Applicant Safety Performance

Transcription

1 Applicant Safety Performance Injury and Illness Data a. Employee hours worked last three years: Provide the following data: Hours Year: Field: Total: Rate. Rate. Rate Injury resulting in fatality Total. of fatalities x 200,000 Fatality Rate= Total Employee Hours. of Accidents resulting in Lost work day Cases (LWC) LWC Rate = Total. of LWC X 200,000 Total Employee Hours. of accidents other than lost work Day Cases. of n-lwc X 200,000 LWC Rate = Total Employee Hours Highest ranking safety/health/environment professional in the company: Title Telephone Fax: Do you have or provide: a) Full Time Safety/Health /Environment Engineer b) Full Time Site Safety/Health /Environment Engineer c) Full time Job Safety/Health/Environment Officer Do you have a written Safety and Health Program? Does the program address the following key elements? -Management commitment and expectation Page 1

2 -Employee participation -Accountabilities and responsibilities for managers, Supervisors, and employees -Resources for meeting safety & Health requirements -Periodic Safety and Health performance appraisals for all employees -Hazard recognition and control Do you have written programs for the following: a) Hearing Conservation b) Respiratory Protection Where applicable, have employees been: Trained Fit Tested Medically approved c) Hazard Communication Do your employees read, write and understand English/Arabic such that they can perform their job tasks safety without an interpreter? If no, provide a description of your plan to assure that they can safely perform their jobs. Medical a) Do you conduct medical examination for: - Pre-employment - Replacement job Capability - Pulmonary - Respiratory b) Describe how you will provide first aid and other Medical services for your employees while on site Specify who will provide these services : c) Do you have personnel trained to perform first aid and CPR? Page 2

3 Do you hold site safety and health meetings for: Field Supervisors Employees New Hires Frequency Frequency Frequency Are the Safety and Health meetings Documented? Personal Protection Equipment (PPE) a) Is applicable PPE provided for employees? b) Do you have a program to assure that PPE is Inspected and maintained? Do you have a corrective action process for addressing individual safety and health performance deficiencies? Equipment and Materials: a) Do you have a system for establishing applicable health Safety, and Environmental specifications for acquisition of Materials and equipment? b) Do you conduct inspections on operating equipment (e.g. Cranes, Forklifts, and JLGs) by third party agencies eg? Lloyds BV etc c) Do you maintain operating equipment in compliance with Regulatory requirement? d) Do you maintain the applicable inspection and maintenance Certification records for operating equipment? Inspection and Audits a) Do you conduct Safety and Health Inspections? b) Do you conduct Safety and Health program audits? c) Are corrections of deficiencies documented? Safety and Health Orientation a) Do you have a Safety & Health Orientation Program for new hires and newly hired or Promoted supervisors? b) Does program provide instruction on the following: - New worker Orientation? New Hires Supervisors Page 3

4 -Safe Work Practices -Safety Supervision -Toolbox Meetings -Emergency Procedures -First Aid Procedures -Incident Investigation -Fire Protection and Prevention -Safety Intervention -Hazard Communication c) How long is the Orientation program? Hours Safety & Health/Environment training a) Do you now the regulatory safety health and Environments training requirements for your Employees? b) Have your employees received the required Safety & Health and Environment training and retraining? c) Do you have as specific Safety & Health and Environment training program for Supervisors? Do you have an Environmental Management System? If yes, attach a copy of the policy. Have you obtained accreditation under any Standards/System viz ISO14001? If, attach the relevant certificates. Do you carry out Environmental Audit of your facilities? Please furnish the detail on frequency, internal/external and copy of the last audit. Do you practice Environmental guidelines in storage of Hazardous chemical, Materials at site/facilities? Page 4

5 If yes, furnish the code/standards of guidelines. Do you take/adopt necessary precautions to control fugitive emissions form the site/facilities? If yes, furnish the methods/standards. Do you practice Environmental guidelines/standards in manufacturing facilities to reduce the air emissions, water & solid waste at the source? If yes, brief the measures taken at your facilities. Do you have procedures for taking appropriate actions to contain accidental spills/releases from the site/facilities? If yes, furnish the brief details. Has your organization at any time been subject to enforcement action by statutory authorities for violating Environmental regulations? If yes, furnish the brief details. What is the percentage towards Environmental expenses on your annual turnover? Are you aware of the prevailing environmental regulations in the state of Kuwait? INFORMATION SUBMITTAL Please provide copies of checked ( ) item with the completed PQF: Insurance Certificate (s) Safety & Health Program Safety &Health Incentive Program Hazard Communication Program Respiratory Protection Program Environmental Policy Accreditation Certification Environmental Audit Reports & Procedures Environmental Training Program (Outlines) Procedure for spill control/fugitive emission Housekeeping Policy Accident/Incident Investigation Procedure Unsafe Condition, Reporting Procedure, Control, etc. Page 5

6 Safety Inspection Audit Procedure or form Safety & Health Training Program (Outline) Example of Employee Safety & Health Training Records Safety & Health Training Schedule (Sample) Authorized Signature: Name: Date: Page 6