TENGIZCHEVROIL TCO CHESM QUALIFICATION QUESTIONNAIRE GUIDANCE
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1 TENGIZCHEVROIL TCO CHESM QUALIFICATION QUESTIONNAIRE GUIDANCE 1. Introduction The purpose of this guidance is to explain the main rules for completing TCO s CHESM Qualification Questionnaire. It is important that you strictly follow these rules, as an incorrectly filled questionnaire impairs our ability to complete CHESM evaluation correctly. 2. General rules - You are not allowed to modify the questionnaire in any way other than completing requested fields. Any manipulations with protected cells and/or formulas are not acceptable and will result in the denial of your questionnaire. - All fields containing explanations as shown below are mandatory and must be completed. Fields designed for evaluator comments and grading (Yes, NO, and N/A columns) must be left blank. 3. Recommendations - The information provided in your reply must be true and correct. - Your reply must be comprehensive, but concise and explicit at the same time. - Generally, a good answer refers to a document and/or provides examples. Answers like Yes are not considered comprehensive and will not be given credit. - All documents referenced in your reply as well as other types of supporting evidence must be provided together with the questionnaire. 4. Additional Information - We require our bidders/contractors to submit the number of actual workrelated miles driven for the previous year. 1/1 OE / HES Effective: March 11, 214
2 Tengizchevroil Contractor HES Management Qualification Questionnaire 1. General Information Contractor Company Name: Specify Contractor company name, which will be used continuously in future in the documents Service Provided: Specify what services can officially provide Contactor company according to your State license TCO Contract Owner: Name TCO department, which requires these services, as well as the main TCO contact Number of Employees Supporting TCO Operations: Specify the number of employees, who will participate in the planned work Company Director/Manager: Name Phone: Fax: Site Supervisor: Name Contractor Key Personnel: Phone: Fax: HES Representative: Name Phone: Fax: Contractor Management Representative: Name Phone: Fax: Evaluation Date Evaluation Team Members Completed By: ФИО: Specify the name of the employee, who will fill out this questionnaire Должность: Phone: Fax: Date Submitted: Note: Please provide resume or work experience (curriculum vita for key leadership positions to include Site Supervisor, Project Manager and HES Representative. 1. General Information 2. Health, Environmental and Safety Performance Are key element records listed in available for the last 3 years? Provide the requested information. Complete items showing data separately for previous 3 years. If data on items are unavailable, please specify that you do not have previous work experience in TCO facilities. Provide companywide information (previous 3 years of dat YEAR YEAR YEAR 2.1 Total number of employee hours worked Specify the basis for exposure or employee hours: 8 Hr. Shifts 12 Hr. Shifts Other 2.2 Number of work-related fatalities 2.3 Number of injuries resulting in days away from work 2.4 Number of recordable injuries 2.5 Number of motor vehicle accidents Provide information for work performed within TCO facilities (previous 3 years of dat YEAR YEAR YEAR 2.6 Total number of employee hours worked within TCO facilities 2.7 Number of work-related fatalities within TCO facilities 2.8 Number of injuries resulting in days away from work within TCO facilities 2.9 Number of recordable injuries within TCO facilities 2.1 Number of motor vehicle accidents within TCO facilities Specify if your company has received any regulatory citations or court litigation actions. If yes, provide data on preventive measures taken in the course of Have you received any regulatory citations or been involved in any court regulatory citations or court litigation actions processes including timing 2.11 litigation related to HES incidents or non-compliance in the last three for correcting and responsible persons assigned. years? How the correspondence was tracked; do you use any registration system for inbox and outbox correspondence. Provide official responses sent to supervisory authorities. 2. Health, Environmental and Safety Performance Page 1
3 3. Health, Environmental and Safety Management 3.1. HES Organization: does your HES organization have the following: Director or Senior Manager responsible for HES? Describe your company management organization. Specify HES responsibles of your company. Provide job description of HES responsible. Any other part/full time position assigned HES responsibilities? (please describ Specify if your company has HES group. If yes, provide guidance for HES group. If full/part-time personnel is assigned, prikazes of appointment and responsibility assignment are to be provided as small companies tend to combine job functions. Provide job description HES Benefits: Do you have, provide or make available for your employees: Medical Insurance? HES Training? Specify if your company provides voluntary health insurance for workers including all types of medical aid services. If yes, provide supporting information, insurance company aggrement. Specify if company provides HES training at its own expenses. Submit supporting information, i.e. training centers agreements, staff certificates etc. Provide Prikaz on appointment of Standing Examination Commission, protocols on guidance knowledge assessment of Standing Examination Commission members in Labor and Social Protection Department, Emergency Department. Does your company have a written employee incentive program that clearly communicates goals and incentive for employees? If yes describe how you track goals and provide rewards as incentive. If company has official employee incentive program it shall be approved by Top Manager and key incentive indicators shall be stated. Submit supporting information on how rewards are destributed (Rewarding Prikazes) HES Annual targets: What are your company's annual HES targets in: 3 Safety - (put your target for current year her Company shall have Safety targets and objectives established: action plan for revealed defects elemination, BBS training. Health - (put your target for current year her Put specific Health targets and objectives: timely medical exam, replacement of PPE and protective clothing, use of group Environmental - (put your target for current year her Environment performance examples: waste reduction or control, technologies improvement etc. DO NOT FILL THIS AREA IN 3.4. HES Written Program: Does your written HES Program Include HES policy describing Company HES Mission, Vision, Values and Strategies as well as management commitment. Describe how the policy is communicated and enforced at all levels. Provide policy describing Company HES mission, vision, value. Describe how its interrelated with management and employees work. f) Include clearly defined HES responsibilities and accountabilities for managers, supervisors and employees? Require that all documents related to your HES Management System be translated in all applicable languages to insure everyone can clearly understand? Include resources for meeting HES requirements? (Include HES personnel, finance, equipment, materials, etc.) Include periodic management system review of key processes, procedures and standards to ensure compliance and performance improvement? Include document control and record retention process? Submit job descriptions for all managers and employees approved by top manager clearly describing HES duties and responsibilities. Main documents i.e. Company's policies related to HES management are to be translated in all applicable languages. Describe manpower content, materials assigned to meet HES requirements as well as equipment capabilites (meeting halls, videoprojectors for training, presentations, visual aids, simulator stands for first aid training). Submit documented process (it might be called "documentation control") which is used to analyse and implement changes to processes and standards in HES management system. Describe official control procedure of critical documents related to investigation results, regulatory and legal compliance checks etc. to secure such documents. Do you have procedure on documents sorting and storage as per specific documents storage time? g) h) i) Include written task or craft specific safe work procedures? List the name of each procedure. List all the jobs performed by your company Do procedures clearly describe the roles and responsibilities of all persons and/or positions identified in document? Include documented employee fitness for duty (skills, knowledge and physical/medical suitability for jo process? Submit Occupational Safety and Health Procedues for all trades and engineering manpower in your Company. The above mentioned procedures shall include such chapters as: Health and Safety prior to work commencement, Health and Safety during operation, Health and Safety in emergencies, Health and Safety after work completion. Describe employment procedure, medical requirements, education requirements etc. What is the procedure of document control? Provide supporting information. Page 2
4 3.5. Employee engagement Do you perform periodic HES performance appraisals for all employees? 9 If yes, submit official blank and records or reports on regular appraisals for individual workers. Do your employees participate in team activities to improve HES performance? Do your employees have the authority to stop work for safety reasons? List team activities your employees participate in. Do you inquire your workers in regard to improvement of labor conditions, PPE and protective clothing provision, sanitation and living conditions etc.? Describe how this authority is exercised. Do you have documentation showing that your employees do stop works if high potential near miss is discovered? Perhaps your company has an approved procedure or these requirements are included in HES guidances. Are HES issues, inspection results, investigation results and learnings communicated to employees? Do you have procedure to communicate issues discovered during facilities operation to workers? Submit supporting documents: minutes of meetings, prikazes, presentations etc HES Meetings: Do you hold periodic HES Meetings that include: Field Supervisors? Provide proof that field supervisors participate in meetings. Employees? Subcontractors? It is of importance that both managers and employees participate in HES activities. As well as subcontractors, if any. Do you hold daily toolbox safety meetings? Provide documentation to demostrate that meetings to communicate all HES updates to workers are held. Submit meeting schedule including subjects. f) Are the HES meetings documented with minutes and attendees list? Do Managers participate in safety meetings? (Provide job titles) Provide HES minutes of meetings including agenda and short speeches description. Provide documentation to demostrate that top managers participate in HES meetings Subcontractors Does your company use subcontractors? If Yes, provide current list of subcontractor companies. If No, print N/A for this and remaining questions in this section. If Yes, provide current list of subcontractor companies. If No, print N/A for this and remaining questions in this section. Is there a written contractor safety management process? Do you evaluate the ability of subcontractors to comply with applicable HES requirements as part of your selection process? Provide example or criteria. If yes, provide documentation to demostrate. Describe your process of subcontractors selection in regards of potential subcontractor ability to meet HES requirements including its employees proficiency, used materials and resources. Provide HES requirements compliance appraisal of your company current subcontractors Hazard Identification, Communication and Control: Do you have a documented process to identify work-related hazards including task, work location, natural conditions and materials? Provide environmental-related process developed to identify such hazards as rotating equipment, hoisting machines, chemical corrosion environment, biological hazards, electricity, hot surfaces etc. which can impact workers during operation. Submit Job Risk Evaluation Procedure (JHA)? Are safe work practices and procedures developed based on the hazards identified to mitigate the risk to employees? Does your company perform Job Hazard Analysis (JHA) on its work operations? Provide examples. Provide safe work practices for all trades of your company, HES guidances. We are requesting Safety Instructions from them in the item 3.4 JHA is to be performed for a specific activity; it shows work stages, work hazards and hazards control actions. If Yes, provide example. Do you maintain updated and accessible MSDS for paints and chemicals? If company use chemicals and paint materials during operation it must have Safety data sheets base for these materials to be used by workers. Please confirm Incident Reporting, Investigation and Statistical Data: Are those incidents that qualify as recordables according to ROK Labour Code Section 5, Chapter 37 and TCO requirements investigated? Does your company have an approved written process to report and investigate incidents? Provide documentation to confirm. 4 Provide documentation to demostrate that all accidents are reported to management. If your company has approved procedure, provide documentation to confirm. Does your process provide a technique for root cause analysis? Do you have personnel trained and qualified to coordinate a formal investigation with ROK and TCO personnel? Provide documentation to demonstrate. Do recommendations directly address the root causes and are there clear action items that are completed by defined dates? Provide documentation to demonstrate. Describe process of root cause analysis of accidents related to management system deficiency, and process of clear action to prevent such accidents in the future. If Yes, provide certificates of personnel traning. Provide documentation to demonstrate current cause corrective actions. Page 3
5 f) Do you have a process in place to track recommendations and corrective actions to completion within the assigned time? Provide verification method. Does your company have a process to share lessons learned on incidents and near misses? If Yes, provide documentation to demonstrate that intended actions are completed by appointees within the assigned time. How the assigned employees are supported to complete the actions? Describe your process of lessons learned sharing. It can be group safety meetings, prikazes, extra orientations, staff refreshing training etc. g) Does your company have a process to track man-hours and incidents to establish DAFW, total recordable and motor vehicle incident rates? Provide documentation to demonstrate. If Yes, provide manpower statistics, accident rates calculation. Provide accidents registry book. Page 4
6 h) i) Does your management examine safety statistics to determine areas of improvement? Provide documentation to demonstrate. Do you report your statistical data to your customer? Provide documentation to demonstrate. Describe process of information collection and analysis to improve labor conditions. It can be inspections which are registered in inspection results registry book. If yes, provide documentation to demonstrate Behavior - Based Safety: Do you have a behavior - based safety (BBS) process in place and is the program communicated to all employees? BBS objective is to observe workers behavior and to give comments which must be registered Specify if your BBS has been purchased from known international company or developped by your company specialists. If yes,provide documentaition Personal Protective Equipment (PPE): Do you have a written PPE program that includes: PPE selection 1 Submit official program that includes below items. Contractor must carefully learn conditions of all work areas and provide personnel with protective equipment accordingly. f) PPE use PPE care and maintenance Is the program communicated to all employees? Do you provide the required PPE for the jobs that you perform? Does your company have a process to identify PPE needs specific to a task or position? All PPE must be used during whole work shift in accordance with facilities requirements. All PPE and protective clothing must be maintained in accordance with current regulatory acts and manufacturer manuals. All above-mentioned items must be described in details in PPE program and must be communicated to all contractor personnel. List of awareness must be attached to PPE program. Contractor shall provide all empoyees and work group staff with PPE at company expenses. Provide documentation to demostrate. Specify allowance of protective clothing for specific works Transportation and Vehicle Safety Describe your company motor vehicle fleet (quantity and typ 6 Describe company's motor vehicle fleet. Describe the transportation services your company provides (e.g. transportation of cargo, people, etc.). Describe the transportation services. Does your company have a motor vehicle safety policy and process? Contractor shall have in place a policy to ensure motor vehicle safety. The policy includes: drivers training, journey planning, vehicle maintenance, pre-shift vehicle inspection, use of safety belts, ban on cell phone use while driving, medical examination etc. Provide documantation. Do you comply with all applicable traffic and vehicle safety regulations? Please describe. Do you have assigned personnel responsible for transportation safety in your company. Please describe. Describe the employment procedure for drivers and applicable requirements Contractor shall assign a lead mechanical engineer to be responsible for motor vehicle safety. The position to be approved by top manager. Job description to be developed, approved and signed upon review. f) g) h) i) Do you have a process in place to evaluate driving skills and knowledge of new and current employees? Do you have a process in place that helps sustain required knowledge level of company's drivers? Do you have a driving skills improvement process in place for your existing drivers? Do you keep track of MVCs / MV Unsafe Behaviors involving your company vehicles? Please describe. Do you have the practical driver training ground, so that drivers could demonstrate their driving skills to be tested by a committee? Provide documentation. Do you conduct driving theory or season-oriented driving training as safe winter driving etc. If yes, provide corresponding documents. Do you conduct a practical training and drivers evaluation to consolidate theoretical knowledge obtained? If yes, provide corresponding documents. Do you keep records of MVs mileage (dates, speedometer readings), MVCs involving your company vehicles etc? Provide documentation. j) Do you make any MV incident statistics analysis? And what type? Do you conduct any analysis (as per above-mentione to identify failures caused by insufficient maintenance, unskilled personnel, poor financing etc. Provide documentation. k) l) m) Have you implemented any MVS improvement recommendations (if any) for the last 12 months? Provide examples. Are there any plans forward to improve / sustain motor vehicles safety performance? Do you conduct technical inspection for your motor vehicle fleet. Demonstrate the proof Describe what have been done to improve motor vehicles safety performance (have funds released to purchase new motor vehicles, or high-qualified drivers employed etc.) Specify any plans forward to improve motor vehicles safety performance. Provide results of technical inspection of vehicle fleet. Provide Daily Vehicle Inspection Checklists Page 5
7 n) o) p) Do you have a preventive maintenance system in place for your motor vehicle fleet. Provide the schedule. Does you have a preventive maintenance system includes requirment to maintain all vehicle systems. Provide checklists. Does your vehicle maintenance system requires maintenance services to be documented. Provide maintenance records. Provide schedules for motor vehicles preventive maintenance (PM 1 and PM 2) or agreement concluded with service station Inspections and Audits: Do you have a written inspection/audit procedure? 14 Provide the approved procedure in regards to workplace inspection. The inspection may be conducted in several stages: management, middle management and HSE engineers. Do you conduct self-inspections and audits and document audit findings and recommendations? Do you track corrective actions to verify completion within assigned time? Describe process. Are recommendations assigned to a position with the knowledge and authority to implement corrective actions? Provide schedule of site inspection works aimed at identification and insitu elimination of failures. Provide records of inspection results to be used for development of working conditions improvement activities. In respect to any deviations from HES requirements the remedial actions shall be developed, documented and approved by top manager. Recommendations shall specify the persons in charge and due date. The persons in charge are to be notified and get familiarized (supposedly, through the prikaz of top manager) Regulatory Compliance and Licenses: Do you know the HES - related government and local regulations pertaining to your work? If you do, Provide details on the various licenses your company currently holds for performing work in th ROK. Attach copies of your licenses for the specific type of work that you would like to perform in Tengiz. 4 Provide copies of general operating licenses and copies of licenses for the specific type of work to be performed. Items b,c,d,e,f,g Provide copies of licenses and certifications if you intend to provide services in the following areas: Radiography - permit from ROK or Atyrau / Kulsary Oblast - RGTI Pre - commissioning services - Laboratory certification from Atyrau GEE (GosEnergoExpertiz. see item а) see item а) Fire & Gas system installations - License from ROK Fire Chief Office see item а) Lifting equipment installation (cranes) - Certification from Atyrau / Kulsary Oblast RGTI see item а) f) Lifting equipment - Up to date certificate from GGT (GosGorTechnadzor). see item а) g) Provide details on your company's regulatory certification and verification process. Describe the procedure for obtaining a state license Pollution Prevention: Does your company have a written procedure to identify hazardous and non - hazardous waste generated at your facility? 7 Provide the approved procedure which specifies types of waste your company generates in the course of work performance (luminescent lamps, tires, accumulator batteries, lubricants wastes, paints, medical wastes etc.) and methods of its disposal. Do you have any third-party contract on wastes recycling and disposal? (Provide Contracts) Do you have document the quantity and disposition of all hazardous and non hazardous waste you generate (waste management plan)? Provide Waste registration book. Do you have a site - specific spill prevention program? Provide spill prevention program with spill containment and prevention measures (lubricants, chemicals, paints) Provide spill response plan which specifies personnel actions in case of contaminants spill Emergency Preparedness and Response: Do you have a written emergency response plan? Note: Small companies may not have their own plan but still need to have site - specific emergency response plans. 3 Provide emergency response plan specific to the offices and other buildings of your company, which specifies master wardens, master points, emergency operators phone numbers, buildings evacuation plans and emergency exits (agreed with regional Emergency Department), etc. Do you conduct and document emergency response training and drills? Note: Small companies still need to document participation in site emergency response drills at owner's facility. Submit schedule and records on emergency response training and drills provided with regard to Fire Safety and Workplace premedical first aid 3. Health, Environmental and Safety Management 2 4. Fitness for duty: Skills, knowledge, training 4.1. Short Service Employee Program Do you have a Short Service Employee (SSE) program? Short Service Employee (SSE): employees new to your company or new in their work assignment (less than 6 months). Explain how your company manages SSEs Provide Short Service Employee progam, which shows the following: visible markings of new employees, maximum permissible period of stay in hazardous areas, mentoring Craft Training Does your formal training program include job/task specific training documents and competency evaluations? Provide documentation to demonstrate. In case you provide craft training and competency evaluation, submit relevent permitting documents (licenses). Provide state-approved training program. Have employees been trained in appropriate job skills? Provide certificates of trained personnel. Page 6
8 Is there an ongoing program for all employees to insure job knowledge and responsibilities are understood? Define program and frequency of training by position. Does your company have persons specifically assigned to provide training to your employees? If yes, are they certified? Is there a program for training Kazakhstan citizens? List the number of Kazakhstan citizens trained for each trade (welders, fitters, etc.). In case the training program, specified in item is available, provide craft training schedule. In case the training staff is available, provide job descriptions and qualification certificates. Provide the required information. Page 7
9 4.3. Health, Environmental and Safety Orientation Do you have a HES orientation program for newly hired employees? 5 Provide Orientation program. The program shall include: process overview and production associated hazards, work hours, living conditions, emergency response, training and instruction, medical examination, causes of accidents (if any), etc. Does your orientation program include the requirements as agreed in the contract HES exhibit? If your company has previous work experience with TCO you should have been familiarized with HES Exhibit to the Contract Describe the information provided to new employees during orientation (e.g. safety rules, benefits, accomodations, meals, transportation)? Is a safety orientation refresher courses offered to all employees on a periodic basis? Provide documentation to demonstrate. see item а) Provide workplace orientation courses register, including: Safety orientation, refresher, unscheduled and targeted courses. Specify courses frequency. 4.4 Health, Environmental and Safety Training Content 4 Do you know the local regulatory and TCO HES training requirements for your employees? Specify as applicable Have your employees received the required HES training and retraining? Provide matrix tracking HES knowledge assessment. Do you provide specific supervisory HES training for new supervisors and refresher training for existing supervisors? Provide HES knowledge assessment protocols of managers performed by Labor and social protection department, Emergency department; site briefing schedule; prikaz on appointment of Standing Examination Commission, knowledge assessment certificates of HES responsibles. Does the training program include work practices and procedures such as: General safe work practices? Equipment lockout and tag-out (LOTO)? If you apply below training programs, please specify and provide training materials and schedules. Provide job description of training responsibles. Specify as applicable f) Permit-to-work procedures? g) Fall protection? h) Personal protective equipment? i) Vehicle/Driving safety? Specify as applicable Specify as applicable Specify as applicable Specify as applicable j) Electrical equipment grounding? Specify as applicable k) Incident reporting and investigation? Specify as applicable l) m) Emergency preparedness and response? Environmental protection? Specify as applicable Specify as applicable n) Hazard identification and control? Specify as applicable 14 Page 8
10 4.5. Training Facilities and Records Does your company have facilities dedicated to classroom and field training? If yes, describe your facility and the equipment available for training (e.g. computer, audio, video, props, etc.). Provide pictures of premises, list of equipment, visual aids, audio and video materials. Are all employees formal educational and governmental certifications required by RoK regulations and industry standards on file? Provide documentation to demonstrate. Do you have HES and crafts training records for each individual employee that include employee identification, date of training and name of trainer? Are training records reviewed to insure all employees remain current on training and qualifications? Provide information of workers - personal files with diplomas and HES training certificates. Provide matrix tracking HES training of all staff. Who tracks training actuality in your Company? It can be Training Coordinator. If this position is available provide job description signed by Training Coordinator. 4. Fitness for Duty: Skills, Knowledge, Training 4 5. Fitness for duty: Medical Suitability and Industrial Monitoring 5.1. Medical Services Do you have a process to provide medical treatment for your employees? Do you provide insurance to the employees for medical care and treatment? If yes, please provide a contract with an Insurance company Medical Examination Do you conduct medical exams for employees for pre - placement job capability? 1 Provide the supporting documents confirming the conduction of periodic medical examinations. Contract with the medical center for annual medical examinations. Medical report on workers health. Are all required medical evaluations documented and managed for all employees as required by RoK regulations? Provide schedule of regular medical exams of all your company staff. Provide documentation for every employee Substance Abuse Does your company have a written substance abuse policy that describes limits and consequences? 2 Provide alcohol and drugs abuse policy that describes limits and consequences. Is the Policy written in all applicable languages? Describe how it is communicated to all employees? Describe how your company monitors for compliance and enforces the substance abuse policy. Provide policy translation in all applicable languages. Describe how your company monitors for policy compliance, e.g. visual observation, medical exam prior to shift or agreement with third party on medical testing Industrial Hygiene Do you perform IH monitoring on your employees? Do you have a hearing conservation program with annual hearing testing? 3 Provide conclusion of workplace assessment on labor conditions performed by authorized company. What actions were taken when workplace maximum allowable limits have been exceeded? Provide documentation to demonstrate. Will you be providing food to your employees at TCO work sites? If yes, is there a written procedure for Food Hygiene compliance and catering services. Provide all permitting documents of sanitory and epidemiological service for catering premises, vehicles for food transportation, sanitary certificates of all employees etc. 5. Fitness for Duty: Medical Suitability and Industrial Monitoring 2 6. Equipment: 6.1. Equipment Does your company have written procedures for the operation, inspection and maintenance of machinery and equipment (e.g., cranes, forklifts) in your inventory? Be prepared to show your records. Provide manufacturers safety manuals for operation and maintenance of machinery and equipment along with awareness list singed by responsibles for operation and working conditions of machinery and equipment. Do you have a Safety Inspection Checklist for equipment used on business? Provide checklist of daily inspections of all used equipment (hoisting machines, vehicles). Checklist includes inspection of break system, marker lights, windshield and matching mirrors, tire pressure, first-aid kit, wipers, heating etc. Do you maintain operating equipment in compliance with regulatory requirements including certifications, calibration, maintenance system, etc.? Provide proof of conducting technical inspection for your equipment. Provide partial and complete hoisting machines partial and complete Technical Inspection.Provide certificates for hoisting machines showing good condition and Emergency department technical certification, calibration certificates of metrology instrumentation and SI system certification. 6. Equipment Safety Overall Qualification Score Page 9
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