ASHOM

ASHOKA BUILDCON Ltd

Ashoka House, Ashoka Marg,
Ashoka-Nagar, Nashik — 422 011

Health, Safety and Environment

Department (HSE)

CATEGORY Department Procedure Manual

Level Documents L-2, L-3 and L-4

TITLE HSE Work Instructions

DOC/ ABL/ HSE / DPM or WI

DOC. NUMBER Issue NO. 01 Date 30th July 2016

Revision No. 00 Date 30th July 2016

Mr. Sanjay Londhe

Issued for Approval / Management

00 30th July 2016 Head HSE & S IMS-Director
Implementation Representative
Prepared,
Rev. Date Description Reviewed & Approved by
Recommended b

MASTER COPY
ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK —422 011
ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/01 REF.: QMS:7.5.1 /EMS:7.5.1/OHSAS: 4.4.4 Pages: Page 1 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30 th July 2016
Title: Table of Contents (Master List of Work Instructions)

Sr. QMS:9001: 2015,

Document No. Description No. of Rev.
No. EMS:14001: 2015 &
pages No.
OHSAS: 18001: 2007
1 WI/CO/DO/PR/HSE/01 Table of Contents QMS:7.5.1/ EMS:7.5.1/
(Master list of Work Instructions) 4 1
OHSAS: 4.4.4

2 WI/CO/DO/PR/HSE/02 Document Amendment Record Sheet QMS:7.5.2/ EMS:.

7 5.,
2
1 1
7.5.3

3 WI/CO/DO/PR/HSE/03 Distribution list of Documents (Control of

Documented information) QMS:7.5.3/ EMS:7.5.3 1 1

4 WI/CO/DO/PR/HSE/04 Abbreviations, Terms and Definitions QMS:7.5.2/ EMS:7. 5.3/

3 1
OHSAS: 4.4.5

5 WI/CO/DO/PR/HSE/05 Departmental Scope QMS: 4.3/ EMS: 4.3 1 1

6 WI/CO/DO/PR/HSE/06 Departmental QHSE Requirement QMS 4.4 & 8.4

1 1
& EMS 4.4

7 WI/CO/DO/PR/HSE/07 QHSE Policy QMS 5.2 /

1 1
EMS: 5.2/ OHSAS:4.2

8 WI/CO/DO/PR/HSE/08 Organization Chart QMS 5.3 /EMS: 5.3/

OHSAS:4.4.1 1 1

9 WI/CO/DO/PR/HSE/09 Organizational roles, responsibilities and QMS 5.3/ EMS:5.3/

authorities 7 1
OHSAS:4.4.1

10 WI/CO/DO/PR/HSE/10 Compliance Obligations QMS: 8.2 .2 /EMS 6.1.3 /

2 1
OHSAS:4.3.2

Departmental quality objectives and QMS : 6.2/

11 WI/CO/DO/PR/HSE/11
planning to achieve them EMS : 6.2/ 1 1
OHSAS : 4.2
12 WI/CO/DO/PR/HSE/12 Awareness and Competence QMS 7.2 /EMS 7.2 & 7.3/
7 1
OHSAS 4.4.2

13 WI/CO/DO/PR/HSE/13 Departmental Functional Competency QMS 7.2 /EMS 7.2 & 7.3/
Matrix 2 1
OHSAS 4.4.2

14 WI/CO/DO/PR/HSE/14 Communication: QMS 7.4/ EMS:7.4 /

Internal / External communication 2 1
OHSAS:4.4.3

-—
Departure Head I Director Manag; - • Representative
Prepared *By Approved By Lr.utelAySTER COPY
• •4 • NU=

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK —422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/01 REF.: QMS:7.5.1 /EMS:7.5.1/OHSAS: 4.4.4 Pages: Page 2 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Title: Table of Contents (Master List of Work Instructions)

QMS:9001: 2015,
Sr. No. of Rev.
Document No. Description EMS:14001: 2015 &
No. pages No.
OHSAS: 18001: 2007
Participation and Consultation
1. Departmental Staff
15 WI/CO/DO/PR/HSE/15 2. Inter Departmental OHSAS 4.4.3.2 1 1
3. Stake Holders / Govt. Officers

Departmental Process Mapping,

QMS : 7.5 / EMS : 7.5/
16 WI/CO/DO/PR/HSE/16 Process related risks to & desired output 2 1
OHSAS : 4.4.4
of process
Departmental Hazard Identification, risk 10 1
17 WI/CO/DO/PR/HSE/17 OHSAS 4.3.1
assessment and determining controls
Departmental Identification of
18 WI/CO/DO/PR/HSE/18 Environmental Aspects and Impacts and EMS 4.3.1 1 1
control significant impacts
QMS 9.1/ EMS:9.1, 9.1.1
19 WI/CO/DO/PR/HSE/19 Performance Measurement & Monitoring 3 1
/OHSAS: 4.5.1

Evaluation of Compliance
1) Departmental Legal & Other
EMS 6.1.3 /
20 WI/CO/DO/PR/HSE/20 requirement compliance procedure 1 1
OHSAS:4.5.2
2) Departmental customer compliance
procedure
QMS 8.7, 10.2, 6.1 & 10.3
21 WI/CO/DO/PR/HSE/21 Improvements / EMS: 10.2 / OHSAS: 1 1
4.5.3.1
QMS: 7.5.2,7.5.3 /EMS
22 WI/CO/DO/PR/HSE/22 Control of Documented Information 4 1
7.5.2,7.5.3 / OHSAS 4.5.4

QMS 8.4 /EMS 8.1 /

23 WI/CO/DO/PR/HSE/23 External Process, products and services 1 1
OHSAS:4.4.6

24 WI/CO/DO/PR/HSE/24 List of Departmental Processes QMS 7.5.1 / EMS 7.5.1 1 1

Identification of Legal and other EMS 6.1.3 / OHSAS:4.3.2

25 WI/CO/DO/PR/HSE/25 1 I
Requirement QMS:5.1 /8.2.2

Identification of Hazards and assessment

26 WI/CO/DO/PR/HSE/26 OHSAS 4.3.1 3 1
of risk

N• IIli .\,
grub
# ‘A Cam.

Depart -nt Head IMS Director Manag- . ent Representative

,
Prepared ' By Approved By
IMK-gtER COPY
ONLY IF IN RED
.-1.-

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK —422 011 ASH., M
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/01 REF.: QMS:7.5.1 /EMS:7.5.1/OHSAS: 4.4.4 Pages: Page 3 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Table of Contents (Master List of Work Instructions)

QMS:9001: 2015,
Sr. No. of Rev.
Document No. Description EMS:14001: 2015 &
No. , pages No.
OHSAS: 18001: 2007

Identification of significant Environmental

27 WI/CO/DO/PR/HSE/27 EMS 4.3.1 4 1
Aspect

EMS 6.1.3 / OHSAS:4.3.2

28 WI/CO/DO/PR/HSE/28 Evaluation of Legal Compliance 2 1
QMS:5.1 /8.2.2

EMS: 6. 2, 6.2. 1,6. 2 . 2 / 2

29 WI/CO/DO/PR/HSE/29 Setting Objectives, targets and program 1
OHSAS: 4.3.4

30 WI/CO/DO/PR/HSE/30 Waste Management EMS 6.1.2 2 1

31 WI/CO/DO/PR/HSE/31 Accident Reporting Procedure OHSAS: 4.4.2.1 2 1

QMS: 7.5.2,7.5.3 /
Emergency Preparedness & response
32 WI/CO/DO/PR/HSE/32 EMS: 7.5.2,7.5.3 / 5 1
Procedure
OHSAS: 4.5.4

33 WI/CO/DO/PR/HSE/33 Employee medical health checkup EMS: 8.2/ OHSAS: 4.4.7 3 1

QMS: 8. 2 . 2/
34 WI/CO/DO/PR/HSE/34 Work Permit System 12 1
OHSAS: 4.4.6

35 WI/CO/DO/PR/HSE/35 Master list of Formats QMS: 5.3 1 1

36 WI/CO/DO/PR/HSE/36 Master list of Checklists QMS 7.5.1 1 1

37 WI/CO/DO/PR/HSE/37 Master list of Guidelines QMS 7.5.1 1 1

i

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I/
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. II
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.A1----'
Depa ti t Head IM Director Manage nt Representative

Prepared . By Approved By
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s_ ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASH OM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/02 REF.: QMS:7.5.2 / EMS:7.5.2 , 7.5.3 Pages: Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Amendment / Revision Record Sheet

Amendment / Revision Record Sheet

Revision Date of Comments of Signature of Signature

Nature of Change IMS Director of MR
No. Issue Department Head

07 'N
Management Representative
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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/03 REF.: QMS:7.5.3 / EMS:7.5.3/ OHSAS: 4.4.5 Pages: 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Distribution List Of Documents

Distribution List Of Documents

Designation of
Related Main Procedure Type of Copy Departmental
Name of Department Details / Format / Checklist (Soft or Hard) Process Owner
All Procedures, SOP, Formats Procedures in Soft and
All Department and Work Permit system is Record in Hard All Department Heads
applicable

IP

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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK— 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/04 REF.: QMS:7.5.2 / EMS:7.5.3 / OHSAS: 4.4.5 Pages: Page 1 of 3
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Abbreviations, Terms and Definitions

Abbreviations
AA : Administrative Assistant
AGM : Assistant General Manager
BC : Business Concern
CA : Camp Administrator
D : Duration
DGM : Deputy General Manager
ED : Executive Director
EHS : Environment, Health and Safety
EIAC : Environment Impact Assessment Committee

0 FM
GM /SGM
: Foreman
: General Manager /Senior General Manager
HO : Head Office
HSE Officer : Health, Safety, Environment Officer
HSEMSM : Occupational Health Safety and Environment Management Systems Manual
I/C : In — Charge
IA : Internal Auditor
IPC : Interested Parties Concern
LC : Legal Concern
MP : Management Programme
MR : Management Representative
MSDS : Material Safety Data Sheet
OCP : Occupational Control Procedure
OHSE : Occupational Health Safety and Environment
OHSEMP : Occupational Health Safety and Environment Management Program
OHSPM : Occupational Health Safety and Environment Procedure Manual
• : Probability
PE
P : Project Engineer
PM : Project Manager
PO : Purchase Order
PPE : Personal Protective Equipment
QA : Quality Assurance
RA : Risk Assessment
RAC : Risk Assessment Committee
SC : Scale
SC : Sub Contractor
SE /SO : Safety Engineer / Safety Officer
SE : Severity •

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 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK— 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/04 REF.: QMS:7.5.2 / EMS:7.5.3 / OHSAS: 4.4.5 Pages: Page 2 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Abbreviations, Terms and Definitions

Terms and Definitions

Term Definition

A systematic independent and documented process for obtaining audit evidence and evaluating it's
objectively to determine the extent to which the Integrated Management System audit criteria set
Audit by the Organization are fulfilled.

Person with the competence to conduct an audit.

Auditor
Process of enhancing the integrated management system, to achieve improvements in overall
on ti nual integrated management system performances, in line with organization's Quality, Health, Safety
i
mprovement and Environment Policy.

Correction
Action to eliminate a detected nonconformity.

Corrective
Action to eliminate cause of a detected nonconformity.
Action
Information and its supporting medium. Document is the piece of paper giving an information /
Document evidence / procedure.

Surroundings in which an organization operates, including air, water, land, natural resources, flora,
Environment fauna, and their interrelation.

Environmental Element of an organization activities or products or services that can interact with the environment.
Aspect
Any change to the environment, weather adverse or beneficial, wholly or partially resulting from an
Environmental
organization aspects.
Impact
Source, situation, or act with a potential for harm in terms of human injury or ill health, or
"hazard combination of these.

Hazard The process of recognizing a hazard in existence and defining its characteristics.
identification
Work-related events in which an injury or ill health or fatality occurred. Or could have occurred.
Incident
Person or group, inside or outside the workplace, concerned with or affected by the Integrated
Interested
management system of an organization.
Parties
Non Non-fulfillment of a requirement as per IMS standards, Applicable Rules & Regulations & Client
conformance requirements
Identifiable, adverse physical or mental condition arising from and/or made worse by a work
Ill Health
activity and/or work-related situation.

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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK— 422 011 ASH OM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/04 REF.: QMS:7.5.2 / EMS:7.5.3 / OHSAS: 4.4.5 Pages: Page 3 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Abbreviations, Terms and Definitions

Term Definition

Goals, in terms of integrated management system (Quality, Health, Safety and Environment)
Objectives performance, that an organization sets itself to achieve

Combination of the likelihood of an occurrence of a hazardous event or exposures and the severity
Risk
of injury or ill health that can be caused by the event or exposures.

Risk The process of evaluating the risks arising from a hazards, taking into account the adequacy of any
Assessment existing controls, and deciding whether or not the risks is acceptable.

IIIII ccupational The condition and factors that affect or could affect the health and safety of employees or other
health and workers (including temporary workers and contractor personnel), visitors or any person in the
Safety workplace.

Quality means doing the right things, the right way, first time and every time.
Quality
It is degree or level of excellence.

Preventive The action to eliminate the cause of a potential nonconformity or other undesirable potential
Action situation.

...

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 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/05 REF.: QMS: 4.3/EMS: 4.3 Pages: Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Departmental Scope

HSE Department Scope

HSE work instructions, standard operation procedures, formats and checklists are applicable and
should be implemented to the following projects and offices:-

•
1) Construction of roads, bridges, industrial buildings, residential and commercial complexes,

2) Production and sale of ready mix concrete,

3) Operation and maintenance of road infrastructure project,

4) Power Transmission and Distribution,

5) Corporate Office / Division Office,

6) Camps, and

7) Toll plaza

4111!

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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOKA
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/06 REF.: QMS 4.4 & 8.4 & EMS 4.4 Pages: Page 1 of 3

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Departmental QHSE Requirement

The HSE Department shall establish, implement and maintain a procedure(s) for following standards

QMS: 9001:2015, EMS 14001: 2015 and OHSAS 18001:2007

QMS:9001:2015 Requireme EMS:14001:2015 Requiremen OHSAS:18001:2007 I Requireme

Clause nt Clause t Clause nt

1 Scope V 1 Scope V 1 Scope V

4 Context of the organization V 4 Context of the organization V 4 OH&S management V
system requirements
(title only)
4.1 Understanding the V 4.1 Understanding the V
organization and its context organization and its context
4.2 Understanding the needs 4.2 Understanding the needs
and expectations of interested and expectations of
parties interested parties
4.3 Determining the scope of V 4.3 Determining the scope of V 4.1 General requirements V
the quality management the Environment
system management system
4.4 Quality management V 4.4 Environment V 4.1 General requirements V
system and its processes management system and its
processes
5 Leadership V 5 Leadership V
5.1 Leadership and V 5.1 Leadership and V
commitment commitment
5.1.1 General V
5.1.2 Customer focus V
5.2 Policy V 5.2 Environmental Policy V 4.2 OHS policy V
5.2.1 Establishing the Quality • V V
Policy
5.2.2 Communicating the V
Quality Policy
5.3 Organizational roles, V 5.3 Organizational roles, V 4.4.1 Resources, roles, V
responsibilities and authorities responsibilities and responsibility and
authorities authority
6 Planning V 6 Planning V 4.3 Planning (title only) V
6.1 Actions to address risks V 6.1 Actions to address risks V 4.3.1 Hazard V
and opportunities and opportunities Identification, risk
assessment and risk
control
6.1.2 Environmental aspects V
6.1.3 Compliance Obligations V 4.3.2 Legal and other V
requirements
6.1.4 Planning Action V
6.2 Quality objectives and V 6.2 Environmental objectives V 4.3.3 Objectives, targets V
planning to achieve them and planning to achieve them and programme(s)
(Title only)
6.2.1 Environmental V
Objectives

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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASH0M
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/06 REF.: QMS 4.4 & 8.4 & EMS 4.4 Pages: Page 2 of 3

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Departmental QHSE Requirement

QMS:9001:2015 Requireme EMS:14001:2015 Requiremen OHSAS:18001:2007 Requireme

Clause nt Clause t Clause nt

6.2.2 Planning action to V

achieve Environmental
Objectives
6.3 Planning of changes V
7 Support 7 Support 4.4 Implementation and V
operation (title only)
7.1 Resources V 7.1 Resources V 4.4 Implementation and V
operation (title only)
7.1.1 General V

7.1.2 People V
7.1.3 Infrastructure
7.1.4 Environment for the V
operation of processes
7.1.5 Monitoring and V
measuring resources
7.1.5.1 General V
7.1.5.2 Measurement V
traceability
7.1.6 Organizational V
knowledge
7.2 Competence V 7.2 Competence V 4.4.2 Competence, V
training and awareness

7.3 Awareness V 7.3 Awareness V

7.4 Communication V 7.4 Communication V 4.4.3 Communication V
7.4.1 General V

7.4.2 Internal Communication V

7.4.3 External V
Communication
7.5 Documented information V 7.5 Documented information V 4.4.4 Documentation V

7.5.1 General V 7.5.1 General V

7.5.2 Creating and updating V 7.5.2 Creating and updating V 4.4.5 Control of V
documents
7.5.3 Control of documented V 7.5.3 Control of documented V 4.5.4 Control of records V
Information Information
8 Operation V 8 Operation (Title only) 4.4 Implementation and
operation (title only)
8.1 Operational planning and V 8.1 Operational planning and 4.4.6 Operational control V
control control
8.2 Requirements for V 8.2 Emergency preparedness V 4.4.7 Emergency V
products and services and response preparedness and
response
8.2.1 Customer V./
communication

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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOKA
Health, Safety and Environment Work Instructions

REF.: QMS 4.4 & 8.4 & EMS 4.4 Pages: Page 3 of 3
Doc. No.: WI/CO/DO/PR/HSE/06

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
i
Title: Departmental QHSE Requirement

QMS:9001:2015 Requireme EMS:14001:2015 Requiremen OHSAS:18001:2007 Requireme

nt Clause t Clause nt
Clause
8.2.2 Determination of V
requirements for products
and services
8.2.3 Review of the
requirements for products
and services
8.2.4 Changes to
requirements for products
and services
8.3 Design and development 4.4.6.1 Design and
of products and services engineering
8.4 Control of externally
provided processes, products
and services
8.5 Production and service
provision
8.6 Release of products and
services
8.7 Control of nonconforming V
outputs
9 Performance evaluation V 9 Performance evaluation V
9.1 Monitoring, measurement, V 9.1 Monitoring, V 4.5 Checking (title only) V
analysis and evaluation measurement, analysis and
evaluation
V 9.1.1 General V 4.5.1 Monitoring and V
9.1.1 General
measurement
9.1.2 Customer satisfaction V 9.1.2 Customer satisfaction V

9.1.3 Analysis and evaluation V

9.2 Internal audit V 9.2 Internal audit V 4.5.5 Internal audit V
9.3 Management review V 9.3 Management review V 4.6 Management review V
9.3.1 General
9.3.2 Management review V
input
9.3.3 Management review V
output
10 Improvement V 10 Improvement V

10.1 General V 10.1 General V 4.5.3 Nonconformity, V

corrective action and
10.2 Nonconformity and V 10.2 Nonconformity and V
preventive action
corrective action corrective action
V V
10.3 Continual Improvement 10.3 Continual Improvement

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Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/07 REF.: QMS 5.2 / EMS: 5.2/ OHSAS:4.2 Pages: Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: QHSE Policy

OHSE POLICY

We, at ASHOKA BUILDCON LTD. are committed to become an icon in infrastructure development, through
innovation, professionalism, active leadership in product quality and sustained growth by delivering value to
our customers.

We shall conduct our operations in a manner so that we protect people, property and the environment by
identifying, controlling and reducing all associated risks to a level As Low As Reasonably Practicable.

This will be achieved by :-

1. Our commitment to continual improvement of quality, environmental, occupational, health and safety
management system performance

2. Commitment to prevention of pollution, injury and ill health.

3. Complying with all applicable legal and contractual requirements.

4. Adopting state of art technology available.

5. Communicating and consulting all associated stakeholders for establishing organizational objectives.

Quality, Health, Safety and Environmental Objectives

To improve planning

To reduce customer complaints

'.. To enhance motivation of employees

'. To improve skills through training

Complying with all the statutory rules and regulations.

Minimizing Air, Land and Water Pollution and preventing injury and ill health.

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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK —422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/08 REF.: QMS 5.3 EMS: 5.3/OHSAS:4.4.1 Pages: Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Organization Chart

Organization Chart

Total : 06 CEO Projects /I MS Director

Apex Band: 00

AGM/ DGM/ GM
G Band: 00

Department Head/ Management

Representative

M Band : 01

HSE Executive/
Assistant Manager

E Band : 00

HSE Officer HSE Officer HSE Officer Environmental ISO

Road Projects Karnataka Power & RMC & GHG Specialist Co-ordinator

Project Projects

Documentation
Assistant
0 Band : 05

Staff Band : 00

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Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/09 REF.: QMS 5.3/ EMS:5.3/ OHSAS:4.4.1 Page: 1 of 7

Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Issue No: 01

Title: Resources- People: Roles, Responsibility, Accountability & Authority

Position: Managing Director Band : Apex

ACTIVITY INTERFACE WITH AUTHORITY

SR. NO.

Guiding in Policy / guidelines formation & Management Representative Approving.

1.
its approval.

Giving guideline for budget and its Management Representative Approving.

2.
approval.

Review of Safety & Environment Procedure Management Representative / Approving.

3. Manager HSE Corporate
and its approval.

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Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/09 REF.: QMS 5.3/ EMS:5.3/ OHSAS:4.4.1 Page: 2 of 7

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Resources- People: Roles, Responsibility, Accountability & Authority

Position: Manager HSE- Corporate Band : M

SR. INTERFACE WITH AUTHORITY

ACTIVITY
NO.
To conduct the HSE Workshop at various Offices H.R Department and Project Planning & Approval
1. In charge
& Sites.

To check the various Environmental Aspects and

Project In charge & HSE
2. Risks associated at particular Office & Site and Check & review
Officer
provide necessary guidance wherever necessary.

Prepare the HSE Plan for Corporate office & Project Incharge & HSE
3. Preparation & Review
guide other sites. Officer

Prepare the Onsite Emergency plan for HSE- Officer (Corporate) Preparation & Review
4.
Corporate office & guide other project site

Prepare the HSE work Instructions for Corporate Management Preparation & Review
5. Representative
office & project site

Analyzing the accident statistics for preparation Management

6. of accident data & prepare a monthly report for Representative & HSE Preparation & Review
Management Officer
Management
Prepare the Accident prevention program for six Representative & HSE Preparation & Review
7.
months & give the training for all project sites. Officer
Prepare minutes of Quarterly Group committee Manager- HSE- Corporate Preparation & Review
8.
meeting

a) Guide the Project Manager in

Environmental legal Matters. Project Incharge & HSE
9. Review & Guide
b) Guide the Project Manager in safety Officer
related legal Matters.

Guide the project site regarding Environment Project Incharge & HSE
related matters. & to obtain the licenses from Review & Guide
10. Officer
the concerned state pollution control board.

Review the Environmental Compliance Report of

Management
project site & prepare the report for Review & Guide
11. Representative
Management.

Management Representative

Issued By MASTER COPY

ONLY IF IN RED

CONTROLLED COPY
,

ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOKA

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/09 REF.: QMS 5.3/ EMS:5.3/ OHSAS:4.4.1 Page: 3 of 7

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Resources- People: Roles, Responsibility, Accountability & Authority

SR. INTERFACE WITH AUTHORITY

ACTIVITY
NO.
Evaluation of accident report & find the main
cause of accident, if any. (Disability case, injury
case or fatality). Prepare the accident alert Management
12. Review & Guide
report & present to Management with Representative & Project
recommendation Incharge

Organize the Safety Week Celebration &

Environment Day Celebration Program for project
site. Arrange various competitions during Safety Management
13. Guide & Organize
Week (4th March,lst Jan and 5th June) Representative & Project
Incharge

Make the Safety Week celebration report &

approve it from MR, Management and send it to Management
14. concerned inspectorate of Building & Representative Preparation
Construction

Visit the Offices & Sites regarding Environmental

and Safety matters and conduct Internal Audit of Management
15. system for its compliances and Report the Representative, Project Review & Guide
findings to Management. Incharge & HSE Officer

Management Representative

Issued By e
MASTER COPY
. ONLY IF IN RED _.,

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHCJI(1

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/09 REF.: QMS 5.3/ EMS:5.3/ OHSAS:4.4.1 Page: 4 of 7

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Resources- People: Roles, Responsibility, Accountability & Authority

Position : HSE Officer (Corporate Office) 0 Band : 06

SR. INTERFACE WITH AUTHORITY

ACTIVITY
NO.
To Prepare the HSE Training program as per the HSE- Manager —Corporate /
1. site specific requirement. under guideline of Preparation
Project Incharge
Manager — HSE •

Follow up with the project site Incharge / Plant

Incharge / Toll Incharge & site HSE officer for HSE- Manager —Corporate /
2. Coordination and reporting
environment significant aspect register & high Project Incharge
risk register

Follow up with the project site In charge / Plant HSE- Manager —Corporate /
3. Incharge / Toll Incharge & site HSE officer for Coordination and reporting
Project Incharge
environmental & safety legal compliance.

Co-ordinate with the site HSE officer for

resolving the health , environment & safety HSE- Manager —Corporate /
4. Coordination and reporting
matters & prepare report for remedial Project Incharge
measures.
Follow up with the site HSE officer for monthly
3rd HSE- Manager —Corporate /
HSE report. Site HSE report should reach by Coordination and reporting
5. Project Incharge
day of every month before the closing of duty
hours.

Guide site HSE officer for procuring of safety HSE- Manager —Corporate / Coordination, Guide and
6 Project Incharge reporting
personal protective equipment (PPE).

Prepare schedule for the safety week HSE- Manager —Corporate / Preparation, Coordination,
7. competition for various project sites & inform Project Incharge Guide and reporting
project sites for topic / theme.

Prepare HSE Internal Audit Schedule for project HSE- Manager —Corporate / Preparation, Coordination,
8. Project Incharge Guide and reporting
site & Inform the site in advance.

Follow up for compliance status of HSE Audit & HSE- Manager —Corporate / Coordination, Guide and
9. Project Incharge reporting
prepare report according to compliance

Follow up for Medical Examination Reports & HSE- Manager —Corporate / Coordination, Guide and
10. Project Incharge reporting
Completion, Prepare the Summary report

Management Representative

Issued By SIN ,
MASTER COPY
ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

REF.: QMS 5.3/ EMS:5.3/ OHSAS:4.4.1 Page: 5 of 7

Doc. No.: WI/CO/DO/PR/HSE/09

Issue Date:30"' July 2016 Rev. No.: 00 Revision Date: 30 m July 2016
Issue No: 01

Title: Resources- People: Roles, Responsibility, Accountability & Authority

Position : (Site- HSE Officer / Executive (Projects)) Band : 0

INTERFACE AUTHORITY
SR. ACTIVITY WITH
NO.
Handling all the matters with the officials of the following department
a) State Pollution Control Board
b) Inspectorate of Building & Construction
c) Inspectorate of Explosive Discuss, guide &
1. d) National Highway Authority Guideline cell Report
e) Police Department Project
f) Hospitals & Ambulance Nearby Project area Incharge
k) District Emergency Control Room
Municipal corporation / Nagar Palika Fire Fighting Service station.
Guide the Project Manager in Environmental & safety related Legal Discuss, guide &
Project Report
2
. Matters Incharge
State Pollution Control Board
• Identify the list of Machines which needs the consent to operate
permission
• Verify the list of machines with Project Manager & Manager HSE
Corporate
• Application from to be first approved by HSE Manager Corporate Discuss, guide &
3. • Apply for first Consent to establish with prescribed fee structure. Report
Project
• After getting the consent to Establish,
Incharge
• Report the State pollution control board for stage wise installation
of Machines with pollution control equipment.
• According to Installation Strategy, Apply for the Consent to
Operate. With prescribed fee structure.
Follow up for the Consent to Operate Licenses
State Pollution Control Board
• After getting the Consent to operate. Make strategy for the
compliance of every clause given in the consent. Discuss, guide &
4. • Make action plan, consent to operate under water act Report
Project
• Give action plan for the compliance of consent clause to Manager
HSE — Corporate. Incharge
• After approving action plan, Submit to SPCB
Give the HSE awareness training to employee (contract employee on Discuss, guide &
card basis) after getting the formal information from the HR / Admin Project Report
5.
department. Incharge
Guide &
Daily safety observation tour, workplace monitoring, safety findings to Project Reporting
6. be recorded and informed to site project manager Incharge

Monthly HSE Report sending to be sent HSE- Corporate Manager Project Preparation and
7. Incharge communication
before 3"1 day of every month
Visit the site, Identify the unsafe condition & unsafe behaviors Project Guide &
8. .. Incharge Reporting
Record it in the Safety Observation Tour format,

Management Representative

Issued By
MASTER—COPY 14..
ONLY IF IN RED
„_.....

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

REF.: QMS 5.3/ EMS:5.3/ OHSAS:4.4.1 Page: 6 of 7

Doc. No.: WI/CO/DO/PR/HSE/09

Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Issue No: 01

Title: Resources- People: Roles, Responsibility, Accountability & Authority

INTERFACE
SR. ACTIVITY AUTHORITY
WITH
NO.
Report to Project Manager & HSE Manager Corporate
Plan for the Safety observation tour once in month, Safety Audit as per Conduct &
Project reporting
9. requirements and Report the finding to the Project Manager & Incharge
Manager HSE- Corporate
Project Conduct &
10. To Conduct the HSE Training on various working aspects. Incharge reporting
Conducting Safety Committee Meeting including preparation of Conduct &
agenda, near miss & accidents reports & forward to Corporate Office Project Report
11.
Incharge
before 3`d of every month.
Review and
In case of any accident happens on site immediate reporting to be
done to Project Incharge & Corporate Manager HSE, do the accident Project report
12. investigation & fill in the Accident Investigation format & send it to Incharge
Manager HSE Corporate within the 24 hours

Management Representative

Issued By

ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

REF.: QMS 5.3/ EMS:5.3/ OHSAS:4.4.1 Page: 7 of 7

Doc. No.: WI/CO/DO/PR/HSE/09

Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Issue No: 01

Title: Resources- People: Roles, Responsibility, Accountability & Authority

Position: Environmental & GHG Specialist Band: 0

SR. ACTIVITY INTERFACE WITH AUTHORITY

NO.

Co-ordination , Data Collection and preparation of

Collect,
Diesel Reconciliation data & Electricity HSE- Manager —Corporate /
consumption Report from all the sites / all the Coordinate &
1. Management Representative
divisions for Carbon Emission Reduction of the Preparation
Company
HSE- Manager —Corporate / Communicate &
Communication with site, Corporate office Coordinate
Management Representative
2. regarding HSE requirements and provision of
data to site & corporate safety officers.
Preparation of Monthly HSE Reports, Site Visit HSE- Manager —Corporate / Preparation &
3. Presentations , Preparation of closer reports for Management Representative Submission
Internal Audit/ MRM and its record
Record
Keeping all the data of Training, Memorandum HSE- Manager —Corporate / Updating
4. issued to site in hard and soft form for all HSE Management Representative
reports /presentation I

Management Representative

Issued By
MASTER COPY
ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/10 REF.: QMS:8.2.2 / EMS 6.1.3 / OHSAS:4.3.2 Page 1 of 2

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Compliance Obligations

Legal and Regulatory Requirements and Applicable International Standards

Company and its SPV, EPC, Sub-contractors are governed by the various legislative rules and
regulation set by Ministry of Environment and Forest (MOEF) and concerned pollution control boards.
Applicable rules and regulation for road project

A. MOEF Requirement Road construction — EIA Report & Environment clearness from MOEF

B. Environment Protection Act: 1986

C. The Water (Prevention & control of pollution) Act, 1974

D. The Water (Prevention & Control of pollution) Cess Act, 1977, including rules, 1978

E. The Air (Prevention & control of pollution) Act, 1984

F. The Hazardous Waste (Management & Handling) Rules, 2000

G. Manufacture, Storage & Import of Hazardous Chemicals Rules, 1989

H. Forest clearance for tree cutting (Local, State and Center if required)

I. Local authority or Grampanchyat permission for establishment of plant

J. District Industry Center permission for industry

K. Factory Act: 1948 (Crusher, HMP, RMC & CRMB) Plant Establishment.

L. State Factory Rule (Director of Industrial Safety and Health requirement)

M. Building and Other Construction worker Act 1996.

N. The Mines & Minerals Act, 1957 and

I
0. Mineral Concession Rules, 1960
I
P. Land acquisition Rule-1998

Q. Petroleum Rules, 1976 (Petroleum & Explosive Department)

R. The Indian Electricity Rules, 1956

S. Batteries Act, 1989

Management Representative 1
f, —7,
Issued By MASTER COPY

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/10 REF.: QMS:8.2.2 / EMS 6.1.3 / OHSAS:4.3.2 Page 2 of 2

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Compliance Obligations

The contents of the environment, safety and social reporting system have been designed to meet the
documentation requirements of above applicable Indian & International standards as applicable as
per prevalent law in India i.e. performance standards on social and environmental sustainability and
general environmental, health and safety guidelines of IFC performance standards as described below

;,.. PS1 — Social and Environmental Assessment and Management System

PS2 — Labour and Working Conditions;
',.. PS3 — Pollution Prevention and Abatement;
PS4 — Community Health, Safety and Security;
PS5 — Land Acquisition and Involuntary Resettlement;
PS6 — Biodiversity Conservation and Sustainable Natural Resource Management;
PS7 — Indigenous Peoples; and
PS8 — Cultural Heritage;
Environment, Health and Safety -General Guidelines of IFC;
IFC EHS Guideline for Toll Roads.

Company has defined environmental management system as per the provisions of ISO 14001 and
OHSAS 18001. The developed system will help environmental and safety related as required by the
international standards.

Management Representative

Issued By e MASTER COPY

ONLY IF IN RED

CONTROLLED COPY
 (1)
HOKABUILDCON LTD, ASHOKAHOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422011 ASHOM
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 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 I ASHOM
Health, Safety a nd Environment Work Instructions

Doc. No. : WI/CO/ DO/ PR/ HSE/ 12 REF. : QMS 7. 2 / E MS7.2 & 7.3/OHSAS 4.4.2 Pages: Pal;e 2 of 3
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- Knowledge of Construction Safety
- Knowledge of Emergency preparedness plan - Tra inings to Site sta ff for safety culture
Establish Safe Site visit for implementation

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- Knowledge of Accident Investigation - Reduction in own employee a ccident
Working culture of safety culture
- Knowledge of QMS, EMS, OHSAS & GHGStandards - Accident Investigation

- Knowledge of HSE relatedLegalRequirements like BOCW,

HSE Legal Factory Act, Environment Rules a nd other construction - LegalCompliance of HSE ru les a nd
To comply with applica ble

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Compliance of related acts regulations
Site legal req uirement
- Conduct meetings for legal compliance

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Management - Data Collection a nd preparation of monthly a nd quarterly

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Reporti ng reports
Management

CONTROLLED COPY
Ensure complia nce to
systems a nd processes in
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Orientation - Conducting safety ca mpaign
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Bui ldknowledge in niche
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Orientation innovations a nd competitive - Awareness of new software's.
knowledge
 0
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ASHOKACONCESSION LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKANAGAR, NASHIK — 422 0 11

1
Health, Safety and Environment WorkInstructions

Doc. No. : WI/ CO/DO/PR/ H SE/ 13 REF. : QM S 7.2 & 7.3/ E MS7.2 &7. 3 / OHSAS 4.4.2 Pages: 2 of 2
m th
Issue No: 01 Issue Date: 30 July 2016 Rev. No. : 00 Revision Date: 30 July 2016

Title: FunctionalCompetency Matrix

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Competency Defin ition Knowledge/ Skil ls Application

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Collection of Monthly
Knowledge of Hazard Identification &RiskAssessment - Preparation of monthly report
Site Safety Data, follow up with Site
Knowledge of Environmental Aspect & Impact - Improvement in site safety
Monitoring safety officers,

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Knowledge of Legal regulations, IRC, EMS, OHSAS Road safety awareness
Standard

Knowledge of Construction Safety Trainings to Site sta fffor safety culture

Site visit for
Establish Safe Knowledge of HSE related Legal Requirements - Compliance of Statutory &legal

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implementation of safety
Working culture Knowledge of Accident Investigation req uirement
culture
Knowledge of Q MS, EMS, OHSAS &GHG - Reduction in own employee accident

CONTROLLED COPY
Trained the employees
Emergency
and - Ensure emergency preparedness at
Preparedness a t Knowledge of Emergency preparedness plan a nd

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Handle emergency Corporate offi ce a nd site
Site &Corpora te Emergency handling
Office situation at Corporate
Office & site

Ma nagement Representative
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011

Health, Safety and Environment Work Instructions

Pages: Page 1 of 1
REF.: QMS 7.4/ EMS:7.4 / OHSAS:4.4.3
Doc. No.: WI/CO/DO/PR/HSE/ 14 Revision Date: 30th July 2016
Rev. No.: 00
Issue Date:30th July 2016
Issue No: 01
Title: Communication- Internal/ External Communication

Communication: d
management shall ensure that appropriate communication processes are established within the Department an
Top
that communication take place regarding the effectiveness of the Integrated Management System.

With regards to Integrated Management System, the department shall established, implement and maintain a

procedure(s) for:
Internal communication among the various levels and function of the department.
a) Communication with contractors and other visitors to the work place.
b) Receiving, Documenting and responding to relevant communication from external interested parties.
c) element
ge of information is a key
exchanution
An effective and formal process to ensure the proper flow and HSE exec
to any well-managed organization. It is particularly critical to ition, the
n. In addsure
communicating expectations, performance and risk throughout the organizati successful HSE
d help en
will
organization's ability to effectively communicate and involve the workforce
programs and culture.
ternal
Both internal and external communication channels must be effectively established. In ternal stakeholders
engage key
communication is critical to success. A sound and consistent process to
will ensure the accuracy and effectiveness of external communication.

Internal Communication: Pro ject sites via. Inter

Internal Communication is done with Inter Departmental and Departments of all Review Meeting Plan and
1. Office Communication, Internal Audit plan and Internal Audit Report, Management
its MOM, HSE Meeting Plan and its MOM and HSE Training and etc. a Versa.
-
The Internal Communication flows from Upper Level to Lower Level and Visa
2. Internal Communication should be communicated from the Communicator to Receiver with understandable
3.
language/ with a clear objective and purpose.
Inter Departmental and project site Communication should be carried through Departmental and project
4.
Head.

External Communication:
Autho
HSE Department's External Customer are National Safety Council, National Highway
1. and External Au
roval of concerned project Incharge/ project
All External communication should be carried out after the app
2.
director.
3. The Acknowledgment copy of External communication (soft or hard) should be kept properly at site.

Management Representative
MASTER COPY
Issued By

CONTROLLED COPY
 eN
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASH %,, M
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/15 REF.: OHSAS 4.4.3.2 Pages: Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Participation and Consultation

Participation and Consultation:

The Department shall establish, Implement and maintain a procedures(s) for:

a) The participation of workers by their:

:- Appropriate involvement in Hazard identification, risk assessments and determination of

controls;

Appropriate involvement in incident investigation;

Involvement in the development and review of HSE policies and objectives;

-.• Consultation where there are any changes that affect their Department.

:- Representation on HSE matters.

b) Working shall be informed about their participation arrangements, including who is their representative(s)
in HSE matters.

c) Consultation with contractors where there are changes that affects their HSE Management System.

d) The Department shall ensure that, when appropriate, relevant external interested parties are consulted
about pertinent HSE matters.

1) HSE Department should plan HSE meeting at project site which have a pre-planned agenda.

2) Each Departmental Heads are committee member of HSE Committee and Every month site HSE
i Officer is conducting HSE Committee meeting and discussing HSE issue in meeting.

ioi
Management Representative
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[ REF.: OHSAS4.3.1 'Pages :Page 1 of 4

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Health, Safety & Environment ( HSE) WorkInstructions
Doc. No. : WI/ CO/ DO/PR/ HSE/ 17 REF. : OHSAS 4.3.1 Pa •es :Page 1 o
Il Issue Date: 30th July 2016 'Rev. No. : 00 Revision Date : 30thJuly 2016
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ASHOKA BU1LDCON LIMITED, ASHOKA HOUSE, ASHOKA MARG, NASHI K - 4 22009 ASHOK/I
Hea lth, Safety & Environment (HSE) WorkInstructions
Doc. No.:W I/CO/DO/ PR/ HSE/ 17 rR EF. : OHSAS4.3.1 ] Pages :Page 1 of 4

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ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/19 REF.: QMS 9.1/EMS:9.1,9.1.1 /OHSAS: 4.5.1 Pages: Page 1 of 2

Issue No: 01 Issue Date:301h July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: HSE Performance Measurement & Monitoring

1) Environmental Performance:

The Project site Environmental performance shall be monitored, measured and verified by the Govt.
Approved and accredited Environmental Laboratory. Every quarter each project site should carried out the
Environmental Analysis (Water, Air and Noise) as per following environmental testing matrix.

Monitoring of Environmental Parameters:-

Sr. No Description of Parameters Schedule and duration of monitoring

1. Ambient Air Quality (SPM, RPM, CO, SO2, NOx)

1A During construction phase , Over 24 hours continuous duration,
In the project camp boundry - Four Samples from South, North, East and west Frequency :- quarterly basis - Total five samples
sides : One sample near admin and project office.
IB During construction phase & operation phase, Over 24 hours continuous duration,
Village, Urban area, Signal etc frequency :- quarterly basis - One Sample
1C During operation phase - At Toll plaza surrounding area Frequency :- quarterly basis One sample
10 During operation phase - At Suitable Intersection Frequency :- quarterly basis One sample
2. Ambient Noise
During construction phase, In the project camp boundry - Four Samples from I Over 24 hours continuous duration,
South, North, East and west sides : One sample near Admin and proejct office. Frequency :- quarterly basis - Total five samples
2B During construction phase & operation phase, Over 24 hours continuous duration,
Village, Urban area, Intersection (Signal) etc Frequency :- quarterly basis - One sample
2C During operation phase - At Toll plaza surrorunding area Quarterly basis - One sample
2D DG Set (Above 50 KVA ) Quarterly basis - One Sample
2E During construction phase , Crusher Quarterly basis - One Sample
2F During construction phase , HMP Plant Quarterly basis - One Sample
2G During construction phase , WMM Plant Quarterly basis - One Sample
2H During construction phase , RMC Plant Quarterly basis - One Sample
7
21 CRMP Plant Quarterly basis - One Sample

L_ 3. Stack Monitoring (PM, CO, $02, NOx) During construcion phase,

_.
3A DG Set ( Above 50 KVA ) i Quaterly basis - One Sample
3B Hot Mix Plant - Stack Quaterty basis - One Sample
4. Water quality (pH, Odour, TDS, TSS, O&G, Sulphide, Sulphate, COD, BOD and O&G, Heavy Metals etc)
During construction phase,
11
4A RMC Waste water and Treated water , Quaterly basis- One Sample
48 Down stream of Camp-Leachet Quaterly basis - One Sample
5.Drinking Water quality as per WHO Standard, During construcion phase, During construcion phase
5A Labour camp ' Monthly basis - One Sample
i
5B , Project camp and Office Monthly basis - One Sample
6.Soil Quality (pH, Alkalinity, Acidity, Sulphite, C, N, P, K etc) During construcion phase
6A Labour camp Half yearly - One Sample
, Project camp and Office Half yearly - One Sample 1

Management Representative
1
1. MASTER COPY
Issued By
ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
eN M
ASHki
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/19 REF.: QMS 9.1/EMS:9.1,9.1.1 /OHSAS: 4.5.1 Pages: Page 2 of 2

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: HSE Performance Measurement & Monitoring

1) Departmental accident, incident & near-miss rate:

The HSE Department will monitor and measure departmental performance on a regular basis.
following parameter are key performance indicator:-

Responsibility:- Site HSE Officer and Reporting it to Corporate Office.

a. Safe man-hour's,
b. Hazard identification & risk control,
c. HSE training in man-hours or per Month,
d. Near miss, incidence, accidents,
e. HSE alert System

• Sample copy of HSE Performance is a below;-

Fatality (Both are MVA on Road and involvement

of Road User)

0 Medical Treatment

1 First Aid Cases

4 Near Misses

Total:- 185
Hazard Identified & Control
( Period Jan-2012 to Feb-2013)

Total : 599 Employees Trained HSE Training Employees

( Period Oct-2012 to Feb-2013) Trained by ACL- HSE -CO

Total : 465 Tool Box Talks Conducted

Number of Tool Box
( Period Jan-2012 to Feb-2013)
Talk
Total Man-hours : 7.66 Million
Safe Man-hours : 1.56 Million 'Overall Project Man-
( Period Julyto
-2012 Feb-2013) hours,
Ast-

Management Representative N
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 1 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/20 REF.: EMS 6.1.3 /OHSAS:4.5.2 Pages: 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Evaluation of Compliance

EVALUATION OF COMPLIANCE

1) Departmental Legal & Other requirement Compliance procedure: Consistent with its commitment to
compliance from the department shall established, implement and maintain a procedure(s) for periodically
evaluating compliance with applicable legal requirement.

The Department shall evaluate compliance with other requirement to which it subscribes. The Department
may wish to combine this evaluation with the evaluation of legal compliance referred to establish a separate
procedure(S).

The Department should be able to demonstrate that it has evaluated compliance with the legal requirement
identified, including applicable permits or licenses.

The Department should be able to demonstrate that it has evaluated compliance with the other identified
requirement to which it has subscribed.

2) Departmental Customer compliance procedure:

Determination of Customer requirements: The department shall determine

a) Requirements specified by the customer, including the requirements for delivery and post-delivery activities,

b) Requirements not stated by the customer but necessary for specified or intended use, where known,

c) Statutory and regulated requirements applicable to the product, and

d) Any additional requirements consider necessary by the department.

3) Review of customer requirements: The department shall review the requirements related to the
customer. This review shall be conducted prior to the department's commitment to full fill the customer
requirement. And shall ensure that

a) Customer requirements are defined,

b) Contract or order requirement differing from those previously express are resolved, and

c) The department has the ability to meet the defined requirement.

d) Records of the results, of the reviews and action arising from the review shall be maintained

Where the customer provides no documented statements of requirement, the customer requirements shall be
confirmed by the department before acceptance.

Management Representative
,
Issued By
MASTER COPY
nnity IF IN RFD

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

REF.: QMS 8.,

7 10.2, 6.1 & 10.3 /EMS: 10.2 /
Doc. No.: WI/CO/DO/PR/HSE/21 Pages: Page 1 of 1
OHSAS: 4.5.3.1
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Improvement

IMPROVEMENT

CORRECTIVE ACTION AND PREVENTIVE ACTION

The Department has a procedure(s) for dealing with actual and potential nonconformity(ies) and for taking
corrective action and preventive action and procedure as given below

1) Use appropriate sources of information for corrective and preventive action as listed below:

a) Internal / External Audit NCR / Observations

b) Quality, Safety & Environmental Objectives

c) Customer Complaints

2) Decide on the steps needed to be taken to deal with potential Non Conformity to be prevented.

3) Initiate preventive action application of control so that the action becomes effective.

4) Monitor the actions taken to find whether desired action is taking place.

5) Submit the relevant actions / closure report of NCR/Observation to MR within 10 days.

Management Representative
MASTER COPY
Issued By
ONLY IF IN RED
•

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKAHOUSE,ASHOKAMARG,ASHOKA NAGAR, NASHIK— 4220 11
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Health, SafetyandEnvironmentWorkInstructi ons
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 ASHOKABUI LDCONLTD, ASHOKAHOUSE,ASH OKAMARG,ASHOKA NAGAR,NASHIK — 4220 11 IASHOM

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MASTER COPY
ONLY IF I N RED
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOKA
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/23 REF.: QMS 8.4 / EMS 8.1 / OHSAS:4.4.6 Pages: Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: External Process, products and services

External Process, products and services

The Department shall ensure that purchased product conforms to specified purchase requirements. The type and
extent of control applied to the supplier and the purchased product shall be dependent upon the effect of the
purchased product on subsequent product realization or the final product.

The Department shall evaluate and select suppliers based on their ability to supply product in accordance with the
Department's requirements. Criteria for selection, evaluation, and re-evaluation shall be established. Records of the

• results of evaluations and any necessary actions from the evaluation shall be maintained.

Purchasing Information:

Purchasing information shall describe the product to be purchased, including, where appropriate,

a) Requirements for approval of product, procedures, processes and equipment,

b) Requirements for qualification of personnel, and
c) Quality management system requirements.

The Department shall ensure the adequacy of specified purchase requirements prior to their communication to the
supplier.

Verification of purchased product:

The Department shall establish and implement the inspection or other activities necessary for ensuring that purchased
product meets specified purchase requirements.

• Where the Department or its customer intends to perform verification at the supplier's premises, the Department shall
state the intended verification arrangements and method of product release in the purchasing information.

Management Representative

Issued By
MASTER COPY
ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Pages: Page 1 of 1
Doc. No.: WI/CO/DO/PR/HSE/24 REF.: QMS 7.5.1 / EMS 7.5.1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: List of Departmental Procedure

Sr. Identification code for

Description of Procedure Rev. No & Date
No. Procedure

Identification of Legal and other Issue -01 Date: 30th July 2016
1 WI/CO/DO/PR/HSE/25
Requirement Rev. No.-00 Date: 30th July 2016

Identification of Hazards and Issue -01 Date: 30th July 2016

2 WI/CO/DO/PR/HSE/26
assessment of risk Rev. No.-00 Date: 30th July 2016

Identification of significant Issue -01 Date: 30th July 2016

3 WI/CO/DO/PR/HSE/27
Environmental Aspect Rev. No.-00 Date: 30th July 2016

Issue -01 Date: 30th J uly 2016

4 Evaluation of Legal Compliance WI/CO/DO/PR/HSE/28
Rev. No.-00 Date: 30 th July 2016

Setting Departmental Objectives, Issue -01 Date: 30th July 2016

5 WI/CO/DO/PR/HSE/29
targets Rev. No.-00 Date: 30th July 2016

Issue -01 Date: 30th J uly 2016

6 Waste Management WI/CO/DO/PR/HSE/30
Rev. No.-00 Date: 30th July 2016

Issue-01
.- Date: 30th J uly 2016
7 Accident Reporting Procedure WI/CO/DO/PR/HSE/31
Rev. No 00 Date: 30th July 2016

Emergency Preparedness & response Issue -01 Date: 30th July 2016
8 WI/CO/DO/PR/HSE/32
Procedure Rev. No.-00 Date: 30th July 2016

Issue -01
.- Date: 30th J uly 2016
9 Employee medical health checkup WI/CO/DO/PR/HSE/33
Rev. No 00 Date: 30th July 2016

Management Representative

Issued By MASTER COPY

CrtstLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASFIC)KA
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/25 REF.: EMS 6.1.3 / OHSAS:4.3.2/QMS:5.1 /8.2.2 Pages: 01 of 01

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Identification of legal & OTHER REQUIREMENTS

To provide a system whereby all relevant environmental legislation relating to the

Ashoka concessions ltd is identified, examined and evaluated, to determine the re-
PURPOSE
quirements for the site. In addition, any applicable policies, documents or codes are
included.
The record of environmental legislation excludes health and safety details except,
where there is a clear interface with environmental issues.
SCOPE
Other policy commitments and industry codes are included, where Relevant.

Manager HSE (Corporate) is responsible for collecting the Information.

Project manager is responsible for ensuring that legal Compliance is maintained on the
RESPONSIBILITY
site.

0 REVIEWED BY Manager HSE - corporate

APPROVED BY Management Representative

Health safety environment

Manager - Corporate

Sources of legislation Identification Other requirements policies

(sources: legal books, cd's, of legal & Codes of practices
web sites Other ABL's requirements
Gov. Notifications Requirements

HSE manager completes list Of legal & other

/ Requirement Env. & safety

1
i

Updated legal and other

Requirements in the format

e, '"1
Management Representative
MASTER COPY
Issued By ONLY IF IN RED
9

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOK1

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/26 REF.: EMS 6.1.3 / OHSAS:4 3.2/QMS:5.1 /8.2.2 Pages: Page 1 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title : Departmental Hazard Identification, risk assessment and determining controls

To provide a system whereby all hazards associated with activity are identified, examined &
PURPOSE evaluated. To determine those are Siginficant.
All operations at ashoka concessions ltd, ( road & infrastructure construction, rmc plant,all
SCOPE divisional offices, toll

RESPONSIBILITY Project managers / incharge / toll incharge / rmc plant incharge

REVIEWED BY Manager HSE — corporate

APPROVED BY Management Representative

, -N
Identify activities, products
and services for the business

,I
Consider :
• Fire Hazard
• Slip & trip hazard
Decide the interactions with
• Falling from height
the hazards activity
• Electrical hazard
• Housekeeping &
storage
Natural calamity flood,
Initial Hazard review Risk 1
Emergency release of
assessment by HSE Manager prepares gases
independent organizations submission analysing
Observations by staff information
members site inspections
by ACL's staff,
Articles from technical
press review of internal
audits findings, analysis of
non-compliances, analysis Discuss at quarterly Discussion /
of complaints, feedback working group meeting Minutes / Output
from Regulatory bodies,
feedback from suppliers &
customers any other
sources.

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/26 REF.: EMS 6.1.3 / OHSAS:4.3.2/QMS:5.1 /8.2.2 Pages: Page 2 of 3

Issue No: 01 1 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title : Departmental Hazard Identification, risk assessment and determining controls

i .
/ Si gnificance criteria :
• Any aspect subjected
to legislation or
regulation
• Any aspect identified
Establish significance (HSE by the group ACL as
Manager to provide a provisional I t
Significant
identification of the significance 4-1
• Any aspect which has
---
I been the subject of
the complaint
‘.,..... ..____
_..4•1
I
Create / update the All other Risks are 1
significant Risk list classified as non significant

, I

At least once a year the HSE Manager will receive the

significance criteria and make recommendation to the
Concerned Project/ Plant/ Toll station

.......

--,
( Review quarterly 1 j

Management Representative .iN /, s

MASTER COPY
Issued By ONLY IF IN RED
\,.. 1,,
A/

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/26 REF.: EMS 6.1.3 / OHSAS:4.3.2/QMS:5.1 /8.2.2 Pages: Page 3 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title : Departmental Hazard Identification, risk assessment and determining controls

RISK RANKING MATRIX

Identification of hazards, assessments of risks and implementation of controls
RISK ANALYSIS MATRIX

RISK RATING
Severity(S) Probability(P)
Rare 1 Exceptional P or > = Year 1
Unlikely 2 Exceptional P or >= Month 2
, Likely 3 < a month or > =daily 3
Almost Certain 4 < daily but > = hour 4
I, <Hourly 5

12 16 20

Z 12 15
•c
ev
10

Probability

Colour code
Colour Range Risk Level
16 to 20 HIGH IMPACT RISK - Must implement extensive risk control.
10 to 15 MODERATE RISK - Conduct formal risk analysis, may require control.
9 LOW RISK - Some risk controls may still be justified.

Format for Risk Register is FR /CO /DO /PR / HSE /03

f., ...
Management Representative
MASTER COPY
Issued By ONLY IF IN RED
1

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/27 REF.: EMS 6.1.2 Pages :Page 1 of 4

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Departmental Identification of Environmental Aspects and Impacts and control significant impacts

To provide a system whereby all enviromental aspects are identified, examined & evaluated.
PURPOSE
To determine those are siginficant.
Ashoka Concessions Ltd, (Corporate Office, Divisional offices, Road & Infrastructure Projects,
SCOPE All toll operations )

RESPONSIBILITY Project managers / toll incharge

REVIEWED BY Manager HSE — corporate

APPROVED BY Management Representative

( Identify activities, products 1

, and services for the business )
I ._

, Consider :
, • • Releases to air
;" Decide the interactions with • Releases to water
the environment • Releases to land
0 ,, • Contamination of land
iiii/. ,// .... x /, e/ / A( or. / 4009h
-— • Use of natural
Initial Environmental I
N , resources
r.; .
review Environmental • Nuisance
'
assessment by
independent organizations HSE Manager prepares ! —
Observations by staff submission analysing
' members site inspections information_
IN
.• by ACL's staff, -- —
•• Articles from technical
:'press .
.• review of internal audits ,
findings, analysis of non . ,%, Discuss at quarterly working
"?. compliances, analysis of group meeting with respect to ,c Significance criteria
.4.
complaints, feedback from Work Instruction & •
Any aspect subjected
12elaulatory bodies, Responsibilities to legislation or
v/ regulation
//////y ; z f //way r•
I • Any aspect identified
.r
by the group ACL as
Establish significance (HSE Significant
Manager to provide a provisional _
„..._..,9 • Any aspect which has
identification of the significance)
been the subject of
_..,
_the complaint

0
•

Management Representative r,
\ MASTER COPY
Issued By ONLY IF IN RED
..%

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 eN
ASFki M
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/27 REF.: EMS 6.1.2 Pages :Page 2 of 4

Issue No: 01 Issue Date: 30th July 2016 rev. No.: 00 Revision Date : 30th July 2016

Title : Departmental Identification of Environmental Aspects and Impacts and control significant impacts

Create / update the All other aspects are

1' significant aspects list classified as non significant
tl

At least once a year the HSE Manager

will receive the significance criteria
and make recommendation to the
PIC
:•:

Review quarterly

SIGNIFICANT ASPECTS SECTIONS

Section 1: Release to Air

Section 2: Release to Water
Section 3: Release to Land
Section 4: Raw material & Natural Resource
Section 5: Use of Energy
Section 6: Energy Emitted-Heat,Vibration,Noise etc. (Nuisance)
Section 7: Waste & by products
Section 8: Physical Attributes-Size,Colour,Appearance etc.

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/27 REF.: EMS 6.1.2 Pages :Page 3 of 4

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Departmental Identification of Environmental Aspects and Impacts and control significant impacts

Quantification system for Environmental Aspects under Normal, Abnormal & Emergency Condition
A B C
Legislation: Impact: Occurrence:
Score Criteria Score Criteria Score Criteria
Y Meeting Legislation 3 Several Time A Day or Continuous
Pl. refer for score &
description for different 2 Once A Day
N Not Meeting legislation types of impacts in the
following pages
1 Once A Month or less Frequent
NA No Legislation or not
applicable

D E
Control : Detection :
Score Criteria Score Criteria
3 Absence of Effective Control 3 Above 1 hour
2 Mechanism in Place But Not Reliable 2 Within 1 hour
1 Available And Effective 1 Immediately

Formula: Total Score 'F' =BxCxDxE

Logic for Scoring — Resource Wastage
3 Wastage of Resource = 1
2 Wastage of Resource = 0.5 % to 1%
1 Wastage of Resource = 0.5 Wo

Logic for Scoring — Air Pollution

• Health hazard to human being causing acute respiratory problems, asphyxia & ultimately death
• Effect on vegetation causing immediate reduction in photosynthesis & thereby reducing growth and
3
productivity in long term & sign of visual injury

• Uncomfortable working condition causing breathing problem & nausea.

2 • Chronic effect on vegetation thereby affecting productivity on a long- term basis.

• Slight/negligible impact on human health, which does not have any long-term consequences.
1 Dust accumulation/air pollutants, which do not cause much pronounced changes in productivity of
vegetation.

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011
ASH OM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/27 REF.: EMS 6.1.2 Pages :Page 4 of 4

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Departmental Identification of Environmental Aspects and Impacts and control significant impacts

Logic for Scoring - Water Pollution

• Water contamination causing toxic effects on fishes.
3 • Immediate reduction in photosynthetic rate of plants, thereby affecting productivity.
• Water contamination due to disposal of heavy metals
• Water contamination causing reduction in photosynthesis thereby affecting productivity of plants
2
as long- term effects.
1 • Apparently contaminated water not causing any serious effect on vegetation.

Logic for Scoring - Noise Pollution

3 • Permanent shift in the threshold of audibility, Persistent irritability, Sleep disturbance
I
2 • Temporary shift in the threshold of audibility, Headaches, Irritability, Restlessness.
1 • Temporary Irritation

Logic for Scoring - Land Contamination

• Toxic chemicals/heavy metals/non-biodegradable substance, which damages the soil flora and so
much so that (the ecological resilience is hampered) or it cannot come back to its original.
3
• A Toxic/non-biodegradable chemical, which reaches nearby water body or water - table through
percolation & thereby reduce the plank on productivity & count.
• Uptake of toxic/heavy metals by plants through root due to percolation of contaminates in to soil
2
system thereby affecting productivity on a long terms basis
• Land contamination, which does not have any short terms & long term implication on soil flora &
1
fauna

No Parameter Criteria
1 Legal non compliance High Significant
2 When activities score is 4 arid above High Significant
3 When activities score is 3 and above Moderate Significant
4 When activities score is 2 and above Low Significant
5 When activities score is 1 No significant
6 When the impact is 3 and more High Significant

Format for Environment Aspect & Impact Register is FR /CO /DO /PR / HSE /01

Management Representative ee -Z.

MASTER COPY
Issued By ONLY IF IN RED
,.. .."

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASH OM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/28 REF.: QMS:5.3, 6.1/ EMS 6.1.3 / OHSAS:4.3.2 Pages :Page 1 of 1
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title : EVALUATION OF LEGAL COMPLIANCE

PURPOSE To ensure that ashoka concessions ltd,is able to demonstrate legal compliance on
enviromental issues.

SCOPE All activities with a legal requirement on the project site of ashoka concessions ltd, nasik

RESPONSIBILITY Internal enviromental auditors, supervisors, project managers

REVIEWED BY Manager HSE - corporate

APPROVED BY Management Representative

AUDIT

AUDIT SHEDULED
..__

___.-------„,

ROUTINE <----- EVALUATE --'-----''"---- SYSTEM

ACTIVITY PERFORMANCE
------..,..„ ----,----
1- ,
----„---
1[---NTERNAL
I IDENTIFY
MONITORING
L 4
_ 4.---,------- NOTE CONFORMANCE /
NON CONFORMANCE 11
71
1 ROUTINE
_

L
ACTIVITY j
SYSTEM
REPORT DISTRIBUTED

,------------..
--.,---..,_
PARAMETER ---„ 1
<,,,
IN CONTROL/-->
LIMITS
-,,,,,
UPDATE RECORD EXTERNAL PARTY
NON -----) LEGAL MATRIX I
CONFORM . -_. - -
ANCE
PROCEDU LOG DAILY / MONTHLY
RE CONFORMANCE LOG
SHEET, FORMAT
.......---k

Management Representative :MASTER COPY

ONLY IF IN RED
Issued By 9*IX '.

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/29 REF.: EMS: 6.2,6.2.1,6.2.2 /OHSAS: 4.3.4 Pages: Page 1 of 2
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Title: SETTING OBJECTIVES, TARGETS AND PROGRAMMES

PURPOSE To identify objectives and targets for environmental improvement

SCOPE All operations at Ashoka Buildcon ltd, (Road & Infrastructure Construction, RMC Plant, All
divisional offices, Toll operations)

RESPONSIBILITY Project Incharge / Toll Incharge / RMC Plant Incharge

REVIEWED BY Manager HSE - corporate

APPROVED BY Management Representative

Identify key activity

Significant aspects

,
innompw.
Management Review I
i Management Review
Working Group / Site 1
i

Management Review Priorities areas of action

Not selected

I Legal requirements
View of interested
parties

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/29 REF.: EMS: 6.2,6.2.1,6.2.2 /OHSAS: 4.3.4 Pages: Page 2 of 2
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Title: SETTING OBJECTIVES, TARGETS AND PROGRAMMES

Project/Department Heads of key

Departments

Selected
Objectives

Prepare cost / benefit

forecast for the objectives

Individual action
lists Assign Targets j
I
i

HSE Initiatives
P 1

Management Representative
d,
S f MASTER COPY -N
Issued By ONLY IF IN RED
,

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASH(/‘/Q11,

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/30 Pages :Page 1 of 2

REF.: EMS 6.1.2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : WASTE MANAGEMENT

PURPOSE To control waste created at projects, rmc plants, all divisional offices and corporate office.

All operations at ashoka Buildcon Ltd, ( road & infrastructure construction,all divisional
SCOPE
offices, toll operations) to demonstrate conformance to iso 14001:2015
RESPONSIBILITY Project Incharge / Toll Managers/ / Site Store Incharge

REVIEWED BY Manager HSE — Corporate

APPROVED BY Management Representative

Categories the Waste in General & Special Waste

General Waste is Biodegradable waste which can be easily biodegradable Special Waste which
PROCEDURES is Non-Biodegradable & Biodegradable waste which have certain treatment for make it
pollutant free, waste which is having legal obligation or comes under Hazardous Waste (HW)
Management Rule

,--c1j1c-i10:14.1-..ik, Special Waste

Paper Acids
Plastic Oils
Glass PCB's
Brick Batteries
Concrete Materials contaminated with Oil
Wood Asbestos
Metals Solvents
Chemicals

All wastages shall be kept safe against :

• Wastage blowing or falling while stored or transported
• Corrosion or wear of containers
• Accidental spillage or leakage

Wastage shall be separately and where possible different type of wastes shall be segregated. All wastes shall be
clearly labelled. Skips on site are marked as follows :

Management Representative
MASTER COPY
Issued By ONLY IF IN RED .1

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASH OM
Health, Safety and Environment Work Instructions

Pages :Page 2 of 2
Doc. No.: WI/CO/DO/PR/HSE/30 REF.: EMS 6.1.2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : WASTE MANAGEMENT

Waste Management Park ASHOKA

1 2 3 4

' irz , I

I
1
V
t i
. ''
I FULTARDOUS
WASTE
t,
„ ,

t
..,„,..........
, ,„„,u,,
0 fi fli
1111111111
BLUE YELLOW RED BLACK
N Plastic includes all Metal includes Hazardous Waste
v • Paper includes office
U. paper, food and drinks ' forms of plastics, metal scrap, used Oil Filters, Oily
, packaging materials cans, bottles etc parts of machinery, Cotton Waste
46 etc aluminum material
v
0. (Non-Hazardous etc
Material)
Reuse Reuse Reuse if possible, Disposal through
7e "cs •
00 Sale or Disposal Sale or Disposal Sale to authorized Hazardous waste
_c
R. v through proper through proper dealer Disposal Agency
6 2 Agency Agency

Where ever possible opportunities will be taken to recycle and recover wastes in line with the environment policy
commitment.

Format : For the Waste Management -FR/ CO/ DO/ PR / HSE / 04

: For waste water Management FR/CO/ DO/ PR / HSE /05

If Waste Oil is disposed to the Authorized Party make sure the Disposed copy should be with the Project In
charge, Project site Store keeper.

Management Representative •-,

r MASTER COPY
Issued By ONLY IF IN RED
...____

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/31 Pages :Page 1 of 2

REF.: OHSAS: 4.4.2.1

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Accident Reporting Procedure

PURPOSE To Control the accidents / Incidents on projects, All offices and corporate office

All operations at ashoka concessions ltd, ( road & infrastructure construction, all divisional
SCOPE
offices, toll operations) to demonstrate conformance to iso 14001

Site HSE officer / Officer, HR & ADM Officer for Accident Investigation & report
RESPONSIBILITY
Project Manager Reporting to External Agents

REVIEWED BY Manager HSE — corporate

APPROVED BY Management Representative

ACCIDENT

3
SITE j
SUPERVISOR

4
,

Report to HSE officer

& Project Incharge

3 Major Injury 1

1 First Aid Injury

ZEPORT TO . li Hospitalization L Fatality

/:/
L._
TIME OFFIll

0 la

Management Representative
top MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/31 Pages :Page 2 of 2

REF.: OHSAS: 4.4.2.1

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Accident Reporting Procedure

Investigate the Accident If injury is reportable

by HSE Officer, Safety
Committee

3 Report to Inspector of
Report;-
Police
1

• Report to Accident
Investigation Report with Building & Construction
Remedial action to Act in prescribed form
Manager HSE Corporate with sign of Project
Incharge and send it
within

Note : If Accident due the vehicle of third party, Victim is Company employee or Third party person
immediately report to Police Station.

Format: FR/CO/DO/PR/HSE/06

N
Management Representative pp
MASTER COPY
Issued By
, ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOK1

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/32 REF.: EMS : EMS : 8.2 / OHSAS : 4.4.7 Pages :Page 1 of 5

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Emergency Preparedness & response Procedure

PURPOSE To provide a system for emrgencies and responses

All operations at ashoka concessions ltd, ( Road & Infrastructure Construction, All Divisional
SCOPE
Offices, Toll Operations)

RESPONSIBILITY Project managers/ Toll Manager/ RMC Plant Incharge

Manager HSE - corporate
REVIEWED BY
Management Representative
APPROVED BY

Identified All Associated Hazards

1. Fire
2. Explosion
3. Natural Calamity
4. Serious Accident
5. Spillage & Leakages
6. Other emergencies

# I 1
Follow Emergency Study & Inform Preventive Action
Preparedness & for Hazard
Response Procedure
• •

1
Emergency Response
Prepare On- site Prepare On- site/ Of- site
Plan
Emergency Team Emergency Plan for all such
SP/CO/DO/PR/HSE/01
Emergencies #

Local agency, Hospital, Assign Roles & Responsibilities of Specimen copy

Police, Fire fighting Emergency Team SP/CO/DO/PR/HSE/01
agency, ambulance MNC

Management Representative /e -N
MASTER COPY
Issued By ONLY IF IN RED
N_ J
N.

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASH K/1
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/32 REF.: EMS : EMS : 8.2 / OHSAS : 4.4.7 Pages :Page 2 of 5
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title : Emergency Preparedness & response Procedure

/
•
HR Training Conduct Training, Awareness & Mock Drill Reports &
HR/DO/PR/HRD/35 Conduct E mergencies Drill ( Mock Training Records
Drill)
A

A % 1
Check Effectiveness/ Effeciencies Effectiveness of training
HR/CO/DO/PR/HRD/35

/ I

/
Review/ Report Review Report through
441 1 HSE Manager Corporate

B1 EXPLOSION PREVENTION
Store all Acetylenecylinders and liquid oxygen
131.1 Store/ User Dept.
in identified place in all storage area
Ensure all cylinders are placed in well ventilated
B1.2 Store/ User Dept.
place in vertical condition CL/CO/DO/PR/HSE/10
B1.3 Storage empty and filled cylinders separetely Store/ User Dept.
B1.4 Use flash back aras for during gas cutting Store/ User Dept.
B1.5 Conduct periodic inspection of cylinders Store/ User Dept.
Maintain & follow MSDS guidelines for
B1.6 Store/ User Dept.
chemicals

.
Management Representative e,
MASTER COPY
Issued By ONLY IF IN RE
e'
S\ ( 1

CONTROLLED COPY
 ,
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 I ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/32 REF.: EMS : EMS : 8.2 / OHSAS : 4.4.7 Pages :Page 3 of 5

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Emergency Preparedness & response Procedure

EXPLOSION MITIGATION
B2

If there is fire following explosion, follow procedure for

62.1 Cordoning Group
mitigation of fire as listed in A2
If any person is injured in the explosion provide first
62.2 First Aid Group
aid or shift him to the hospital • SP/CO/DO/PR/HSE/01
If there is apillage of hazardous chemical following
explosion arrange yo correct and clean the area and
B2.3 dispose it accordingly and take appropriate actions for Cordoning Group
mitigation of OHS risks including collection and
treatment and disposal of the effluent.

CORRECTIVE AND PREVENTIVE ACTION

B3
Analyze the causes of occurrence of the explosion /
fire and prepare a report specifiying preventive HSE
63.1
measures to be taken for non recurrence of the Representative
incident FR/CO/DO/HSE/08
Document corrective and preventive actions arising HSE
B3. 2
out of this incidence Representative
Project Manager/
Inform regulatory authorities about the incidentin the
63.3 Incharge/
prescribed form mentioned in the Rules
Plant Incharge

MAJOR SPILLAGE OF ACID- PREVENTION

Cl.
Carry out periodic check of the storage tanks once in a HSE
C1.1
year Representative
Brief concerned employees about proper storage & HSE
C1.2 SP/CO/DO/PR/HSE/01
maintenance Representative
Prevent entry of unauthorized persons in the storage
C1.3 Cordoning Group
areas
Stores / User
C1.4 Maintain and follow MSDS for chemicals
Dept.

MAJOR SPILLAGE OF ACID- MITIGATION

C2 Cordoning.Group
C2.1 Do not allow people to go near the spilled Acid Cordoning Group
Transfer the spilled Acid and take action for mitigation
C2.2 of environmental impacts inculding collection and
treatment of the effluent for treatment and disposal

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 t ASH(.)10
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/32 REF.: EMS : EMS : 8.2 / OHSAS : 4.4.7 Pages :Page 4 of 5

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Emergency Preparedness & response Procedure

CORRECTIVE AND PREVENTIVE ACTION

C3
Analyze the causes of occurrence of the
spillage and prepare a report specifying HSE
C3.1 Representative
preventive measures to be taken for non
recurrence of the incident FR/CO/DO/HSE/08
Document corrective and preventive actions HSE
0.2 Representative
arising out of this incidence
Project Manager/
Inform regulatory authorities about the incident
C3.3 Inarge/
in the prescribed form mentioned in the Rules Plant Incharge

OCCUPATIONAL INJURIES/
ACCIDENTS[SEVERE/ FATAL]-
D1
PREVENTION, CONTROL, MITIGATION

HSE
D1.1 Follow specific Operational Control Procedure Representative
HSE
D1.2 Use and supervision of prescribed PPE's
Representative
HSE
D1.3 Follow work permit system, as applicable Representative
Undertake electrical repairs [HT panels/ sub SP/CO/DO/PR/HSE/01
Maintainance
D1.4 station/ LT motors etc] only through trained
Incharge CUCO/DO/PR/HSE/15
person & as per documented procedures only
Project Manager/
Not allow to work under the state of alcoholic/
D1.5 Incharge/ Plant
narcotics consumption state Incharge
Project Manager/
Folloe " No Smoking"! "Speed Limit" as Incharge/ Plant
D1.6
specified inside the plant Incharge
Provide Cardio Palmonary Resusitation as First Aid Group
D1.7
required
Provide hospital services to the victim at the First Aid Group
D1.8
earliest

CORRECTIVE AND PREVENTIVE ACTION

D2
Analyze the cause of occurrence and prepare a
HSE
D2.1 report specifying preventive measures to be FR/CO/DO/HSE/08
Representative
taken for non recurrence of the incident
Document corrective and preventive actions HSE
D2.2 Representative
arising out of this incidence

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOKA
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/32 REF.: EMS : EMS : 8.2 / OHSAS : 4.4.7 Pages :Page 5 of 5

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Emergency Preparedness & response Procedure

Maintain all fire extinguishers as per the work Fire fighting Group CL/CO/DO/HSE/19
A1.1
instruction
A1.2 Provide training to employees onfire fighting HR FR/CO/DO/HRD/35
Conduct Mock Drill once in three months for HSE Representative FR/CO/DO/HRD/35
A1.3
employees
A1.4 Check gas cylinder storage areas HSE Representative CL/CO/DO/PR/HSE/11
Restrict entry of unauthorized persons in sensitive Cordoning Group
A1.5
and barricaded areas
Store all gas cylinder in vertical condition and in well Supervisor / stores
A1.6
ventilated area
A1.7 Store inflammable material away from heat Store / user Dept CL/CO/DO/PR/HSE/11
Store infammable material away from the sources of Store / user Dept
A1.8
fire
Project Manager/
All statutory requirements of pressure vessels are to Incharge/ Plant FR/CO/DO/HSE/05
A1.9
be fulfilled Incharge

FIRE CONTROL & MITIGATION

A2
Any person noticing fire should contact by phone or
A2.1
through messenger
• Security personnel at main gate or List of Emergency No.'s
• Concerned Supervisor & Authorised Persons
• Shift In —Charge or Safety Officer / Safety
department
Use suitable Fire fighting equipement in case of small Fire fighting
A2.2 group
ifre. Follow the instruction displayed
If in case fire could not be put off with the extingushiers Fire fighting
A2.3 or if the fire is not noticed when it has erupted in a big group
way then inform the main gate security
Cordon off the area and do not allow people to come Cordoning group
A2.4
near the fire
A2.5 Switch off the electricity near the place of life Salvaging group
After the fire is put off dispose the burnt material as Salvaging group FR/CO/DO/HSE/06
A2.6
waste as per scrap disposal procedure

A3 CORRECTIVE AND PREVENTIVE ACTION

Analyze the cause of occurrence of the potential
A3.1 emergency and prepare a report specifying preventive HSE Representative
measures to be taken for non recurrence of the incident FR/CO/DO
Document corrective and preventive actions arising out of HSE Representative /HSE/08
A3.2
this incidence for future record
Communicate about the incident to the regulatory Project Manager/ Incharge/
A3.3 authorities in the prescribed form mentioned Rules. Plant Incharge

Management Representative
MASTER COPY
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CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 I ASHOM

Health, Safety and Environment Work Instructions

Pages: Page 1 of 3
Doc. No.: WI/CO/DO/PR/HSE/33 REF.: OHSAS: 4.4.6
Rev. No.: 00 Revision Date: 30th July 2016
Issue No: 01 Issue Date:30th July 2016

Title: Employee Medical Health Checkup Examination

To Provide A System Of Routine Medical Examination For The Employees Involved In The
PURPOSE Critical Operations And To Monitor Their Health Conditions.

All Operations At Ashoka Buildcon Ltd, (Road & Infrastructure Construction, RMC Plant, All
SCOPE Divisional Offices, Toll Operations)

RESPONSIBILITY Project Managers / Toll Incharge / RMC Plant Incharge

REVIEWED BY Manger HSE — Corporate

APPROVED BY Management Representative

This instruction provides frame work for the medical check-up of the employees working for
Applicability:
Ashoka Buildcon ltd., Based on the calendar of Medical check-up for the New Joining & Existing Employee's
(Temporary/ Contract Employees / Permanent Employees) would be undergoing a medical health check up
through the Medical Officer. For Routine & Critical Operation medical examination has to be carried out twice in

a year as per the list provided.

Medical Officer Examines the Medical report of the employees and abnormalities if found in the employee's
report, interact with the management and suggest / recommends them further course of action. Contract
employee's medical checkup is governed by the agreement/ settlement arrived at between the contractor and

Management.
Projects : By HSE Officer
Records of all medical reports to be maintained at RMC Plants : Q.C. Engineer
Tolls : Toll Manager

Complete medical file (Report) to be maintained for each individual, whose test has been conducted with
summary & Recommendation of the Doctor / Hospital

Management Representative
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CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/33 REF.: OHSAS: 4.4.6 Pages: Page 2 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Employee Medical Health Checkup Examination

Plant/ Recommended Medical

Activity Health Hazard Test
Project

Unloading of cement General Physical Fitness

bags Exposure of Dust- Dermatitis/ Silicosis Test, Chest X-ray, PFT

Unloading of aggregate/ Exposure of Dust, Noise- Dermatitis/ General Physical Fitness

sand Test, Chest X-ray, PFT
Silicosis

General Physical Fitness

Unloading of Fly Ash Exposure of Dust- Dermatitis/ Silicosis Test, Chest X-ray, PFT

Welding / Electrical General Physical Fitness

Exposure of Radiations- Temporary
Activity blindness, Carcinogens Test, Chest X-ray, eye Test

General Physical Fitness

RMC Plant Office Work Back pain, Malaria Test, ENT

General Physical Fitness

Driver Eye stress, Back pain Test, eye Test

Exposure of chemical Gas, Cement, General Physical Fitness

Laboratory Chemist Dermatitis, Malaria Test, Chest X-ray, PFT

General Physical Fitness

Unloading of RMC Exposure of RMC- Dermatitis Test, Chest X-ray, PFT

Use of RMC on field General Physical Fitness

Exposure of RMC, Noise, Transit
(Road Construction site) Mixer, Vibration of Noise- Dermatitis Test, Chest X-ray, PFT

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASH %,"
"'NM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/33 REF.: OHSAS: 4.4.6 Pages: Page 3 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Employee Medical Health Checkup Examination

Plant/ Recommended Medical

Activity Health Hazard
Project Test
General Physical Fitness
Crushing Exposure of Dust- Dermatitis/ Silicosis
Test, Chest X-ray, PFT
Loading / Unloading of Exposure of Dust, Noise- Dermatitis/ General Physical Fitness
stone, aggregate, sand Silicosis, Malaria Test, Chest X-ray, PFT
Unloading of cement General Physical Fitness
Exposure of Dust- Dermatitis/ Silicosis
bags Test, Chest X-ray, PFT
General Physical Fitness
Unloading Of Fly Ash Exposure of Dust- Dermatitis/ Silicosis
Test, Chest X-ray, PET
Welding / Electrical General Physical Fitness
Exposure of Radiations — Temporary
Activity Test, Chest X-ray, eye Test
Blindness, Carcinogens

General Physical Fitness

Office Work Back pain, Malaria
Test, ENT
General Physical Fitness
Driver Eye Stress, Back pain, Noise of Horns
Test, eye Test
Project Site
Exposure of chemical, Gas, Cement, General Physical Fitness
Crusher/ Laboratory Chemist
Dermatitis Test, Chest X-ray, PFT
HM Plant
General Physical Fitness
Unloading of RMC Exposure of RMC- Dermatitis
Test, Chest X-ray, PFT
Use of RMC on field General Physical Fitness
(Road Construction site) Exposure of RMC- Dermatitis
Test, Chest X-ray, PFT

Unloading of Lubricants, General Physical Fitness

Exposure of Volatile matter
Diesel Test, ENT / Eye test
Maintenance Work- Exposure of asbestos material- General Physical Fitness
Electric/ Mechanical asbestosis Test, Chest X-ray, PFT

Plant/ Recommended Medical

Activity Health Hazard
Project Test
General Physical Fitness
Collection of Toll Exposure of Vehicular Pollution Test, Chest X-ray, PFT

Exposure of Vehicular Pollution, Back General Physical Fitness

Cashier — Booth operator Test, Chest X-ray, PFT
pain I
Toll
General Physical Test, Eye
Driver Eye stress, Back pain Test

General Physical fitness test,

Office- work Back pain ENT

Management Representative .
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK —422 011 i ASHOM
1
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/PTW/34 REF.: QMS: 5.3 Pages :Page 1 of 1

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Work Permit System

To Provide a controlled & Documented System for safe & Accident free work environment in
PURPOSE
organisation

SCOPE RMC Plant, Crusher , HMP Plant, Project Site & Maintenance work, Office, Labour Camp
Project Managers / Toll Incharge / RMC Plant Incharge/ HMP
RESPONSIBILITY

Procedure:
• Every process owner of department should fill work permit form before start the work.
• Check the safety equipment & ensure the safe working environment.
• Ensure the use of various personnel protective equipment.
• Fill the detailed information of work & duration for the work.
• If job/ activity are cancelled or work program changed, fill the Return work permit.

Work permit system:

Sr.No Work permit Work Applicability Format No.

Labour camp, HMP, RMC, Crusher Plant,

1. Electrical work permit FR/CO/DO/PR/HSE/PTVV/01
DG set

FR/CO/DO/PR/HSE/PTW/02
2. Height work permit Bridge work, Height work fragile roof
FR/CO/DO/PR/HSE/PTVV/02-A

3. Confined space permit RMC silo, Transit Mixer- Rotating drum FR/CO/DO/PR/HSE/PTW/03

4. Excavation permit Welding Place Exacavation FR/CO/DO/PR/HSE/PTW/04

Welding cutting, gas cutting bridege steel

5. Hot work permit FR/CO/DO/PR/HSE/PTW/05
work welding

Cancelation Return FR/CO/DO/PR/HSE/PTW/06

6. Cancelation of job/ discontinuation of job
work permit

7 Work Zone Barricading Road Work, Road Maintenance FR/CO/DO/PR/HSE/PTW/07

Management Representative
MASTER COPY
Issued By ONLY IF IN RED
I

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/PTW/01 Pages :Page 1 of 1

REF.: WI/CO/DO/PR/HSE/34

Issue No: 01 Issue Date : 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Permit to work on electrical installations Over head power supply lines

Date of issuing the Permit

Following Persons have been Permitted to work

Sr.No Name i Father's Name Contractor's T.N/ Staff Ashoka
Name Departmental Staff

01
02
03
04
05
06
07
08
09
10

Brief Description of the nature of work to be performed

Exact Location of the work to be I Date I

performed
Validity of permit From AM / PM ' To AM / PM
I
1 1

Mr.
S/o Mr.
Will be In- charge / Supervisor for Supervising the above Mentioned Job and has been Instructed to ensure that
all safety Precautions Mentioned Overleaf are Strictly Adhered to.

NOTE Copy (Yellow) to Supervisor / In- charge of the work

Copy (Red) to the Head of the Department issuing permit

Name & Signature Name & Signature Signature

Of the supervisor / In- charge of the Head of the Departmental of the Safety Engineer
Of the work issuing permit

Management Representative cc ,.4)

MASTER COPY
Issued By ONLY IF IN RED
- •.• e

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/PTW/02 REF.: WI/CO/DO/PR/HSE/29 Pages :Page 1 of 1

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Permit to work on height/ frigile roof/G.I sheets roof/ Bridge work

Preparation ' Tick (V) Where Applicable And (x) Not Applicable

Sr.No. Desricription Not

Done
Required

01 All concerned employees were instructed about the nature of work.

02 Equipment/ Over head lines de- energised.

03 Over head lines properly grounded and residual volatage discharged.

04 Line clear has been obtained from shift electrician.

05 Scaffolding provided & checked

06 Ladders checked and provided.

07 Safety belt(s) checked & provided.

08 Safety Belts life line checked and hooked / tied firmly to the structure.

09 Any other precaution(s)

a.

b.

c.

d.

Name & Signature Name & Signature Signature

Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit

ii
Management Representative cf
'.
MASTER COPY
Issued By ONLY IF IN RED
.. .....,..i

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOK'l
Health, Safety and Environment Work Instructions

Doc. No.: Pages :Page 1 of 2

REF.: WI/CO/DO/PR/HSE/29
FR/CO/DO/PR/HSE/PTVV/02-A
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
I
Title : Permit to work on height/ frigile roof/G.I sheets roof/ Bridge work/ Slab work

Date of issuing the Permit

Following Persons have been Permitted to work

Sr.No Name Father's Name Contractor's T.N/ Ashoka Departmental
Name Staff Staff
01
02
03
04
05
06
07
08
09
10

Brief Description of the nature of work to be performed

Exact Location of the Date

work to bepierformed
Validity of From AM / PM To AM / PM
permit

Mr.
S/o Mr.
Will be In- charge / Supervisor for Supervising the above Mentioned Job and has been Instructed to
ensure that all safety Precautions Mentioned Overleaf are Strictly Adhered to.

NOTE Copy (Yellow) to Supervisor / In- charge of the work

Copy (Red) to the Head of the Department issuing permit

Name & Signature Name & Signature Signature

Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON
BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: Pages :Page 2 of 2

FR/CO/DO/PR/HSE/PTW/02-A REF.: WI/CO/DO/PR/HSE/29
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Permit to work on height/ frigile roof/G.I sheets roof/ Bridge work/ Slab work

Preparation Tick (V) Where Applicable And (x) Not Applicable

i

Sr.No. Desricription Done Not Required

All concerned employees were instructed about the nature of
01
work.
Persons Medically fit work at Height.
02
Persons trained in working at Height.
03
Ladder(s) checked & provided.
04
Scaffolding checked & provided.
05
Crawling boards provided.
06
Safety belt(s) checked & provided.
07
Safety Bell life line checked and Hooked / tied firmly to the
08 structure.

In case of any over head power supply line is accessible to

09 the person(s) doing work.

Supply of the line has been swithched off.

a.
Line dear has been obtained from the shift Electrician.
b.
Any other precaution(s).
10

Name & Signature Name & Signature Signature

Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit

Management Representative I .
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.:FR/CO/DO/PR/HSE/PTW/03 REF.: WI/CO/DO/PR/HSE/35 Pages :Page 1 of 2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Permit to work in confined space ( working inside RMC Silos, HMP, Hoppers, Water Tanks, Bag House, etc)

1. Date of issue of Permit

2. Following Persons are Permitted to work
Name Age Designation
a.
b.
c.
d.
e.
f.
3. Name / identification of the Equipment / Machine / Confined space
where work is to be carried out.

4. Brief Description of the job to be performed

5. Exact location of the Machine / Equipment / Confined space where

job is to be performed.

6. Time of validity of the permit Date

From AM / PM To AM / PM
1
Mr.

S/o Mr.

Will be In- charge Supervisor for supervising the above mentioned job and has been instructed to
ensure that all safety precaution mentioned overleaf are strictly Adhered to.

Name & Signature Name & Signature Signature

Of the supervisor / In- Charge of the Head of Department of the Safety Engineer
Of the work issuing permit

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.:FR/CO/DO/PR/HSE/PTVV/03 REF.: WI/CO/DO/PR/HSE/35 Pages :Page 2 of 2

Issue No: 01 Issue Date: 30u' July 2016 Rev. No.: 00 Revision Date : 30m July 2016

Title : Permit to work in confined space ( working inside RMC Silos, HMP, Hoppers, Water Tanks, Bag House, etc)

PREPARATION , Tick (V ) where applicable and (x) not applicable

01 All concerned employees have been instructed / explained in details about the work to
be performed.
02 Persons are trained in safety
03 Persons have been Medically examined
04 Equipment De- Energised / Fuses removed
05 Line clear has been obtained from the shift Electrician
06 Equipment / place of working has been sufficiently cooled down
07 Sufficient fresh air flow has been ensured
08 Natural / forced Ventilation provided.
09 24 V hand lamps have been provided for illumination
10 Welding M/C 's have been provided for illumination
11 Following PPE's issued to the employees and their use is ensured
a) Safety Helmet
b) Safety Shoes
c) Hand Gloves
d) Dust Masks
e) Any other (PI. Specify)
12 Safety Belts checked & provided
13 Safety belt life line checked, hooked firmly to fixed structure rear the person watching
the employee form outside the space/ near entrance
14 Ladder checked, provided & securely holded / tied to a rigid prevented
15 Movement of over head travelling E.O.T. Cranes / H.O.T. Cranes prevented
16 Means of feeding and Extraction of the material from the confined space has been
Disconnected / blanks provided / Power supply Disconnected and Line clear obtained
17 Means of communication between employees working inside theconined space and
observer(s) standing outside the space has been established
18 Provision of Rescue/ Rendering help to the employees working inside the confined
space (In cas4e of Emergency) has been made in advance
19 Sufficient Illumination (General & inside the confined space), has been provided to
that workers working inside the confined space can be seen.
20 Sufficient No's of First Aid FE.(Of requires type)/ Water House provided.
21 Persons Trained in Fire Fighting have been deployed.
22 Special Precaution (P1. Specify)

Name & Signature Name & Signature Signature

Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 on ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/PTW/04 REF.: WP/CP/DO/PR/HSE/35 Pages :Page 1 of 2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Excavation Permit

LOCATION Date

VALIDITY OF From AM / PM To AM / PM
PERMIT

Names and Addresses of the persons Permitted to carry out the Excavation Job

Name Age Designation

01
02
03
04
05
06
07
08
09
10

IN-Charge Name ! Signature

Electrical Department

Utilities (Water Work, Compressors etc)

Supervisor

Departmental Head / Project Manager / In-Charge

Safety Officer

DECLARATION FOR RETURNING THE PERMIT:

I declare that the work has been comleted & all persons, tackels and
materials have been withdrawn from the site.

Name & Signature Name & Signature Signatur

Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit

Management Representative
MASTER COPY
Issued By
."(51
ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/PTW/04 REF.: WP/CP/DO/PR/HSE/35 Pages :Page 2 of 2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Excavation Permit

PREPARATION Tick (V ) where applicable and (x) not applicable

Sr. No. Safety Precautions Yes No NA

A Under Ground Lines
01 Electrical cables has been located and De• energized
02 Communication cables have been identified.
03 Water pipelines located and water supply stopped
04 Compressed Air Pipeline have been located and De- Pressurised
B Mechanical Excavation
01 Whether instructions given to the Personnel remain clear of the operating radius of the Excavator
02 Whether instructions given to the operator to maintain safe Distance from the edge of the Excavation
C Manual Excavation
01 Whether Ladders / Walk ways with guard rails provided for the safe access into the Excavation
02 Edges of the excavation kept clear of tools, machinery, excavated material and other materials. (Noth
less than one thrd of the final Depth of the excavation.
IS 3764.1966)
03 Over hangs or projections of rocks / soil into the Excavation knocked down
04 Hand tools used for manualexcavation are insulated
05 Following Personnel protectitive equipments provided
I. Safety Belt
II. Safety Shoes / Gum Boots with Steel Toes
III. Safety Helmets
IV. Dust proof safety Goggles
V. Ear Plugs / Ear Muffs
VI. Any Other (PI. Specify)
06 Whether workmen instructed about the Hazards of the job and safe job procedure explained to them
07 Dewatenng of the Excavation carned out before the commencement of the work
D Excavation deeper than 1.5
• Whether Sloping provided to the sides of the excavation
08 Before commencement of the job and during the excavation , the area and Side walls frequently
inspected fro cracks etc. due to seepage water ., after rains, due to any vibrations in the near by area ,
• Shuttering provided along the edges of Excavation
E Fall Protection
Hazard barncations (with top and middel Guard Rails) provided along the edges of the excavation
Caution Boards displayed along the edge of excavation
Adequate illumination provided
Additional Precautions to be taken
1
2
3
4

Name & Signature Name & Signature Signature

Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit

Management Representative i,
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

I Pages :Page 1 of 2
Doc. No.:FR/CO/DO/PR/HSE/PTW/05 i REF.: WI/CO/DO/PR/HSE/35
Issue No: 01 I Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Hot Work Permit

CAUTION This permit is not valid in the event of conditions in the immediate areas becoming hazardous

1 Date
2 Following Persons are permitted to work
Age Designation
Name
a
b
c
d
e
f
3 Name / Identification of the Equipment / Tank / Pipe Line / Area where Hot work is to be carried out

4 Name of the Material Store / Moved in the Equipment / Tank / Pipe Line / Area

5. Brief Description of the Job

6 Exact Location of the Machine / Equipment / Pipe Line / Area where Job Is To Be Performed

7 Time of Validity of the permit Date

AM / PM To AM / PM
From
Mr.
S/o Mr.

Will be In- charge / supervisor for supervising the above mentioned job and has been instructed to ensure
that all safety Precautions Overleaf are Strictly Adhered to.

- Name & Signature Signature

Name & Signature
Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit
.

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.:FR/CO/DO/PR/HSE/PTVV/0.5 I REF.: WI/CO/DO/PR/HSE/35 Pages :Page 2 of 2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Hot Work Permit

PREPARATION I Tick (J) where Applicable And (x) Not. Applicable

01 All concerned employees have been instructed / explained in details about the work
to be performed
02 Performed are Trained in Safety
03 Persons have been medically examined
04 Equipment De- Generalised / Fuses Removed
05 Line clear has been obtained from the Shift Electrician
06 Equipment / Place of working / surroundings have been cleaned and made free
from flammable materials (By flushing with Steam / Water)
07 The Adjecent Equipments / Tanks / Drainage / Area, have been coveres and made
• safe to avoid falling of sparks on them
08 24 V Hand lamps have been provided for Illumination
09 Welding M/C's have been Earthed and Welding Return current lead have been
Connected at the nearest Point of doing Hot Work
10 Following PPE's issued to the employees and their use is ensured.
a Safety Helmets
b Safety Shoes
c Hand Gloves
d Apron
e Any other (PI .specify)
11 Safety belts checked & provided
12 Safety belts life line checked, hooked firmly to fixed structure
13 Ladders checked, provided & securely holded / tied to a rigid structure
14 Means of Feeding in and extraction of the material from the equipment/ Pipe line
has been Disconnected/ Blinded Off / Power supply Disconnected & Lin Clear
obtained
15 Sufficient No.s of First Aid F.E. (Of required Type) Running Water Hose Provided
16 Persons trained in Fire Fighting have been deployed
17 Special Precaution (PI. Specify)
a
b
c

Name & Signature Name & Signature Signature

Of the supervisor / In- Charge of the Head of Department of the safety Engineer
Of the work issuing permit

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 1 ASHOM
I
Health, Safety and Environment Work Instructions

Doc. : FR/CO/DO/PR/HSE/PIVV/06 REF.: WI/CO/DO/PR/HSE/34 Pages :Page 1 of 1

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Return Cancellation Of Work Permit

PERMIT No. Date

Issue for carrying out following work

Brief description of the work performed

Exact location where the work was performed

VALIDITY OF
From AM/PM To AM/PM
PERMIT

Is Returned / cancellation due to completion of the job / Discontinuation of the Job/ Expiry of Time Validity

Before returning the above mentioned Permit all persons/ Tools / Materials have been removed from the work place.

Signature
Signature of Issuer of V Permittee
of Issuer of the Work Permit (Supervisor)

Management Representative /,
MASTER COPY
Issued By ONLY IF IN RED ...)
\.'•

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASH OM
Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/PTW/07 REF.: WI/CO/DO/PR/HSE/16 Pages :Page 1 of 1

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30 July 2016

Title : Work Zone Barricading Permit

Work Zone Barricading Permit

for Working on Road
PTW No.
Name of Project
Location / Chainage
Date and Time
Details of Work
Name of Area Incharge / Supervisor
ABL / Contractor

I Sr. Area of Work Safety measures Implemented - Yes / No Remark

No.
Work Zone Barricadin
Advance Warning Boards A CAUTKIN Yes No
1 (Caution - Work In Progress) WORK IN
PROGRESS
500 m, 200 m, 100 m
Trolley with Multi-Signage Board li.n- offid .._
2
Advance NEM 1=1-
Work Zone Go Slow / Speed Limit (40 ❑
3 0 0
kmoh)
No Overtaking ❑
4
Keep Left / Keep Right ri ❑
5
0
Diversion Board
6 ((( )))
Transition Flagman i -8:171 Robotic/Dummy/Human
7 . VI 0
Zone
Safety Cones - :.:.:.
8
........___,.........
Work Zone Fencing Barriers '11, r1 = ' ,LA
9 . .

Termination Safety Cones -

10
Zone
11
Work Zone End a.i
Personal Safety Measures :
PPE's - Tick V or x Basic Facilities - Tick V or x
Safety Vests ift •
Drinking Water • N `=:s
Safety Helmets STOP Board for road crossing
MI
(Board Should be handy. light weight. Min -2 noel
Safety Shoes ab •
First Aid Box IN + ''=
Nose mask for Dust work '._.- M
Goggles for Dust work . lip. IN
Hand Gloves for material handling El
HSE Training Remark
1 Tool Box Talk Conducted eV or x) j No. of participants:
2 Staff Trained on Work zone barricading Yes ❑ No ❑
_ _. _
Name & Signature Name & Signature Name & Signature
Area Supervisor EQA Incharge / Head HSE Officer 0MAISTEReCOPY
ONLY IF IN RED
Note:- Signed Permit to work sheet should be attached to the Daily Duty Slip. k.

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/35 REF.: QMS 4.2.1 Pages: 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016 '

Title: Master list of Format

Sr. Identification code

Description of Format Rev. No & Date
No. for Format

Issue No. 01 Date: 30th July 2016

1. Environment Aspects and Impacts Study FR/CO/DO/PR/HSE/01
Rev. No. 00 Date: 300 July 2016

Issue No. 01 Date: 30th July 2016

2 Hazard Identification, risk assessment Study FR/CO/DO/PR/HSE/02
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

3 Legal Matrix Report FR/CO/DO/PR/HSE/03
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

4 Waste management FR/CO/DO/PR/HSE/04
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30"' July 2016

5 Waste Water FR/CO/DO/PR/HSE/05
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

6 Incident / Accident Investigation Report FR/CO/DO/PR/HSE/06
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

7 HSE Alert FR/CO/DO/PR/HSE/07
Rev. No. 00 Date: 30th July 2016

HSE & S Monthly Meeting Agenda- HSE- Issue No. 01 Date: 30th July 2016
8 FR/CO/DO/PR/HSE/08
MOM Format Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30"' July 2016

9 HSE Memorandum FR/CO/DO/PR/HSE/09
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

10 Tool Box Talk Form FR/CO/DO/PR/HSE/10
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

11 Near Miss Report FR/CO/DO/PR/HSE/11
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

12 Monthly EHS MIS Report FR/CO DO/PR/HSE/12
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30"' July 2016

13 Black Spot investigation Report FR/CO DO/PR/HSE/13
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30"' July 2016

14 Legal Audit Report FR/CO DO/PR/HSE/14
Rev. No. 00 Date: 30th July 2016

Issue No. 01 Date: 30th July 2016

15 5-Star Rating Audit Sheet FR/CO DO/PR/HSE/15
Rev. No. 00 Date: 30"' July 2016

l'ibt,
N _ I
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Aah.
4`
Depart , -nt Head I S Director Manag e7, ASITISERttt) p y

• -pared By Approved By 01411MIF IN RED

CONTROLLED COPY
 ASHOKACON CESSIONS LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASH IK — 422011

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Health, Sa fety and Environment Work Instructions

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Health, Safety and Environment Work Instructions

Doc. No. : FR/CO/DO/ PR/HSE/ 02 REF. : WI/CO/DO/PR/ HSE/26

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 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOM
Health, Sa fety and Environment Work Instructions

Doc. No. : FR/CO/DO/PR/HSE/ 04 REF. : WI/ CO/DO/ PR/ HSE/30 Pages :Page 1 of 1
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 ASHOKABU ILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, A!3HOKA NAGAR, NASHIK - 422011

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Health, Safety a nd Environment Work Instructions

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 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011
I .,,S1-114:7>IK/I
Health, Safety and Environment Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/06
IREF.: WI/CO/DO/PR/HSE/FR/32 Pages: Page 1 of 1
Issue No: 01 iIssue Date: 30th July 2016 Rev. No.: 00 Revision Date 30th July 2016
Title : Incident / Accident Investigation Report

'Incident " Report

Name of Project:-
Report No.:
Location:
Date:
Description of the Incident /Accident /Near miss:
(Explain what happened -Attach Incident photographs and Use attachment such as sketch if necessary)

Reported By: Signature: •

I. .1 I IJCILC•
Estimate of Loss Potential (What injuries / losses might have occurred.)
Injuries: -

Property / Equipment Damage:

Environmental Damage: --

Others: -

IMMEDIATE CAUSES BASIC CAUSES

1. SUBSTANDARD ACTS/PRACTICES 2, SUBSTANDARD CONDITIONS 3. PERSONAL FACTORS
A. Operating equipment without authority A. Inadequate guards or barriers I I A Capability
B Failure to warn / secure / barricading B. Defective tools, equipment, substances B Lack of Knowledge
C. Operating / working at improper speed C. Inadequate tools, equipment, substances C. Lack of Skill
D. Defeating / removing a safety device I
D. Poor access D. Stress
E.Using defective equipment E. Inadequate warning system or notice E. Motivation
F.Using equipment improperly F. Fire and explosion hazards
I
1 4. JOB/SYSTEM FACTORS
G. Failure to use PPE properly
H. Improper loading or positioning
G. Substandard housekeeping 7 A. Inadequate Leadership
H. Hazardous gases, dust, fumes
B. Inadequate Engineering
I. Improper lifting/loading/Material Handling
I Excessive noise
C. Purchasing
I. Improper replacernerit/position for task J. Radiation exposures / Extrem Tempeture
D. Inadequate Maintenance
K. Servicing equipment in operation K. Inadequate ventilation / illumination
I I E. Tools & Equipment
L Horseplay L Weather conditions I F. Procedures & Practices
M. Drinkings or drugs
1 m ()chef (specify) LI G. Wear & Tear
N. Failure to Comply with PTW
H. Abuse or Misuse
0. Others(sPecifY)
I. Inadequate Supervision
Action/s Taken:

Name of Department Head: -

Signature: Date /Time:
Name of Safety Officer:-
Signature: Date /Time:
Suggested Further Actions (where appropriate) - To prevent recurrence

HSE committee Secretary: Signature: Date:

Comments/Recommendations:

Project Incharge :
Signature: Date:
Distribution: Original Copy (Signed) -with
Project site, Scan colour copy:- Head HSE&S, Insurance Head, DGM- HR& Admin

Management Representative
Issued By MASTER COP Y
ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARC, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions .

REF.: WI/CO/D0/PR/HSE/FR/32 Pages :Page 1 of 1

Doc. No.: FR/CO/DO/PR/HSE/07

Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Issue No: 01

Title : HSE Alert

Alert Details:
Time:
Date:

Action Taken:
Pictures of Incident:

Root Causes :

Recommendations :

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/08 REF.: WI/CO/DO/PR/HSE/19 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Title : HSE & S Monthly Meeting Agenda - HSE -MOM Format

HSE — MONTHLY MEETING AGENDA POINTS

(HSE- MOM Format)

Name of Project:
Venue of Meeting:
Date & Time:
HSE — Committee Members Present:
Leave Absence (If Any):

Sr. Descriptions Action By/ Closing Status

No. Target Date

1.

2.

3.

4.

6.

Management Representative MASTER COPY

Issued By ONLY IF IN RED

CONTROLLED COPY
1 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKAMARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
1
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/9 REF.: WI/CO/DO/PR/HSE/26 Pages : 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Title : Violation Letter & IDLH

HSE Memorandum

Project Name : Location:

Department . Date and Time:
Contractor / ABL : Name of Contractor
Name of Employee/s:
Designation .
Memorandum No. : 1st 2nd 3rd
Violation Detail : Unsafe Act 0 Unsafe Condition: 0 Legal Non-Compliance 0
Photographic Evidence:

Not Using following PPE's

Safety Jacket 0 Safety Helmet 0 Nose Mask 0 Safety Shoes 0

Hand Gloves 0 Goggles 0 Ear Plug 0 Rubber Hand gloves 0
Welding Screen 0 Safety Belt 0 Gumboot 0 Work zone barricading 0

Any other Violation

IDLH_Ommediate Danger to Life & Health)

Sr. No. Description Action Required & Target Date

Name & Signature Name & Signature Name & Signature

Area Incharge / Supervisor HSE Officer Project Incharge

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 I ASH OM
Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/10 REF.: WI/CO/DO/PR/HSE/26 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title : Tool Box Talk Form

Tool Box Talk form

Date: Conducted By :
Project Name: Location:

Job Related Risk & Controls / Concerns Points Discussed :

Selection of topic by tick (V):

II
1..
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Work Place FlagOlnit
Excavaton
Concrete
Work
Work With
Moving
Equipment
Electrical
Safety
PPE matrix W"king
.,
—
Safety
nr
Precautions
Of Dnving
/4°"°"
Fail —
Atateruil
Safety Data
Sheet
Preventive
Maintenance
Of Vehicles
Material
Handling
Safety
TraffIC r Wornk

Work

•; a —lb g IN
',' el7 I 4 INCIIDENT
I S4 '
'4.• • •
REWIND 4 i it . ;Pk 4'.1
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Row Working Road Incident / Lifting & Fee Prevent Oil General First
Welding Emergency
Barricadi Work
work Near Maintenance Accident Crane Safety Carrying Extinguisher I Chemical 5 S System Aid
rig And c„..,, Preparedness spillage Treatment
Work Reporting Safety S Use
Signage's '"'''' Lines

Attendance Sheet
Sr. No Name of Employee Designation Sign
1
2
3
4
5
6
7
8
9
10

Name & Signature Name & Signature Name & Signature

Area Incharge / Supervisor HSE Officer Project Incharge
\
Management Representative •• r
Issued By 61401, MASTER COPY
•. 6 - .

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK- 422011 ASHOM
Health, Safety and Environment Work Instructions
Doc. No.: ABL/FR/CO/DO/PR/HSE/11 REF.: WI/CO/DO/PR/HSE/31 Pages: Page 1 of 1
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016
Title : Near Miss Report

Name of Project Site:-

Location of Near Miss:-
Name of the department:-
Date of Near Miss:-

Near Miss: A personal hazard or an unwanted event that did not result in an injury, illness, exposure or damage but had the
potential to do so. There was no slip, fall, punch, poke, bruise, strain, fire, or exposure.

Form Instruction
Within 24 hours the witness or person with knowledge of near miss/potential hazard must complete
section 1.
2. Fax immediately to the safety office.
3. The person, who completed section 1, must give from to their supervisor.
4. Supervisor must conduct an investigation and complete section 2.
5. Upon supervisor's completion of section 2, the entire form must be fixed to the safety office.

Section 1- Completed by witness or person with knowledge of near miss/potential hazard.

Date: Time: AM PM
Dept: Location

Check all that apply:

Unsafe Condition Unsafe Equipment Unsafe Use of Equipment Unsafe Act/Behavior

Descnption:

Employee Signature (optional) Date

Section 2- Completed by supervisor after investigation of near miss/potential hazard
After the investigation, explain in detail what caused the potential hazard/near miss to exit/occur

Primary and contributing rture,

factors and activities:(check all that apply) 2. Preventative Actions
Eauipment Em Supervisor (must be completed)
Equipment Failure Employee fatigue Develop/revise safety policies/procedure and/or update
plan
Improper equipment or material used for job Unbalanced or poor position or motion Request ergonomic evaluation
Guard removed from equipment Not paying attention Require personal protective equipment
Improper footwear for conditions Remove equipment from use and repair or repair or
replace
personal Protective Eauioment Going too fast Schedule preventive maintenance
Not worn Taking short cuts Retain employee in proper procedure
Not readily available Not aware of surrounding Require Baseline Safety Training
Not adequate for the task Lack of policy/procedure Inform employee to slow down
Personal protective equipment failure Poor housekeeping practices Address attitude and behavior
Improper behavior and attitude Address employee work practices
Trainina/Exoerience Disregard for safety rules Maintain housekeeping and sanitary condition
Lack of training Animal (explain) Work Order completed
Failure to follow procedures Contract Facilities Management (ice, etc)
New task for employee or lack of expenence Other unsafe practice (explain) Other (explain)
Incomplete Safe Operating Procedure
Outdated Safe Operating Procedure Environmental Factors
Clear
Work Arta Rain
Work area set up improperly Snow
Ergonomic factors Sleet
Sanitary and housekeeping Issues Hail
Lack of cord management Other
Ice or wet conditions
Loose handrails
Chipped tile or loose carpet/rug
3 foot clearance in front of electrical panel
lack of material Safety Data Sheets

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOKA

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/12 REF.: WI/CO/DO/PR/HSE/FR/32 Pages: Page 1 of 2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Monthly HSE MIS Report

Project Name
Sr.NO.
Month

Project Status
Road length
Lanes
1 Name of Project Head
Name of Site HR & Admin Head
Name of EHS officer
Traffic No for the month (PCUs)

Employee Manpower Data

No of ACL Employees
No of ABL Employees
2
No of SPV's Employees
No of Sub-contractor
No of other contractor & sub-contractor employees
No. Women Employees / Labours
0 Minimum Wage rate for each category
SKILLED:
SEMI-SKILLED
UN-SKILLED:
Date & Govt. order no. of last minimum wage update
Date of wage payment & Alternate date of wage payment
Date of last Labour Return filed with respective labour office

Tool Box Talk Data

No. of Tool Box Talk
3
No. of Participants
Total TBT Manhour's

HSE Training Data

No. of Mock Drill Conducted
4 No. of Training
No. of Participants
Total Training Manhour's

IDLH (Hazard Identification) Data

No. of IDLH Raised
0 5
No. of IDLH Closed
Compliance

Memorandom / Violation
No of memos issued to employees for non compliance of safety
6
Total amount of fines levied on individual employees for non compliance of safety (in Rs.)
Total amount of fines levied on Contractors for non compliance of safety

Accident Data
Work Place Accident details
No. of First Aid box provided at site
7 No. of Fatalities
No. of Serious Injuries
No. of Minor Injuries (incl. First Aid cases)
No. of EHS Non-compliances and Near Miss Cases

Road Accident Details

Total No. of Road Accidents
8 No. of Fatalities
%
No. of Serious Injuries i
No. of Minor Injuries tigi
de, _MASTPR rOPY
.IWIi'
'il
`ONLY IF IN RED i

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOKA

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/12 REF.: WI/CO/DO/PR/HSE/FR/32 Pages: Page 1 of 2

Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title : Monthly HSE MIS Report

Hazardous Waste Generated and Disposed
9
Generated waste in (Kg)

Greivance Details
10 No. of Grievances Raised
No. of Grievances Resolved

11 Total Water Consumption in M3 or KL

Environment Monitoring Test Summary

Parameter Quarter
Ambient Air Monitoring Test
Drinking Water Monitoring Test
12
Waste Water Monitoring Test
Stack Monitoring Test
Soil Monitoring Test
Noise Monitoring Test

•
Tree Plantation Summary
13
No. of Tree already planted

Best Employee of the Month in terms of EHS compliance

14 No. of Employees Awarded
No. of Employees Awarded

Initiative of the Month

15 To Improve the safety Rules and tree plantation done at plant premises.

EHS Breach Report

Reportable Work health & safety (WHS) Incidence
Environmental Incidence
16
Breaches under WHS & Environment
Pending legal permissions under state pollution control board and factory act.
Legal Complaince status

Site management citifies that mandatory displays are in place (Yes / No)
Site management citifies that wage paid comply with minimum wage law (Yes / No)
Site management citifies that minimum wage rate is updated & displayed at the every point of camp office gate (Yes / No)
Site management citifies that overtime register maintained & overtime wage paid as per law (Yes / No)
0 Site management certifies that all applicable labour returns have been field and necessary licenses & workmen compensation insurance cover are in
place (Yes / No)

17 Site management citifies that no child labour is engaged(Yes / No)

Site management citifies that adequate no of PPEs are provided to all labours (Yes / No)
Site management citifies that drinking water facility is at all work sites (Yes / No)

Site management citifies all construction vehicles are equipped with minimum safety apparatus like: back light, reverse horn, rear view mirror &
periodic maintained (Yes / No)

Site management citifies that adequate no. of First Aid boxes have been provided & replenish periodically (Yes / No)

MASTER COPY
)9\ ONLY IF IN RED

CONTROLLED COPY
ASHOKA Buildcon Ltd., Ashoka House, Ashoka Marg, Nashik - 422009 ASHOKA
Health, Safety and Environment Work Instructions
Doc. No.: WI/CO/DO/PR/HSE/13 REF.: WI/CO/DO/PR/HSE/FR/32 Pages: Page 1 of 1
Issue No: 01 Issue Date:30th July,2016 Rev. No.: 00 Revision Date : 30th July,2016
Title : Hot/Black Spot Investigation Report
Hot/Black Spot Investigation Report

Project: Date:
Location:
Accident Trend:
Fatal Serious Minor
No. of Accidents
Accidents Accidents Accidents
Accident Spot:

Drawing / Sketch

Actual Photographs

Major Root Cause: Corrective Action:

Current Status of Sign Boards: Current Status of Road Furniture:

1. Median Opening Sign 1. Hazard Markers at median Opening
2. Informative & warning sign - 2. Pedestrian crossing paint
"Pedestrian crossing sign 3. Ramblers to reduce the vehicles speed
4. Rambler warning sign 4. Solar blinkers condition
5. Accident prone zone sign 5. Cat eyes/ Slolar stude Condition
6. Emergency Contact Numbers 6. Bus Buy/ Truck terminal
7. Speed limit sign 7. Delinators/ Anti crash Barrier/ brifen wire roap
8. Do not overtake sign 8. Cheron Boards for diversion/turning
Recommendation:

Inspected By Recommended by Accepted By

-{ MASTER COPY
p40 ONLY IF IN RED ,

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK —422 011 ASHOK/1
HSE Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/14 REF.: WI/CO/DO/PR/HSE/26 Pages: 1 of 7
Issue No: 01 Issue Date: 30th July 2016 lRev. No.• 00 Revision Date . 30th July 2016

Title: Legal Audit Report

Project Name
Project In-Charge
Project Safety Officer
Project HR Officer
Camp Details
Date of Audit
Sr. No. License Details Identification No. I Validity

1 Factory license
2 Explosive License (Diesel Pump)
3 Labour License
4 NOC Details
5 (District Industry Center) DIC License
6 Weight and Measurement License
7 Pollution Control Board - Consent to Operate - RMC
8 Pollution Control Board - Consent to Operate - HMP
9 Pollution Control Board - Consent to Operate - WMM

ildin_ and other Construction Workers' (Regulation of Employment and Conditions of Service) Central Rules, 1998
Compliance Status
Description Needs
Net se per Net Net Remark
Complied Interovemen
Rule CaePtiee APINNebe.
t

1 Lifting appliance, transport equipment and all safety devices

conforming to safety standards, testing etc.,

2 Fencing gangway, gear, ladder, lifesaving appliances etc.,

Latrines, urinals, washing facilities and canteen in dean and

hygienic condition.
Submission of Notice of Commencement / Completion of Building Form IV
or Other construction Work inForm IV

Fire protection, emergency action plan displayed

6 Ensured fencing of machinery and Moving Parts

Manual lifting is within prescribed limits

7 (adult man 55 kg, adult woman or adolescent male 30 kg
and adolescent female 20 ko)

8 Health & safety policy in case employing 50 or more workers;

Removal of hazardous dust, gas, fumes and oxygen

deficiency from any confined space;
Protection against slipping, tripping, cutting, drowning
10 and falling hazards, safety net and other adequate
c ui mer fe•
Protection of eye, head and safety from corrosive
11
chemicals

12 Control of contact with electrical hazards

Illumination of passageways, stacking of materials,

disposal of debris, numbering and marking of floors and
13
use of safety helmets and shoes conforming to ISO
standards,
All lifting appliances including their parts and working gear,
whether fixed or movable are of sound construction,
14
sound material, adequate strength and maintained in
crood working conditions
Test and examination by a competent person once in every
5 years in the manner specified in Schedule I,
15
Yearly examination of lifting gears,
Monthly examination Of_lhain in use
Register for testing in Form XXVI and obtained
16 certification from competent persons in relation to all of the Form XXVI
above Safety mechanisms adopted.
Runways and ramps are in compliance with the breadth and
17
width laid down in the Rule '-1
ii MNALSTE
IFRI COPY ,

Management Representative na" O N

Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASH1K -422 011 ASHOKA

Doc. No.: FR/CO/DO/PR/HSE/14 REF.: WI/CO/DO/PR/HSE/26 Pages: 1 of 7

Issue No: 01 Issue Date: 30th My 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Legal Audit Report
Transport and earth moving equipment is of sound
construction and sufficiently strong for the purpose, of
18 .
sufficient size, duly certified inspected weekly and safe for
carrvina caoacitv_taarked:
Power trucks and tractors have effective brakes, head lights,
19
tail lamps, tie chains etc
Power shovels and excavators, bulldozers, scrappers,
mobile asphalt layers and finishers, pavers and road rollers
20 have silencers, tail lights, power and hand brakes, reversing
alarm and search light for forward and backward
movement:
Load bearing capacity of the ground is examined before using a
21
road roller
Preparation and pouring, erection of concrete
structures, buckets, pipes & pumps, mixing and
pouring of concrete, panels & slabs, stressed and
22 inspection &
tensioned elements, vibrators,
supervision, beams, floors and roofs, stripping and
.estorino
Complied with the Rules in respect of preparation before
demolition, protection of adjacent structures, demolition
of walls, partitions , method of operation, access to floor,
23
demolition of structural steel, storage of material, floor
openings, inspection, warning signs, barricades and
mechanical methods of demolition
Evacuation and tunneling work- notification of intention,
24
Warning Signs & Notices etc
Safety measures prescribed for work on steep roofs, construction
25
and Installation of roofing brackets and crawling boards'

Safe construction and use of rungs, materials of ladders and

26
step ladders
Scaffold construction (bamboo or metal) & Supervision by
27
a responsible person;
Maintenance standards, ledger, put logs, working
28
platform, board, plank and decking;

29 Scaffold used by building workers of different employers;

Pressure plant and equipment are examined by a competent

30
person and maintained in good repairs and working condition

Safety valve, pressure gauge and stop or isolation valve are

31
maintained
Safety Committee is set up, in cases where 500 or more
32
building workers are employed
Safety Officer - for 500 or more workers and Duties, qualification,
33 condition of service (including status and scale) as per
prescribed In Sch. VIII
Fatal accidents are reported within 4 hours and non-fatal
accidents causing disability lasting more than 48 hours,
34 reported within 72 hours to the Regional Labour Commissioner
(Central), Board, Director General and the near relative of the .
_____c1eceasesLin_the_F_QrmltoJSIV
All explosives at construction site are used, stored or
35 handled In accordance with the instructions and material
data sheet supplied by the manufactures of such material
Pre and periodical medical examination of workers as per
36 Schedule VII, by the doctors and hospitals approved by the
Central Government.

37 Maintained a register inForm No. XII,

Maintained an ambulance room equipped with the articles

specified in Schedule IV with necessary staff and records,
38
ambulance van specified in Schedule V, stretchers,
occusotimaLbtaltb_servicrx—_
MASTER COPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK -422 011 ASHOKA
HSE Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/14 REF.: WI/CO/DO/PR/HSE/26 Pages: 3 of 7
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 RevisPon Date : 30th July 2016
Title: Legal Audit Report
Notice of poisoning or occupational diseases specified in
39
Schedule II inForm No. XIII
First-aid boxes with articles specified in Schedule III and
40 emergency care services or treatment with essential lifesaving
aids and appliances

41 Working Hour- 9 hours a day or 48 hours a week of work

Rest interval of at least half an hour before more than 5 hours

42
work spread over 12 hours on any day
Notices of rates of wages, hours of work, wage period, date
43 of payment of wages and provided a copy of it to the
Inspector
Notice of commencement and completion of work inform No,
44
IVand notice of any change in this notice to the relevant authority

45 Register of wages;

46 Muster roll;

47 Register of deductions;

48 Register of overtime;

49 Register of fines;

50 Register of advances;

All registers/ records are maintained up to date, kept at the

51 workplace, preserved for 3 years and produced on demand
before the authority
Has the Company sent an annual return in Form No. XXV to
52 the registering authority with a copy to the Inspector
concerned
Maintain separate latrines or urinals for male and female
53
workers,
Maintain canteens for more than 250 workers at a distance
54 15.2 mt away from any latrine, urinal or source of dust,
smoke or obnoxious fumes

55 Serve tea and snacks at a work place 200 mt from the canteen

Notice of wage period, date, time and place of payment is

56 displayed in English, Hindi and the local language at its
premises
The Factories Act, 1948
Comp iance Status
Needs Not
Description Not as Not Remark
Compli lmpro Awl{
°alma
ed semen Per
Ruk ed cable

Approval of Plan for the new construction or extensions of a

I
factory application for permission to chief Inspector of Factories

Stability Certificate by competent person for any construction or

2
extension, alteration, repairs.

3 Renewal of Factory license

Notice to the chief inspector for new factory or whenever a new

4
manager is appointed

5 Housekeeping of Plant

Adequate ventilation by the circulation of fresh air ( 30

6 meters/min movement of air, dry bulb / wet bulb temp as per
schedule )

MASTER COPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK —422 011 ASHOKA
HSE Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/14 REF.: WI/CO/DO/PR/HSE/26 Pages: 4 of 7
Issue No: 01 Issue Dale: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Legal Audit Report

Provision of exhaust appliances already exists to prevent

7
inhalation of dust or fume or other impurity of such nature
Provision of suitable points conveniently situated with sufficient
8
supply of drinking water

9 Legibly marking in local language "Drinking water"

No such point shall be situated within 6 meters of any washing

10
place, Urinal latrine, spittoon etc.

11 Latrines and Urinals - Separate for Male & Female. Sign board.

Maintained in a clean & sanitary condition & Adequately lighted &

12
ventilated
Latrines - 1 for every 10 up to 100 & then after 1 for every 50
13
persons.

14 Urinals - 1 for every 50 up to 500 & then 1 for every 100.

15 White washing/painting

16 Hoists and Lifts - Examination by competent person

17 Maximum safe working load to be plainly marked

Lifting machines, chains, ropes & lifting tackles - Examination by

18
competent person
All kind & size of chain, rope or lifting tackle should be listed
19
numbered and safe working load to be marked.

20 No chains, rope or lifting tackle other than these should be used

Pressure Vessels - Max. Safe working pressure and the date of the
21 last examination to be plainly marked on every pressure vessel
Examination by competent person.
Floors, stairs and means of access - Kept free from obstructions &
22 substances & to ensure safety, steps, stairs, passages and
gangways be provided with substantial handrails

Protection of eyes - Chemical handling, breaking of stone/ brick/

23 concrete, Welding, Cutting of metals, Grinding, Chipping, Fettling,
Polishing, Turning, Drilling , Metal Casting etc.
Precautions against dangerous fumes, gases, etc. minimum
dimensions of manholes - No person allowed to enter any
chamber, tank, vat, pit,
24 Manhole = rectangular, oval or circular in shape.
Precautions regarding the use of portable electrical light - No
portable electrical light or any other electrical appliance of voltage
Pxceedian 24 volts
Precautions in case of fire, fire protection, fire fighting apparatus
25
& water supply - Fire fighting apparatus & water supply,

26 Access for fire fighting to be maintained clear

27 Marking of fire exits in local language

28 Exit doorways to open out words.

At least two ways of escape from every floor area and the exit i
29
shall be remote from each other
Lightning arrestors at sub-station buildings and outdoor
30
transformers and switch yards
The materials stored in the open shall be at a distance not less
31
than 10 meters away from process or storage building
re •
. MASTER COPY
Management Representative b61‘\
ONLY IF IN RED
Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK -422 011 ASHOKA
HSE Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/14 REF.: WI/CO/DO/PR/HSE/26 Pages: 5 of 7
Issue No; 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Legal Audit Report

32 Qty of flammable material in workroom should be minimum

Prevent leakage of such liquids into sumps, drains and Not to

33 accumulate on the floors, shall be removed at least once in a day
or shift
Flammable liquids to be placed in suitable metal containers with
34
covers

35 Sufficient ladders crawling boards (Roof) , duck ladders etc.

Workers participation in safety management - Setting up a safety

36
committee
Health & Safety Policy - Displaying copies of the policy at
37 conspicuous places and any other means of language understood
by malority of workers
Collection & development and dissemination of information-
38 Develop information in the form of MSDS for every hazardous
Substance in the prescribed format

39 Labeling of the containers

Information on the quality and quantity of gaseous waste

40 discharged & arrangements such as scrubbers, cyclone separators
etc
Specific responsibility of the occupier in relation to hazardous
41 process(medical exam) -Maintaining health/ medical records &
carrying out pre-employment & medical examination.

Occupational Health Centers - For factories employing above 200

42
workers-Suitably equipped to manage medical emergencies.

Full time Factory medical officer above 200 workers & information
43
to Chief Factory Inspector.
OHC having at least 2 rooms each with minimum floor area 15
44 sq.m. with adequate illumination and ventilation as well as
eeuipment as prescribed
One nurse, one dresser-cum-compounder and one sweeper-cum-
45
ward boy throughout the working period

46 Decontamination facilities - Fully equipped first-aid box

Readily accessible means of drenching with water for flooding

47
(Safety shower/eye washers up to 50 workers

48 Adequate & suitable facilities for washing

Permanently built wall of full height separating the washing

49
facilities from latrines and urinals

50 For female employees, separate washing facilities

Conspicuous notice in the local language at the entrance "For

51
Women only" also indication picture
Each first aid box should be equipped with & marked with Red
52
Cross on white backgrounds.
Notice containing names of the persons trained in first-aid at a
53 conspicuous place and near each first-aid box indicating the
availability of the person

54 Name of the nearest hospital and telephone numbers

Protection against noise by reasonably practicable engineering

55
control or administrative control

56 Work place monitoring

57 Periodical audiometry examination

MASTER COPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK —422 011 ASHOKA
HSE Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/14 REF.: WI/CO/DO/PR/HSE/26 Pages: 6 of 7
Issue No! 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Legal Audit Report

Reporting of accident of serious nature mentioned in the schedule

58
to the authorities within 4 hrs of the happening
Reporting of dangerous occurrences mentioned in the schedule to
59
the authorities within 4 hrs of the happening
Reporting of disease/poisoning mentioned in the 3rd schedule to
60
the authorities within 4 hrs of the happening.
Maintain a register of all accidents & dangerous occurrences
61
which occur in the factory
On or before the 1st February of each year, an annual return In
62
duplicate in Form 27
Air (Prevention and Control of Pollution) Act, 1981
Comp iance Status
Needs Not
Description Remark
Improve Not as Not Applica
Complied ment per Rule Complied bie
Does the Company operate any industrial plant in an air pollution
1 control area' If so, has it obtained prior permission of the State
Pollution Control Board?
If the Company does operate an industrial plant, Is It In
2
compliance with prescribed standards for emission?
Water (Prevention and Control of Pollution) Act, 1974 & Water (Prevention and Control of Pollut on) Rules, 1975
Has the company not caused or Permitted any pollutant to enter
any water body such as stream, well, sewer or land or impeded
3
the flow of water resulting in a substantial aggravation of
nollution?
Hazardous Wastes (Management and Handling) Rules, 1989,
Has the Company taken steps for proper collection,
4 reception, treatment, storage and Disposal of hazardous
wastes?
Has the Company, if dealing with hazardous wastes, made an
5 application in terms of Form 1 to the State Pollution
Control Committee
Has the company, if dealing with hazardous wastes, ensured
that the hazardous wastes are packaged, stored and
6
transported suitably in accordance with applicable law, and
that all hazardous waste containers are labeled with a label
Env-ronment (Protection) Act, 1986
Does the Company's operation result in the discharge or
7 emission of any environmental pollutant in excess of the
prescribed standards? Environmental Testing Reports
Has the Company, in case of discharge of an environmental
8 pollutant has occurred or is apprehended, intimated the State
Pollution Control Board?
Submitted an environmental statement every financial year In
9 terms of Form V to the State Pollution Control Board on or before
September 30 of every year?
Forest Conservation Act, 1980
Has the company undertaken any part of the project on forest
land? If so, has it obtained a certificate for assignment of forest
10
land to entity not controlled by the government/ use of forest land
for non-forest_purooses?
The Manufacture, Storage and Import of Hazardous Chemicals Rules,
Adequate steps to prevent major accidents & to limit their
consequences to persons & the environment & provide to the
11
persons working on the site information, training & necessary to
ensure their safety
Company Notified the relevant authority and furnished a report
12
relating to the accident within 48 hours
In case of an accident, has the Company notified to the
13 concerned authority, steps taken to avoid any repetition of
such occurrence on a site?
Has the Company obtained approval for undertaking an
industrial activity and submitted a written report to the
14
concerned authority 3 months prior to commencing the industrial
aCtlYitv? .

MASTER COPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK —422 011 ASHOK/1
HSE Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/14 REF.: WI/CO/DO/PR/HSE/26 Pages: 7 of 7
Issue No: 01 Issue Dale: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Legal Audit Report
The Gas Cylinder Rules, 2004
In case the company fills any cylinders with compressed gas
15 or imports possesses or transports any cylinder so filled or
intended to be filled with such gas, RULE 3

16 Safety relief devices, if fitted, are in accordance to Rule 5

Ensure prohibition of smoking, firelights, and dangerous

17
substances in proximity to a place of storage

Obtained license from Chief Controller of Explosives and its renewal for
a) LPG Cylinders if total quantity of gas exceeds 100 kg at any time within
specific area
b) DA (Flammable but non-toxic) cylinder , if total quantity of such
18 cylinders exceeds 15 nos. or 125 kg as total weight at any time
c) Total nos. of non-toxic / non-flammable(02, Argon, SF6, N2, He) as gas
cylinders exceed 50 nos. at any time
d) Ammonia (Toxic Gas) cylinders of total number cylinders exceed five at
any one time

Petroleum Act, 1934 and Petroleum Rules, 2002

Storage of petroleum for Company use of petroleum in its
1
operations, application for transport/ import;
Obtained license for storage of Petroleum substance based on its
storage quantity and its class as mentioned below: a) For Class- A
(FP< 23 oC, If storage qunatity is > 30 litres, b) For Class - B-
/ 2
(FP<23 oC < 65 oC), if storage quantity is > 2500 Liters and c)
For class- C - FP <65 oC <93 oC), if storage quantity is >45000
litres.
Draw on site emergency plan and detailed disaster control
3 measures, get it approved and communicare it to Inspectorate of
Factories, Distnct Emergency Authority and the people
Electricity Rules,1956

4 Diesel generators sets permission

Instruction for restoration of person suffering from electric shock

shall be displayed through CPR (Cardio Pulmonary Respiration
5
Restoration Chart) in local language in every genrating station,
substation, switch station etc
Fire Buckets filled with clean, dry sand, ready for use to extinguish
6 fire shall be kept in all generating stations, enclosed substations
and switch stations and kept at accessible place duly marked
Explosives Act, 1984 and Explosives Rules, 1983
Explosives imported, transported, possessed or sold by it
7 are packed and marked in accordance with the Rules and
tested and approved by the Chief Controller
Company ensured that the explosives are the word
8 "Explosives"; name of authorized explosive, name of
authorized explosive, net weight of explosives,
Needs
Not as Not Not
Total Compll Impro Compil Legal Compliance
Per Appli
peon Legal Requirements ed semen %
Rule ed cable
is • t
56 The Building & Other Construction Act, 1996
62 The Factories Act, 1948
18 Environment Related Act (Air, Water, Haz. Waste etc)
8 Other Applicable Acts
% Compliance

80-90 • Remark
60-70 70-80 90-100
Criteria
Not as Need Improvement
Failed GOOD
vier rule

HSE Officer HR Officer HSE Officer Project Incharge

MASTER COPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK - 422 011 /ISHOKA

Health, Safety and Environment Work Instructions

Doc. No.: FR/CO/DO/PR/HSE/15 Ref: WI/CO/DO/PR/HSE/34 Pages: Page 1 of 3
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title : 5 Star Ranking
Name of Site :
SAFETY AUDIT :
DATE OF AUDIT :
Name of Auditor :
Name of Auditee :

I oral
Mark Mark Percentage
Sr.No. Parameter
Allotted Obtained
1 Safety Organization 10
2 QHSE Policy 80
3 First Aid 50
4 Plant Inspection 110
S Machine Guarding, Electrical & Personal safe guarding 50
6 General condition 30
7 DG Set 80
8 Personal protective equipment 40
9 Fire protection and prevention. 120
Accident Investigation and Recording. & Premises and
10 100
Housekeeping
11 Environment 70
12 Legal & Statutory Requirement 90
Over all mark 830

Marks Marks
Sr. No Description Remarks
allotted obtained
1 Safety Organization
1 Organization Logo as per the Corporate guideline 10
10
2 QHSE Policy
1 QHSE Policy display in dept. 10
2 Awareness among employees 10
3 Distribution of QHSE policy card. 10
4 Appointment of Coordinator & its responsibility. 10
5 Compliance records for hygiene. 10
6 Safety sub committee (SSC) 10
7 On job safety communication. 10
8 Conducted daily oath 10
80
3 First Aid
1 Condition of First aid box. 10
2 Location of First aid box. 10
3 Display of First aiders name in the department. 10
4 First aid training record. 10
5 First aid record & investigation. 10
50
4 Plant/ Toll Inspection
1 Booth round by Safety officer 10
2 Observation & compliance report. 10
3 Identification of potential risk factors. 10
4 Booth Hygiene/Housekeeping 10
5 Availability of fire fighting equipments at toll booth area 10
6 Condition of safety posters, Informative or Warning sing boards 10
7 Canteen Hygiene 10
8 Canteen Waste Management 10
9 Lighting Arrestor for booth/Office 10
10 Drinking water Facility 10
11 Parking area allocation 10

MASTER COPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK - 422 011 ASHOKA
Health, Safety and Environment Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/15 Ref: WI/CO/DO/PR/HSE/34 Pages: Page 2 of 3
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title : 5 Star Ranking
110
5 P&M and Electrical Equipments
1 All nip & rotating parts guarded
2 All guards as per standard.
3 All guards are numbered.
4 Availability of inspection records & compliance.

5 Effectiveness of lockout system.( Cabin or Electrical Appliance) 10

6 All electrical cables are properly insulated 10

7 All switch boards are properly fix or guarded 10
Availability of fire fighting equipment's near electrical panel room/
8 10
UPS room etc.
9 Labeling of switches and isolators. 10
50
6 General condition
1 Identification on ladders/stairs/walkways/scaffolding. 10
2 Distance between the steps and angle of steps. 10
3 All ladders as per standard. 10
30
7 DG Set
1 Chimney Height in meter 10
2 DG Set is properly placed in DG Room 10
3 Earthing for DG set 10
4 Availability of inspection records & compliance. 10
Safe handling procedure. or S.O.P For Various Motorized
5 10
equipment
6 Motorized equipment checklist. 10
7 Availability of inspection checklist & compliance. 10
8 License for operation. 10
80
8 Personal protective equipment
1 Record of PPE(Helmet,Shoes,eye protector, clothing) 10
2 Usage of PPE. 10
3 Condition of PPE. 10
4 Periodic replacement of PPE & compliance. 10
40
9 Fire protection and prevention.
1 Records for fire fighting training. 10
2 List of fire extinguishers in the department. 10
3 Location of fire extinguishers. 10
4 Records for fire incidents. 10
5 Maintenance of fire extinguishers as per schedule. 10
6 Safe operating procedure for Fire Extinguisher. 10
7 Whether Alarm/ other warning system is available. 10
8 Emergency plan 10
r
9 Mock drill frequency and record. 10
10 Availability of Emergency exit. 10
11 Test of earthing/Lightening arrestor. 10
12 Fencing, notices and sign boards. 10
120
Accident Investigation and Recording & Premises and
10
Housekeeping
1 Condition of structure and buildings. 10
2 Cleanliness of floor. 10
3 Natural lighting & Ventilation. 10
4 Sufficient illumination in the workplace. 10
5 Records for checking and repairs of light fittings. 10
6 Frequency of cleaning of various workplace. 10
7 Cleanliness of Urinals/Lavatories/wash basin etc. 10
8 Condition of sewage system/waste disposal system. 10
9 condition of Office/store room as per 5 S principle. 10
10 Condition of scrap yard/ scrap bins. 10 /*.r
100 I MASTFR rOPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG,ASHOKA NAGAR, NASHIK - 422 011 ASHOKI1
Health, Safety and Environment Work Instructions
Doc. No.: FR/CO/DO/PR/HSE/15 Ref: WI/CO/DO/PR/HSE/34 Pages: Page 3 of 3
Issue No: 01 Issue Date: 30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title : 5 Star Ranking
110
5 P&M and Electrical Equipments
1 All nip & rotating parts guarded
2 All guards as per standard.
3 All guards are numbered.
4 Availability of inspection records & compliance.
5 Effectiveness of lockout system.( Cabin or Electrical Appliance) 10
6 All electrical cables are properly insulated 10
7 All switch boards are properly fix or guarded 10
Availability of fire fighting equipments near electrical panel room/
8 10
UPS room etc.
9 Labeling of switches and isolators. 10
50
6 General condition
1 Identification on ladders/stairs/walkways/scaffolding. 10
2 Distance between the steps and angle of steps. 10
3 All ladders as per standard. 10
30
7 DG Set
1 Chimney Height in meter 10
2 DG Set is properly placed in DG Room 10
3 Earthing for DG set 10
4 Availability of inspection records & compliance. 10
Safe handling procedure. or S.O.P For Various Motorized
5 10
equipment
6 Motorized equipment checklist. 10
7 Availability of inspection checklist & compliance. 10
8 License for operation. 10
80
8 Personal protective equipment
1 Record of PPE(Helmet,Shoes,eye protector, clothing) 10
2 Usage of PPE. 10
3 Condition of PPE. 10
4 Periodic replacement of PPE & compliance. 10
40
9 Fire protection and prevention.
1 Records for fire fighting training. 10
2 List of fire extinguishers in the department. 10
3 Location of fire extinguishers. 10
4 Records for fire incidents. 10
5 Maintenance of fire extinguishers as per schedule. 10
6 Safe operating procedure for Fire Extinguisher. 10
7 Whether Alarm/ other warning system is available. 10
8 Emergency plan 10
9 Mock drill frequency and record. 10
10 Availability of Emergency exit. 10
11 Test of earthing/Lightening arrestor. 10
12 Fencing, notices and sign boards. 10
120
Accident Investigation and Recording & Premises and
10
Housekeeping
1 Condition of structure and buildings. 10
2 Cleanliness of floor. 10
3 Natural lighting & Ventilation. 10
4 Sufficient illumination in the workplace. 10
5 Records for checking and repairs of light fittings. 10
6 Frequency of cleaning of various workplace. 10
7 Cleanliness of Urinals/Lavatories/wash basin etc. 10
8 Condition of sewage system/waste disposal system. 10
9 condition of Office/store room as per 5 S principle. 10
10 Condition of scrap yard/ scrap bins. 10 I'
100 • MASTER COPY
Management Representative ONLY IF IN RED
Issued By

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASH OKA
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/36 REF.: QMS 7.5.1 Pages: Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Master List of Check List

Sr. Identification code

Description of check List Issue No, Rev. No & Date
No. for Check List

1. Checklist for safety measures for Excavation Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/01
Rev. No. 00 Date: 30th July 2016
Checklist for safety measures for Demolition Issue No. 01 Date: 30th July 2016
. CL/CO/DO/PR/HSE/02
Of Structure Rev. No. 00 Date: 30th July 2016
Checklist for safety measures for scaffolding, Issue No. 01 Date: 30th July 2016
Ladders CL/CO/DO/PR/HSE/03
Rev. No. 00 Date: 30th July 2016
Checklist for safety measures for the use of Issue No. 01 Date: 30th July 2016
• lifting equipment CL/CO/DO/PR/HSE/04
Rev. No. 00 Date: 30th July 2016
5. Checklist for operation of equipment Issue No. 01 Date: 30 th July 2016
CL/CO/DO/PR/HSE/05
Rev. No. 00 Date: 30th July 2016
6. Checklist for safety measures for cranes Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/06
Rev. No. 00 Date: 30th July 2016
7. Checklist for safety measures for winch Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/07
Rev. No. 00 Date: 30th July 2016
8. Checklist For safety measures for Lifting gears Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/08
Rev. No. 00 Date: 30th July 2016
Checklist for safety measures for Electric Issue No. 01 Date: 30th July 2016
Items CL/CO/DO/PR/HSE/09
Rev. No. 00 Date: 30th July 2016
Checklist for safety measures for Fabrication Issue No. 01 Date: 30th July 2016
10. CL/CO/DO/PR/HSE/10
& Erection Rev. No. 00 Date: 30th July 2016
11. Checklist for safety measures for storage Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/11
Rev. No. 00 Date: 30th July 2016
Checklist for safety measures for Hot Issue No. 01 Date: 30th July 2016
12 . CL/CO/DO/PR/HSE/12
Bituminous Work Rev. No. 00 Date: 30th July 2016
13. Checklist for safety measures for First Aid Box Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/13
Rev. No. 00 Date: 30th July 2016
14. Checklist for Health Hazard survey Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/14
Rev. No. 00 Date: 30th July 2016
Personal Protective Equipment Store Issue No. 01 Date: 30th July 2016
• 15. CL/CO/DO/PR/HSE/15
Invento ry Rev. No. 00 Date: 30th July 2016
16. House Keeping Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/16
Rev. No. 00 Date: 30th July 2016
17, working at height Issue No. 01 Date: 30th July 2016
CL/CO/DO/PR/HSE/17
Rev. No. 00 Date: 30th July 2016
18. Fire Extinguishers servicing Issue No. 01 Date: 30"' July 2016
CL/CO/DO/PR/HSE/18
Rev. No. 00 Date: 30th July 2016

Ai.
. oa.
II.•Ar, \ OAte
fir 10'
Depa m- t Head IMS Director Managem- t Representative
c
Pr-pared By Approved By ,siteDVSTER COPY
ONLY IF IN KED
N ..,

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/01 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Safety measure for Excavation

Project Name:
Site: Date:
Location:

Sr. STATUS
DESCRIPTION
No.
YES NO NA
Excavation permit filled out completely & provide the all safety equipment for
01
excavation site
02 Overall job site is free of debris and good housekeeping being maintained
03 Employees exposed to vesicular traffic are wearing proper fluorescent jacket
04 Display the Caution board, Signage, Directive warnings
05 Work area is properly protected with barriers / barricades
06 All underground utilities are to be considered live and in service
All excavation around utilities are to be surveyed, identified and marked on daily
07
basis
Locate and identified shut off valves, electrical feeder panels, manholes prior to
08
beginning excavation
09 All utilities will be hand dug within 2'in all directions
10 Utilities are supported, shored, protected or removed in open excavations
Any utilities that does not show up on current as built will be as built prior to back
11
filling
12 Surface encumbrances that create a hazard or supported or removed
13 Adjacent structures have been adequately supported
14 Excavated material is placed at least 2' from edge of excavation
Excavations greater than 4'in depth have proper means of access and egress within
15
25' of lateral travel
16 Ladders used in access and egress are secured and extend 3' above the excavation
17 Excavation inspected of possibility of water accumulation
18 Excavation continually monitored and properly protected if water accumulates
19 Employees are prohibited from working under any over headed suspended load
20 Employees are protected from loose soil or rock falling excavation face
Proper walk ways / bridges are provided where employees are required to cross
21
excavations
22 Remote excavations are properly protected with barriers and barricades
23 If hazards atmosphere could reasonably be expected confined space permit
24 Lighting arrangement during Night Time

Signature of Site HSE Executive / Officer

Management Representative MASTEK C01-11

ONLY IF IN RED
Issued By

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/02 REF.: QMS: 7.5.1 / OSHAS . 4.3.1 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Safety measure for Demolition of structure

Project Name:
SITE: Date:
LOCATION:

Sr. STATUS
DESCRIPTION
No.
YES NO NA

01 Are Danger signs displayed all around the structure?

02 Are barricades provided around the structure?

03 Two Exits to be provided for escape of workmen

Check whether red lights are provided around the

04
barricades

05 Make sure that there is No Entry for trespassers

06 Switch off the electric power and disconnect lines

07 Prevent uncontrolled collapse of structure

08 No demolition work after Sunset

Is sufficient place available for the worker for carrying out

09
demolishing job?

Are sufficient Personal Protective Equipment used by the

10 •
workers e.g. Safety belts

Are sufficient firefighting equipment available at the site

11
during gas cutting operations

12 Any other point

Signature of Site HSE Officer

Management Representative
(,'
. MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
ASH(.)IQ1
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/03 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 I Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Safety measure for Scaffolding, Ladders

Project Name:
SITE: Date:
LOCATION:
For the Month:

Sr. STATUS
No. DESCRIPTION
YES NO NA
01 Design tall scaffold

02 Provide scaffold of sound material

03 If timber is used, the diameter of scaffold should not be less than 50

mm
04 For tubular scaffold the diameter should not be less than 48 mm and
wall thickness less than 2.3 mm
05 Check whether every scaffold is securely supported or suspended and
properly strutted or braced
06 Is the width of a working platform properly maintained according to
usage viz,
i) Minimum 600 mm for footing only and not for deposit of materials

ii) Minimum 800 mm for footing and deposit of materials

iii) Minimum 1050 when used for heavier loads or support higher platform

07 Check whether all scaffolds and working platforms are securely fastened
to the building or structure and braced or guyed properly
08 Whether platforms are tied using proper binding wires?

09 Provide a regular plant stairway enough for two people to pass and to
provide handrails on both sides
10 Are openings in working platform kept safely covered / fenced?

11 Is there a provision of guardrails and toe boards?

12 Is there a provision of anchoring safety belts — lanyards to be tied to guy

ropes?
13 The length of the ladders should not be more than 4 m.

14 Check for fall of loose materials, bracing and other parts of scaffold

15 Check whether non-insulated electric wires exist near working platform,

gangway etc of a scaffold
16 Any other point

Signature of Site HSE Executive / Officer

Management Representative
MASTER COP
Issued By
ONLY IF IN RE

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Health, Safety and Environment Work Instructions

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Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Safety measure for the use of lifting equipment

Project Name:
Site: Date:
Location:
For The Month:

STATUS
Sr. No. DESCRIPTION
YES NO NA

01 Before use, all lifting equipment's should be load

tested by competent engineer

02 Provide safety devices for hoists, lifts, crane etc. to

provide overloading

03 Schedule for each equipment regular inspection and

maintenance

04 Implement standard signals for proper communication

No worker should be allowed work under suspended

05 loads and operators should avoid swinging loads
overhead the workers

06 Check for wire ropes

07 Check for chain ring hook, shackle swivel, pulley block

08 Check for safe working load for each equipments

09 Any other point

Signature of Site HSE Executive / Officer

Management Representative
MASTER COP"
Issued By ONLY IF IN RED

CONTROLLED COPY
• 11.1.17.-

ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/05 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1
Issue No: 01 Issue Date:301h July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Operations of Equipment

Project Name:
Site: Date:
Location:
Cranes:
Use Of Safety Device:
For The Month:

S r. STATUS
DESCRIPTION
N.
' YES NO NA

Check whether operators, supervisors of operation of the Machines / 1

01
Equipment are thoroughly trained

No unauthorized persons are to be allowed to handle or operate any

02
equipment (Are license available?)

Safe guard moving parts of moving machinery by guards or made safe by

03
positioning

Stop the machine first before carrying out deaning, lubricating and
maintenance of machinery

05 Check and inspect maintenance of all machinery at regular intervals

06 Any other point

Signature of Site HSE Executive / Officer

Management Representative -1
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
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Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/06 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1

Issue No: 02 Issue Date:1st Aug, 2013 Rev. No.: 01 Revision Date : 1st Aug, 2015
Title: safety measures for cranes

Project Name:

Site:
Date:
Location:

Cranes:

Use Of Safety Device:

For The Month:

Sr. STATUS
No. DESCRIPTION
YES NO NA
01 Check and inspect

02 Over hoist limit

03 Limits for trolley

04 Overload warning and cut off

05 Automatic safe load indicator

06 Angle radius indicator

07 Load charts

08 Check and test after major repairs

i
09 Brace adequately tall tower crane

10 Maintain adequate supports before lifting

11 Check for overhead electric cables

12 Any other point

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
Issued By ONLY IF IN RELY

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOK/I
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/07 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Safety Measures for Winch

Project Name:
SITE: Date:
Location:
Cranes:
Use of Safety Device:
For the Month:

STATUS
Sr. No. DESCRIPTION
YES NO NA

01 Provide adequate information

02 Winches should have dead man's control

Provide overhead protection for operator without

03
obstructing his field of vision

04 Any other point

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
Issued By ONLY IF IN RED
]

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK - 422 011 I
ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/08 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1
Issue No: 01 Issue Date:30 th July 2016 I Rev. No.: 00
Revision Date : 30 th July 2016
Title: Safety measures for lifting gears

Project Name:
Site:
Date:
Location:
Period From:
For The Month:

Sr. STATUS
No. DESCRIPTION
YES NO NA
01 Check the sling before use

02 Check lifting gear for its safe working load

Preserve the wire ropes against rusting, kinking, fraying, bird caging
03 and heat damage (Wire Rope Test certificate from competent
person)
04 Any other point

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
Issued By
ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
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Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/09 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Safety measures for Electric Items

Project Name:
Site:
Date:
Location:
Period From: To:

Sr. STATUS
No. DESCRIPTION
YES NO NA
01 Check electric system for design & inspection

02 Use low voltage as far as possible

03 Do not keep electric wires / cables on floor

04 Keep away all Solvents / Liquids / Water

05 Check electric installation periodically

06 Provide appropriate Earthing to all electrical installations (ELCB's /

MCB)
Check the insulation resistance periodically in all installations
07
(Insulation test)

08 Check the earth resistance periodically (Megger test)

09 Checking of Lighting Arrestors

10 Any other point

11 Are the electricians qualified to do the electrical work (Certificate)

12 Check for open switches or non-availability of switch boards

Signature of Site HSE Executive / Officer

Management Representative e; 1.‘

MASTER COPY
Issued By
. ONLY IF IN RED vi

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
'INCA
ASH%.,,
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/10 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Safety measures for Fabrication & Erection

Project Name:
Site:
Date:
Location:
Period From: To:

Sr.
Description STATUS
No.
YES No NA
01 Check periodically all equipments like,
a. Gas cutting machines sets
b. Welding machine sets
c. Drills, machine
d. Power hacksaws
e. Grinders
f. Bar cutting machine
g. Bar bending machine
h. Jib crane
i. Tower crane
j. Generators
k. Compressors
I. Derricks
m. Hoists
02 Check whether moving parts of all equipments are provided with safety
guards
03 Check and rectify following
a. Rubber pipe lines for Oxygen and Acetylene gas for leakage or damage
b. Leakage of gas from regulators, pipelines or connections with the gas torch
c. To wear gloves and use aprons, proper welding screen by workers
04 Check power cables whether properly insulated and protected
05 To display danger signs on poles of overhead electric lines
06 To store cut pieces and scarp at an allotted space to avoid accidents
07 Check thoroughly following tools and tackles before starting work
a. Lifting tools and tackles
b. Ropes — Test Certificate 1
c. Shackles
d. U — clamps
e. Chain pulley blocks
f. Hooks
08 Any other point

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY,
Issued By
ONLY IF IN REpi

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/11 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Safety measures for Storage

Project Name:
Site: Date:
Location:
Period From: , To:
For The Month:

Sr. STATUS
No Description
YES No NA
To avoid fire hazards smoking & open fires strictly prohibited near timber
01
yard (Are No Smoking signs displayed?)
To stack separately

a) Wooden Sleepers

b) Runners
02
c) Ballies / Wooden

d) Plywood

e) Bamboo
To check whether stacking of following items of different sizes are
stacked separately in steelyard with enough space all around.
a) Steel reinforcement

b) M. S. Joists
03
c) Angles

d) Channels

e) Flats

04 The steel items to be stacked over wooden sleepers or raised platform but
not on ground.
05 Adequate Fire Fighting arrangements provided at each storage place

06 Any other point

07 Any Oil / Diesel leakages observed in Oil / Diesel storage (Use of trays)

08 Is Oil rags / Cotton waste lying improperly in the stores?

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/12 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 I Rev. No.: 00 Revision Date : 30th July 2016

Title: Safety measures for Hot Bituminous Works

Project Name:
Site: Date:
Location:
For The Month:

Sr. STATUS
Description
No. YES No NA

Check whether appliances, equipments, tools are defective or unsafe

01

Tool Box Talk signed copy to be in place (On work related activity should
02 be discussed in local language.

Work zone barricading

1. Work-zone barricading as per Road Work layouts
2. Hard Barricade at the work zone starting point with proper signage's
03
3. Hard Barricade at the ending point of work zone
4. Bamboo, Cone with warning tap barricading all over the work zone
stretch
Safety signage's provided
1. Men at work (Hindi & local language)
2. Go Slow (Hindi & local language)
04 3. Work In Progress
4. Keep Left / No Overtaking
5. Take Diversion

Check and use protective wares such as boots, gloves, goggles, helmet and
05 mask for fumes

To keep ready stock of clean, dry sand or loose earth, adequate supply of
06 Water

Availability of First Aid box for burns (Water to be available nearby work
07 place)

If equipment is parked, it should be barricaded with proper signage's and

08 warning signs

Any other point

09

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
Issued By
ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 I ASHOM
I
Health, Safety and Environment Work Instructions

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Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Safety measures for First Aid Box

Project Name:
Site: Date:
Location:
Period From: To:
For The Month:

Sr. STATUS
Description
No. YES No NA
PART 1
A sufficie4nt number of eye wash bottles filled with distilled water or
01 suitable liquid clearly indicated with distinctive sign, which shall be visible at
all times.
02 Twenty four small sterilized sterling.
03 Twelve medium size sterilized dressings.
04 Twelve large size sterilized dressings.
05 Twelve large size sterilized bum dressings.
06 Twelve (15 cms) packets of sterilized Cotton wool.
07 One pair of scissors.
08 One roll of adhesive plaster (6mm x 1m)
09 Two rolls of adhesive plaster (2cm x 1m)
10 Twelve pieces of sterilized eye pads in separate sealed pockets.
11 Twelve roller bandage 10cm wide.
12 Twelve roller bandage 05cm wide.
13 One tourniquet
14 A supply of suitable splints
15 Three pockets of safety pins
16 Kidney tray
17 A snake bite lancet
18 Two pairs of suitable sterilized latex hand gloves
19 Six triangular bandages.
20 Stretch bandages
21 One copy of First-Aid leaflet issued by Director General Safety
22 Medicines to kept in First-Aid Box
a. Combiflame for Body ache
b. Avomine for Vomiting
c. Nice for Fever / Body ache •
d. Bi-Quinol for Loose motions
e. Bumol for Minor Burns
f. , Dettol for Cuts / Dis-infections

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
 ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/14 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Health Hazard Survey
Project Name:
Site: Date:
Location:
Period From: ' To:
For The Month:

Sr. How Additional

No. Category No Yes Comments or
Many Questions
A Ionizing Radiation
_
01 Do you have any source of Ionizing Radiation?
02 X-Ray Cabinet
03 Isotopes
04 Do you have permit for sources?
05 Is a monthly radiation check performed?
06 Do you have employees in the film badge program
07 Are radiation warning signs posted in radiation area?
08 Do you have annual radiation training?
09 Do you provide training for new or transferred employees?
B Non- Ionizing Radiation
Do you have any source of Non- Ionizing Radiation? Which of the
01 following (60Hz) electromagnetic fields sources do you have in your •
area?
02 High Voltage area / test cage
03 Transformers
04 Computers
05 Other
Radio frequency / Microwave sources do you have in your area?
06 Microwave ovens
07 Infrared
08 Ultraviolet
09 Induction
10 other
C Vibration
Are any of your employees routinely exposed to vibration hazards
01
(eg. Jack hammers, grinding wheels, portable drills, etc.)
D Ergonomic / Human Factors
Do you have any of the following Ergonomic / Human Factors
activities in your area?
01 Repetitive Motion Actions
02 Material Handling
03 Shift Work
04 Stress
05 Vibration
1 06 Other

Signature of Site HSE Executive / Officer

Management Representative MASTER COPY

ONLY IF IN RED
Issued By

CONTROLLED COPY
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Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/15 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Personal Protective Equipment Store Inventory

Project Name:
Site: Date:
Location:
Period From: To:
For The Month:

Sr. Received Issued Balance

Equipment Description
No. Date Qty. Date Qty.
Helmet for worker, Labour, Staff (color - Yellow with
01
Ashoka Logo)
02 Helmet for Visitor (color - White with Ashoka Logo)
03 Hand Gloves (Cotton)
04 Hand Gloves (Leather)
05 Hand Gloves (Rubber - Acid / Alkali proof)
06 Hand Gloves (Rubber - Electrical Shock proof)
07 Full Body Safety Harness
08 Ear Plugs
09 Fall Arrestor
10 Safety Goggles
11 Dust Mask - Simple
12 Dust Mask - with Air Filtration
13 Gas Nose Mask
14 Welding Glass
15 Gum Boots
16 PVC Ankle Shoes
17 Safety Shoes
18 Safety Net
19 Florescent Jacket (Yellow)
20 Florescent Jacket (Orange)
21 First Aid Box
22 Nylon Rope — 20 mm
23 Nylon Rope — 14 mm
24 Rain Coat
25 Umbrella
26 Tarpaulin for Emergency Camp (in meter)

Signature of Site HSE Executive / Officer Store Keeper's Signature

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
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Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/16 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: House Keeping

Project Name:
Site: Date:
Location:
Period From: To:

Sr.
No. Points to be Check Observation Remark
01 Work place Monitoring
02 Walkways, aisles & all overhead work place cleared of loose
03 Flammable material if any, are cleared
04 All shuttering materials are removed after De-shuttering is done
05 Platforms and walkways free of Oil / grease or other slippery
Collected scrap are brought down or lowered down and not
06
dropped from height
07 Check the segregation area
08 Latrine & Bathroom's cleanliness
09 Employee Rest Room
10 Canteen area
11 Open drain if any, Leakage of pipe if any

PPE's & SAFETY DEVICES

Sr.
Points to be Check Observation Remark
No.

Use of Safety helmets, Nose mask, Goggles, Safety shoes ensured

01
for all workers.
Use of Safety harness (Full body / Half body) ensured for all
02
workers.
03 Anchoring point provided at all places of work.
Common lifeline provided wherever linear movement at height is
04
,' required.
05 Proper fall arrest system is developed at critical work places.

06 Crawler boards / Safety system for work on fragile roof are used.

Signature of HSE Officer

Management Representative .
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
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Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/17 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1
Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016
Title: Working at height

Project Name:
Site: Date:
Location:
Period From: To:
Sr.
DESCRIPTION STATUS
No.
YES NO NA
01 All the workers have been explained safe working procedures
02 A communication system has been established and explained to the
workers
03 Adequate illumination has been ensured
04 Work area inspected prior to starting of the job
05 Area below the workplace barricaded, especially below hot works
06 Workmen provided with back / box to carry bolts, nuts, and hand tools
07 Arrangement for fasting hand tools made

08 All work platforms ensure to be of adequate strength and ergonomically

suitable
09 Fabricated make shift arrangements are checked for quality and type of
material welding anchoring etc.
10 Work at more than one elevation at the same segment is restricted

Access / Egress
Sr.. STATUS
DESCRIPTION
No. YES NO NA
01 Walkways provided with handrails, mid-rails & toe guard
02 All cheered plates, grating properly welded / bolted
Are ladders inspected and weather they are maintained in good
03
condition
04 Are ladders properly secured to prevent slipping, sliding or falling
05 Do side — rails extend 36" above top of landing
06 Are built up ladders constructed of sound materials
07 Rungs and cleats not over 12" on center
08 Proper maintenance and storage
09 Ladders placed at right slope
10 Ladders, staircase welded / bolted properly
11 Any landing provided with handrails, knee rails, toe boards etc.
12 Whether ramp is provided with proper slope

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
Issued By ONLY IF IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: CL/CO/DO/PR/HSE/18 REF.: QMS: 7.5.1 / OSHAS : 4.3.1 Pages :Page 1 of 1

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date : 30th July 2016

Title: Fire Extinguishers Servicing check list

Project Name:

Site: Date:

Location:

Period From: To:

Make: Capacity (Kg):

Sr. No. Type of Extinguisher Yes No Remark

01 Cap

02 Hose Pipe

03 Washer

04 Plunger

05 Nozzle

06 Safety Pin

07 Condition of Extinguisher — Empty / Full

08 Stickers

09 Painting

10 Service Card

11 Other

Signature of Site HSE Executive / Officer

Management Representative
MASTER COPY
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CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM

Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/37 REF.: QMS 7.5.1 1 Pages: Page 1 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 1 Revision Date: 30th July 2016

Title: Master List of Guidelines

Sr. No. Description of Guideline Identification code for Rev. No & Date
Guideline
Issue -01 Date: 30th July 2016
1 General Safety Rules SOP/CO/DO/PR/HSE/01
Rev. No:00 Date: 30 July 2016
Issue -01 Date: 30th July 2016
2 Handling of materials SOP/CO/DO/PR/HSE/02
Rev. No:00 Date: 30 July 2016
.- Date: 30th J uly 2016
Issue -01
3 Using a ladder, scaffold and staircase SOP/CO/DO/PR/HSE/03
Rev. No 00 Date: 30 July 2016
Issue -01
.- Date: 30`" July2016
4 Working on Heights SOP/CO/DO/PR/HSE/04
Rev. No 00 Date: 30 July 2016
Working in Hoppers, silos and deep Issue -01 Date: 30th July 2016
5 SOP/CO/DO/PR/HSE/05
pits Rev. No.-00 Date: 30 July 2016
Using compressed gas cylinders Issue -01 Date: 30th July 2016
6 SOP/CO/DO/PR/HSE/06
oxygen and dissolved acetylene Rev. No.-00 Date: 30 July 2016
Pressure vessels, lines, valves, and Issue -01 Date: 30th July 2016
7 SOP/CO/DO/PR/HSE/07
checklist Rev. No.-00 Date: 30 July 2016
Digging for trenches, foundations, Issue -01 Date: 30th July 2016
8 SOP/CO/DO/PR/HSE/08
drains etc. Rev. No.-00 Date: 30th July 2016
Issue -01 Date: 30th July 2016
9 Working on a machine SOP/CO/DO/PR/HSE/09
Rev. No.-00 Date: 30 July 2016
Issue -01 Date: 30th July 2016
10 Machine Hazards checklist SOP/CO/DO/PR/HSE/10
Rev. No.-00 Date: 30 July 2016
Issue -01 Date: 30th July 2016
11 Rock drilling SOP/CO/DO/PR/HSE/11
Rev. No:00 Date: 30 July 2016
Issue -01 Date: 30th July 2016
12 Blasting SOP/CO/DO/PR/HSE/12
Rev. No:00 Date: 30 July 2016
General Explosives and Explosions Issue -01 Date: 30th July 2016
13 SOP/CO/DO/PR/HSE/13
checklist Rev. No.-00 Date: 30 July 2016
.- Date: 30`" July2016
Issue -01
14 Operating Shovel/Excavator SOP/CO/DO/PR/HSE/14
Rev. No 00 Date: 30 July 2016
Issue -01 Date: 30th July 2016
15 Operating dumper/Tipper/Trucks SOP/CO/DO/PR/HSE/15
Rev. No.-00 Date: 30th July 2016
Issue -01 Date: 30th July 2016
16 Dumping SOP/CO/DO/PR/HSE/16
Rev. No: Date: 30 July 2016
Issue -01 Date: 30th July 2016
17 Safety precautions on Rope-way SOP/CO/DO/PR/HSE/17
Rev. No.-00 Date: 30th July 2016
.- Date: 30`" July2016
Issue -01
18 Working of stone crushers SOP/CO/DO/PR/HSE/18
Rev. No 00 Date: 30 July 2016
N — -, —
.1.
sior il
14

Departm:- t Head I S Director Mana

MASTER-C
Prepared By Approved By IN RED
ONIMIEW

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011
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Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/37 REF.: QMS 7.5.1 Pages: Page 2 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 i Revision Date: 30 th July 2016
Title: Master List of Guidelines

Sr. No. Description of Guideline Identification code Rev. No & Date

for Guideline
19 Working with material conveyors Issue -01 Date: 30th July 2016
I SOP/CO/DO/PR/HSE/19
Rev. No.-00 Date: 30th July 2016
Working in storage yard, material Issue -01 Date: 30th July 2016
20 SOP/CO/DO/PR/HSE/20
Gantry etc. Rev. No.-00 Date: 30th July 2016

21 Working in Welding Area Issue -01 Date: 30th July 2016

SOP/CO/DO/PR/HSE/21
Rev. No.-00 Date: 30th July 2016

22 Gas Welding or Cutting Issue -01 Date: 30th July 2016

SOP/CO/DO/PR/HSE/22
Rev. No.-00 Date: 30th July 2016

23 Working on Electrical equipment Issue -01 Date: 30th July 2016

SOP/CO/DO/PR/HSE/23
Rev. No.-00 Date: 30th July 2016

24 Electrical systems checklist Issue -01 Date: 30th July 2016

SOP/CO/DO/PR/HSE/24
Rev. No.-00 Date: 30th July 2016

25 To do when one is electrocuted Issue -01 Date: 30th July 2016

SOP/CO/DO/PR/HSE/25
Rev. No.-00 Date: 30th July 2016

26 First Aid in case of Electric Shock Issue -01 Date: 30th July 2016
SOP/CO/DO/PR/HSE/26
Rev. No.-00 Date: 30th July 2016

27 In Laboratory Issue -01 Date: 30th July 2016

SOP/CO/DO/PR/HSE/27
Rev. No.-00 Date: 30th July 2016

28 Chemical reactions checklists Issue -01 Date: 30th July 2016

SOP/CO/DO/PR/HSE/28
Rev. No.-00 Date: 30th July 2016

29 Driving vehicles Issue -01 Date: 30th J uly 2016

SOP/CO/DO/PR/HSE/29
Rev. No.-00 Date: 30th July 2016
Issue -01 Date: 30th J uly 2016
30 Make home a sweet home SOP/CO/DO/PR/HSE/30
Rev. No:00 Date: 30th July 2016
Issue -01 Date: 30th July 2016
31 In Travel SOP/CO/DO/PR/HSE/31
Rev. No.-00 Date: 30th July 2016
Issue -01 Date: 30th J uly 2016
32 To Prevent Fire SOP/CO/DO/PR/HSE/32
Rev. No.-00 Date: 30th July 2016
Issue -01 Date: 30th J uly 2016
33 To Control Fire SOP/CO/DO/PR/HSE/33
Rev. No.-00 Date: 30th July 2016
Portable Fire Extinguishers. How to Issue -01 Date: 3e July 2016
34 SOP/CO/DO/PR/HSE/34
use Rev. No.-00 Date: 30th July 2016
Issue -u
01 Date: 30th J ly 2016
35 Type of Fire Extinguishers SOP/CO/DO/PR/HSE/35
Rev. No.-00 Date: 30th July 2016
Issue -01 Date: 30th J uly 2016
36 Fire Extinguishers information chart SOP/CO/DO/PR/HSE/36
. _ Rev. No:00 Date: 30th July 2016

v./ li ‘ '
Depart nt Head I 1. 'irector Mana . - '

Prepared By Approved By ONt..cleBlf IN RED

CONTROLLED COPY
ASHOKA BUILDCON LTD, ASHOKA HOUSE, ASHOKA MARG, ASHOKA NAGAR, NASHIK — 422 011 ASHOM
Health, Safety and Environment Work Instructions

Doc. No.: WI/CO/DO/PR/HSE/37 REF.: QMS 7.5.1 Pages: Page 3 of 3

Issue No: 01 Issue Date:30th July 2016 Rev. No.: 00 Revision Date: 30th July 2016

Title: Master List of Guidelines

Sr. No. Description of Guideline Identification code Rev. No & Date

for Guideline
Issue -01 Date: 30th u ly 2016
37 Working in Office - Do's & Dont's SOP/CO/DO/PR/HSE/37
i Rev. No.- 00 Date: 30Jth July 2016
DG — Set Issue -01 Date: 30th July 2016
38 SOP/CO/DO/PR/HSE/38
Rev. No.-00 Date: 30th July 2016
Disposal of Empty Grease & Oil Issue -01 Date: 30th July 2016
39 SOP/CO/DO/PR/HSE/39
Containers Rev. No.-00 Date: 30th July 2016
Pollution control Measures Noise & Issue -01 Date: 30th July 2016
40 SOP/CO/DO/PR/HSE/40
Water Rev. No.-00 Date: 30th July 2016
Construction & demolition waste Issue -01 Date: 30th July 2016
41 SOP/CO/DO/PR/HSE/41
control & Management Rev. No.-00 Date: 30 July 2016
Prevention & Control of Soil Issue -01 Date: 30th July 2016
42 SOP/CO/DO/PR/HSE/42
Erosion / Usage of soil Rev. No.-00 Date: 30th July 2016
Prevention & Control of Oil / Issue -01 Date: 30th July 2016
43 SOP/CO/DO/PR/HSE/43
Chemical Spillage Rev. No.-00 Date: 30 July 2016
Issue -01 Date: 30th July 2016
44 Solid waste Management SOP/CO/DO/PR/HSE/44
Rev. No.-00 Date: 30th July 2016
Issue -01 Date: 30th July 2016
45 Air Pollution Control Procedure SOP/CO/DO/PR/HSE/45
Rev. No.-00 Date: 30th July 2016

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Dep aft Head I S Director Mane"
MASTER COPY
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