CSI DELIVERABLE CHECKLIST

DELIVERABLE SUBMITTAL REFERENCE SPECIFIC REQUIREMENTS

1.1 Availability and submission of CSSP (for long form capital project or as
CSAR 5.2(A)
requested by SAPO) from SAPO to ALPD for additional review.
1.2 Concurrence of CSSP from SAPO considering the review comments of
CSAR 5.2(B)
ALPD
1.3 Availability of copy of concurred CSSP at the jobsite (e.g., at satellite
CSAR 5.2(B)
site office, strategic location) accessible within worksite, and likewise
CSAR5.4
1. Job-specific Contractor Site provided to subcontractor(s).
Safety Program 1.4 Periodic review of CSSP's implementation conducted by contractor’s
top management three (3) months after contract execution and every
six (6) months thereafter.
SCHEDULE D
Note: Requirement applies to new contracted projects under revised
schedule D – 2020.
CSAR 5.1 1.5 Field implementation of SA-concurred CSSP at the jobsite.
2.1 Review of comprehensive plans (design drawing, site plan &
specifications) for contractor's Camp and Project Support Facilities
from concerned SA Organizations (ALPD, FrPD, EPD & where
CSAR 10.3 applicable JHAH and ID) and approval from SAPO, including future
CSAR 11.1(C) expansion, if any.
GI 298.010(5.17-
5.21) Note:
2. Plans for Contractor Camps GI 298.010-5.22 1. Design, review/approval and pre-occupancy inspection of
and Project Support GI 2.718-3.1.4 accommodation camp were completed and satisfactorily complied
Facilities with as per GI 298.010.
2. Project Support facilities: Site Offices, Laydown yard,
warehouse/storage area.
CSAR 11.1(H) 2.2 Pre-occupancy inspection conducted at the contractor’s camp and
GI 298.010 project support facilities by the above concerned SA organizations
(5.20-5.21) and SAPO, and any concerns resolved prior to occupancy.
GI 298.010(5.18,
2.3 SAPO approval of the contractor’s camp as per GI 298.010.
5.20)
3.1 Availability and submission of HIP from SAPO to ALPD for additional
CSAR 6.3
review
3.2 Concurrence of HIP from SAPO considering the review comments of
3. Hazard Identification Plan CSAR 6.4 & 6.5
ALPD and amended or updated where necessary.
(HIP)
3.3 Availability of concurred HIP at the jobsite (e.g. site offices) and
CSAR 6.1 & 6.4
likewise provided to Sub-contractor(s).
CSAR 6.1 3.4 Implementation of SA-concurred HIP at the jobsite.
4. Worksite Medical Facilities GI 298.010(5.17- 4.1 Inspection and acceptance of the clinic from JHAH that includes
and Related Requirements 5.20) ambulance whether from the camp or worksite.
CSAR 9.3(E) &
11.1(H) Note: Dedicated full-size ambulance in roadworthy condition shall be
CSAR 9.5(B, C & available at each clinic that meets MMSR. To verify its compliance,
D) check the MMSR-Survey & Compliance Review Report (Standard 6,
MMSR-Standard Ambulance Service).

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 6
MMSR–
4.2 JHAH approval of CV's of Medical Staff (Doctor, Nurse) and
Standard 2,
Ambulance Driver.
Figure 2-3 & 2-4
4.3 Availability of valid copies of licenses and MMSR-specific required
training certificates such as but not limited to the following:

- MOH License-Saudi Council for Health Specialist (SCFHS) – (Doctor,

Nurse)
- Driving License (Ambulance Driver)
CSAR 9.4(B)
- Advance Cardio Life Support (Doctor)
CSAR 9.4(E)
- Advance Trauma Life Support (Doctor)
CSAR 9.4(G)
- Basic Life Support (Doctor, Nurse, Ambulance Driver) – Renewal
CSAR 9.5(G)
Every Two (2) Years
MMSR-Standard
- First Aid (Doctor, Nurse, Ambulance Driver) - Renewal Every Two (2)
2
Years
- Infection Control (Doctor, Nurse, Ambulance Driver) – Annual
Renewal
- Fire Safety (Doctor, Nurse, Ambulance Driver) – Annual Renewal
- Disaster/Emergency Response (Doctor, Nurse, Ambulance Driver) -
Annual Renewal
CSAR 9.5(E) 4.4 Implementation of Ambulance Daily Maintenance Inspection and Log
MMSR–Figure 6- as follows:
2 - Daily Ambulance Checklist
MMSR–Figure 6- - Ambulance Condition Report-Daily Checks with daily test run record
3 (mileage/KM)
4.5 Prior to start-up and periodic (semi-annual) independent
CSAR 9.3(G, H) inspection/audit of each clinic conducted by medically qualified
personnel from contracted MDF/HCP.
CSAR 9.3(H) & 4.6 Correcting of deficiencies noted during the pre-occupancy/initial and
11.1(H) periodic inspections/audits on the clinic conducted by JHAH/HCP.
CSAR 8.3(A) 5.1 Availability of Contractor’s SSE Program.
5.2 Implementation of Contractor’s SSE Program such as:
CSAR 8.3(D, F & - Wearing of SAPO- approved SSE visual identifier while at the jobsite
5. Short Service Employee G) - Training of SSE
- Supervisors SSE’s work performance evaluation
5.3 Communication of the maximum ratio of SSEs to experienced workers
CSAR 8.3(E)
to SAPO.
6.1 Adequate Quantity of active SA-concurred Contractor’s Safety Staff as
per CSAR Table 4.1. (e.g., Safety Staff to employees ratio).
CSAR 4.5(A, F &
6. Quantity of SA-concurred H)
Note: A copy of the SA-concurred document of safety staff will be the
Contractor's Safety Staff
basis in counting the number of active safety staff
6.2 Availability of contractor’s SA-concurred site safety personnel at the
CSAR 4.5(L)
jobsite while work is on-going at any given time.
7. Safety training for Site CSAR 8.6(A) 7.1 Provision of formal safety training for all contractor’s Site Supervision
Supervision and Safety Staff and Safety Staff on OSHA (24-Hrs. min.), NEBOSH, NSC or other SAPO-

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 approved equivalent safety training program.
7.2 Provision of job-specific safety training for Site Supervision and Safety
Staff such as but not limited to the following:
- Job-specific CSSP & HIP
- Contract’s safety requirements
- Specific hazards & safe work practices associated with the job
CSAR 8.6(B)
- Relevant sections of the SA Safety Handbook & the SA Construction
Safety Manual (CSM)
- Injury/incident reporting and investigation
- Applicable emergency response procedures
- First Aid & Basic Life Support (BLS) with valid certificates
CSM I-4.3.2 & 8.1 Availability of SAPO approved Contractor’s Work Permit System
CSM I-6.3.4 (Procedure) for grassroots project
CSM I-4.4.1 8.2 Availability of contractor’s valid permit issuers and receivers
8. Work Permit System
CSM I-4.4.2 certificates (SA/Contractor’s Certification as applicable).
8.3 Implementation of SAPO-approved Contractor’s Work Permit System
CSM I-4.3.2
for all hazardous work activities.
9.1 Availability of Contractor’s Incident Reporting and Investigation
CSAR 4.21(A)
Procedure.
9. Incident Reporting CSM I-2.3.5 9.2 Submission of all contractor’s on-job incident reports to SAPO that
Procedure CSAR 4.21(C) properly identify the root causes and effective corrective actions.
9.3 Availability of tracking of corrective actions closure and evidence of
CSAR 4.21(C)
implementation follow-ups.
10.1 Availability of human-machine interface (HMI) plan submitted to
SAPO that addresses the following:
- Vehicle Back-up Alarms
10. Human / Machine - Pedestrian and vehicle only zones
Interface (HMI) Plan for CSM III-2.3.6 - High visibility clothing
Heavy Equipment - Identifying low-visibility areas
Operation - Use of spotters
- Proximity detectors-PWAS (as indicated in the contract/Schedule B)
- Blindspot cameras
CSAR 8.1(B) 10.2 Availability of documented training for assigned flagmen/spotters.
11. Site Specific Steel Erection 11.1 Availability of SAPO approved site-specific steel erection plan that
CSM II-7.3
Plans includes the requirements outlined in CSM II-7.3.1.
12. Heat Stress Program (HSP) CSAR 4.17(C & 12.1 Availability of SAPO-concurred contractor’s heat stress management
D) program that addresses the requirements outlined in CSAR 4.17(D).
CSAR 4.17(E & 12.2 Provision of heat stress management program training for site
F) management, supervision and their employees.
12.3 Conducting periodic (e.g. weekly) safety meetings/toolbox talks
CSM I-13.2.1(D) during hot weather emphasizing heat stress hazards and
precautions.
CSAR 4.17(C) 12.4 Availability of adequate resources on site to support the
implementation of the HSP such as but not limited to the following:
- Calibrated weather monitoring equipment to determine the actual
heat index periodically (e.g. hourly).
- Communication of current heat stress danger category to

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 employees thru color-coded flagging or mass distribution of SMS
mobile phone text messages to site supervisors.
- Educational information / signs related to heat stress conditions,
illness/symptoms and preventive measures displayed on bulletin
boards and break/recovery areas.
- Local ventilation (e.g. fans, portable air movers) are provided when
the air temperature is less than 37 ˚C (99˚F).
- Portable blowers with built-in chillers as needed or where required
(e.g. when confined spaces and enclosed work areas have ambient
temperatures exceeding 43˚C (110˚F).
CSAR 4.18(A & 13.1 Availability of an appropriate site-specific ERP (worksite, project
B) support facilities and camp) reviewed by SAPO.
13.2 Availability of MEDEVAC Procedure (where required) that is
13. Site-specific ERP CSAR 9.6
incorporated in the SA-reviewed ERP.
(Worksite, Project Support
13.3 Provision of ERP training for ERT (other than CS rescue personnel as
Facilities, camp) and
CSAR 4.18( C ) mentioned in deliverable item #15) at the worksite, project support
MEDEVAC Procedure
facilities and camp on their specific roles.
CSAR 4.18(C & 13.4 Conducting periodic emergency drills at the worksite, project
G) support facilities and camp.
14.1 Availability of contractor’s documented risk-based PPE needs
14. PPE Needs Analysis CSM I-3.3.2
analysis in line with CSM I-3.3.2.
15.1 Provision of appropriate training for CS rescue personnel as specified
CSM I-6.10.4
15. Documented Training in in CSM I-6.10.4.
Confined Space Entry CSAR 8.1(E) & 15.2 Provision of training for workers involved in excavation including
(CSE), Excavation and 8.4 nominated excavation competent person.
Work at Height-Fall CSM II-1.3.1
Protection CSAR 8.4 15.3 Provision of training and periodic refresher courses for personnel
CSM II-sec. 5.7 performing work @ heights including their supervisors.
16.1 Availability of contractor’s fall protection plan specific to the work @
CSM II-5.3.7 heights (including high elevation rescue procedure) performed by
16. Fall Protection Plan for their personnel in accordance with CSM II-5.3.7.
specific work at heights 16.2 Availability of documented appropriate design of horizontal lifeline
and related requirement(s) (calculations, drawings and material specifications) prepared by a
CSM II-5.6.2(C)
degreed structural engineer and reviewed by SAPO prior to
installation.
GI 6.036
CSAR 4.15(L) 17.1 Availability of SAPO-approved contractor’s journey management
SMG-06-009- program (JMP) for remote travel and oversize/heavy loads that
17. Journey Management and 2019, sec. includes a detailed response plan.
Off-road Driving 5.1.1.1
17.2 Provision of specific training in off-road driving and survival
CSM I-8.6.1
techniques to off-road vehicle operators.
CSM I-8.6.3 17.3 Implementation of JMP including time-out/time-in logging system.

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