Is there a structured journey management system?
(Is it auditable, recorded, accurate, complete?)
Have Journey Managers been on the approved J M course?
Can the JMs communicate in drivers' language?
Is there evidence of challenges to the necessity of journey? Are effort made to minimise km driven?
JM knowledge - Know which roads are permitted/which not?
What do they do to avoid/control the car-jacking threat?
(Implemented the DOIRC Workgroup recommendation?)
Camp & Kitchen
Are fly screens fitted to kitchen doors?
Is Kitchen clean, tidy and organised?
Are health checks completed for all food handlers?
Do fridges and freezers have thermometers?
(Fridge 1-4 degC, Chilled -4degC, Frozen -18degC ?)
Is there First Aid and Fire cover on camp?
(What records are there? Is training up-to-date?)
Are regular drills held on camp?
(Are they recorded, fire, first aid?)
Are there smoke detectors in all rooms?
(Are they checked regularly records?)
Is adequate fire fighting equipment available?
(Extinguishers outside rooms?)
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