SITE SAFETY PERFORMANCE ASSESSMENT CHECKLIST

Project Title T2C CSW

Contractor STEC Pte Ltd

Date of Assessment
22 Apr 2024
(dd/mm/yyyy)
Period of Assessment
1st Apr 2024 to 30th April 2024
(dd/mm/yyyy – dd/mm/yyyy)

SECTION A – SAFETY MANAGEMENT SYSTEM AND COMMUNICATION

(to assess at the end of the month)
MAX
S/N ITEM SCORE REMARKS
MARKS
There is training
matrix for Training matric was sighted.
ensuring that all
employees,
including
managers,
supervisors and
subcontractors, The below SIC conducted on April 2024 was
are adequately sighted:-
trained for their Subcon Manager
duties. -Mayuran Jeevana( Asst Contract Mgr) -WEC
1. Training -Lim Ee Ann (Engineer)-Hock Yew Seng
3 3
Competency Safety inducting
training Supervisor
conducted for -Pitchai Poominathan(Supervisor)-Indeco
personnel of Engineer
different trades -Subramaniyan Kumaresan -Indeco Engineer
(including new
workers, visitors, Worker
sub-contractors, -Sellappan Stalin( Operator)-Indeco Engineer
drivers, and -Alagu Siva (GW)-Indeco Engineer
contract workers) Andisamy Raghuraman(GW)-Indeco
before they enter Engineer
the workplace.
2. Leadership Project Director’s 1 1
Commitment monthly
involvement in
the safety related
activities, e.g.
promotional
activities,
inspections, TBM,
PD weekly inspection on 8th April & 15 April
drills, etc. to show
2024.
their commitment
to safety.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION A – SAFETY MANAGEMENT SYSTEM AND COMMUNICATION
(to assess at the end of the month)
MAX
S/N ITEM SCORE REMARKS
MARKS

PD Weekly inspection on15 April was

Monthly safety conducted.
committee meeting is
not counted.

STEC PD award certificate of excellence to

his workforce for their Good WSHE
Performance for month of April.

Prior to work
commencement,
daily assessment
3. Fit to Work
is conducted to all 2 2
Assessment
personnel to
ensure that they
are fit to work. TBM records on 15 April 2024 include health
declaration status of workers.
Number of sickness reported=0

April Safety Committee inspection findings

on 22 April 2024 was closed.
Action items
Contractor’s raised during
4. Safety contractor’s
2 2
Committee safety committee
Meeting meeting are
implemented.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION A – SAFETY MANAGEMENT SYSTEM AND COMMUNICATION
(to assess at the end of the month)
MAX
S/N ITEM SCORE REMARKS
MARKS

Emergency
Response Plan
(ERP) including
ERT organisation
chart is updated, Emergency Response Plan Dated 30 Mar 24
submitted and with status” No Objection with comments”.
accepted by S.O.
team.
2 1

Emergency
response
procedures are
briefed to
emergency
response team Latest briefing on ERP to ERP Team dated
(ERT). was sighted dated 27 Mar 2024.
No briefing record was sighted for the latest
ERP version dated 30 Mar 2024.
Emergency
5.
Preparedness
and Response Emergency
response
provisions e.g.
first aid kit, pump, First aid Monthly Inspection Record sighted.
stretcher, tools
2 2
and equipment,
etc. mentioned in
ERP is checked at
least once a
month. Stretcher & AED is available at the First Aid
Room.
Ground
Deployment
Exercise (GDX)
schedule includes
scenarios
1 1
identified in ERP
and conducted
according to TTX & GDX was planned for April 24 & Dec
stipulated 24 with respective scenarios.
frequency.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION A – SAFETY MANAGEMENT SYSTEM AND COMMUNICATION
(to assess at the end of the month)
MAX
S/N ITEM SCORE REMARKS
MARKS

Pest control
activities are
carried out as
ECO Inspection report for period 1 Apr24-15
planned.
6. Pest Control Apr24 sighted
2 2
Regime
Results of the
inspections are
documented and
followed-up.

Pest control report conducted on 2 Apr24 &

16 Apr 24 was sighted.

Wildlife
7. Wildlife inspections are Eating facility maintenance checklist dated
2 2 21 Apr 24 was sighted.
Management carried out as
planned.

Cleaning of eating facility after meals.

Food waste bin was covered and locked.
8. Obstacle Obstacle control 2 1
Control inspections are
carried out as per
planned.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION A – SAFETY MANAGEMENT SYSTEM AND COMMUNICATION
(to assess at the end of the month)
MAX
S/N ITEM SCORE REMARKS
MARKS
CAAS approval letter for height limit of
machinery at the airside was sighted
( ref :OP/OBT/09.3V219 date d22 Jan 2024)

CAAS approval letter for height limit of

machinery at the landside batching plant
was sighted ( ref : OP/OBT/O9.3 V220 dated
11 Apr 2024)

Obstacle light & chequered flag was installed

at highest point of Bob cat.

Leica Check on max height of Mobile Crane

conducted against CAAG approved height.

No height limit signage with AGL was

available for workers reference at the
machine.
9. Traffic Traffic 2 2
Management management plan
(TMP), including
the localised
traffic utilisation
plan is reviewed,
up to date and
submitted to
TMP Landsite dated 23-apr-2024
SSPA Checklist (Ver.2 – 30 June 2021)
 SECTION A – SAFETY MANAGEMENT SYSTEM AND COMMUNICATION
(to assess at the end of the month)
MAX
S/N ITEM SCORE REMARKS
MARKS

Airside TMP dated 22-apr-2024

CAG.

Localised traffic utilization plan (gate A)

dated 22-apr-2024

Traffic inspections
are conducted as 2 2
per planned

Inspection of vehicle height limit barrier and

Traffic Management plan on 18 apr 2024.

Implementation
of plant &
Plant & equipment
10.
Equipment inspection regime 2 2
(P&E) Control to ensure that
they are fit for
use on-site.

Masterlist of P&E register & maintenance

records is found and expiry date is available

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION A – SAFETY MANAGEMENT SYSTEM AND COMMUNICATION
(to assess at the end of the month)
MAX
S/N ITEM SCORE REMARKS
MARKS
i Max Possible Score for Section A (i) 25

ii Total No. of NA Items (ii) 0

iii Total Score for all NA Items (iii) 0

Max Possible Score Excluding NA
iv Items (iv) 25
Formula: i-iii
Score Obtained for Section A
v 23
(excluding NA items) (v)
Total Weighted Score for Section A
23
Formula: (v ÷ iv) x i

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Toolbox Meetings
are conducted by
supervisor before
the work
commences.
Safe Execution
1. 4 4
of Work Work executed
according to
accepted method
statement and
risk assessment
(MSRA).

Toolbox meeting conducted by respective

supervisor using pictorial illustration

Implementation
of permit-to-work
(PTW) for high-
risk work
4 4
activities and
approved PTW
are available on-
site. E-PTW was applied by site supervisor,
Permit-to- assessed by WSHC & approved by CM.
2. [For Works in
Work System
Airside]
Compliance with
airside work
permit (AWP) and
closure/NOTAM 3 3
approval and
requirements Valid AWP : AWP/2024/201 for work
including duration : 31/03/2024 to 31/05/2024 was
demarcation of sighted.
work zone.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Fire extinguishers
of appropriate
size provided at
locations such as
flammable
materials storage Fire extinguisher placed outside generator
areas, generator fencing.
3 3
and hot work
areas, etc.

Fire extinguishers are

in working condition
3. Fire Safety and free from
obstructions.

Fire extinguisher placed outside flammable

materials storage area

Flammable
materials e.g.
diesel tank/drum,
gas cylinder, etc.
are kept away 3 3
from any heat
and ignition
sources and well- Flammable material was observed kept in
ventilated. chemical store away from ignition sources &
well ventilated.
4. Electrical Electrical tools 2 2
Safety and equipment
including
temporary
electrical
installations are
inspected by
licensed electrical
Generator & OG Box was inspected by LEW
worker (LEW)
on monthly basis with inspection sticker
monthly.
showing 1-April-24 & 19-April-24
respectively.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Electrical
distribution
boards are
maintained with
warning signs and 2 2
secured to
prevent Electrical distribution boards are installed
unauthorized with warning signs and secured to prevent
access. unauthorized access.

Rest areas /
shelters with
lightning arrester
provided in the
3 3
worksite for
workers to take
cover during their Rest area installed with certified lightning
Welfare protection system.
5. breaks.
Provisions
Provision of
drinking water
points accessible 3 3
at rest area and
toilets on-site. Drinking water points and portable toilets
are available on site & maintained.
6. Workforce Implementation 2 1
Identification of identification
to differentiate
between project
packages and
individual site
appointments
e.g. banksman,
traffic controllers,
Vest identification includes project packages.
lifting crew, etc.
But vest identification does not include
individual appointments such as banksman,
traffic controllers, lifting crew etc.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Lifting crew are identified by the colour of

their helmets. However, when the riggerman
doubles up as traffic controller, his
temporary role as traffic controller will not
be reflected by his vest/helmet.

Personal Provision and use

Protective of appropriate
7. 2 2
Equipment PPE when work is
(PPE) carried out.

Workers equipped with PPE. Welder

observed wearing welding shield, welding
gloves with standby fire extinguisher.
8. General /
Housekeeping
Washing bays at
vehicular exit
points are in 2 1
working
condition.
Washing bays at area B in working condition.
No washing bay for airside.
Materials are 2 2
stored and
stacked in a safe
manner, to
prevent toppling
hazards.

Materials are stored in designated location.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Construction
wastes are
disposed at
2 2
designated
locations and
cleared regularly.

[For Works in
Airside]
Storage of
materials, ground
conditions,
including parking
of construction
plants and
3 3
equipment
comply with AOS
requirements and
clear from out of
bound and/or
obstacle
limitation
surfaces (OLS)

[For Works in
Airside]
FOD check
conducted at the 3 3
end of each work
shift for each
work zone.

FOD check conducted at end of workshift

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Chemicals are
labelled and
stored at
designated
locations with
secondary
Chemicals are kept in store away from heat
containment
& ignition sources. The chemicals are
facility provided.
observed stored within secondary
The SDS is
containment(drip tray).
Chemical available on-site.
9. Storage and 4 3 Chemical container was observed not
Handling Spill kits are covered when not in use.
clearly labeled,
visible and
located in an
easily accessible
position. The
container free
from used
absorbent
materials.

Spill kits available & easily accessible.

10. Wildlife and Maintenance of 2 2
Environmental silty water
Management treatment plants
for ECM and
perimeter drains.

Detention Pond kept dry and ready for

holding water during rain.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Perimeter cutoff drains maintain in clean

and free of debris.

Consumption of
Covered food bins provided for food waste
food at
disposal
designated eating
areas with
2 2
provision of
covered bins for
food waste
disposal.

Designated eating area provided

Vegetation is
properly
maintained, and
exposed water
collected in pits / 2 2
depression are
cleared.
No fruit-bearing
plants on-site. Exposed water collected in pits are cleared
Implementation 2 2
of mosquito
breeding control.

Application of anti malaria oil at regular

SSPA Checklist (Ver.2 – 30 June 2021)
 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS
interval.

Evacuation routes
exit points and
assembly areas
are clearly
demarcated with
signs.
..
Access routes for 3 3 Assembly area signage was sighted
emergency
vehicles and
paths for
emergency
evacuation are
free of
Emergency obstructions.
11. Preparedness
& Response
Directional signage to assembly area from
workplace was sighted.

Emergency
response
equipment e.g.
first aid boxes,
eye wash facility,
tools and
equipment for First aid boxes are available and inspected
3 2
emergency
response, etc.
provided and
stored in
locations where it
is readily
accessible.
Stretcher is available for emergency use

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

No eyewash available at chemical store

Appointed first
aiders available
during working
hours to maintain
the first aid 1 1
facilities and take
on the role of first
responder. Appointed first aiders are posted at site
office first aid room.

Plant &
equipment are
labelled with P&E
fit for use
inspection Scissors lift identified with Fit for Use
Plant & stickers / labels.
Equipment Inspection Stickers sighted. Inspection date
12. 4 3 1-Apr-2024
(P&E)
Implementation
Maintenance
of monthly color-
coding scheme
for lifting
equipment on-
site.
There is a lifting gear colour coding system
as per STEC WSHE system manual.

No colour coded LG sighted on site.

Traffic safety
signs are
Site Traffic
prominently
13. Management 2 2
installed at
Control
operational areas.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Traffic signages are

to follow LTA
standards. Refer to
contractor’s traffic
management plan.

Traffic signages installed as per LTA

standards.
Segregation of 4 4
pedestrians and
vehicular traffic
as well as man-
machine interface
on-site.

Prevention of worker
struck by moving parts
of machines or knocked
down by moving
machinery.

Vehicular access
ways, site
entrances, drop
off / pick up
points, Segregation of pedestrians & vehicular
designated traffic
parking areas are
demarcated on-
site.

SSPA Checklist (Ver.2 – 30 June 2021)

 SECTION B – SITE SAFETY PRACTICES AND CONDITIONS
(Assessment for section B to be conducted on-site. Scores for the site safety practices and conditions should be
based on the average site wide performance during the assessment month.)
S/ MAX
ITEM SCORE REMARKS
N MARKS

Site entrances are

approved,
maintained and
clear of debris,
3 3
obstructions,
potholes,
construction
materials, etc.

Site entrances are maintained clear of

debris.
i Max Possible Score for Section B (i) 75

ii Total No. of NA Items (ii) 0

iii Total Score for all NA Items (iii) 0

Max Possible Score Excluding NA

iv Items (iv) 75
Formula: i-iii
Score Obtained for Section B
v 70
(excluding NA items) (v)
Total Weighted Score for Section B
70
Formula: (v ÷ iv) × i

SECTION C (Part 1) – DEDUCTIONS (where applicable)

(to complete at the end of the month)
NO. OF MARKS
S/N ITEM
COUNTS DEDUCTED
a.
Fatality (100 marks per case) 0 0

b.
Disruption to aircraft operations* (100 marks per case) 0 0

c. Dangerous Occurrence (DO), Occupational Diseases (OD) as defined in

0 0
Workplace Safety and Health Act (50 marks per case)
SSPA Checklist (Ver.2 – 30 June 2021)
d. Stop Work Orders by Authorities (excluding Fatal / DO & OD cases) (50 marks
0 0
per case)
e.
Fines issued by Authorities (10 marks per case) 0 0

f. Accident cases (with more than 3 days medical leave or hospitalised for at least
0 0
24hrs) (20 marks per case)
g. Accident cases (with 3 or less days medical leave; or light duties; or hospitalised
0 0
less than 24hrs) (3 marks per case)
h.
Property / Utility Damages (20 marks per case) 0 0

Total Marks to be Deducted (for Section C – Part 1) 0

SECTION C (Part 2) – DEDUCTIONS (where applicable)

(to complete at the end of the month)
NO. OF MARKS
S/N ITEM
COUNTS DEDUCTED
Significant observations** recorded in CE SITREP*** and CAG Project Team’s
i.
inspection record during the assessment period. (5 marks per case) 0 00
(Max deduction cap at 20 marks)
j. Non-compliance to DfS requirements or register mitigating measures.
0 0
(5 marks per case) (Max deduction cap at 20 marks)
Average no. of safety observations per day during the assessment period, e.g.
observations raised from CAG Project Team inspections, observations recorded
in CE SITREP*** (exclude significant observations, traffic violations, security
violations and DfS non-compliance).
(1 marks per average no. of safety observations per day)
k. Average no. of safety observations per day =
1 1
no . of observations ¿ project team inspections+ no . of observations¿ CE SITREP ¿
no . of calendar days∈the m

32+ 5
= 1.23 ≈ 1.0
30
(Max deduction cap at 20 marks)
l. Traffic violations reported in Site Management SITREP. (5 marks per case)
0 0
(Max deduction cap at 20 marks)
m. Security violations reported in Site Management SITREP. (5 marks per case)
0 0
(Max deduction cap at 20 marks)
Total Raw Marks to be Deducted (for Section C – Part 2) 1
Weighted Marks to be Deducted (for Section C – Part 2)
(Max deduction capped at 50 marks)
o.5≈1
Total Raw Marks ¿ be Deducted ¿ ×50
100

SSPA Checklist (Ver.2 – 30 June 2021)

* Incident that resulted in disruption to aircraft operations. For examples, Runway incursion, FOD incident, damage to airfield service
& facilities, height penetration, GP incursion.
** Conditions or acts that does not comply with legal or CAG requirements or has the potential to cause imminent danger. Refer to
SITREP tracking register for the examples of significant observations.
*** Refer to SITREP tracking register for observations raised in CE SITREP.

SCORE SHEET

S/N Items Score

Section A: Safety Management System & Communication
2. 23
(Max Marks: 25)
Section B: Site Safety Practices & Conditions
3. 70
(Max Marks: 75)
4. Subtotal Score (Section A + B)

5. Total Marks to be Deducted (Section C Part 1 + Part 2) 1

6. Final Score (Total score – Total Deduction) 92

7. Safety Performance Grading A+

To indicate NIL if there is no assessment for the month.

Site Safety Performance Assessment Grading:

Monthly SSPA Score SSPA Grade Description
49 or less D Poor
50 to 59 C Satisfactory
60 to 69 B Good
70 to 79 A Very Good
80 or more A+ Excellent
A copy of this completed form to be shared with DCCC’s contract officer for record.
The final SSPA score and grading to be recorded in project safety monthly report (PSMR).

Completed By (Assessor*): Reviewed By (Project Officer):

Victor Ng,
Name: Name: Debbie Tan
Derrick Chia
Designation: PASM Designation: Manager
Date: 30-Apr-2024 Date:
Signature: Signature:

Acknowledged By (CES Rep): Endorsed By (Project Director):

Name: Azmi Name:
Designation: Manager Designation:
Date: Date:
Signature: Signature:

SSPA Checklist (Ver.2 – 30 June 2021)

*Assessor refers to personnel representing the project team such as but not limited to the project safety, project officer, RE, RTO,
etc. assigned to carry out the assessment.
Computation Method for Summary of Site Safety Performance

To indicate NIL if there is no assessment for the month.

% Change = (Current Month Score) – (Previous Month Score) x 100%
Previous Month Score

SUMMARY OF SITE SAFETY PERFORMANCE

S/N Month-Year of Current Score Current Grade % Change

Assessment

1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -

SSPA Checklist (Ver.2 – 30 June 2021)