PRE-TENDER HSE EXECUTION PLAN CHECKLIST

Date March 31, 2023

Project Name MG U2 PMS_Generator Air Cooler Eddy Current Test
Ref WO/ MSA# 50349636
Facility Mahanagdong Power Plant Unit 2
Proponent Abegail Ygot
Purchase Maximo PR 20317251
Requisition/
Advance
Sourcing Request
No.
Email Address ygot.a@[Link]
Mode 1
Brief Description The Service Provider Supply of skilled manpower, supervision, test equipment, consumable materials and other resources
of Services to be necessary for the performance of Eddy Current Test (ECT) of MGPP Generator Air Cooler in Leyte.
Rendered

Instructions:
● Proponent: Tick the HSE requirements that are applicable to the scope of the Project or elements to be considered in HSE Plan.
Provide the accomplished form to the Contractor, and FOM-HSE (for Local Contractors) or HSE-BPMS (for NCR-based and
enterprise-wide projects). Use this to check whether the contractor’s Health and Safety Management Plan has the required
information based on the type of work that is expected to be carried out
● Contractor: Submit the HSE requirements as part of the bidding document to the Proponent. Costs that are required to deliver the
requirements should be included in the bid.
● Mode: Select the mode regarding the governance of HSE Management System in the following:
○ Mode 1 - Work activities where EDC can and is held accountable to fully influence and control HSE performance. (Typically
applies to services in any EDC location fleetwide, including brownfield project sites.)
○ Mode 2 - Work activities where EDC can and is held accountable to partially influence and control HSE performance. (Typically
applies to services in owner facilities, green field project sites and joint venture partner locations.)Mode 3 - Work activities where
EDC can and is held accountable for limited influence and control of HSE performance.(Typically applies to services and goods
which includes off-site fabrication facilities, business travel, and vendors.)

ITEM NO. REQUIREMENT Required Responsible REMARKS

(Yes/No) Company Contractor
Sec on A. Proponent shall iden fy the General HSE requirements based on the scope and terms of the Project. The responsible party shall comply with
the requirements with (✓) mark, and bears any cost related to the fulfillment of these requirements.
A1 High Level Project Execu on Planning
a. Iden fy security risks and mi ga on measures for Project Yes
loca on
b. Iden fy health risks and mi ga on strategies for Project Yes
loca on.
c. Define mi ga on strategies for the known environmental Yes
receptors which are documented using available environmental
studies as required such as Environmental Impact Assessment.
A2 Project Execu on Planning
1 Establish HSE Risk Management Strategy
a. Review the poten al significant incidents. Yes
b. Establish a subcontractor HSE evalua on/selec on program. Yes
c. Review the lessons learned from incidents for relevant Yes
improvements.
d. Implement and maintain project HSE risk register. Yes
e. Risk matrix included in procedures or appendices Yes
2 Iden fy HSE training requirements for the project and the Yes
resources necessary to implement the training program.
3 Review the project loca on and vendor fabrica on shops to No
ensure that any special HSE concerns have been acknowledged,
e.g. stakeholders, local community, local Environment,
biodiversity, etc.
4 Review dra construc on philosophy including es mated No
numbers in workforce, access to site, interac ons with exis ng
opera ons, significant hazards and environmental impact likely to
be encountered during construc on, including use of
substances/materials hazardous to health and also applica on of
special health, safety, and environmental legisla on.
5 A suitable contractor management process or system used for Yes
subcontractor assessment, interfacing to meet contractor’s and
Company’s requirements and evaluate subcontractor’s
performance. Subcontractors performance is used to assess HSE
capability of subcontractors. Subcontractor list maintained.
 6 Confirm required HSE documenta on is obtained, reviewed and Yes
verified for vendors and subcontractors.
7 Requirements for the submission of monthly performance Yes
reports and incident reports.
8 Arrangements to reward contractor personnel, subcontractors or Yes
areas of work that demonstrate exemplary performance.
9 Management Arrangements & Standards. Based on a risk assessment of contracted ac vi es and on mandatory compliance programs, the
Contractor shall address all applicable occupa onal risks including at a minimum, but not limited to:
a. Scaffolding Yes
b. Suspended Work Pla orms Yes
c. Fall Preven on & Fall Arrest Yes
d. Excava ons and Trenching No not for Power Train
e. Electricity Yes prepare your cables as needed
f. Confined Spaces No
g. Power Tools/ Hand Tools Yes
h. Hazardous Substances No
i. Hot Work Yes
j. Fire Preven on & Protec on Yes
k. Access & Egress Yes
l. Housekeeping Yes
m. Vehicles Yes
n. Material Handling, Transporta on & Storage Yes
o. Lockout/ Tagout Yes
p. Li ing and Rigging Yes
q. Underground & Overhead U li es Yes
r. Machinery & Equipment Yes
s. Personal Protec ve Equipment (PPE) - Yes
Selec on/Inspec on/maintenance
t. Site Traffic Control No
u. Drug & Alcohol Preven on Yes
v. Radia on Safety No
w. Lead & Asbestos No
x. Abrasive Blas ng Yes as needed only
y. Heat/Cold Stress Monitoring No
z. Crystalline Silica Monitoring No
aa. Night Opera ons Yes
bb. Pre-Employment & Periodical Medical Screening of Workers Yes
cc. Temporary Facili es (e.g. mess halls, rest rooms, drinking Yes
water sta ons, etc.)
dd. Warning Signs & Barricades Yes
ee. Cladding & Roof Work No
ff. Demoli on & Dismantling Yes Distmantling of scaffoldings
gg. Reinforcement & Concre ng No
hh. Emergency Preparedness Yes
ii. Mental Health Yes
jj. Waste disposal Yes
kk. H2S Yes
ll. Occupa onal Diseases (e.g. Legionella, COVID, etc.) Yes
mm. Security Yes
nn. Other: No
10 Arrangements for HSE variance request and obtain required Yes
approvals when necessary.
11 Arrangements to access HSE standards as applicable. Yes
A3 Verify HSE Management System established
1 The Project HSE plan indicates minimum objec ves for health, Yes
safety, environment, security and social responsibility. The
Project HSE Plan should contain the minimum informa on as
required in the template provided by the Company.
2 Conduct audits to ensure HSE Plan and Site Specific procedures Yes
are being implemented.
3 Requirements for HSE inspec ons including but not limited to: Yes
when inspec ons will be conducted, who will be responsible for
conduc ng inspec ons, procedures for documenta on,
deficiency tracking system, and follow-up procedures.
 4 Arrangements including details of all mee ngs that are held to Yes
specifically deal with Occupa onal Health and Safety &
Environmental issues.
5 Arrangements for external inspec ons/cer fica ons that may be Yes
required (e.g., ISO Cer fica ons, Gov’t Agencies)
6 Arrangements to allow employee feedback on HSE program Yes
issues. This can include, but not be limited to: Mee ngs,
Sugges on Boxes, Surveys, Focus Groups
7 Documenta on and regular review of a compliance register (or Yes
equivalent) of applicable regulatory and other requirements
rela ve to the contract.
8 Confirm Method Statements and JHAs are being properly Yes
completed and implemented.
9 Lead and/or assist in the iden fica on, review, submi al, and Yes
approval of applicable regulatory permits.
10 Track HSE correc ve ac on and implementa on of improvements Yes
in which hit rates aligned with one of the leading KPIs.
11 Iden fy HSE trends and track implementa on of improvements. Yes
12 Management of change (MoC) process in place to assess, Yes
mi gate and review actual and poten al risks, as well as impacts
on opera ng ac vi es in case of organiza onal or significant
changes to any aspect of the opera on during contract life cycle.
(Decide who’s MoC process shall apply)
13 Interfaces and other bridging mechanisms for contract ac vi es Yes
involving mul ple par es using different management systems
are agreed upon. The HSE plan iden fies and shows that
Subcontractors are well integrated into the contract.
14 HSE training of managers and workers responsible for contrac ng Yes
ac vi es and oversight of contractors is provided.
15 Requirements for new hire HSE induc on training at the me of Yes
ini al hire of each new employee.
16 Requirements for Toolbox Talks, Walkthroughs, Behavioral-based Yes
Safety and other HSE Programs that support leading KPIs.
17 Requirements for emergency response training. No
18 Mandatory specific training & competency requirements including but not limited to:
a. Electricians Yes
b. Vehicle driver/operator Yes
c. Crane & li ing appliance operators and supervisors Yes Cri cal Li : EDC
Non-cri cal Li : Contractor
d. Riggers Yes Cri cal Li : EDC
Non-cri cal Li : Contractor
e. Excava on Supervisors No
f. Machinery Operators Yes
g. Scaffolders Yes
h. Scaffolding Supervisors Yes
i. Confined Space Workers Yes
j. Confined Space Supervisors Yes
k. All persons working at height Yes
l. Competent Persons as required by General Safety and Se ng Yes
Work
m. Fire Watchers Yes
19 Maintain site HSE record keeping system. Yes
20 Implement Site Security Plan including periodic drill schedule Yes
21 Review SDSs prior to material purchase and maintain SDS files. Yes
22 Maintain site HSE informa onal pos ngs and bulle n boards Yes
23 Conduct the inves ga on of accidents, injuries/illnesses, fire, Yes
property damage, near misses, and other HSE related incidents.
24 Arrangements for emergency preparedness including, but not Yes
limited to, medical equipment and facili es, trained personnel,
communica on systems, transporta on, search and rescue
equipment and drills.
25 Names and responsibili es of all qualified safety personnel,
pollu on control officer and Health personnel deployed on & off
the worksite including night- me and holiday working. Valid
accredita ons obtained from Regulatory Agencies.
(pls ck applicable Regulatory Agency)
Department of Energy Yes
Department of Labor and Employment - OSH Yes
Department of Environment and Natural Resources (DENR) Yes
 26 Lead the Heavy/Cri cal Li review/approval cycle Yes
27 Policies and procedures regarding noncompliance with HSE Yes
requirements (to include disciplinary ac ons for viola on of LSR
and General HSE rules) should be iden fied.
0.28 Arrangements for an incen ve/rewarding scheme. Yes
A4 Commissioning and Ini al Opera ons
1 Confirm safe work prac ces, including permit to work programs, Yes
have
been developed and the workforce is properly trained.
2 Review emergency procedures to assure adequate resources Yes
(personnel, vendors, and equipment) are present and
available during start-up ac vi es.
3 Develop Start-Up HSE Execu on Plan Yes
4 Develop Start-Up HSE Training Plan Yes
5 Develop and implement Pre-StartUp Safety Reviews. Yes
6 Review any special pre-commissioning procedures to ensure HSE Yes
requirements are implemented.

Sec on B. Proponent shall iden fy the specific HSE requirements rela ve to the response in Sec on A mark (✓) as appropriate
ITEM NO. REQUIREMENT Required Responsible REMARKS
(Yes/No) Company Contractor
B1. Personal Protec ve Equipment
1 Calibrated H2S gas monitoring device Yes
applicable when inside the iden fied H2S areas
2 Safety Gloves Yes
3 Ear plugs or ear muffs Yes
4 Hard Hat (ANSI/ISEA Z89.1) Yes
5 Safety Glass (ANSI/ISEA Z87.1) Yes
6 Long Sleeve Shirt Yes
7 Fire Retardant Clothing (ASTM F1506) No
8 Reflectorized Vest (ANSI/ ISEA 107) Yes
9 Safety Shoes (ASTM F412 & ASTM F2413) Yes
10 Safety Harness (ANSI Z359 or ANSI A10.32) Yes
11 Respiratory Protec on
a. Atmosphere-supplying Respirators (Respirable Air - ANSI/CGA Yes
G-7.1 Type 1 Grade D)
b. Air-purifying respirators (NIOSH Approved) Yes
c. Medical grade face mask Yes Follow exis ng safety protocols as
applicable
12 Others (pls specify): No
B2. Emergency Preparedness and Response
1 Fire Ex nguishers Yes
2 Portable Emergency Showers No
3 Portable Emergency Eye Wash Yes
4 Qualified Emergency Response Team, including emergency Yes
response equipment
5 Complete and working emergency equipment that will be used Yes
by the qualified rescue team
6 Isola on room/area for pa ents exhibi ng COVID19 symptoms Yes
7 COVID19 protocols Yes
B3. HSE Signages
1 HSE Signages Yes
B4. Power Tools and Hand Tools
1 Working tools that are not substandard (e.g., home made, Yes
improvised, dilapidated)
2 Use a tool or punch holder such as the MSA # 507005, or similar, Yes
to
hold punches, hammer wrenches, knock wrenches or other
objects that will be struck
3 Specialized tools that require 3rd party cer fica on or Yes
Government approvals
4 Power tools are equipped with Ground Fault Circuit Interrupters Yes
5 Cables of electric portable power tools are double-insulated Yes
6 All fixed power woodworking tools provided with a disconnect No
switch that can be locked or tagged in the off posi on
7 Proper handling and storage of abrasive wheels Yes
 8 Power tools are equipped with dead man switch or double Yes
actua ng safety switches
9 Pneuma c power tools shall be securely a ached to the Yes
compressed air hose by the use of a quick connec on device or a
crow’s foot connec on with a wire or a retaining pin and whip
checks
10 Hand tools meet the safety requirements with the conformance Yes
to ASME B107 series or equivalent
11 All tools are equipped with tool lanyards for working at heights Yes
B5. Electrical
1 Receptacles, a achment plugs not interchangeable on circuits of Yes
different voltages, current ra ngs or type of current (AC or DC)
2 Electrical equipment properly grounded Yes
3 Approved electrical equipment used where flammable vapors Yes
may develop
4 Electrical service lines greater than 220V elevated or buried Yes
5 Transformers fenced off or elevated No
6 Electric Leakage Circuit Breaker installed & working on 220V Yes
power sources
7 Temporary lights equipped with guards to prevent accidental Yes
contact with bulb
8 Outdoor electrical panel boards, outlets, and sockets are weather Yes
proof type (IP44)
9 Use a non-conduc ve ladder (Ex. fiberglass) Yes
B6. Transporta on of Goods
1 Driver with valid cer fica on on Defensive Driving Training Yes
training delivered by a DOLE-accredited Safety Training
Organiza on (STO), a LTO-accredited training organiza on or a
COMPANY-appointed Qualified Driver Trainer (QDT)
2 Valid Third Party Tes ng Cer ficate for Trailers and Tractor Head No
3 Valid Driver's License and/or NCII for Heavy Equipment Operators Yes
training
4 Road Hazard Assessment. Yes
5 Vehicles equipped with GPS and Dash Cams Yes
6 Suitable cargo restraint anchor points are to be fi ed to all Yes
vehicles carrying loads
7 Adhere load restric ons, height and width clearances as imposed Yes
by Department of Public Works and Highways (DPWH) otherwise
MOA shall in place
8 Emergency warning beacon carrying oversized loads - pulse No
strobe type situated atop the prime mover
9 Loads extending beyond the bed of the truck or trailer shall be No
flagged (12-in square)
10 Provide escort vehicles No
B7. Use of Hazardous Materials, Chemicals and Chemical Substances
1 Valid authoriza on from concerned Regulatory Agency on the importa on, transport, storage and use of Hazardous Materials, Chemicals and
Chemical Substances
(pls ck applicable Regulatory Agency)
- Department of Environment and Natural Resources (DENR) No
- Philippine Na onal Police (PNP) No
- Philippine Drug Enforcement Agency (PDEA) No
- Bureau of Fire Protec on (BFP) No
- Others: No
2 Chemical Management Plan No
3 Qualified workers (i.e, those who will handle the hazardous No
materials, chemicals or chemical substances) with Cer ficate of
Comple on (issued within the past 6 months) on chemical
management
4 Updated 16-point Safety Data Sheet (SDS) No
5 Complete PPE designed to protect workers from the effects of No
handling the hazardous materials, chemicals or chemical
substances (on top of the basic PPE required in Sec on B1)
6 HSE controls on managing hazardous materials, chemicals or chemical substances
- HSE signage No
- labels (weather-proof, scratch proof); use of GHS labels, as No
appropriate
- valve caps, chains for compressed gases No
- spill containment ([Link] pallets, berms) No
 - spill kit No
- Others: No
7 Indoor and outdoor storage of flammables in approved Yes
containers or cabinets with warning signs posted
8 Containers provided for collec on, separa on of waste & trash Yes
9 Solvent waste, oily rags & flammable liquids kept in fire resistant Yes
covered containers
10 Safety Cans used for flammables Yes
11 Sta onary flammable containers grounded and bonded No
B8. Fire Protec on
1 Working fire protec on equipment
- fire ex nguishers Yes
Water Yes
Film-forming foam No
Carbon Dioxide No
Halogenated agent No
Dry Chemical No
Dry Powder No
Wet Chemical No
- fire blanket Yes
- Others: No
2 Oxy-Acetylene gas equipment is equipped with flashback Yes
arrestors
3 Oxy-Acetylene Pressure Regulators are UL tested/CGA E-4 Yes
4 Use intrinsically safe equipment in hazardous loca ons Yes
B9. Rigging and Li ing Ac vi es
1 Qualified Mobile Crane/ Boom Truck/ Overhead Crane Operators Yes
with valid TESDA NCII cer ficate and Riggers with valid TESDA NCI
cer ficate
2 Li Plan (load shall limit to 80% of crane’s capacity) Yes
3 Determine the soil bearing capacity (ex. Plate load test, etc.) Yes
4 Complete working rigging gears and li ing equipment with valid Yes
Cer fica on from DOLE-accredited third party inspector
5 Complete PPE (on top of the basic PPE required in Sec on B1), Yes
ear plug/ear muff
6 Construc on Li ing Equipment and li ing gears with Third Party Yes
Safety Inspec on Cer ficate from DOLE Accredited CHE Tester
- Hoist Yes
- Chains Yes
- Wire Rope Yes
-Synthe c Web Yes Optional
-Shackles Yes
-Other: No
B10. Lock Out Tag Out Ac vi es
1 Qualified workers with valid TESDA cer ficate (ex. Electrician) No
including internal training received such as Electrical Safety and
LOTO.
2 Complete PPE (on top of the basic PPE required in Sec on B1) No
3 HSE controls on managing isola ons: No
- Locks and keys No
- Cau on No ces No
- Ball valve locks No
- Gate valve locks No
- Plug lock (power tools) No
- Hasp No
- Lock Box No
B11. Confined Space Ac vi es
1 Qualified workers with Cer ficate of Comple on (issued within Yes
the past 6 months) on training on confined space ac vi es
including authorized gas tester
2 Complete PPE (on top of the basic PPE required in Sec on B1) Yes
- Full harness body harness and lifeline Yes
- Appropriate respiratory protec on Yes
- Others: Yes
 3 Conduct of tes ng of the atmosphere in the confined space, Yes
including provision and use of calibrated mul -gas detector
instrument (calibra on should be within 6 months from start of
use)
4 Working equipment and supplies
- Force air ven la on equipment Yes
- Ground fault circuit interrupter Yes
- Low voltage ligh ng (24 volts) Yes
- Ladders Yes
- Pla orms Yes
- Communica on System Yes
- Others: No
5 Qualified stand-by rescue team with Cer ficate of Comple on on Yes
training related to emergency response during confined space
ac vi es
6 Complete and working emergency equipment that will be used Yes
by the qualified rescue team
B12. Hot Works Ac vi es
1 Qualified workers with valid TESDA Cer ficate with the briefing Yes
on Hot Work Safety.
2 Qualified fire watcher/s with Cer ficate of Training (issued within Yes
the past 6 months) on fire emergency response
3 Complete PPE (on top of the basic PPE required in Sec on B1)
- Welding shield (29 CFR 1926.102c) Yes
- Welding gloves Yes
- Welding apron Yes
- Respiratory protec on Yes
4 Working equipment and supplies
- Compressed gases with caps, valves, chain straps and flashback Yes
arrestors
- Welding equipment Yes
-Fire ex nguisher Yes
- Fire blanket Yes
B13. Excava on and Trenching Ac vi es
1 Qualified workers with Cer ficate of Training (issued within the No
past 6 months) on excava on and trenching ac vi es
2 Registered Professional Engineer who is accountable on the soil No
evalua on, protec ve systems, and design and supervision of
excava on and trenching ac vi es
3 Complete PPE (on top of the basic PPE required in Sec on B1) No
- Full face shield No
- Respiratory Protec on No
4 Working equipment and supplies
- Heavy equipment with valid cer ficate from a DOLE-accredited No
Construc on Heavy Equipment Tester
- Appropriate protec ve systems No
- Ladders (1 ladder in every 25 . of length or frac on thereof No
which shall extend at least 2 and 6 in.)
- Rest pla orms No
- Warning Systems and barriers (e.g., barricades, mechanical No
signals, stop logs, fences)
- Ligh ng equipment No
- Safety signages, Cau on/Danger tapes and portable barriers No
-Dewatering equipment No
- Others: Shoring or shielding materials, sheet piling No
5 Qualified stand-by rescue team with Cer ficate of Comple on on No
training related to emergency response during excava on and
trenching ac vi es
6 Complete and working emergency equipment that will be used No
by the qualified rescue team
B14. Working at Heights Ac vi es
1 Qualified workers with Cer ficate of Training (issued within the Yes
past 6 months) on working at heights ac vi es
2 Qualified workers (involved in scaffold erec on and scaffolding) Yes
with valid TESDA cer ficate
 3 Scaffold Plans shall be reviewed, approved and registered by Yes
cer fied scaffolding inspectors. Hence, weekly inspec ons will be
conducted. The Registered Structural Engineer shall review and
approve scaffolds with a height more than 20 .
4 Scaffold pipes with 1 1/2“ NPS Sch.40 (1.90” OD) and coupler Yes
conforms with Bri sh standard EN 74 or equivalent
5 Scaffolds are capable to support 4 mes the intended load Yes
6 Complete PPE (on top of the basic PPE required in Sec on B1)
- Full body harness with double lanyard with snap hooks at each Yes
end for connec ng the body harness to a lifeline or anchorage
point (currently inspected by Contractor’s Safety Officer)
- shock absorbing lanyards or self retrac ng lifeline Yes
- carabiners Yes
- rope (sta c) Yes
- rope and cable grabs (conforms with EN 353-2) Yes
6 Working Equipment and Supplies
-Scaffold tags Yes
-Protruding caps Yes
-Ladder Yes
-3rd Party cer fied Suspended pla orm (ex. gondolas) with No
qualified operators
-3rd Party cer fied Aerial Pla orms (Manli / Scissor li s) with No
qualified operators
-Safety nets No
-Rated hois ng bags No
-Tool containers Yes
-Screens or other overhead protec on No
7 Qualified stand-by rescue team with Cer ficate of Comple on on Yes
training related to emergency response during working at heights
ac vi es which includes rope rescue
8 Complete and working emergency equipment that will be used Yes
by the qualified rescue team
9 Height does not exceed 4 mes least base dimension unless No
outriggers are used in mobile scaffolds
10 Wheel brakes set when using mobile scaffolds No
11 Independent lifelines with correct cable grab device used on No
suspended work pla orms
B15. Working on Slopes
1 Slope spo er(s) trained by EDC’s subject ma er expert. One No
slope spo er per slope. Slope spo er must be equipped with
airhorn and strobe light
2 Installa on of Geohazard Early Detec on Instrument (GEDI) on No
slopes assessed as hazardous slope by EDC’s subject ma er
expert (if required)
3 Geohazard Early Detec on Instrument (GEDI) - if required No
a. Data Logger (located away from slope hazard)
b. Rain Gauge
c. Tiltmeters
d. Moisture Sensors
3. Agreed Safe Threshold Limits (if GEDI is required):
4 Agreed Safe Threshold Limits (if GEDI is required) No
a. Threshold for Tiltmeter
b. Threshold and Normal Levels for Moisture Sensor
c. Threshold for Rain Gauge
5 GEDI Team (if GEDI is required) No
1. Geohazard/Geotechnical Expert - Interprets the readings,
assesses the hazards
and recommends measures. May not be at the work site all the
me.
2. Slope Safety Engineer - Installs the instruments and monitors
the readings.
3. GEDI Watchman - Secures the instruments from the or loss.
6 Slope safety engineer trained by EDC’s subject ma er expert to No
operate the GEDI.
7 Complete EPRT Team No
1. Is EPRT required? Please refer to Safety
2. Approved Rescue Plan (if EPRT is required)
3. Complete EPRT team (if EPRT is required)
4. Complete rescue equipment (if EPRT is required)
 8 SAFE WORK PROTOCOLS No
1. Approved Construc on Methodology
2. Conduct of Daily Pre-Task Mee ng
3. Conduct of Evacua on Drills
4. Signing of Work Party Form at start and end of each work day
5. Installa on of appropriate Warning Signage at danger areas
6. Installa on of Traffic Signage (when along a road network)
7. Access and Anchorage are specified (stairs, ladder, etc.)
8. Evacua on Plan and Assembly Area
9. Signage to iden fy the Evacua on Area/Muster Point
B16. Temporary Supports
1 All job made supports, trestles & stands should be according to a No
design approved by a structural engineer which are rated 4 mes
the load they support, registered and recorded, and display the
safe working limit on the equipment
2 Selec on of skid arrangements considered in specific ac vity No
(stringing, bending, beveling, welding, lowering, etc.)
Cribbing (wood or polyethylene) No
Earth (soil and/or sand) plug No
3 Mechanism in approving fabricated or altered job made supports, No
trestles & stands (consider proof load test of 125% of intended
load)
4 An NDT cer ficate will be obtained to demonstrate that the No
welding of fabricated supports which are made of steel is
acceptable
5 3rd party cer fied manufactured-made supports, trestles and No
stands with proof load test of 125% of intended load
B17. Radia on
1 A valid license issued by the Na onal Regula on Division of PNRI No
which is specified in the Code of Philippine Nuclear Research
Ins tute (PNRI) Regula ons
2 Each portable radia on survey instrument shall be calibrated at No
intervals not to exceed six (6) months and a er each repair
3 Copy of the emergency procedures that include the contact No
numbers of the Radia on Protec on Officer (RPO), Assistant RPO
and other key personnel responsible for response in the event of
an emergency
4 Warning signs & lights installed No
5 Film badges, dosimeters & alarm rate meters worn by all x-ray No
personnel
B18. Vehicles, Transport Trucks/ Trailers and Buses
1 Valid cer ficate of registra on from LTO Yes
2 Qualified drivers with valid TESDA cer ficate Yes
3 Working equipment and supplies of vehicles
-First aid kit Yes
-Tire gauge Yes
-1 Spare re Yes
-Break down kit Yes
-Fi ed with proximity sensors on the rear Yes
-Emergency Warning Device – 2 pieces Yes
-Fog lamps Yes
-Wheel Chocks – 2 pairs Yes
-Ba ery jumper cables Yes
-Flashlight / Torch Yes
-Fi ed with GPS and Dash Cams (front and rear) Yes
-Emergency Warning Device (Cones or Triangular Reflectors) – 3 Yes
pieces
-Fi ed with “Spark Arrester” in proximity to hazardous areas Yes
-Wheel mud guards Yes
-Maintenance Log book Yes
-opera onal reversing audible and visible alarm Yes
4 Emergency warning beacon for escort vehicles when required No

Prepared and assessed by:

NAME SIGNATURE DATE

NP Taneo March 3, 2023
AY Ygot March 30, 2023