ATTACHMENT A:

PROPOSED QUESTIONNAIRE FOR CONTRACTOR HSSE CAPABILITY ASSESSMENT

HSSE stands for Health, Safety, Security & Environment

Please cover all aspects in your responses to the questions

Keyword Question

1 Leadership & HSSE Culture

How are senior managers personally involved in HSE
a) management for example objective-setting and
monitoring?
Leadership and
1.1 Provide evidence of commitment at all levels of the
Commitment b)
organisation?
How do you promote a positive culture towards HSE
c)
matters?
2 HSSE Policy & Strategic Objectives
Does your company have an HSE policy document?
a)
If the answer is YES please attach a copy.
Who has overall and final responsibility for HSE in your
b)
organisation?
Who is the most senior person in the organisation
2.1 responsible for this policy being carried out at the
c)
premises and on site where his employees are working?
Policy and Provide name and title.
Strategic Itemise the methods by which you have drawn your
Objectives d) policy statements to the attention of all your
employees?
What are your arrangements for advising employees of
e)
changes in the policy?
Does your company have strategic HSE objectives?
a)
If the answer is YES please attach a copy.
2.2
Itemise the methods by which you have communicated
b) your strategic HSE objectives to the attention of all your
employees?
3 Organisation, responsibilities, resources, standards and procedures
How is your organisation structured to manage and
a) communicate HSE effectively? Please provide an
organization chart.
Organisational b) Do HSE meetings promote HSE awareness?
structure for HSE 3.1 Do you and your sub-contractors meet regularly to
management c)
discuss and action any interface situations?
What provision does your company make for HSE
d) communication meetings? Produce minutes of such
meetings.
 Have the managers and supervisors at all levels who will
plan, monitor, oversee and carry out work received
a)
formal HSE training in their responsibilities with respect
to conducting work to HSE requirements?
If YES please give details. Where the training is given in-
HSE training of
b) house please describe the content and duration of
managers,
courses. Please provide an example of training matrix.
supervisors and
3.2 How have you identified areas of your company’s
HSE critical
operations where specialised training is required, for
positions c)
instance training related to health hazard such as
radiation, asbestos and chemicals?
What specialist HSE resources does your organisation
d)
have available?
How does your company provide HSE specialised
e)
training for HSE staff?
What arrangements does your company have to ensure
a) new employees have knowledge of basic industrial HSE,
and to keep this knowledge up to date?
General HSE What arrangements does your company have to ensure
training b) new employees also have knowledge of your HSE
3.3
policies, practices and company requirements?
What arrangements does your company have to ensure
new employees have been instructed and have received
c)
information on any specific hazards arising out of the
nature of the activities?
Does your organisation have a competence assurance
system in place?
Competence a)
If YES, please describe the scope and content of your
assurance 3.4
competence system.
What arrangements does your company have to ensure
b)
existing staff HSE knowledge is up to date?
Does your company have a sub-contractor management
a) process or system? If yes, provide an outline of the
Contractor
process.
management
How do you assess contractors, HSE competence or HSE
process b)
3.5 performance?
Where do you define the company standards you
c)
require your sub-contractors to meet?
How do you ensure these standards are met and
d)
verified?
How do you identify new industry or regulatory
a)
standards that may be applicable to your activities?
HSE standards Is there an overall structure for producing, updating and
b)
3.6 disseminating standards?
Are your company standards aligned with OGP/industry
c) guidelines or recommended practices? If yes state
which one.
4 Hazard & Risk Management
Risk Assessment How does your company identify hazards, assess risk,
4.1 a)
& Control control and mitigation consequences, to a level as low
 as reasonably practicable?

Do you have specific policies and programmes on

a) specific health hazards e.g. substance abuse, blood
borne pathogens, malaria pandemic diseases etc.
What type of health hazards (chemical, vibration, noise,
Health Hazards
radiation, etc) are associated with the scope of your
4.2 b)
services? Explain how occupational health hazards are
identified, assessed and controlled.
What systems are in place to control these hazards and
c) monitor the effectiveness of these controls? Is worker’s
regular exposure monitoring part of these systems?
What type of safety hazards (mechanical guarding, work
at height, lifting and hoisting, confined space entry,
a)
Safety hazards explosive atmospheres etc.) are associated with the
4.3
scope of your services?
What systems are in place to control these hazards and
b)
monitor the effectiveness of these controls?
What type of logistics hazards (land transport, air
a) transport, marine transport, materials handling etc.) are
Logistics hazards
4.4 associated with the scope of your services?
What systems are in place to control these hazards and
b)
monitor the effectiveness of these controls?
What type of environmental hazards (chemical spill,
Environmental a) atmospheric emissions, waste disposal etc.) are
hazards 4.5 associated with the scope of your services?
What systems are in place to control these hazards and
b)
monitor the effectiveness of these controls?
What type of security hazards (terrorism, hostage
a) taking, robbery, hostile local population etc.) are
Security hazards
4.6 associated with the scope of your services?
What systems are in place to control these hazards and
b)
monitor the effectiveness of these controls?
What type of social hazards are associated with the
Social a)
scope of your services?
responsibility
4.7 What systems are in place to control these hazards and
hazards
b) impacts and monitor the effectiveness of these
controls?
5 Planning & Procedures
Do you have a company HSE-MS manual (or operations
manual with integrated HSE requirements) which
HSE operations
5.1 a) describes in detail your company approved HSE working
manual
practices relating to your work activities?
If the answer is YES please attach a copy of an index
How do you ensure that infrastructure, plant and
Infrastructure and equipment used within your operations (own premises,
equipment 5.2 a) client site, or at other locations) are correctly certified,
integrity registered, controlled and maintained in a safe working
condition?
 How do you manage changes and assess associated
Management of
5.3 a) risks e.g. personnel, equipment, processes,
change
documentation?

Emergency What arrangements does your company have for

planning and a)
5.4 emergency planning and response?
response

b) Which emergency situations are included?

6 Implementation and performance monitoring

What arrangements does your organisation have for
a)
HSE-MS monitoring the implementation of your HSE-MS?
implementation How does your company assure the implementation of
and active work procedures within your work-site operations e.g.
b)
performance compliance with procedures, toolbox talks, safety
monitoring of meetings, supervision, job observations?
work activities 6.1 How do you monitor employee HSE performance e.g.
c)
hazard identification systems, HSE participation?
What active HSE monitoring is performed (i.e. where no
d)
incident has occurred)?
e) How do you report and correct deficiencies identified?
How do you communicate the results of active
f)
performance monitoring to relevant personnel?
List the key performance indicators tracked for your
HSE performance
6.2 a) company and your performance for the previous five
indicators
years.
a) How is health performance monitored and recorded?
HSE performance
monitoring How is environmental performance monitored and
b)
recorded?
6.3 c) How is security performance monitored and recorded?
d) How and what near miss incidents are reported?
e) How often is HSE performance reviewed? By whom?
f) How is logistics performance monitored and reported?
g) Do you record vehicle incidents?
a) What types of HSE incident are investigated?
HSE incident and
b) What process is used to investigate HSE incidents?
investigation
c) Who conducts HSE incident investigations?
follow-up
How are the findings of an incident investigation
6.4
d) followed up to ensure effective prevention of
recurrence?
How is incident learning communicated to all relevant
e)
personnel?
Statutory Has your company suffered any statutory notifiable
notifiable incidents in the last five years (safety, occupational
incidents or non 6.5 a) health and environmental)?
compliance Answers with details including dates, country and
notices location, summary of incident and follow-up
 preventative measures taken.

7 HSE auditing and management review of HSE-MS

Do you have a written procedure for HSE auditing?
a)
If yes, please attach a copy.
Who is involved in conducting HSE audits? How are
audit team members selected to have specific expertise
b) and be independent from the activities being audited?
Audits
What are the qualifications required for auditors?
7.1
How does your company schedule HSE audit and what
scope of auditing is covered? e.g. internal, regulatory
c)
compliance, supplier/contractor, HSE management
system implementation.
How does management follow up on audit findings and
d)
ensure effective close out of action items?
Management Do you have a written procedure for management
review and a) review of the HSE-MS?
follow-up If yes, please attach a copy
7.2 How often are HSE-MS reviews conducted and who is
b)
involved in the process?
How are identified actions and improvement efforts
c)
recorded and tracked to effective completion?
8 HSE management - additional features
Certification of Please provide information on any certification which
8.1
your HSE-MS you have received from certification bodies
Describe the nature and extent of your company’s
Membership of
8.2 participation in relevant industry, trade, and
associations
governmental organisations
Additional Does your organisation (globally, regionally or locally)
features of your 8.3 have any HSE features or arrangements not described
HSE-MS elsewhere in your response to the questionnaire?