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Host Country Healt h & Safety Standards

Host Country H&S Standards This document Is uncontrolled <:opY when pr'inted or downloaded
Revision: 1.0
Date: 08 August 2021 Pagel
Appendix # 1
 Tender H&S Evaluation Questionnaire
No. Requirement Description Yes/ No/ Reference of Specific Evidence/documents Maximum Obtained
NA provided by bidders score Score
1.0 Health & Safety Site Operations Plan 10
1.1 Does your organization Provide copy of site
have Site specific H&S specific H&S Plan
Operations Plan? sample.

2.0 Health & Safety organisation as per HC H&SA standards 20

2.1 Does your organization Recognized management
have an accredited systems such as ISO
management system? 45001. If yes, provide a
copy.
2.2 Does your organization If Yes, provide the copy
have identified the of H&S legal and other
applicable legal and other requirement register
requirements?
3.0 Health & Safety Objectives & Targets 10
3.1 Organization H&S Provide H&S objectives
Objectives and targets and targets
4.0 Health & Safety Communication & Consultation 05
4.1 Does your organisation We would expect your
have a process in place to organisation to have a
communicate H&S two way communication
information to process in place.
personnel?
5.0 Training and Competency record 10
5.1 Does your organization Your competent advisor
have access to competent should have NEBOSH IGC
health and safety advice? as a minimum
qualification, or safety
advice can be sought
 from a suitably qualified
consultant
5.2 Are your workforce Provide competence
suitably qualified and certificates for critical
trained for the work you safety roles not limited
will undertake at our to crane operators,
facilities? drivers, rope access etc.
5.3 Does your organization If yes, provide the copy
have annual training plan of Annual Training plan
including mandatory along with evidences
training?
5.4 H&S Induction topics Provide the list of the
topics covered in H&S
Induction
5.5 Does your organization The tenderer will confirm
have suitably trained staff for the same.
to deal with emergency
situations not limited to
fire, medical and rescue
etc?
6.0 CVs of Key personnel 05
6.1 Organization H&S Organization H&S
Organization chart Organization chart
including CVs of Key including CVs of Key
personnel personnel
7.0 Hazard identification and Risk assessment specific to the
10
operations and activities
7.1 Does your organisation A comprehensive H&S
have a risk register? Risk register which
covers overall H&S
operational risks.
If yes, Provide a copy
7.2 Does your organization Does your organization
have a Hazardous have a Hazardous
substance register? substance register?
If yes, provide a copy
8.0 Specific methodology of safe system of works 10
8.1 Does your organization Provide copy of Health
have a Health and Safety and Safety Manual &
Manual and H&S H&S procedures
procedures?
8.2 Do you have generic Method Statements &
method statements and Risk Assessments must
risk assessment (RAMS) be site specific if you are
that cover your routine awarded the contract
activities?
8.3 Does your organization The register should
maintain a register of include information such
equipment? as machine type, serial
numbers, maintenance
schedule and
information relating to
third party certification
where appropriate.
8.4 Does your organization Provide the inspection
have a process in place to record of equipment e.g.
inspect the safety of heavy, electrical,
equipment? hydraulic, mechanical
equipment etc.

8.5 Does your organization Provide samples of latest

have a process in place to site H&S inspections &
conduct inspections and audits
audits of your activities?
8.6 Does your organization If yes, provide a copy of
have Emergency site specific emergency
Evacuation Plan? evacuation plan as
sample.
9.0 Historical health & safety performance 10
9.1 H&S Performance record Provide H&S
for last 3 years Performance record
including Average
Manpower, Total work
hours, Fatality, and
Accident Frequency Rate
(AFR)

(H&S Performance
record for last 3 years)
10.0 Commitment to comply HC H&S requirements 10
10.1 Commitment to comply Provide a H&S
HC H&S requirements commitment letter
signed by senior
management of tenderer
to comply with HC H&S
standards and
contractual obligations
TOTAL 100

*Bidder shall obtain minimum 50% score to qualify the H&S tendering evaluation requirement.
Appendix # 2
 Health and Safety Risk Assessment Contractor’s Logo
(If Applicable)

Description of activity Project Name/Reference:

Company/Functional area Date Revision No

What are the Who might be Baseline Risk level Additional control measures Residual Risk Level
Step by Step Tasks Existing control measures
hazards? harmed and how? L S R (if required) L S R
 Health and Safety Risk Assessment Contractor’s Logo
(If Applicable)

Severity Details of Hazard Severity

1 2 3 4 5 Colour Risk Requirement
Negligible Minor Moderate Significant Severe Unacceptable - Activity shall not
5 - Very 20- 25 High (H)
5-L 10-M 15-M 20-H 25-H proceed in current form.
Likely
Area of Concern and ALARP - Activity
4-Likely 4-L 8-L 12-M 16-M 20-H 9 – 19 Medium (M) can operate subject to management
Likelihood

3-Possible 3-L 6-L 9-M 12-M 15-M decision and/or modification.

Acceptable Risk – Monitoring and
2-Unlikely 2-L 4-L 6-L 8-L 10-M
supervision is required and activity
1-Very 1-8 Low (L)
1-L 2-L 3-L 4-L 5-L can proceed under normal
unlikely circumstances

Likelihood Severity
Rating Likelihood Description Rating Injury/disease Discerption Property Damage

1- Very An accident/property damage which is not expected to occur Minor Injury (e.g. First Aid) – No Loss Time Injury / Minor health 10,000 and above
under any normal circumstances and would only result from a 1- Negligible effects require treatment by a medically practitioner , effects are
Unlikely
combination of extremely improbable factors. reversible - Short term absence from work, complete recovery
An accident/property damage which is not expected to occur Minor injury which requires visitation to hospital, however, Up to 25,000
2- Unlikely under any normal circumstances and would only result from a 2- Minor hospitalization not required, complete recovery
combination of extremely improbable factors
An accident/property damage is not expected to occur under Injury which requires hospitalization less than 3 days, complete Up to 50,000
3- Possible normal circumstances but may occur under exceptional 3- Moderate recovery
circumstances.
An accident/property damage which has the possibility of Potentially life-threatening injury causing temporary disability / Up to 100,000
4- Likely occurring under normal circumstances. 4- Significant Major health effect to an individual requiring Medical evacuation
to hospital. Potential long term absence. (LTA)
An accident/property damage which is almost certainly going to Fatality or multiple fatalities, multiple permanent disabling More than 100,000
5- Very Likely occur during normal circumstances if conditions remain 5- Severe injuries from occupational illness or injury.
unchanged.
 Health and Safety Risk Assessment Contractor’s Logo
(If Applicable)

Project owners/Site owners/Contractor

Name & Designation Signature
Prepared by:

Reviewed by:

Approved by:

Contractor’s Company Seal/stamp:

(If applicable)

Reviewed and Approved by

Name Signatures Date

Approval Status Code Tick

Approved with no comments A
Approved with comments (contractor my proceed) B
Revise and Resubmit after incorporating comments C
Rejected D
Appendix # 3
 Method Statement

Method Statement
[PROVIDE NAME OF THE ACTIVITY]

Project Title

Project Reference/
Agreement Number
Contractor

Project owners/Site owners/Contractor Revision #

(Filled By)
Name & Designation Signature
Prepared by:
Reviewed by:
Approved by:
Contractor’s Company Seal/stamp:
(If applicable)

Reviewed and Approved by (SC H&S Approval Status Code Tick

Assurance)
(Filled By)
Name Approved with no comments A
Signature Approved with comments (contractor B
my proceed)
Date Revise and Resubmit after incorporating C
comments
Rejected D

[Please delete this and all the text in red given for guidance in each section]

1|Page
 Method Statement

Revision & Approval History

Revision Date Description of Changes Status

Notes:

2|Page
 Method Statement
a. This submittal has been reviewed to ensure general compliance with the scope of works as detailed
in the contract documents.
b. The approval by site owner/project site owner does not relieve the contractor from his obligations
under the contract and applicable legal requirements.
c. Contractor is responsible for all technical submittals, sequence of work, design/shop drawings,
methodology, safety requirements, accuracies and coordination with other trades, unless specifically
approved as such.

3|Page
 Method Statement

Contents
1. Project Description ............................................................................................................................... 5
2. Project Organization............................................................................................................................. 5
3. Project Duration ................................................................................................................................... 5
4. Roles, Responsibilities and Authorities ............................................................................................... 5
4.1 Project Manager ........................................................................................................................... 5
4.2 Site Engineer/Coordinator ........................................................................................................... 5
4.3 Workers ........................................................................................................................................ 5
4.4 Permit to Work Receiver .............................................................................................................. 5
4.5 Safety Manager/Engineer ............................................................................................................ 5
4.6 First Aider(s) ................................................................................................................................. 5
5. Materials to be used ............................................................................................................................ 5
6. List of Equipment/ Tools to be used .................................................................................................... 5
7. Sequence of Work ................................................................................................................................ 6
8. Site survey and Inspection ................................................................................................................... 6
9. Testing and Commissioning required .................................................................................................. 6
10. Management of Contractors/Subcontractors ................................................................................. 6
11. Change Management ....................................................................................................................... 6
12. Emergency Preparedness and Response Plan ................................................................................. 6
13. Key Terms & Definitions................................................................................................................... 6
14. Attachments ..................................................................................................................................... 6

4|Page
 Method Statement
1. Project Description

Briefly describe the project scope (activities and locations) as detailed as possible

2. Project Organization

Provide project organization chart with positions, names, telephone numbers and emails

3. Project Duration

Start Date:
End Date:

4. Roles, Responsibilities and Authorities

Provide details of the roles and responsibilities of the below positions, as applicable to your project.
(You may delete or add the positions according to your project organization chart)

4.1 Project Manager

4.2 Site Engineer/Coordinator

4.3 Workers

4.4 Permit to Work Receiver

4.5 Safety Manager/Engineer

4.6 First Aider(s)

5. Materials to be used

Provide a list of materials to be used, and attach Safety Data Sheets (SDS) where applicable. If not
applicable mention (N/A)

6. List of Equipment/ Tools to be used

Provide a list of equipment/tools to be used on site

5|Page
 Method Statement
7. Sequence of Work
Provide sequence of activities/tasks to be performed in relation to the scope of works

8. Site survey and Inspection

Provide site survey and inspections details (Internal/ third party/client) with reference to the sequence of
activities and scope of work. Attach relevant Inspection Forms

9. Testing and Commissioning required

Provide details of required inspections and testing (Internal/ third party/client) with reference to the
sequence of activities and scope of work. Attach relevant Testing and Commissioning Form.

For complex or major project/work (as specified by SC), a separate Method Statement & Risk Assessment
is required for Testing and Commissioning Phase.

10. Management of Contractors/Subcontractors

• Provide details if applicable. Detailing the outsourced activities/processes

• Roles and responsibilities of the subcontractors

11. Change Management

How changes in equipment, material, workforce or sequence of work will be identified and managed
internally, and communicated to SC for approval prior to implementing the change.

12. Emergency Preparedness and Response Plan

Provide the list of possible emergencies and details response plans with roles and responsibilities.
Provide the detail of fire safety arrangements

14. Reference drawing, standard, code and regulation

Indicate the related technical drawing reference/number (design drawing, shop drawing, detailed
drawing, as built drawing, others), as required, the contractor shall confirm that all works are in
compliance with the latest local authority codes and standards such as QCS, QCDD, Kahramaa and other
applicable Qatar Standards.

13. Key Terms & Definitions

Specify and define all technical information, jargons, abbreviations, and important terms

14. Attachments

14.1 H&S Risk Assessment

14.2 Drawings
14.3 Safety data sheets

6|Page
 Method Statement
14.4 Manufacturer Technical Data (As per applicability)
14.5 Others (As per applicability)

7|Page
Appendix # 4
 Emergency Response Plan

Project/Location:

Project Parties & Stakeholders

Issue Date:

Last Revision Date:

Project owners/Site owners/Contractor Revision #

(Filled By)
Name & Designation Signature
Prepared by:

Reviewed by:

Approved by:

Reviewed and Approved by (SC H&S Assurance) Approval Status Code Tick
(Filled By)
Name Approved with no comments A
Signature Approved with comments (contractor my B
proceed)
Date Revise and Resubmit after incorporating C
comments
Rejected D

Revision & Approval History

Revision Date Description of Changes Status
Emergency Response Plan
 Emergency Response Plan

1. INTRODUCTION OF THE PROJECT

Briefly describe the project scope (activities and locations) as detailed as possible

2. FACILITY DESCRIPTION

The emergency plan must include a brief description of the facility and its operation. Other
required background information includes:

• Location of the facility

• GPS Coordinates- Google map location
• An inventory of all hazardous chemicals on site and their location
• For large or complex facilities, it may be preferable to simply put a summary in the
introductory section and provide details in an appendix

3. SITE LAYOUT PLAN

The site layout plan shall detail significant facility features as applicable, not limited to below:
• Site boundaries
• Evacuation Routes
• Emergency access points
• Grid references (if applicable)
• Electrical supply isolation
• Gas supply isolation valves
• Water isolation valves
• Storm-water drainage points
• Open uncovered land that may act as run-off sinks
• Sewage system outlets
• Emergency evacuation assembly points
• First aid stations
• Location of relevant emergency plan information and safety information
• Site topography (including bunding and site drainage)
• All hazardous materials under control of the facility
• Location of the facility emergency control center
• Location of emergency resources and equipment (e.g. Fire extinguishers, neutralizing
agents, absorbents, fire water pumps, fire water valves, booster, etc.).
 Emergency Response Plan

4. TYPES AND LEVELS OF EMERGENCY

The types and levels of possible emergencies identified for the facility shall be described, such as
the following:

- Fires
- Floods and Natural Calamities
- Medical emergencies
- Unknown toxic substance
- Vehicular accidents
- Explosions
- Power failure
- Equipment/machinery failure
- Pandemics (i.e. influenza, H1N1, etc.)
- Gas leakage
- Earthquake

Prioritize or rank workplace emergencies to ensure that the emergency most likely to occur is
planned first and appropriate emergency response procedures are determined.

The emergency plan shall identify the tiers of emergency from the perspective of response, as
per the following:

Tier 1: An emergency where the risk to people and property is expected to be confined to a specific
location within the site and no escalation is expected. This level of emergency can be handled using
resources immediately available within the site /project owner’s organization.

Tier 2: An emergency where the risk to people and property is expected to spread to or affect all parts
of the site, but not off-site. This level of emergency requires immediate notification to HC H&SA
Assurance.

Tier 3: An emergency where the risk to people and property is expected to impact both within the site
and beyond the boundary of the site. This level of emergency requires immediate notification to HC
H&SA Assurance and national emergency response services.

5. ORGANIZATIONAL STRUCTURE AND EMERGENCY FUNCTIONS

The emergency organizational structure will embody all emergency functions identified i.e. the
allocated areas of responsibility involved in managing an emergency at the facility. The functions
nominated for the facility shall be listed in the plan, together with the associated roles,
responsibilities and duties of personnel assigned to these functions, and arrangements for
appropriate backup.
 Emergency Response Plan

The functions shall address the areas of responsibility required to manage the emergency. The
specific manner of translating areas of responsibilities into functions will depend on the size and
the resources of a facility.

The emergency plan shall provide the following details of command structure and personnel:

- The command philosophy and structure to be activated in an emergency, so that it is

clear what actions will be taken, who will take these actions, and how, when and where
they will be taken.
- Details of the person who can clarify the content of the emergency plan if necessary
- The contact details of, and the means of contacting, the persons at the facility
responsible for liaising with emergency services
- A list of 24-hour emergency contacts
- Arrangements for assisting emergency services and nearby facilities with control actions
taken in the surrounding area.

6. ROLES OF EXTERNAL SERVICES

The roles, responsibilities, functions and needs of all key stakeholders (e.g. industry, the community,
and external agencies such as the Police and Fire services) shall be clearly identified. These
definitions will be derived through extensive consultation. The plan shall identify the phases when
consultation is necessary, such as when the plan is being updated.

7. EMERGENCY CONTROL CENTER (ECC)

The location of the emergency control center (ECC) and any alternative shall be nominated. The ECC
shall be readily accessible and appropriately resourced with communications equipment and
essential documents, including the emergency plan, emergency procedures, SDS and other relevant
safety information. Location maps and site layout plans, as well as information relating to the
relevant hazards and emergency equipment available, shall be available in the ECC and distributed
to the emergency services. A dedicated ECC may not be necessary for smaller facilities that could use
existing office amenities.

Ideally, the ECC shall be located outside the potential hazard zone. If the hazard zone envelops the
center during an emergency, control operations shall proceed to an alternative control center
identified in the plan.

8. EMERGENCY CONTROL ORGANIZATION (ECO)

Emergency controller is in charge of managing an emergency for the facility and has overall
responsibility for all functions performed by facility personnel during an emergency. This role
requires a sound knowledge of:

- The site
- The materials used
 Emergency Response Plan

- The processes
- The potential impacts of emergencies on people and property
- The application of the emergency plan.

Emergency Control Organization, while some of these duties may be assigned or delegated to
other positions or personnel in the emergency control organizational structure before or during
the emergency, ultimate responsibility remains with the facility emergency controller. The plan
shall define the role, responsibilities and duties associated with the position, including
arrangements for delegation.

The people acting in a position within the organizational structure, or conducting certain
emergency functions, will require clear methods of identification i.e. Controller Vest.

9. EMERGENCY PROCEDURES

Specific emergency procedures specific to identified emergency scenarios, are an important part
of the overall emergency management system. They shall be clear, simple, practical and
achievable. The detail contained in the procedure will depend upon the characteristics of the
facility. The procedures shall describe the steps to be undertaken, the precautions, the
protective clothing and equipment to be used, any special conditions, and the responsibilities
and duties of people undertaking these procedures.

Emergency procedures relating to incidents shall take into account the properties of the
hazardous materials and the impacts on people, property and the environment, as estimated in
the hazard analysis process. As an example, the following actions might be considered in
developing the steps for an emergency procedure relating to a spill of corrosive liquid:

- Raise the alarm

- Isolate/evacuate the immediate area
- Use of appropriate protective equipment
- Isolate the source of release
- Use of absorbents
10. Emergency Resources

The resources (equipment and amenities) provided to respond to emergencies shall be

identified and details provided. The emergency plan must include:

The availability and location of specialized emergency equipment to support the functions
identified in the plan shall be indicated on the site layout plan. Details of, and procedures for,
access to additional equipment from other sources such as mutual aid facilities must be
provided. Emergency equipment may consist of the following:

- Emergency vehicle(s)
- Self-contained breathing apparatus
- Firefighting equipment
- Containment equipment such as booms, sandbags, vermiculite or sand
 Emergency Response Plan

- Firefighting media (i.e. foams, additional water supplies, etc.)

- Neutralizing agents
- Personnel identification (e.g. helmets and tabards)
- Protective clothing (e.g. overalls, chemical splash suits, gloves, etc.)
- Specialist equipment (e.g. weather and environmental monitoring equipment, gas
detectors, emergency power and lighting, etc.)
- First aid equipment
- Location of service isolation equipment for the isolation of electricity, gas and steam.
- Spill kits
11. Alarm System

The facility shall have an effective alarm and warning system for all levels of emergency. The
emergency plan must include both off-site and on-site warning systems. Issues to be considered
for inclusion in the plan are:

- Types of warning device(s) (flashing light, siren, distinctive tones, etc.)

- Location of initiation points and warning devices
- Circumstances of initiation or raising the alarm
- Confirmation of initiation of alarm
- Method of establishing that there is an emergency and confirming its level
- Persons authorized to activate the emergency plan after alarm initiation
- Alarm indicators for ALERT, EVACUATE and ALL CLEAR (safe to re-enter)
- Ability of the external alert alarm to be effective throughout the community
information area
- Method, frequency and recording of testing
- Need for back-up systems for the alarm
- Alarm operations if the facility is not staffed
The alarm system must be tested regularly to confirm its intended function, for example its
ability to warn all relevant people under all operating conditions.

12. Activation of the emergency plan

The roles, responsibilities and duties of all personnel involved in activating the emergency plan
when the initial alarm is raised shall be defined. The plan shall also indicate:

- The circumstances under which it is to be activated

- Activation authority
- The method of activation (including all designated methods for raising the initial
warning and sounding the alarm)
- The means of alerting all relevant stakeholders
- The arrangements for activation when the facility is not staffed (such as maintaining a
regularly updated list of emergency contact numbers in an Emergency Service
Information Package (ESIP), included as part of the supporting information)
 Emergency Response Plan

The means of addressing communication issues with the relevant emergency services and other
stakeholders.

13. Initial advice to the emergency services

The role, responsibilities and duties of the person nominated to advise the emergency services of
the emergency shall be identified. The nature of the initial advice and the information required shall
be determined following consultation with the Police, Fire and other emergency services. The advice
would usually be given by dialing 999 asking for the relevant emergency service agency (typically
Fire).

- The information provided shall include the following details, where available:
- Name and location of the facility (street, nearest cross street to relevant site entry)
- GPS coordinates
- Number of injured persons or casualties and the nature of injuries
- The type and scale of emergency, including a brief description
- Hazards involved (including details of substances)
- Telephone contact number (for any return messages)
- Name of person making the call
- Any other useful information (e.g. wind speed and wind direction)

14. Reporting of an emergency

This refers to reporting to SC H&SA and government agencies or groups other than the Police, Fire
and emergency services. The procedures for reporting emergencies and the role, responsibilities and
duties of personnel reporting shall be defined.

15. Termination of an emergency

The plan shall outline the procedures and responsibilities for terminating an emergency. These shall
be considered in terms of:

- The return of control to the facility emergency controller by the emergency services
- The declaration by the facility emergency controller that the emergency has been
terminated

16. Emergency Contact numbers

An easily accessible list of current emergency contact numbers must be provided, which may
include:

- Key facility personnel details (including job title, local extension and after-hours
numbers)
- Government, local authorities and other relevant statutory agencies
- Other company offices (head office, regional office, etc.)
- Water, gas and electricity supply authorities, and other utility supplies such as
telecommunications
 Emergency Response Plan

- Specialist response services (e.g. in relation to an oil spill or an emergency concerning a

ship in port)
- Contractors and material and equipment suppliers
- Legal adviser(s)
- Media liaison organizations.

17. Exercises and Testing of the Plan

The emergency plan shall be tested when first developed, and then afterwards at suitable intervals to
enable deficiencies to be identified and corrected.

Testing shall consider all components of the plan, including the effectiveness of training. The operator
must consult with the relevant emergency services organization on testing of the emergency
procedures. The emergency drill shall be conducted within first 30 calendar days followed by the
commencement of operations; afterwards emergency drills shall be conducted on a monthly basis as
a minimum.

18. Submission of Records

The records of testing and drills shall be, including the findings and lessons learnt shall be submitted
to SC H&SA for review, within 7 days of such drills and testing.

19. Monitoring and Review

The emergency plan shall be reviewed at regular intervals to ensure its continued suitability and
effectiveness.

Reviews could also be initiated by:

- Changes in legislation;
- Advances in technology and equipment;
- Changes in organizational direction;
- Changes in products and activities;
- Lessons from incidents;
- Findings of audits, reporting and communication.

It is essential to ensure that the “Management of Change” system in the organization prompts the
need for the review of the emergency plan. Reviews would include an evaluation of the
appropriateness of the objectives, targets and performance measures of the plan.

20. Updating of the Plan

The plan shall be tested and reviewed regularly, and revised as necessary. It shall be updated when:

- Testing of the plan identifies shortcomings or omissions;

- Modifications or alterations occur at the facility;
- The type and quantities of hazardous materials on-site change significantly;
- An incident or near miss indicates the need to do so;
 Emergency Response Plan

- Changes to surrounding land use impact upon the emergency plan;

- Changes occur that will impact on the execution of the plan, such as resources, safety
systems, personnel and contact numbers.

Temporary modifications to the plan shall be considered when undertaking non-routine activities at
the hazardous facility, such as maintenance, construction, and start-up or shut-down. The potential
for incidents increases during such activities, which often involve extra personnel on-site. In the case
of construction and maintenance, there is likely to be an increase in heavy vehicle traffic within the
site, and in the lifting and moving of process equipment. Each of these activities introduces potential
initiating events not present during normal operation.