MODE 2 CONTRACT HSE PLAN GUIDE

TABLE OF CONTENTS

COVER PAGE..............................................................................................................................2
1.0 Introduction..............................................................................................................3
2.0 Scope of Work..........................................................................................................3
3.0 Organisation and Responsibilities.........................................................................3
4.0 Hazard Identification, Risk Assessment and Control...........................................3
5.0 Project HSE Requirements.....................................................................................4
6.0 HSE Training.............................................................................................................5
7.0 HSE Communication and Meetings.......................................................................6
8.0 Emergency Response Plan.....................................................................................6
9.0 Journey Management..............................................................................................6
10.0 Audits, Inspections..................................................................................................6
11.0 Security plan.............................................................................................................6
12.0 HSE Action Plan and Performance Monitoring.....................................................6
13.0 Appendix...................................................................................................................8

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 COVER PAGE

Contract Title:
Contract No:
Contractor:
Contract Mode:
HSSE Risk:

Version: 2.0
Version Date: April 2013

Approvals

Role Name Company Signature Date

Prepared by

Reviewed by

Approved by

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1.0 INTRODUCTION
1.1 Introductory statement
1.2 Contractor HSE Policy
1.3 Project HSE Objective

2.0 SCOPE OF WORK

Give a summary of the job and list the key steps/major elements or tasks in a table e.g. The
project involves laying of 6km length of 6” PE-coated pipes from Well 4L to XX flowstation
within the existing Right of Way………………The key steps in the execution of this project are
in the table below…..

Task# Activity

3.0 ORGANISATION AND RESPONSIBILITIES

3.1 Summary of agreed strategy with company e.g. the safety requirements and critical
activities in this plan shall be implemented and supervised as described in the table below.

S/N Activity Deliverable Action Party When

1 Kick-off meeting to review and confirm scope of Minutes of
work, HSE risks and required resources meeting
2 HSE workshop/required HSE training for agreed Training
scope of work records
3 Inspect and confirm all required certificates and Records of
qualifications. verification
4 Check and confirm the HSE capability of Records of
subcontractor assessment
5 Check and confirm the adequacy and integrity of
required plants, tools, equipment etc
Note: This is not exhaustive, it is only a guide

3.2 List of HSSE critical staff for the project with evidence of competence e.g. Supervisors,
crane operators, quartermaster, drivers, HSE support etc

4.0 HAZARD IDENTIFICATION, RISK ASSESSMENT AND CONTROL

List major hazards/risk and controls and ref to listed procedure in the interface document e.g.

Risk Level Task # Controls (Standards, procedures, work

Risk/Hazard (L, M, H) (N/A, All, 1, etc.) instructions
Confined Space Confined space entry procedure..Ref. xxx
Working at height Procedure for working at height...Ref. xxx

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 Lifting and Lifting and hoisting procedure with ref. xxx
hoisting
JHA: A job hazard analysis (JHA) shall be performed for all activities to be carried out on site
BRIDGING DOCUMENT: A bridging document shall be developed and agreed with the
contract holder to detail the standards/work procedures to be applied

5.0 PROJECT HSE REQUIREMENTS

5.1 General HSE Requirements

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  Life Saving Rules  Incident reporting and
 Site HSE Rules investigation
 Working hours  Stop work authority
 Medical fitness of workers  Accommodation and
 First aid training catering
 Basic fire fighting training etc

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5.2 Safe Work Permits
 Listing of permits to be used e,g Permit to work, Excavation permit, Hot and cold work
permit etc

5.3 Subcontractor Management

 List the services to be provided by subcontractors
 State how subcontractors shall be selected e.g. the HSE capability of subcontractors
shall be assessed prior to engagement and only those that meet the required Technical
and HSE competence shall be engaged

State and outline how subcontractors shall be managed using the following
monitoring plan
S/N Activity Deliverable Action Party When

5.4 Plants and Equipment Management

 List of required tools, plant and equipment, vessel, vehicles, boats etc. e.g
S/ Plant, equipment, vessel, vehicle etc Make Model ID No.
N
1 Swamp Buggy xxxxxxx xxxxxxxxx 9999999
2 4 x 4, 4WD Truck xxxxxxx xxxxxxxxx 9999999

 Inspection schedule: the following inspection schedule shall be used to ensure all
equipments are fit for purpose ……………….

5.5 Personal Protective Equipment (PPE)

 List the PPE required for the job and what they are required for e.g.
S/N Type of Work PPE
1 Falling & flying particles objects Safety helmet
2 1) Welding and cutting Safety glasses (with shield)
2) Excavation
3) Driving nails
4) Grinding
3 Handling tools, equipment and materials Hand Gloves

5.6 Waste/Spills Management

 Types of waste that will be generated how they will be collected, accounted for handled,
transported and disposed.
 Level and source of spill anticipated and the controls in place to prevent and manage any
occurrence.

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5.7 Hazardous Materials Management
List here or append a separate Chemical Inventory List
Chemical name Special PPE or handling Requirement

5.8 Management of Change

 List the conditions that may lead to a change in the plan
 State that all changes must be authorized by an authorized company representative (a
named individual or position
 State the need for risk assessment before any change is introduced

6.0 HSE TRAINING

List the applicable trainings required for the contracts including when they should be
undertaken e.g. the under-listed trainings shall be done prior to commencement of work

Description Evidence of training (provide documentation onsite)

Basic HSE Induction/Orientation
Swimming training/Test
BOSIET
Fire Safety
First Aid
Hazard Identification and Intervention
PTW
PPE usage and maintenance
Emergency Response
Fall Protection
Driver training & certification

7.0 HSE COMMUNICATION AND MEETINGS

Provide schedule of
 HSE Meetings
 Toolbox talks
 Visitor briefing
 Site HSE inductions etc.

8.0 EMERGENCY RESPONSE PLAN

 Envisaged project specific emergencies and an emergency response plan including
contact numbers
 ER preparedness to be set-up in line with SEPCIN ER preparedness Matrix as minimum.

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9.0 JOURNEY MANAGEMENT
 State how journeys shall be managed using a journey management plan (JMP). The JMP
as a minimum should include, a Journey Manager, approved routes, fitness and
competence requirements for drivers, quartermasters etc, journey hazards, and controls,
approved speed limits, hours of work, procedure for deviation and Journey management
performance indicators.(if journey is extensive refer to a detailed JMP)

10.0 AUDITS, INSPECTIONS

Develop a risk based audit and inspection plan with name of auditors, dates and frequency of
audits in a table.

11.0 SECURITY PLAN

 Mention key security hazards/risks and Refer to approved security plan

12.0 HSE ACTION PLAN AND PERFORMANCE MONITORING

12.1 HSE Action Plan

Outline key HSE action Plan in a table for example
Item Description Action Responsibility Target
Key hazard/Risk
1.1 Working at height  ½ day training for supervisors on working at
height Guideline and Procedure XXXXX
 Induction for all front line staff on working at
height
 JHA and toolbox talks for all works at height
 Erection and certification of scaffolds
 Inspection and approval of all fall arrestors
1.2 XXXXXXX
Pre-mobilization Kick-off Meetings with client
Engage community and obtain FTO
Develop and sign-off security plan
Review and confirm adequate work procedures
Mobilization Confirm contract specification of equipment
Confirm contract specification of personnel
competence and experience
Medical fitness test of workers including those
subject to the fitness to work protocol
Conduct and confirm HSE Trainings
Carry out HSE induction/orientation
Inspect and confirm accommodation and catering
Review and approve journey management plan
Review Emergency Response requirements/set-
up using the ER Matrix as benchmark
Site preparation Obtain and confirm all required permits
Build and equip site office
Complete housekeeping and fumigation
Ensure right ER preparedness is in place, agree
on the work exercise/drills based on the site HSE
threats and execute pre-work start ER activation.
Work Execution Obtain relevant permit to work (PTW)
Develop daily task plans
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 Perform JHA for site activities
Toolbox talks with work crew
Hold planned HSE meetings
Execute Planned Drills/Exercises
Implement audit plan
Decode and analyze IVMS reports
Inventorize waste generated and disposed
Compile and report safety statistics
Report incidents, near miss, unsafe act/conditions
and occupational illnesses
Investigate and share learning from incidents
Demobilization Restore site
Evacuate material and personnel

12. 2 HSE Performance Monitoring (Add or remove as required)

S/N HSE Key Performance Indicator Target Actual When
Leading Indicators e.g
1 Pre-Mob of equipment & personnel
2 HSE induction/workshop
3 HSE training
4 HSE Audits/Inspections
6 Management Field inspections
7 HSE Meetings
8 Near Misses and potential incident reports
9 Emergency drills
10 Compliance with Ftiness to Work Requirements
Lagging Indicators e.g
1 Man-hours on contract
2 Days at Zero (without an LTI)
3 Life Saving Rules Violation
4 Fatal Accident Rate (FAR)
5 Lost Time Incident Frequency (LTIF)
6 Total Recordable Case Frequency (TRCF)
7 Loss of Primary Containment (LOPC
8 Total Recordable Occupational Illness Frequency (TROIF)

13.0 APPENDIX

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