Field Implementation Details F0951

Form 000.653.
F0951
HSE SITE SELF-ASSESSMENT
HEALTH, SAFETY, AND ENVIRONMENTAL SITE SELF-ASSESSMENT

OFFICE ADMINISTRATION and FIELD EXECUTION
PROGRAM SELF-ASSESSMENT
USER INSTRUCTIONS
TABLE OF CONTENTS
Introduction
What You Should Know Before Conducting the Self-Assessment
When Should a Self-Assessment be Performed
Opening Conference
Scoring
Strategic Initiatives
Reduction Points
Reduction Points - Repeat Deficiency
Reduction Points - Imminent Danger
Reduction Points - Environmental Damage
Final Scoring
Comments and Recommendations
Copyright © 2009, P2S. All Rights Reserved.

Form Date: 01May2009
Page 1 Health, Safety, and Environmental
Form 000.653.F0951
Closing Conference
Final Report
Closeout Reports
Evaluator Closeout Letter
Sample of Evaluator's Closeout Cover Letter

Form 000.653.F0951
OFFICE ADMINISTRATION and FIELD EXECUTION
PROGRAM SELF-ASSESSMENT
USER INSTRUCTION
INTRODUCTION
Part of having a successful health, safety and environmental (HSE) process in place is also having a method of performance measurement and self-assessment that continually identifies
The HSE self-assessment process provides a systematic method of assessing and quantifying performance in a detailed but uncomplicated fashion, and assesses the administrative elem
This process gives those performing the self-assessment an agenda of critical items to review, and when performing follow-up self-assessment, can prompt the evaluator(s) to revisit pa
For management and supervision, the report format presents the bottom line results as "Pass/Fail" without having to read and interpret an entire report or executive summary. However
In addition to providing a consistent means of self-assessment, this process is well-suited to both those performing the self-assessment and those who will use the information to improv
The following information is intended to give you a basic understanding of how this self-assessment process is intended to work from start to finish.

Form 000.653.F0951
WHAT YOU SHOULD KNOW BEFORE CONDUCTING THE SELF-ASSESSMENT
Preparation is a key element in providing a thorough and meaningful self-assessment. Having an appreciation of the operation will give those conducting the self-assessment the ability
As a rule, the evaluator should research the following items when learning about the operation and for the purpose of planning an effective and efficient self-assessment:
§ Injury and illness experience (at least for the past year).
§ Type of operation and related activities (such as heavy equipment, construction, operation).
§ Contractors/subcontractors
§ Results of the last self-assessment and open/outstanding issues/recommendations.
§ Regulatory issues and concerns.
§ Operation management concerns/issues.
§ Special clothing and personal protective equipment needs.
§ Special training/orientation requirements
§ Cultural sensitivities.
Having these items and other similar preparatory items addressed, those performing the self-assessment can spend less time in preparation and orientation on site and more time perform
WHEN SHOULD A SELF-ASSESSMENT BE PERFORMED
The HSE self-assessment process can be performed at any time, but there are different times when more benefit can be realized due to the phase of operation, schedule, and time lapse s
There are several indicators that can be used in determining when the best time is to perform the self-assessment. It may be considered appropriate to conduct the self-assessment with

Form 000.653.F0951
It is important to note that self-assessments can be either proactive or reactive. Proactive self-assessments are those strategically planned with the purpose being that of prevention and
Some of the common indicators to considered when deciding when to conduct an HSE self-assessment are:
§ After a serious injury or fatal accident

§ A continued and/or worsening accident/injury frequency rate
§ Upcoming shutdown/turnaround activity that involves increased employee exposure and high-hazard work
§ Construction
§ Labor unrest, employee complaints
§ Unwelcomed and/or unsolicited attention from safety and health regulatory agencies

Form 000.653.F0951
OPENING CONFERENCE
Initiating the self-assessment process should always begin with an opening conference. The conference must include, at a minimum, the operations manager and key management staff
It is not recommended that the opening conferences involve a large number of people or last more than one hour.
The purpose of the opening conference is to:

§ Introduce those performing the self-assessment to management.
§ Present the self-assessment schedule and discuss logistics.
§ Describe the self-assessment process to management and prepare them for the closing conference.
§ Solicit management's concerns, problems, and questions.
§ Discuss open issues and past deficiencies, if any, that will be revisited during the self-assessment.
With the opening conference completed, the self-assessment effort can begin.
SCORING
The HSE self-assessment process is designed to "score" the level of compliance achieved against company and regulatory HSE requirements. The HSE self-assessment process scoring
To achieve a compliance score, each element (line item) in the self-assessment has been given a numeric value, which represents the maximum possible score for full compliance.
For the administrative portion of the self-assessment, the maximum possible points range from 1 to 3, with one category having a weighting of 10. The gravity of thes
1 = Company safety policy or administrative requirement

2 = Regulatory requirement
3 = Safe work procedure
10 = Record of a fatal injury within the past 6 months related to the facility/project
For the field execution portion of the self-assessment, the maximum possible points range from 1 to 4, and are described as follows:

Form 000.653.F0951
1 = Failure would not result in damage or injury but constitutes a violation of a standard or procedure
2 = Failure could result in nothing more serious than minor injury or damage
3 = Failure could result in serious injury or damage
4 = Failure would result in serious injury or damage
When assessing each element, the evaluator must determine whether full, partial, or zero score is warranted based on inspection and observation.
It is recommended that the use of whole numbers, exclusively, be avoided. To accurately express the observed level of compliance it may require a decimal numeral.
It is impossible to eliminate subjectivity on the part of the evaluator, but this method, coupled with the evaluator's comments, will support the assessed score. The evaluator must make
When determining the compliance score of each line item, the evaluator should consider several factors such as:
§ The seriousness (injury potential) of the deficiency (actions or conditions)
§ What percentage of the observations made, of the line item, were deficient?
§ Is the deficiency a general condition or isolated case?
§ How does the deficiency influence the compliance level of other activities or conditions?
§ Is the deficiency a repeat action or condition of a previous self-assessment?
These considerations will help determine the gravity of the deficiency and should give the evaluator the justification for the score given.
Line items that do not apply to the operation being reviewed are excluded by simply marking N/A (not applicable) in the "maximum possible" column, the "assessed" column and the "
Furthermore, if there are line items that apply to operations that have taken place and/or will take place again, but were not in operation or practice and were not observed at the time of
STRATEGIC INITIATIVES
As the company moves forward through the many dynamics of change that are encountered in the construction and maintenance industries, many processes and cultural values must be
Changes at the client level and changes in markets and technologies can either enhance or challenge our HSE culture and the processes we employ.

Form 000.653.F0951
Corporate HSE will continually assess where our greatest strengths and weaknesses are in the HSE processes. Where failure or sustained weakness is found, such elements will be chan
Strategic initiatives will change with some regularity. Where improvements are made and positive performance is sustained, a particular initiative can be removed. Where the opposite
Each strategic initiative element (individual initiative title) is worth 4 points and will be a part of the Administration element.
Scoring will be consistent with the methodology previously explained in the Scoring section.
Strategic initiatives will apply to all projects.
The HSE Board and the Business Unit HSE Leads can make some or all of the strategic initiatives applicable on a project-by-project basis, regardless of the general intent of the initiat
To properly assess the applicable strategic initiative(s), the evaluator must have a complete copy of the current initiatives available. If the initiative applies, and it has not been impleme
REDUCTION POINTS
Reductions in the score, due to penalty points, must be considered as well. There are 3 types of penalty reductions:
§ Repeat deficiency
§ Imminent danger
§ Environmental damage
Penalty reduction categories offer significant impact against the final score. The repeated deficiency reduction highlights the importance of correcting problems once discovered. The i
REDUCTION POINTS - REPEAT DEFICIENCY

Form 000.653.F0951
Penalty points for repeated deficiencies should be used judiciously by the evaluator. The intent of this penalty feature is to penalize a project for allowing a known action or condition to
In some cases the same or similar problem may reccur in whole or in part, involving different people or places. This may or may not need to be counted as a repeat, resulting in a penal
However, if the evaluator finds the exact violation just as it was in the previous self-assessment, and no reasonable effort has been made by management to correct the problem, such w
When assigning reduction points for a repeat, the evaluator must be prepared to support with commitment and confidence his/her position. Supporting documentation could be very be
When considering whether or not to assign the penalty reduction, consider these questions:
§ Has this condition been noted in a previous self-assessment? Yes______ No______

§ Has the condition been ignored since last assessed? Yes______ No______
§ Is management knowledgeable of the condition? Yes______ No______
§ Is the condition exactly the same or worse than previously noted? Yes______ No______
If the answer to all of these is "Yes," it is most certainly a condition worthy of a penalty point reduction.
If any one of these questions is answered "No," there is probably not a repeat condition present or a fair reason to issue a penalty reduction.
It is not intended that this self-assessment process be used to specifically uncover repeated deficiencies; the primary purpose is program strength assessment. However, where it is clear
Example:
The evaluator finds a repeat condition that has been determined to meet the reduction point criteria. The line item being assessed has a maximum possible score of 3 points.

Form 000.653.F0951
Applying the repeat penalty calculation of -10 x the maximum possible, the assessed score for that line item would be -30. This score must be manually entered into the "Repeated Def
REDUCTION POINTS - IMMINENT DANGER
Imminent danger is defined as a condition or action in the workplace that is likely to cause serious physical harm immediately or before the action or condition of imminence of such da
Examples of imminent danger could include but are not limited to:
§ Employee(s) directly exposed to electrically energized equipment without proper protection or lock out.
§ Employee(s) exposed to a fall hazard without the use or presence of any fall arrest or fall protection equipment.
§ Floor/roof openings that are uncovered and unbarricaded with one or more employees immediately present.
§ Employees(s) in an excavation greater than 5 ft (1.5 m) in depth that is not shored/sloped as required for the soil-type present.
§ Violation of a safe work permit.
As mentioned before, assigning penalty points must be done judiciously by the evaluator.
Assigning a penalty for imminent danger must not be done in haste since doing so will almost certainly cause the project to receive a failing or near failing score. Two imminent dange
It is not the intention of the self-assessment process to find imminent danger. The purpose is to assess program strengths. However, conditions or actions that clearly pose imminent da
It is extremely important that the evaluator is clearly certain of all actions and conditions involved before making his/her determination. It will be very important later when explaining

Form 000.653.F0951
If imminent danger is observed, the evaluator cannot leave the situation without making certain corrective action has been implemented immediately. If measures to stop work or imm
An imminent danger situation results in a reduction of the final subtotal by 15% per occurrence. If there is an occurrence, the evaluator must calculate 15% of the maximum possible s
REDUCTION POINTS - ENVIRONMENTAL DAMAGE
Environmental damage is defined as an existing degraded condition of the natural or human environment, or an action in the workplace that could be reasonably expected to lead to or
Examples of environmental danger may include but are not limited to:
§ Existing leaks in septic or sewage systems

§ Oil, fuel, or other stains on ground
§ Pollutants found in the storm water discharge system
§ A down, torn, or damaged section of silt fence allowing sediment to be carried into the storm water discharge system
§ Leak of noxious or hazardous fumes
Assigning penalty points for environmental damage is similar to assigning penalty points for imminent danger in that it must be done judiciously, thoroughly thought out, and documen
For any environmental damage penalty, the evaluator must be clear and definitive of the condition and results of inaction to correct the problem. Documentation must be complete for th

Form 000.653.F0951
Because of the close relationship between safety, health, and the environment, if a situation is found to be both an imminent danger and an environmental damage condition, then the im
An environmental damage situation results in a reduction of the final subtotal by 7% per occurrence. If there is an occurrence, the evaluator must calculate 7% of the line item maximu

Form 000.653.F0951
FINAL SCORING
At the conclusion of each section, there is a score subtotal. The results of the self-assessment of that section are entered on that page. The subtotal shows:
§ Maximum possible points

§ Evaluator's score
§ Amount of repeat deficiency reductions (if any)
§ The number of imminent danger and environmental damage instances observed (if any)
§ Amount of imminent danger and environmental damage reductions (if any)
There is a summary of all sections immediately following the first page (final summary) titled the Detailed Assessment Score Summary. This summary is divided into the administrativ
The detailed self-assessment score summary shows, by section name:
§ Maximum possible points

§ Total assessed points
§ Reduction due to repeated deficiencies, imminent danger, or environmental damage conditions
§ Final score (total assessed points minus reduction points)
§ The minimum set standard (90% of maximum possible points)
§ Standard met/not met (above or below 90% of the maximum possible points).
The total points are then transferred to page 1, the final score page. At this point the administrative and field implementation subtotals are brought together and the final score calculate
The score number (compliance score) is a percentage of the maximum possible score, derived by dividing the assessed total by the maximum possible total. This score is given for the
Total Assessed Score = Compliance Score (%)

Total Maximum Possible

Form 000.653.F0951
The final scoring summary page (page 1) also has a section titled Compliance Standard Achieved. If the compliance score in each of the subtotal lines exceeds 90%, then the standard o
The final assessment score is a result of dividing the total maximum possible points into the total assessed score minus the total reduction points penalty, if applicable.
Total Assessed Score - Total Reduction Points* = Final Score (%)

Total Maximum Possible
* Total Reduction Points = RD (Repeat Deficiency) + IDR( Imminent Danger) + EDR(Environmental Damage)
Again, the purpose of the final assessment score and sectional summaries are to show management "at a glance" the compliance rating and where the strengths and weaknesses are. Fro
COMMENTS AND RECOMMENDATIONS
Each section of the self-assessment includes a column for the evaluator's comments. The evaluator's comments do not have to be confined to deficiencies only, positive remarks are val
Additionally, it may be worthwhile to offer a recommendation based on the evaluator’s view of the deficiency.
The column does not offer much room for any detailed text. The evaluator can list all comments and recommendations as an attachment to the self-assessment report and note in each c
Comments should be detailed but as concise as possible. Exact location, times, equipment numbers, and other such details that will take the reader directly to the subject of concern sho
Recommendations should be offered whenever possible, but only if the evaluator is certain in his/her mind that it will adequately address the need or deficiency. Reference to policy, st

Form 000.653.F0951
CLOSING CONFERENCE
The closing conference is a critical portion of the self-assessment process. This is where Site Management has the opportunity to review in detail the findings of the evaluator.
The closing conference should be specifically used to accomplish the following:
§ The evaluator(s) should present, in this order, the final score, a breakdown of the scoring by section, and a review of all penalty reductions. If needed, especially where a section faile
§ At the very least the evaluator should share those items that scored the poorest or are worthy of greater concern due to the hazard exposure/potential.
§ Site Operations Management has the opportunity to challenge the findings and score assessments. The evaluator should be prepared to provide his/her rationale and supporting infor
§ It is important to note that this phase of the process is done in fairness and must be done with the approach that management deserves an opportunity to discuss th
§ It is also important to note that the evaluator is under no obligation to change an assessed score or comment unless he/she feels that there is a valid reason to do s
§ Site Operations Management will have the information firsthand from the evaluator(s), and all will know what the final score, deficiencies, and subsequent comment
A copy of the self-assessment report (whether "rough" or final) must be given to the Site/Project Manager at the conclusion of the closing conference.
The final report must not contain anything different or any surprises that vary from what was disclosed in the closing conference.
The length of the closing conference will vary and depends on the size of the operation, issues and deficiencies noted, and the degree of questions asked. In any case, plenty of time mu

Form 000.653.F0951
FINAL REPORT
Even though a copy of the full self-assessment is left with the project team after the closing conference, a final "cleaned up" report must be issued.
The evaluator should once again review the report, checking for any errors, inaccuracies, or omissions.
Once the report is cleaned up, the final comments and recommendations are added. The final report must be printed, bound, and delivered to the project and to distribution, in a timely
A sample final report table of contents is as follows:
TABLE OF CONTENTS
SECTION 1 COVER LETTER
SECTION 2 AUDIT SCORE SHEET
SECTION 3 ADMINISTRATIVE AUDIT
SECTION 4 FIELD EXECUTION AUDIT
CLOSEOUT REPORT
It is critical to the complete success of the self-assessment process that the identified deficiencies are corrected as quickly as possible. If the focus of the process is on finding problems
Failure to correct problems that are identified through the self-assessment also raises some significant liability concerns since it can place management in a “failure to act” or “willful ne
The only acceptable approach is to seek out those issues that are problems and correct them. This is a fundamental practice of process improvement. The closeout report is a very simpl

Form 000.653.F0951
The closeout report is nothing more than a written response from Project Management or some one designated by Project Management that describes which problems
In some cases a problem cannot be controlled or eliminated in a short period of time. The closeout report should also stipulate if such problems exist and what has been done
A closeout report should be submitted back to the evaluator within 30 to 60 days of the self-assessment. In most cases, 30 days is more than enough time to correct the problems noted
Once a closeout report is received from a project, the evaluator should review it for completion and accuracy. If the closeout report is complete and accurate, the self-a
The closeout report should be filed with the self-assessment report.
EVALUATOR CLOSEOUT LETTER
Once the evaluator(s) has received the closeout report from the project acknowledging that all noted deficiencies have been addressed, then the evaluator should issue a letter back to th
Note: This form is referenced in Practices 000.653.1101 and 000.653.1305.

[Project Name] Form 000.653.F0951
Contract [XXXX] HSE SITE SELF-ASSESSMENT
Audit No. [XXXX] Date Prepared: xx-Mon-yyyy
ASSESSMENT PROFILE SHEET

NUMBER: Check One With "X"
DATE:
SUB:
OPER. CO.: SELF PERFORM:
CLIENT NAME: CONSTRUCTION MGMT (CM)
EVALUATOR(S) LABOR POSTURE ACTIVITY
OPEN SHOP CONSTRUCTION
MERIT SHOP MAINTENANCE
UNION
OTHER
PROJECT INFORMATION
PROJECT NAME:
PROJECT NUMBER:
PROJECT MANAGER:
SITE MANAGER:
HSE MGR/REP:
PROJECT LOCATION:
CITY:
STATE:
ZIP: COUNTY
COUNTRY:
PROJECT REGION
Check With "X"
AMERICAS AFRICA EAST US NLA CANADA

ASIA PACIFIC EUROPE WEST US SLA CARIBBEAN
AUSTRALIA MIDDLE EAST CENTRAL US CENTRAL AMER. OTHER
ASSESSMENT TYPE
Check One With "X"
GENERAL REQUESTED BY CLIENT FOLLOW-UP (Post Failure)

CONSULTATION (Non-P2S) REQUESTED BY PROJECT SCOPE (Please note below)
POST FATALITY POST INCIDENT (Non-Fatal)
SCOPE: HSE audit
INJURY SUMMARY
Total DART-Ls - Project To Date: Total Recordables - Project To Date:

Total DART-Ls - Since Last Audit: Total Recordables - Since Last Audit: first audit

Audit No. [XXXX] Date Prepared: xx-Mon-yyyy
FINAL SCORE SHEET
PROJECT NAME: xx-Mon-yyyy

xx-Mon-yyyy
PROJECT MANAGER: DISTRIBUTION (NAME/LOCATION)

DISTRIBUTION (NAME/LOCATION)
PROJECT NUMBER: DISTRIBUTION (NAME/LOCATION)
DISTRIBUTION (NAME/LOCATION)
EVALUATOR(S)
REDUCTION
REDUCTION
ASSESSMENT POINTS
ASSESSMENTSCORE
SCORESUMMARY
SUMMARY POINTS
FINAL SCORE
COMPLIANCE Imminent Danger
100.00 MAX
POSSIBLE
ASSESSED
TOTAL
COMPLIANCE
SCORE (%)
STANDARD
ACHIEVED
A. Instances
= 0.00
Environmental Damage
ADMINISTRATIVE 891.00 891.00 100.00 YES B. Occurences
= 0.00
FIELD IMPLEMENTATION 1482.00 1482.00 100.00 YES C. Repeat Deficiency = 0.00
SUBTOTAL 2373.00 2373.00 100.00 YES
REDUCTION POINTS Total Reduction Points

(SUBTRACT)
0.00 D. (A+B+C)
= 0.00
FINAL SCORE 2373.00 2373.00 100.00 YES

Audit No: [XXXX] Date Prepared: xx-Mon-yyyy
ADMINISTRATION - SUMMARY
SCORE FINAL SET STANDARD

REDUCTION
SCORE
REPEAT
MAXIMU IMMINEN MINIMUM
ASSESSED ENVIRONMENTA FINAL MET /
SECTION SECTION NAME COMPONENT M T STANDAR
TOTAL DEFICIENC L DAMAGE SCORE NOT MET
POSSIBLE DANGER D
Y
1 HSE Policy Statement HSE 30.0 30.0 0.00 0.00 0.00 30.00 27.00 MET
2 HSE Management HSE 50.0 50.0 0.00 0.00 0.00 50.00 45.00 MET
3 HSE Recordkeeping HSE 52.0 52.0 0.00 0.00 0.00 52.00 46.80 MET
4 Security S 9.0 9.0 0.00 0.00 0.00 9.00 8.10 MET
5 Fire Protection S 13.0 13.0 0.00 0.00 0.00 13.00 11.70 MET
6 Emergency Preparedness HSE 137.0 137.0 0.00 0.00 0.00 137.00 123.30 MET
7 Infectious Diseases HE 33.0 33.0 0.00 0.00 0.00 33.00 29.70 MET
8 Hazard Communication Program HSE 52.0 52.0 0.00 0.00 0.00 52.00 46.80 MET
9 Chemical Storage HSE 21.0 21.0 0.00 0.00 0.00 21.00 18.90 MET
10 Mobile Equipment Operations S 28.0 28.0 0.00 0.00 0.00 28.00 25.20 MET
11 Inspection Procedures HSE 44.0 44.0 0.00 0.00 0.00 44.00 39.60 MET
12 Respiratory Protection HS 26.0 26.0 0.00 0.00 0.00 26.00 23.40 MET
13 Enforcement and Discipline HSE 10.0 10.0 0.00 0.00 0.00 10.00 9.00 MET
14 Training and Development HSE 55.0 55.0 0.00 0.00 0.00 55.00 49.50 MET
15 Performance Indicators HSE 19.0 19.0 0.00 0.00 0.00 19.00 17.10 MET
16 Accident/Incident Investigation HSE 15.0 15.0 0.00 0.00 0.00 15.00 13.50 MET
17 Contractors HSE 22.0 22.0 0.00 0.00 0.00 22.00 19.80 MET
18 Safety Task Assignment (STA) HS 12.0 12.0 0.00 0.00 0.00 12.00 10.80 MET
19 Regulatory Agency Inspection/Contact HSE 10.0 10.0 0.00 0.00 0.00 10.00 9.00 MET
20 Claims Management HSE 8.0 8.0 0.00 0.00 0.00 8.00 7.20 MET
21 Process Safety Management (PSM) HSE 12.0 12.0 0.00 0.00 0.00 12.00 10.80 MET
22 Substance Abuse Program HS 11.0 11.0 0.00 0.00 0.00 11.00 9.90 MET

ADMINISTRATION - SUMMARY

REDUCTION
SCORE
REPEAT
MAXIMU IMMINEN MINIMUM
ASSESSED ENVIRONMENTA FINAL MET /
SECTION SECTION NAME COMPONENT M T STANDAR
TOTAL DEFICIENC L DAMAGE SCORE NOT MET
POSSIBLE DANGER D
Y
23 Strategic Initiatives HSE 52.0 52.0 0.00 0.00 0.00 52.00 46.80 MET
24 Air Issues HE 29.0 29.0 0.00 0.00 0.00 29.00 26.10 MET
25 Electrical ES 10.0 10.0 0.00 0.00 0.00 10.00 9.00 MET
26 Office Areas S 35.0 35.0 0.00 0.00 0.00 35.00 31.50 MET
27 Waste Management Issues HE 96.0 96.0 0.00 0.00 0.00 96.00 86.40 MET
Reserved for future Administrative
28-50 HSE 0.0 0.0 0.00 0.00 0.00 0.00 0.00
Items
TOTALS 891.0 891.0 0.00 0.00 0.00 891.00 801.90 MET

ADMINISTRATION - DETAILS
* REPEATED DEFICIENCY = -10 Max Possible
** IMMINENT DANGER SCORE PENALTY
= 15% Reduction of Assessment Score **
*** ENVIRONMENTAL DAMAGE *
IMMINENT *** EVALUATOR'S COMMENTS
= 7% Reduction of Assessment Score Percentage REPEATED
MAXIMUM ENVIRONMENTAL
ASSESSED 0- DEFICIENCIES
POSSIBLE DANGER DAMAGE
100
(X)
(X)
(X)
HSE Principle 1 states P2S's HSE commitment and requires written HSE policy for all offices and projects. Principle 2
HEALTH, SAFETY, AND provides for management and resource support to line management for the implementation of HSE policy. Principle 15 states
1 ENVIRONMENTAL POLICY that ecological, social and economic systems will be considered in all phases of all projects and that procurement activities will
STATEMENT addresses "green" processes. This will be reflected in the Project HSE policy statement. Refer to Practices 000.653.0000,
and 000.653.0020. Also refer to Practices 000.653.1001 and 000.653.1100.
During the design stage of this project, a

A. HAZOP study was conducted and the study is 1.0 1.0 100.0%
available on location.
The Environmental Impact Statement (EIS) is
B. 1.0 1.0 100.0%
available.
C. HSE Policy statement is in writing. 1.0 1.0 100.0%
D. HSE Policy statement is dated. 1.0 1.0 100.0%
The policy statement has been approved by the
E. 1.0 1.0 100.0%
board and the company.
The policy is appropriate to this facility or
F. 1.0 1.0 100.0%
operation?
G. A site specific HSE plan has been developed. 1.0 1.0 100.0%
HSE plans and Practices are controlled. This

inlcudes maintaining a list of persons receiving
1 1.0 1.0 100.0%
the document and the revision number of the
document received.
A list of persons receiving HSE controlled

2 documents and the revision number of the 1.0 1.0 100.0%
document is maintained.
H. HSE objectives are clearly stated. 1.0 1.0 100.0%

100
(X)
(X)
(X)
HSE roles, responsibilities, and interfaces are

documented, including the division of
I. responsibilities within P2S, and between P2S 1.0 1.0 100.0%
and clients or subcontractors. Orientation
and/or training is provided.
The site specific HSE Plan has been approved /

J. 1.0 1.0 100.0%
accepted by project / office management.
All contractors have been given a copy of the

K. 2.0 2.0 100.0%
site specific HSE Plan.
Management commitment to HSE is stated and
L. 1.0 1.0 100.0%
communicated to all employees.
A site specific Environmental Management
M. 1.0 1.0 100.0%
Plan (EMP) has been developed
A current and complete copy of the Corporate

HSE Practices and Procedures manual is
N. 2.0 2.0 100.0%
located on site and available to all members of
management and supervision.
The project has implemented an incentive

O. program for all site employees, including 1.0 1.0 100.0%
contractors and subcontractors.
The projects' incentive plans are in writing and

P. 1.0 1.0 100.0%
have been approved by project management.
The pre-job hazard studies and identification

Q. 1.0 1.0 100.0%
planning has been properly utilized.
The site-specific plans and procedures are

aligned with regulatory and contract
R. requirements, and operations at the site are 1.0 1.0 100.0%
aligned with the site-specific plans and
procedures.

100
(X)
(X)
(X)
There is an established hierachy of HSE
S. 1.0 1.0 100.0%
documents.
Personnel have access to the appropraite
T. leve(s) of HSE documentation related to their 1.0 1.0 100.0%
work.
Noise is evaluated and levels compared to

local regulations, contract requirements, site-
U. specific plans and/or site-specific procedures. 2.0 2.0 100.0%
Noise levels are mitigated to be within or
below allowable limits.
Environmental reclamation is considered, as

V. appropriate, and measures are in place to 1.0 1.0 100.0%
accomplish requisite site restoration measures.
A Socioeconomic Action Plan has been

prepared, and processed and systems are in
W. 2.0 2.0 100.0%
place as delineated in the Plan, as required by
the contract.
The HSE policy is integrated to ensure worker

X. and public health and safety, and the safety 1.0 1.0 100.0%
and protection of the environment.
Y. Other 0.0 0.0
TOTAL 30.0 30.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practices 000.653.000 and 000.653.0020. Each facility/site or project should have a designated HSE Manager
2 HSE MANAGEMENT specified in writing. The HSE Manager should have a handbook of HSE information relevant to the site / project. This
information includes licenses and permits. The assessor should address the content, quality, and adequacy of this handbook.
The HSE Manager has a written job

A. 1.0 1.0 100.0%
description.
The HSE Manager has technical qualifications

B. or training in HSE management for the 3.0 3.0 100.0%
hazards at this project.
The HSE Manager maintains an HSE plan for

C. 3.0 3.0 100.0%
the hazards at this facility or project.
There is a HSE Committee appointed

D. 1.0 1.0 100.0%
specifically for this project or site.
Each project must have a written HSE management plan, as specified in HSE Principle 12. The plan should cover an
assessment of environmental impacts, type and amount of waste produced, soil contamination issues, issues related to releases
of products, materials, or energy, and management and disposal of waste and maintenance of waste records, plus other issues
E. HSE Management Plan or Manual.
as applicable to the project impacts. Practice 000.653.1301 provides a go-by or checklist for the development of a site/project-
specific HSE management system or plan. Addresses topics that are relevant to P2S projects and sites. Applies to all P2S sites
and projects. Also refer to Practices 000.653.1000, 000.653.1202, and 000.653 4000.
There is an HSE management plan for the

1 2.0 2.0 100.0%
project.
The HSE management plan is reviewed
2 2.0 2.0 100.0%
periodically.
The HSE management plan has objectives,
3 2.0 2.0 100.0%
targets, or milestones.
The HSE management plan includes the
4
following items.
i HSE awareness education. 1.0 1.0 100.0%
Participation by project / site staff in
ii 1.0 1.0 100.0%
community HSE activities.

100
(X)
(X)
(X)
Interaction and coordination with the client on
iii 1.0 1.0 100.0%
HSE issues
iv Includes regular HSE reviews 2.0 2.0 100.0%
Landscaping program and schedule (if
v 1.0 1.0 100.0%
applicable).
vi Recycling program. 1.0 1.0 100.0%
vii Energy management program. 1.0 1.0 100.0%
CFC recovery from appliances and air
viii 2.0 2.0 100.0%
conditioners.
Methods and procedures for reporting and
ix 1.0 1.0 100.0%
resolving HSE issues
x. Management of critical incidents 1.0 1.0 100.0%
xi. Flora and fauna. 2.0 2.0 100.0%
xii. Endangered species. 2.0 2.0 100.0%
Personnel are familiar with regulatory
requirements, permits, and higher level plans,
F. and how these requirements are flowed down 1.0 1.0 100.0%
to field level activities (e.g., through checklists,
procedures, etc.
Contract changes are controlled and approved.

G. 1.0 1.0 100.0%
This includes changes in HSE responsibilities.
A contract abstract and contract summary are

prepared. The contract summary includes a
H. 1.0 1.0 100.0%
matrix of deliverables and commitments
required per the contract.
All contractually required plans and

I. 1.0 1.0 100.0%
procedures are issued and implemented.
The HSE program is integrated with the

process for translating contract requirements
J. 1.0 1.0 100.0%
into work, setting expectations, identifying
tasks and prioritizing and allocating resources.

100
(X)
(X)
(X)
The HSE program identifies environmental

impacts and HSE requirements associated with
K. 1.0 1.0 100.0%
the project's mission and/or contract
requirements.
The HSE program integrates HSE mechanisms

to analyze hazards and environmental impacts
and ensure work-planning implements
L. 1.0 1.0 100.0%
environmental controls to prevent or mitigate
the hazard in accordance with HSE standards
and requirements.
The HSE program is integrated into work

performance by including subject matter
experts, confirming readiness to perform the
M. 1.0 1.0 100.0%
work, and performing work in a safe,
environmentally protective and efficient
manner.
The HSE program is integrated with the

corrective action management system,
management assessment, worker assessment,
independent assessment, and lessons learned
N. 1.0 1.0 100.0%
programs. These mechanisms are used to
obtain data for analysis and feedback, to
measure performance against expectations,
and to identify improvement opportunitites.
Mechanism are in place to identify and develop

potential health, safety, environmental, and/or
O. cultural/natural resource impacts early in the 1.0 1.0 100.0%
planning process in order to protect the
worker, public, and environment.

100
(X)
(X)
(X)
Environmental conditions, standards,

reporting, and recordkeeping requirements are
P. implemented for new construction applicable 1.0 1.0 100.0%
earth disturbance activities, facility
modifications, and work activities.
Procedures are available for HSE operations

on site. These procedures clearly state
Q. 1.0 1.0 100.0%
allowable limits (e.g., taken from regulations,
site-specific permits, etc.).
HSE reports required in site-specific plans and

procedures are submitted in accordance with
R. 1.0 1.0 100.0%
requirements and are submitted in a timely
manner.
Permit are identified and available for review
S. 1.0 1.0 100.0%
at the appropriate location.
Permit conditions are known, are being

monitored, and are met. If permit conditions
are not met, there is evidence of negotiations
T. 2.0 2.0 100.0%
with the regulators for variances, waivers, or
consent orders to allow the deviation from
permit condition limits.
Processes are being operated in compliance

U. with permit requirements, design requirements 2.0 2.0 100.0%
and design.
Contractually required plans and procedures

V. contain all of the required elements, as called 2.0 2.0 100.0%
for in regulatory requirements or the contract.
W Other 0.0 0.0
TOTAL 50.0 50.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)

100
(X)
(X)
(X)
HSE RECORDKEEPING Refer to Practices 000.653.1203 and 000.653.1500 which provide the minimum requirements for what documents must be
3 PRACTICES retained and what information must be included in the close out report. Also refer to Practice 000.653.2100.
HSE statistics (including injury statistics) are

A. tabulated and utilized to identify positive / 1.0 1.0 100.0%
negative trends.
Mandatory regulatory injury and illness
B.
recordkeeping.
The injury and illness log is available /
1 2.0 2.0 100.0%
utilized / accurate.
2 The previous years records are available. 2.0 2.0 100.0%
Employees first report of injury, or approved

3 equivalent form, is on file for each recorded 2.0 2.0 100.0%
injury or illness.
The injury and illness log corresponds with the
4 1.0 1.0 100.0%
corporate MIER statistics.
Employees Occupational Injury / Illness report
C. 2.0 2.0 100.0%
form utilized.
D. First Aid log utilized / current / accurate. 1.0 1.0 100.0%
Person(s) administering First Aid are trained
E. 2.0 2.0 100.0%
and certified.
Employee exposure and medical records are
F. 2.0 2.0 100.0%
maintained.
Return to work forms, or similar
G. documentation with the attending physicians 2.0 2.0 100.0%
signature, are on file.
All medical files are complete and organized
H. ( including pre-project medical exam records 1.0 1.0 100.0%
for all personnel)
AED training records available for first
I. 2.0 2.0 100.0%
responders.
CPR and first aid training records available
J. 2.0 2.0 100.0%
for first responders.

100
(X)
(X)
(X)
List of current Evacuation Team members
K. 2.0 2.0 100.0%
available.
Fire first response team training records
L. 2.0 2.0 100.0%
current and available.
Facility fire suppression equipment inspection
M. 2.0 2.0 100.0%
records current and available.
Facility fire alarm equipment inspection
N. 2.0 2.0 100.0%
records current and available.
Management ensures proper development,

O. submittal, retention, and disposition of HSE 2.0 2.0 100.0%
reports and notifications.
A project log is maintained that includes HSE

P. 1.0 1.0 100.0%
commitments, concurrences, and deliverables.
Records related to air quality standards and

Q. 2.0 2.0 100.0%
requirements are maintained.
Chemical Management records are properly
R. 2.0 2.0 100.0%
maintained.
Records related to hazardous substance
S. storage tank standards and requirements are 2.0 2.0 100.0%
properly maintained.
PCB Reports and notifications are properly
T. developed, submitted, retained, and 2.0 2.0 100.0%
dispositioned.
U. PCB records are properly maintained. 2.0 2.0 100.0%
V. Records for recycle activities are maintained. 1.0 1.0 100.0%
Records required for activities related to water

W. quality standards and requirements are 2.0 2.0 100.0%
maintained.

100
(X)
(X)
(X)
Pesticide use and control records are properly
X. developed, submitted, maintained, and 2.0 2.0 100.0%
dispositioned.
Records required for activities related to waste
Y. designation land disposal restriction 2.0 2.0 100.0%
requirements are maintained.
Records are maintained for activities related to
Z. 2.0 2.0 100.0%
generator activities.
AA. Other .0.0 0.0
TOTAL 52.0 52.0 100.0% 0.00 0.00 0.00
4 SECURITY Refer to Practice 000.653.1600.
There is a written security plan. Determine if it

A. 1.0 1.0 100.0%
needs to be evaluated by Corporate Security.
B. The security plan includes:

1 Differing Alert levels 1.0 1.0 100.0%
2 Access control 1.0 1.0 100.0%
Visitor, employee and contractor badging or
3 1.0 1.0 100.0%
identification
4 Vehicle access control 1.0 1.0 100.0%
5 Traffic regulation 1.0 1.0 100.0%
Alcohol, drugs, firearms and explosives
6 1.0 1.0 100.0%
controls
7 Gambling prohibition 1.0 1.0 100.0%
C. There is a business continuity plan. 1.0 1.0 100.0%
D. Other 0.0 0.0
TOTAL 9.0 9.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
5 FIRE PROTECTION Refer to Practices 000.653.3100, 000.653.3102, and 000.653.3300.
Fire extinguishers are properly charged and

A. 2.0 2.0 100.0%
inspected.
B. Fire extinguisher locations are identified 1.0 1.0 100.0%
C. Fire extinguisher accessibility is maintained. 2.0 2.0 100.0%
D. Light fixture bulb guards are securely in place. 1.0 1.0 100.0%
Offices, common areas, passageways, exits and

E. stairways are kept free of obstacles, trash and 1.0 1.0 100.0%
other flammable debris.
Smoking is allowed only in designated areas

F. 1.0 1.0 100.0%
and ash trays are not emptied into trash bins.
Electrical outlets are not overloaded with

G. 1.0 1.0 100.0%
multiple power strips.
Hardware i.e., locking mechanisms, openers
H. 2.0 2.0 100.0%
are maintained and operable .
I. Exit lights are working or signs posted. 2.0 2.0 100.0%
J. Other
TOTAL 13.0 13.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
HSE Principle 10 deals with emergency situations. A written emergency response plan is essential to minimize HSE damage
6 EMERGENCY PREPAREDNESS from any incident. Verify by inspection that appropriate documentation is available for all types of emergencies. Refer to
Practice 000.653.1200; for offices, refer to Practice 000.653.1002.
A. The Emergency Plan:

1 Is in writing 2.0 2.0 100.0%
2 Communicated to all project/office employees 2.0 2.0 100.0%
3 The plan is site specific. 2.0 2.0 100.0%
4 Incorporates client's emergency procedures. 2.0 2.0 100.0%
5 Is reviewed regularly 2.0 2.0 100.0%

Emergency Preparedness plan provides for
immediate notification of: management,
emergency agencies, client, regulatory
6 2.0 2.0 100.0%
agencies, neighbors and landowners;
community information release and liaison
with media.
EmergencyPreparedness coordinator or
B. similar position appointed to respond to 2.0 2.0 100.0%
emergencies.
Supervisor First Aid training has been
C. 2.0 2.0 100.0%
conducted.
Required emergency lighting and power are
D. 2.0 2.0 100.0%
available.
Required emergency rescue equipment is
E. 2.0 2.0 100.0%
available.
Emergency response team members have been
F. 2.0 2.0 100.0%
identified and trained.
Radios and other communication items are
G. 2.0 2.0 100.0%
available.
Periodic emergency drills are conducted for all
H. 2.0 2.0 100.0%
employees.

100
(X)
(X)
(X)
Emergency service agencies and clients are

I. 2.0 2.0 100.0%
involved in drills at least once per year.
The plan includes a method of accounting for

J. 2.0 2.0 100.0%
all employees after an emergency occurs.
Employees have a working knowledge of

K. Emergency / Evacuation Procedures, Escape 2.0 2.0 100.0%
Routes and Emergency Notification Process.
Key personnel and contact numbers are

L. 2.0 2.0 100.0%
reviewed and current.
The facility contact list includes titles, names,
telephone numbers, cell phone numbers, pager
M numbers, and other relevant information to 2.0 2.0 100.0%
ensure the person can be reached in an
emergency.
The facility contact list identifies a hierarchy of

N. calls. If a person cannot be reached, the next 2.0 2.0 100.0%
person in line is clearly identified
Emergency planning requirements are

O. 2.0 2.0 100.0%
implemented.
Emergency evacuation signs or exit signs are
P. posted where required and are adequately 2.0 2.0 100.0%
visible.
Q. Fire First Response Team Would not be applicable if provided by client / owner
There are guidelines on how to report and
1 2.0 2.0 100.0%
what to do in case of fire.
There are written guidelines that require all

2 1.0 1.0 100.0%
fires be reported even if extinguished locally.
Fire suppression equipment is available to

3 2.0 2.0 100.0%
employees and in accordance with local codes.

100
(X)
(X)
(X)
The fire response team has been instructed by a
4 1.0 1.0 100.0%
qualified instructor.
The fire response team does not attempt to

5 1.0 1.0 100.0%
extinguish any fire above the incipient level.
Annual training is conducted for all personnel

6 2.0 2.0 100.0%
on the fire response team.
R. First Aid/Medical Response
A facility/site specific first aid medical
1 2.0 2.0 100.0%
response plan.
Personnel in the facility/site have clear
2 direction on who to call if there is a medical 1.0 1.0 100.0%
emergency.
There is a medical response team capable of

3 responding to medical emergencies and an 2.0 2.0 100.0%
appropriate notification system.
Medical response personnel are trained and
4 1.0 1.0 100.0%
certified in First Aid, CPR, and AED.
5 Medical response kit adequately stocked. 1.0 1.0 100.0%
Required First Aid supplies are available /
6 2.0 2.0 100.0%
stored / dispensed in an approved manner.
Prescription medications are available / stored

7 2.0 2.0 100.0%
/ dispensed with approval of medical doctor.
First aid station where employees can receive

8 2.0 2.0 100.0%
treatment for minor first aid cases
No over-the-counter medications dispensed to

9 employees unless approved by the P2S Medical 1.0 1.0 100.0%
Director.
10 All dated medical supplies current. 1.0 1.0 100.0%
Structured emergency response so each
11 responding person knows his/her 1.0 1.0 100.0%
responsibility.

100
(X)
(X)
(X)
Facility HSE Manager has communication

12 ability with other facility members responding 1.0 1.0 100.0%
to a medical emergency.
Relationship established with local medical

13 1.0 1.0 100.0%
doctor and emergency room.
Procedure in place to accompany any injured

14 1.0 1.0 100.0%
employee to doctor/emergency room.
Procedure in place to notify Supervisor and

15 1.0 1.0 100.0%
family member of employee injury/illness.
The medical treatment facility is maintained in

16 1.0 1.0 100.0%
a clean and sanitary condition.
S. Bomb Threat
Emergency planning requirements are
1 2.0 2.0 100.0%
implemented.
There are written procedures for a bomb

2 2.0 2.0 100.0%
threat.
In the event of a telephone bomb threat,
3 employees have instructions on how to handle 1.0 1.0 100.0%
the call.
4 There is a Bomb Threat Checklist. 1.0 1.0 100.0%
Letter bombs, written threats, and suspicious
5 1.0 1.0 100.0%
packages are addressed.
If an evacuation is necessary due to a bomb
6 threat, employees have been provided with 1.0 1.0 100.0%
instructions.
T. Natural Disasters
There are written procedures for local natural

1 2.0 2.0 100.0%
disasters.

100
(X)
(X)
(X)
Employees have been provided with
2 information on what to do in the event of a 1.0 1.0 100.0%
local disaster.
Pre-planning for local natural disasters has
3 2.0 2.0 100.0%
been documented.
Responsibilities have been assigned for

4 2.0 2.0 100.0%
executing local disaster plans.
U. Emergency Evacuation Plan
There is an emergency evacuation plan

1 3.0 3.0 100.0%
available to all employees in the facility.
The emergency evacuation plan is acceptable
2 to the local office of jurisdiction (Fire 1.0 1.0 100.0%
Marshall)
The emergency evacuation plan clearly defines
3 1.0 1.0 100.0%
responsibilities.
The evacuation plan has been designed to
4 ensure that all personnel have been evacuated 2.0 2.0 100.0%
from the facility.
Senior management is incorporated into the
5 1.0 1.0 100.0%
overall structure of the plan.
Equipment necessary for the execution of the
6 emergency evacuation plan has been 1.0 1.0 100.0%
distributed.
Personnel executing the emergency evacuation
7 plan have been trained in their respective 2.0 2.0 100.0%
responsibilities.
Facility personnel have been instructed as to

8 3.0 3.0 100.0%
what to do in the event of an evacuation.
Members of the evacuation team have had

9 1.0 1.0 100.0%
training in CPR and fire extinguisher use.

100
(X)
(X)
(X)
Periodic drills are conducted to test the
10 1.0 1.0 100.0%
readiness of the plan.
The plan includes a method of accounting for

11 2.0 2.0 100.0%
all employees after an emergency occurs.
Employees have a working knowledge of

12 Emergency / Evacuation Procedures, Escape 2.0 2.0 100.0%
Routes and Emergency Notification Process.
Emergency evacuation signs or exit signs are

13 posted where required and are adequately 2.0 2.0 100.0%
visible.
Accidents and spills are minor emergencies that can be managed by on-site personnel. Written instruction should be available
V. ACCIDENTS AND SPILLS and staff be instructed and trained in accident and spill control methods. Suitable equipment and materials should be provided.
Refer to Practice 000.653.4000.
Proper spill control methods are used at this

facility for the containment and clean up of:
1 1.0 1.0 100.0%
fuel spills, oil spills, chemical spills, gas leaks,
contaminated water, dust, other (specify).
There are trained spill clean-up teams and

2 2.0 2.0 100.0%
equipment for all emergencies.
Verify that the appropriate equipment and
3 materials are available at the facility to 2.0 2.0 100.0%
respond to any spill.
Formal arrangements are in place for

assistance in the event of spill or discharge;
4 2.0 2.0 100.0%
with emergency agencies, neighboring
industries and community groups.
There are specific responsibilities established

5 in writing for emergency procedures for spill 2.0 2.0 100.0%
response and control.

100
(X)
(X)
(X)
Emergency response procedures provide for:

immediate notification to management,
notification to emergency agencies, notification
6 12.0 12.0 100.0%
of regulatory agencies, notification of
neighbors and landowners, community
information release, and liaison with media.
The spill prevention and control plan

accurately reflect operations at the site.
7 Hazardous material characteristics and 2.0 2.0 100.0%
potential spill quantities are estimated as
preparation for spill response.
A Spill Prevention Plan has been prepared for

the project/site. The Plan identifies potential
8 spill characteristics, quantities, response 2.0 2.0 100.0%
actions, reporting protocol, personnel, etc. as
required by regulation or the contract.
If subcontractors are used, and their work

could result in a spill, a Spill Prevention Plan
9 is a flowdown requirement to the 1.0 1.0 100.0%
subcontractor, and the subcontractor had
provided P2S with a Spill Prevention Plan.
The site-specific Spill Prevention Plan is

10 integrated with Spill Prevention Plans for 1.0 1.0 100.0%
adjacent activities, as
Responsibilities for spill response are clearly
documented, are disseminated throughout the
11 1.0 1.0 100.0%
project/site, and are easily retrievable in case
of a spill
W. Other 0.0 0.0
TOTAL 137.0 137.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)

100
(X)
(X)
(X)
Refer to Practice 000.653.2002. This practice provide guidelines for establishing sanitation at eating places, restrooms,
washing facilities, drinking water supplies and toilet facilities where improper sanitation will facilitate the spread of infections
7 INFECTIOUS DISEASES diseases. Practice 000.653.2102 describes the malaria control program. Practice 000.653. 2101 describes the infection control
requirements for project/site first-aid providers.
A written exposure control plan has been

A. 2.0 2.0 100.0%
established.
Employees who have potential to come in
B. contact with an infectious disease have been 2.0 2.0 100.0%
identified and trained.
Hepatitis B vaccination has been offered to

C. 2.0 2.0 100.0%
those employees having potential exposure.
The medical treatment facility is maintained in

D. a clean and sanitary condition and a cleaning 2.0 2.0 100.0%
schedule has been established.
Hand-washing facilities and procedures are

E. 2.0 2.0 100.0%
established and utilized.
Employees exposed to blood or other bodily
F. 3.0 3.0 100.0%
fluids utilize the P.P.E. required.
Surgical gloves, masks, eye / face and
G. 3.0 3.0 100.0%
protective clothing are available.
Bag valve masks/mouth-to-mouth barriers are

H. 3.0 3.0 100.0%
readily available
Sharps or syringes are placed in a labeled

I. puncture- resistant, leak-proof container for 3.0 3.0 100.0%
disposal as required.
Equipment and instruments are immediately
J. 3.0 3.0 100.0%
disinfected after each use.

100
(X)
(X)
(X)
Contaminated disposable objects or materials

(bloody bandages, etc.) are placed in a leak-
K.
proof, puncture-resistant, red biohazard
3.0 3.0 100.0%
container for disposal as required.
Training related to infectious diseases safety

L. and vaccinations given / refused is adequately 2.0 2.0 100.0%
documented.
Malaria control program is applicable and is
M.
implemented.
3.0 3.0 100.0%
N. Other 0.0 0.0
TOTAL 33.0 33.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
HSE Principle 3 requires that relevant information be made available to all employees, contractors, clients and the public.
This information includes data on hazardous materials associated with P2S facilities and projects. HSE Principle 5 requires
that a complete and current inventory of all products, wastes and other materials present on the site be maintained. All such
materials shall be properly handled, stored, transported, used and disposed. Refer to Practice 000.653.2007. This practice
HAZARD COMMUNICATION defines the minimum requirements for the storage and use of hazardous materials for all personnel at the various project sites.
8 PROGRAM In doing so, the practice has the following aims:
• Protection of the health and safety of personnel;
• Protection of the environment;
• Compliance with relevant statutory requirements; and
• Reduction and control of risks associated with chemical hazards.
A. There is a written program, and it:

1 Is site specific. 2.0 2.0 100.0%
2 Designates a program administrator. 2.0 2.0 100.0%

3 Identifies labels and warning methods. 2.0 2.0 100.0%
Identifies methods of informing employees of
4 2.0 2.0 100.0%
non-routine tasks.
For multi-employer sites, describes
5 communication between and among 2.0 2.0 100.0%
contractors (Re: Hazcom).
6 Involves procurement. 2.0 2.0 100.0%
The communication of the identification of
7 hazardous materials / activities involved / 2.0 2.0 100.0%
locations involved to all concerned.
Identification of Personal Protection
8 Equipment needed for specific hazardous 2.0 2.0 100.0%
materials.
Protocol on how new hazardous materials are
9 introduced on site either by P2S or a 2.0 2.0 100.0%
contractor.
B. Recordkeeping:
The inventory list is in place / current /
1 2.0 2.0 100.0%
complete.

100
(X)
(X)
(X)
2 The MSDS file is in place / current / complete. 2.0 2.0 100.0%
3 Records of all Hazcom training are on file. 2.0 2.0 100.0%
Test results are on file from all Hazcom

4 1.0 1.0 100.0%
training sessions.
5 The written Hazcom plan is on file. 2.0 2.0 100.0%
C. Training includes:
Regulatory requirements /standards on
1 2.0 2.0 100.0%
Hazcom.
2 P2S Hazcom program requirements. 2.0 2.0 100.0%
3 Labeling system. 2.0 2.0 100.0%
4 Location of MSDSs 2.0 2.0 100.0%
5 Use of MSDS 2.0 2.0 100.0%
6 Use of Personal Protection Equipment 2.0 2.0 100.0%
7 Non-routine tasks 2.0 2.0 100.0%
8 Refresher / annual update training 2.0 2.0 100.0%
Copies of on site contractor Hazcom programs
D. 2.0 2.0 100.0%
are available.
Employees are knowledgeable of the Hazcom

E. 2.0 2.0 100.0%
program based on responses to questions.
Vessels and material containers are labeled as

F. 2.0 2.0 100.0%
required.
Hazard information posters / signs are
G. 2.0 2.0 100.0%
displayed to inform employees.
A site-specific health risk assessment on
H. hazardous chemicals is performed and 1.0 1.0 100.0%
available to all personnel.
I. Other
TOTAL 52.0 52.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
HSE Principle 5 requires accounting for all hazardous materials, including chemicals at P2S facilities and projects. In recent
years, the community has become increasingly aware and concerned about the storage and use of chemicals. This has led to a
9 CHEMICAL STORAGE response by governments, which control health, safety and environmental legislation. All chemicals used and stored on site
must be properly stored and documented. Refer to Practice 000.653.3102.
The potential hazards for chemicals stored at

this facility, site or project have been assessed.
(Examples - fire, explosion, chemical spills,
A. 3.0 3.0 100.0%
gas leaks, fuel spills, oil spills, discharge of
contaminated water, air pollution, and toxic
hazard)
Potential environmental hazards other than

related to chemicals have been assessed for
B. 3.0 3.0 100.0%
this project. (Examples - fire, arcing,
explosion, dust nuisance, and noise problem)
Chemicals stored on this project are

C. inventoried and documented with the following
information.
1 Class 1.0 1.0 100.0%

2 Quantity 1.0 1.0 100.0%
3 Container sizes and materials 1.0 1.0 100.0%
4 Storage locations and type 1.0 1.0 100.0%
5 Delivery method 1.0 1.0 100.0%
6 Distribution method from storage 1.0 1.0 100.0%
7 Frequency & quantity of movements 1.0 1.0 100.0%
8 Frequency of use by contractors on site 1.0 1.0 100.0%
9 Material Safety Data Sheets 1.0 1.0 100.0%

100
(X)
(X)
(X)
A Chemical Management document is in place

that identifies policy, mechanisms, and
D.
responsible personnel used to implement the
2.0 2.0 100.0%
Chemical Management Program requirements.
Chemical Management controls are

E.
implemented.
2.0 2.0 100.0%
Chemical Management information is properly
F. developed, submitted, retained, and 2.0 2.0 100.0%
dispositioned.
G. Other 0.0 0.0
TOTAL 21.0 21.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practices 000.653.3200 and 000.653.3201. Defines requirements for operation of vehicles and mobile equipment at
work site. Applies to all work sites for P2S Project and contractor personnel. Addresses:
MOBILE EQUIPMENT • Mobilization of vehicles and mobile equipment
10 OPERATIONS • Driver qualifications
• Road rules
• Vehicle inspections and maintenance and the use of suspended personnel work baskets
There is a maintenance schedule for all mobile

A. 2.0 2.0 100.0%
equipment & schedule is followed.
Daily pre-operational inspections are
B. 2.0 2.0 100.0%
performed on all equipment.
Annual inspections are performed on all
C 2.0 2.0 100.0%
equipment (cranes certified).
Mobile equipment accidents are investigated
D 1.0 1.0 100.0%
and reported.
Suspended work baskets are certified as safe
E 3.0 3.0 100.0%
and utilized for personnel as required.
Suspended work baskets are built according to
F 3.0 3.0 100.0%
approved designs.
Suspended work baskets are labeled as

required to show maximum weight capacity,
G 3.0 3.0 100.0%
maximum number of persons allowed and total
basket weight (actual empty weight).
Permits are utilized and retained for suspended

H 3.0 3.0 100.0%
work basket usage.
Critical lift permits are utilized in accordance
I 3.0 3.0 100.0%
with procedures.
A load test has been performed that established
J a safety factor of 2 times for the suspended 3.0 3.0 100.0%
work basket.
Operator certification program is utilized for
K 3.0 3.0 100.0%
aerial lifts, heavy equipment and vehicles.
L Other 0.0 0.0

100
(X)
(X)
(X)
TOTAL 28.0 28.0 100.0% 0.00 0.00 0.00

HSE Principles 13 and 14 call for auditing and performance reporting. Inspections and provide the basis for measuring
progress. Refer to Practice 000.653.1305. This Practice defines inspection and audit requirements and outlines requirements
and steps for regular planned internal inspections and audits, and audits by outside regulatory agencies. Also refer to
11 INSPECTION PROCEDURES Practices 000.653.3103, 000.653.3201, 000.653.3306, and 000.653.3309 and 000.653.1306 regarding inspections and safe work
observations. Applies to all P2S projects and facilities.
HSE inspection are performed and documented

A. in accordance with regulations, site-specific 2.0 2.0 100.0%
plans and/or site specific procedures.
Client / Owner concerns and issues are

B. 2.0 2.0 100.0%
incorporated into inspections.
Inspection program has been implemented for
C.
the following:
1 Power tools 2.0 2.0 100.0%
2 Assured grounding and electrical cords / leads 2.0 2.0 100.0%
3 Fire extinguishers 2.0 2.0 100.0%

4 Ladders 2.0 2.0 100.0%
5 Scaffolds 2.0 2.0 100.0%
6 Rigging /Hoisting equipment and devices 2.0 2.0 100.0%
7 Fall protection equipment and devices 2.0 2.0 100.0%
8 Emergency and rescue equipment 2.0 2.0 100.0%
9 Evacuation and exit signs 2.0 2.0 100.0%
10 Temporary electrical distribution installations 2.0 2.0 100.0%
11 Electrical (arc) welding equipment 2.0 2.0 100.0%

There is a follow-up procedure established for
D. the correction of deficiencies noted during 2.0 2.0 100.0%
inspections.
Follow-up corrective actions are taken in a
E. 2.0 2.0 100.0%
timely manner.

100
(X)
(X)
(X)
Inspection responsibilities are documented,

personnel are trained, and inspections are
F. 2.0 2.0 100.0%
performed in accordance with site-specific
procedures.
Management develops and implements an

appropriate water quality monitoring plan
G. 2.0 2.0 100.0%
when it uses, generates, releases, or hazardous
materials.
Mechanisms are in place to operate and

inspect the samplin system, and that sample
collection, sample handling and sample
H. 2.0 2.0 100.0%
processing meet water qualify methods and
quality assurance requirements that protect the
worker, public and environment.
Monitoring and sampling equipment is

I, 2.0 2.0 100.0%
inspected and calibrated.
J. Corrosion protection systems are inspected. 2.0 2.0 100.0%
PCB inspections are implemented for

K. 2.0 2.0 100.0%
equipment/items.
Waste inspection schedules are developed and
inspections are performed in accordance with
L. 2.0 2.0 100.0%
requirements and site-specific plans and
procedures.
M. Other 0.0 0.0
TOTAL 44.0 44.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practice 000.653.3002. Provides the guidelines for the selection, use and maintenance of respirators for the
protection of employees against the inhalation of harmful air contaminants and oxygen-deficient atmospheres in the
12 RESPIRATORY PROTECTION workplace where required by regulations and/or specified by P2S Corporate HSE. Outlines the personnel responsibilities,
medical evaluations and the use, maintenance and selection of respiratory protection. Applies to all P2S and contractor
personnel.
There is a written respiratory protection

program that addresses the respiratory
A. 2.0 2.0 100.0%
protection exposure / need as required or a
written respirator use assessment.
Fit testing is provided for all employees
B. required to wear respirators (both APRs and 2.0 2.0 100.0%
SARs).
Employees are offered at least 2 different
C. 2.0 2.0 100.0%
makes, models, and sizes of respirators.
Documentation of respirator selection criteria
D. is available (e.g., air sample results or 2.0 2.0 100.0%
calculations)
Respiratory protection training is conducted,

E. 2.0 2.0 100.0%
documented, and validated by testing.
Records of training, medical assessment, and

F. fit testing are available and meet 2.0 2.0 100.0%
confidentiality requirement.
Seal checks are performed and documented

G. 2.0 2.0 100.0%
each time respirators are used.
Breathing air for supplied air respirators meets

H. breathing air requirements. Air sample test 2.0 2.0 100.0%
results are available.
If a breathing air compressor is used, it is
equipped with a proper filtration system, CO
I. 2.0 2.0 100.0%
alarm, reserve air tank, and compressor failure
alarm.

100
(X)
(X)
(X)
Hose couplings used with supplied air
J. respirators are not intermingled with other 2.0 2.0 100.0%
couplings.
Breathing air cylinders are labeled as
K. 2.0 2.0 100.0%
required.
Respiratory protection equipment is properly

L. 2.0 2.0 100.0%
cleaned, sanitized, and stored after being used.
Periodic inspections are performed and

M. documented to ensure that all elements of the 2.0 2.0 100.0%
written program are effective.
N. Other 0.0 0.0
TOTAL 26.0 26.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practices 000.653.1001 and 000.653.1005. Employee, contractor, and visitor HSE responsibilities are defined during
ENFORCEMENT AND orientation training ( 000.653.1001). Practive 000.653.1005 provides guidance for disciplining personnel that intentionally or
13 DISCIPLINE unintentuinally violate HSE rules. Outlines HSE violation classifications and their penalties, and management procedures in
the event of a violation. Applies globally to P2S employees and contractors.
Employee HSE responsibilities have been

A. 2.0 2.0 100.0%
Supervisor HSE responsibilities have been
B. 2.0 2.0 100.0%
communicated to all supervisors.
Records of employee HSE-related discipline

C. are maintained (e.g., verbal / written warning, 2.0 2.0 100.0%
retraining, or termination).
Disciplinary action is initiated by supervision

D. 2.0 2.0 100.0%
when unsafe acts and conditions occur.
The record of disciplinary action is consistent

E. with the record of incidents and accidents, 2.0 2.0 100.0%
where disciplinary action was warranted.
F. Other 0.0 0.0
TOTAL 10.0 10.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
HSE Principle 4 supports the vital importance and requirement of employee training at all levels. Practice 000.653.1001
provides an outline of site/project specific HSE orientation and training material for employees, contractors and site visitors.
14 TRAINING AND DEVELOPMENT The material is to be adapted to project and site specific conditions. Describes new employee and visitor orientation and
training procedures and content. Applies to all P2S, contractors/subcontractors and visitors.
New Employee HSE orientation w/

A. comprehension test is conducted, documented 4.0 4.0 100.0%
and filed.
New Employee Program orientation video is

B. 4.0 4.0 100.0%
facilitated for new-hire employees.
Management in Action - Management is

C. actively participating in HSE orientation 4.0 4.0 100.0%
process.
New Employee Development identification

D. process is implemented (i.e., N.E.D., Zero 4.0 4.0 100.0%
Incidents hard hat decals).
New Employee Development Mentor Program

E. 4.0 4.0 100.0%
is implemented.
Mentors have received specific training as to
1 4.0 4.0 100.0%
their duties.
Mentors are identified by Mentor hard hat
2 4.0 4.0 100.0%
decal.
New employee are assigned mentors within
3 4.0 4.0 100.0%
their first 30 days on the project.
New Employee 30 day evaluation sheets have
4 been completed by the mentor, reviewed and 4.0 4.0 100.0%
filed.
Ongoing Supervisory Leadership Training is in
F. 4.0 4.0 100.0%
place.
Task-specific HSE training, w/comprehension

G. 4.0 4.0 100.0%
test, is conducted, documented and filed.

100
(X)
(X)
(X)
HSE "Toolbox" meetings are conducted at least

H. 4.0 4.0 100.0%
once a week (documented and filed).
Orientation and/or training focused on HSE

I. roles, responsibilities and interfaces is 1.0 1.0 100.0%
provided.
Personnel are trained to respond to spills, as

appropriate. If site personnel are limited in
J. 2.0 2.0 100.0%
their response ability, response contractors are
identified in the Plan.
A training plan has been prepared and the full

K. range of training as specified in the Plan, has 2.0 2.0 100.0%
been implemented.
Project/HSE team has access to and utilizes
L. HSE Knowledge Community / Knowledge on 2.0 2.0 100.0%
line
M Other 0.0 0.0
TOTAL 55.0 55.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
15 PERFORMANCE INDICATORS Refer to Practice 000.653.1203.
There has not been a fatal injury in the

A. 10.0 10.0 100.0%
workplace during the past six months.
The year-to-date lost time injury frequency rate
B. 3.0 3.0 100.0%
is zero.
The year-to-date recordable incidence rate is

C. 3.0 3.0 100.0%
at or below the current corporate goal.
Contractor / Subcontractor Experience is

D. 1.0 1.0 100.0%
reported and measured.
A system is in place to perform internal

assessments (self-assessments, management
assessments, internal audits). The system
E. includes methods to evaluate causes, identify 1.0 1.0 100.0%
and prioritize corrective actions, ensure
closure of corrective actions in a timely
manner, and document results.
Management issues are addressed. Issues are

identified, documented, assigned for corrective
F. 1.0 1.0 100.0%
action or follow-up, and resolved in a timely
manner.
G. Other 0.0 0.0
TOTAL 19.0 19.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practice 000.653.8104. Defines the reporting and rectification system for hazards. Refer to Practice 000.653.1202 -
defines the reporting and investigation system for any incidents or Major Events that may occur. Outlines the requirements
ACCIDENT/INCIDENT and responsibilities for reporting and investigating hazards and incidents. Includes a description of:
16 INVESTIGATION
• Reporting requirements for incidents and hazards;
• Incident and hazard investigations; and
• Responsibilities for managing the above activities.
Applies to all P2S and contractor personnel engaged in related activities at Project work sites.
There is a written accident / incident

policy.There are written guidelines for
A. 1.0 1.0 100.0%
reporting and investigating accidents/incidents,
injuries, and illnesses.
Accident / incident policy complies with local

B. 2.0 2.0 100.0%
regulatory reporting requirements.
C. A standard investigation format is used. 1.0 1.0 100.0%
Serious injuries, accidents, fatal injury

accidents, serious health-related incidents, and
D. serious environmental-related incidents are 4.0 4.0 100.0%
formally investigated using TapRooT Root
Cause Analysis Problem Investigation.
Results are communicated to project and line

management personnel as expeditiously as
E. 2.0 2.0 100.0%
possible in a format approved by P2S
Corporate Legal Department.
Project Management actively participate in

F. 2.0 2.0 100.0%
TapRooT investigation process.
There is a corrective action plan and follow-up
G. process to prevent recurrence of accidents / 2.0 2.0 100.0%
incidents.
Accident / incidents information is shared with
H. 1.0 1.0 100.0%
other operations / projects.
I. Other 0.0 0.0

100
(X)
(X)
(X)
TOTAL 15.0 15.0 100.0% 0.00 0.00 0.00
HSE Principles 8 and 11 describe the basis for contracts with suppliers and contractors. Defines minimum HSE requirements
for contractors performing field work for P2S. Contains descriptions for contractor HSE responsibilities and authorities and a
17 CONTRACTORS summary of elements to be embedded in contractors’ project-specific HSE plans. Applies globally to P2S’s contractors. Refer
to Practice 000.653.1003.
Written qualifications are established for the

A. 2.0 2.0 100.0%
selection of contractors.
Past HSE performance is factored into
B. 2.0 2.0 100.0%
contractor selection.
Contractors are required to provide a copy of
C. 1.0 1.0 100.0%
their HSE program.
Prior to starting work on-site, contractors are
D. 2.0 2.0 100.0%
provided site orientation.
E. provided the operations HSE rules and 2.0 2.0 100.0%
emergency procedures.
F. made aware of any chemicals they may 2.0 2.0 100.0%
encounter on-site.
Prior to bringing any chemicals on-site,

contractors are required to inform the HSE
G. 2.0 2.0 100.0%
Manager of the chemicals and provide a
Material Safety Data Sheet (MSDS).
Contractors are required to follow the same

H. 2.0 2.0 100.0%
HSE rules as P2S employees.
Contractor HSE violations are properly
I. 2.0 2.0 100.0%
documented.
Corrective action is taken by subcontractors to
J. 2.0 2.0 100.0%
correct violation & properly documented

100
(X)
(X)
(X)
Contractors are required to utilize the STA
K. 3.0 3.0 100.0%
process (or equivalent program).
L. Other 0.0 0.0
TOTAL 22.0 22.0 100.0% 0.00 0.00 0.00
Refer to Practice 000.653.1304. Provides guidelines for identifying hazards and to develop safe work procedures to enable the
SAFETY TASK ASSIGNMENT work to be done safely. Outlines steps for identifying and analyzing project site hazards, assessing their risks and reducing or
18 (STA) eliminating them to the extent practicable. Applies to all work places for all project and contractor personnel at all project
sites.
A. Employees are given STA by their supervisors 3.0 3.0 100.0%
The Safety Task Assignment or equivalent is

B. 3.0 3.0 100.0%
being used.
Employees questioned about the STA process

C. 3.0 3.0 100.0%
were knowledgeable of the requirement.
Evidence of STA planning / instruction is

D. 3.0 3.0 100.0%
visible in the field.
E. Other 0.0 0.0
TOTAL 12.0 12.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
REGULATORY AGENCY Refer to Practice 000.653.1305. Defines inspection and audit requirements. Outlines requirements and steps for regular
19 INSPECTION/CONTACT planned internal inspections and audits, and audits by outside regulatory agencies. Applies to all P2S projects.
Two members of management have been

identified as project representatives to
A. 1.0 1.0 100.0%
participate in regulatory agency visits /
inspections.
The management members selected to

B. represent the project during regulatory agency
visits have been trained in the following topics.
1 Opening Conference 1.0 1.0 100.0%
2 Walk around /inspection phase 1.0 1.0 100.0%
3 Records /note taking 1.0 1.0 100.0%

4 Tests 1.0 1.0 100.0%
5 Photographs 1.0 1.0 100.0%
6 Employee interview procedures 1.0 1.0 100.0%
7 Closing conference 1.0 1.0 100.0%
8 Post inspection report 1.0 1.0 100.0%
9 Corporate notification 1.0 1.0 100.0%
C. Other 0.0 0.0
TOTAL 10.0 10.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practice 000.653.1202. Defines the required components of P2S’s worker's compensation program. Addresses
worker's compensation issues such as:
• Carrier performance standards;
20 CLAIMS MANAGEMENT • Claims management; and
• Project closure.
Applies globally where required by law.
A. Project has established project physicians. 1.0 1.0 100.0%
Facility HSE manager is administering the

B. 1.0 1.0 100.0%
site's Worker's Compensation Program.
Employees' First Report of Injury is filed with

C. 1.0 1.0 100.0%
insurance carrier within 24 hours.
Employees have been notified in writing of

D. their responsibility to report a Workers' 1.0 1.0 100.0%
Compensation claim.
A relationship has been established between

E. 1.0 1.0 100.0%
the carrier and facility HSE manager
Modified Work / Restricted Work program is

F. 1.0 1.0 100.0%
established and implemented at Project.
Project Management is proactive in post-injury

G. follow up and in expressing their concern for 1.0 1.0 100.0%
the injured employee.
Facility HSE manager actively monitors and
H. 1.0 1.0 100.0%
assists the carrier in all open cases.
I. Other 0.0 0.0
TOTAL 8.0 8.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practice 000.653.1303. Provides the minimum requirements for the management of hazards associated with
PROCESS SAFETY processes using highly hazardous chemicals. It defines P2S and client/owner responsibilities regarding actions that must be
21 MANAGEMENT (PSM)
taken to prevent or minimize the consequences of accidents involving highly hazardous chemicals in an effort to protect
employees. Defines Process Safety Management (PSM), including training requirements.
Applies globally to P2S and its contractors where the client/owner has developed a PSM program.
Known fire, explosion, and toxic release

hazards have been communicated to employees
A. 3.0 3.0 100.0%
who are working on or around covered
equipment or processes.
Applicable provisions of the plant emergency

B. action and evacuation plan has been 3.0 3.0 100.0%
communicated to all affected employees.
Site safe work practices have been

C. 3.0 3.0 100.0%
communicated to all affected employees.
Affected employees have been trained in all of

the above listed procedures and practices.
D. Testing procedures to ensure employee 3.0 3.0 100.0%
competency and understanding have been
established.
E. Other 0.0 0.0
TOTAL 12.0 12.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practice 000.653.1400. P2S maintains a strong commitment to its employees to provide a safe workplace and to
establish programs promoting excellent standards of safety. The company believes the work environment is safer and more
productive without the presence of controlled substances. Therefore, the company prohibits the possession, use, manufacture,
distribution, dispensation or presence of any controlled substance in the workplace without a valid prescription from a
22 SUBSTANCE ABUSE PROGRAM physician. Consistent with the spirit and intent of this policy, the company expects employees to report for work in proper
condition to perform their duties. This policy/procedure is intended to prevent the use and presence of drugs, alcohol, or other
contraband in the working environment. Outlines substance abuse policy, criteria for substance abuse testing and substance
thresholds. Applies globally to all P2S employees, contractors, subcontractors, agency personnel, and consultants.
The project has an approved Substance Abuse

A. Prevention Policy and Project Specific 1.0 1.0 100.0%
Procedures.
Substance Abuse Awareness Training Program
B. for supervisors/employee implemented as 1.0 1.0 100.0%
required.
The project / site has established a time limit

for an employee/applicant to provide a sample
C. for substance abuse screening in compliance 1.0 1.0 100.0%
with Corporate HSE Substance Abuse Policy
as stated in Appendix K.
The project conducts post-offer / pre-placement

D. 1.0 1.0 100.0%
testing for all new / rehire employees
E. The project conducts random screening. 1.0 1.0 100.0%
Random Chemical Screening - random

F. 1.0 1.0 100.0%
selection process approved by Corporate HSE.
The project conducts post accident and for

G. 1.0 1.0 100.0%
cause testing.
Positive results coordinated with Human
H. 1.0 1.0 100.0%
Resources.
Chemical screen results handled confidentially
I. to prevent disclosure to unauthorized 1.0 1.0 100.0%
personnel.

100
(X)
(X)
(X)
All contractors / subcontractors are required to
J. adhere to the Corporate substance abuse 1.0 1.0 100.0%
prevention program.
K. The project includes testing for alcohol. 1.0 1.0 100.0%
L. Other 0.0 0.0
TOTAL 11.0 11.0 100.0% 0.00 0.00 0.00
Corporate HSE will continually evaluate where P2S's greatest strengths and weaknesses are in the HSE process. Where
23 STRATEGIC INITIATIVES failure or sustained weakness is found, such elements will be changed to the degree necessary to bring that portion of our
process back in line with our performance expectations. These are known as strategic initiatives.
A. The Strategies manual is available on site. 4.0 4.0 100.0%
Contractor prequalification evaluation process

B. 4.0 4.0 100.0%
has been implemented as required.
Accountability programs have been

C. 4.0 4.0 100.0%
implemented as required.
Pre-bid, pre-mobilization alignments for

D. subcontractors has been implemented and 4.0 4.0 100.0%
required.
Safety resources for subcontractors has been

E. 4.0 4.0 100.0%
Safety orientation guidelines for
F. subcontractors has been implemented as 4.0 4.0 100.0%
required.
Safety Task Assignment (STA) for
G. subcontractors has been implemented as 4.0 4.0 100.0%
required.
Scaffold guidelines for subcontractor has been
H. 4.0 4.0 100.0%

100
(X)
(X)
(X)
Fall hazard management for subcontractors

I. 4.0 4.0 100.0%
has been implemented as required.
Remote travel and driver safety guidelines for

J. subcontractors has been implemented as 4.0 4.0 100.0%
required.
Heavy haulage vehicle safety for

K. subcontractors has been implemented as 4.0 4.0 100.0%
required.
HSE training has been implemented as

L. 4.0 4.0 100.0%
required.
Corporate management ownership for
M. subcontractors has been implemented as 4.0 4.0 100.0%
required.
N. Other 0.0 0.0
TOTAL 52.0 52.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practice 000.653.4000. There are differences in air regulations depending on your location. Most regulations
categorize areas not meeting air pollution standards into four categories: extreme, severe, serious, and moderate / marginal.
Air quality management is affected by gases and vapors discharged from the exhausts of a variety of sources including paint
24 AIR ISSUES shop, industrial gases discharged via vapor recovery on petroleum equipment, and blowers. The assessor should verify the
number and locations of any vents or ducts, including those that may cause fugitive emissions. Examples of management of
air issues on projects are dust control (for dusty roads, especially near communities) and air emissions from incinerators at
employee camps.
Gas or dust is emitted, exhausted or vented

A. Yes No
from this project, or facility.
The project has the required air permits, and
B. 2.0 2.0 100.0%
the conditions are being met.
The history is available on permitting and / or
C. 2.0 2.0 100.0%
violations.
There is pollution control equipment on site,

D. 2.0 2.0 100.0%
and it is in good operating condition.
E. Air emissions are being reduced or eliminated. 2.0 2.0 100.0%
Personnel are available to help other

departments and supervision understand
F. 3.0 3.0 100.0%
specific regulations, order equipment, or
identify potential problems.
A complete asbestos inspection has been

conducted on the project, and it has been
G. 3.0 3.0 100.0%
determined whether any asbestos must be
removed.
The project is aware of all air regulations that
H. 2.0 2.0 100.0%
they are required to follow.
Air monitoring is provided in accordance with
regulations, site-specific plans and/or site-
I. specific procedures. Air quality impact 2.0 2.0 100.0%
information is evaluated and reported, as
appropriate.

100
(X)
(X)
(X)
Manufacturer's emission specifications for

J. 1.0 1.0 100.0%
equipment used on the site are available.
Mechanisms are in place to identify the need

for and to develop air quality permits or
documents that include associated control
K. 2.0 2.0 100.0%
standards, monitoring standards, reporting and
recordkeeping requirements to protect the
worker, public, and environment.
Air quality permit conditions, control

standards, monitoring standards, reporting and
recordkeeping requirements are implemented
L. for hazardous air pollutants, air toxics, 2.0 2.0 100.0%
asbestos, open burning, ozone depleting
substances, and fossil-fuel fired generator air
emissions.
The air ventilation and emission control

M. systems utilize appropriate abatement / control 2.0 2.0 100.0%
technology.
Air quality reports and notifications are
N. properly developed, submitted, retained, and 2.0 2.0 100.0%
dispositioned.
An appropriate air quality monitoring plan is

developed and implemented when significant
O. 2.0 2.0 100.0%
pollutants or hazardous materials are used,
generated, released, or managed.
P. Other 0.0 0.0
TOTAL 29.0 29.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
25 ELECTRICAL Refer to Practice 000.653.3309; for offices, refer to Practice 000.653.1002.

A. Electrical appliance Policy
There is an electrical appliance policy specific
1 1.0 1.0 100.0%
to the facility.
The policy identifies what is and what is not
2 1.0 1.0 100.0%
acceptable.
Policy identifies how to obtain any necessary
3 1.0 1.0 100.0%
waivers/approvals.
Personally owned electrical fans, space

4 1.0 1.0 100.0%
heaters, etc. have been approved & inspected.
5 Only approved power strips are used. 1.0 1.0 100.0%

Coffee makers are equipped with an automatic
6 2.0 2.0 100.0%
shut off feature
Coffee makers are installed on a
7 1.0 1.0 100.0%
noncombustible surface
Working spaces, walkways, and similar

8 1.0 1.0 100.0%
locations are kept clear of appliance cords
Electrical and water conservation are

B 1.0 1.0 100.0%
practiced.
C. Other 0.0 0.0
TOTAL 10.0 10.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
26 OFFICE AREAS Refer to Practice 000.653.1002.

A. Wires on floor in walkways 1.0 1.0 100.0%
B. Loose carpet and tile 1.0 1.0 100.0%
C. Open desk / File drawers 1.0 1.0 100.0%
D. Loose floor receptacle covers 1.0 1.0 100.0%
E. Walkway obstructions 2.0 2.0 100.0%
F. Slippery floor surfaces 1.0 1.0 100.0%
G. Drawing / Documents on floor 1.0 1.0 100.0%
H. A minimum width of 44 inches is maintained. 2.0 2.0 100.0%
I. Lighting is adequate and no dark spots noted. 1.0 1.0 100.0%
J. Boxes are stacked in a safe manner. 1.0 1.0 100.0%

Sprinkler heads clearance is maintained at
K. 2.0 2.0 100.0%
minimum of 18 in.
L. Weight of file cabinets is evenly distributed. 1.0 1.0 100.0%
Heavy or large objects are not stored on top of

M. 1.0 1.0 100.0%
file cabinets or bookcases.
N. Walkway access is maintained. 1.0 1.0 100.0%
Shipping containers are free of loose or
O. protruding nails. wire, staples, banding 1.0 1.0 100.0%
material.
P. Material is not stored above partition level. 1.0 1.0 100.0%
Bookcase weight is distributed evenly and

Q. 1.0 1.0 100.0%
bookcases are stable
There are no sharp edges, burrs, or splinters

R. 1.0 1.0 100.0%
on desks, tables, or other furniture.
No broken or cracked glass tops on desks,

S. 1.0 1.0 100.0%
tables or other furniture.
T. Drawer slides are properly maintained 1.0 1.0 100.0%

100
(X)
(X)
(X)
Desk tops are clean and orderly i.e., free of

U. 1.0 1.0 100.0%
heavy manuals etc. that could be knocked off
All chair legs are maintained on the floor when

V. 1.0 1.0 100.0%
in use
W. Chairs are structurally sound 1.0 1.0 100.0%
X. Chairs are free of sharp edges, burrs, splinters 1.0 1.0 100.0%
Chairs are maintained and free of loose

Y. 1.0 1.0 100.0%
components
Z. Casters are maintained in a safe condition 1.0 1.0 100.0%
Chairs are not used in lieu of ladders or step

AA. 1.0 1.0 100.0%
stools
Proper lifting techniques are used i.e., use legs
BB. 1.0 1.0 100.0%
not back
Assistance is provided when moving heavy or
CC. 1.0 1.0 100.0%
bulky objects.
Tote boxes used for relocation or transfer are
DD. 1.0 1.0 100.0%
stored or disposed of within 5 days.
EE. Restrooms are clean and sanitary. 1.0 1.0 100.0%
FF. Ceiling tiles are securely in place. 1.0 1.0 100.0%
GG. Other 0.0 0.0
TOTAL 35.0 35.0 100.0% 0.00 0.00 0.00

100
(X)
(X)
(X)
Refer to Practice 000.653.4000. Waste management issues including minimization and recycling are addressed in
27 WASTE MANAGEMENT ISSUES 000.653.4000.
A Waste Management Plan has been developed

that identifies all potential wasted for the site
A. as well as appropriate handling, testing, 1.0 1.0 100.0%
labeling, transporting, and disposition of the
waste
The plan includes provisions for minimization
B. 2.0 2.0 100.0%
and recycling of materials.
Records are maintained of all wastes and types
C. 2.0 2.0 100.0%
generated by the project or site.
Wastes are properly disposed according to
D. 2.0 2.0 100.0%
their class.
Contractors abide by the provisions of P2S's
E. 2.0 2.0 100.0%
waste management plan.
Complaints relating to waste management are

F. 2.0 2.0 100.0%
recorded and investigated.
The following categories of solid waste are

G generated /separated from this facility or
project:
1 Recyclable paper/cardboard 1.0 1.0 100.0%
2 Mixed glass 1.0 1.0 100.0%
3 Colored glass 1.0 1.0 100.0%
4 Aluminum 1.0 1.0 100.0%
5 Copper 1.0 1.0 100.0%
6 Lead 1.0 1.0 100.0%
7 Other non-ferrous metal 1.0 1.0 100.0%
8 Iron and steel 1.0 1.0 100.0%
9 Recyclable plastic 1.0 1.0 100.0%
10 Other recyclable solid waste (specify) 1.0 1.0 100.0%
11 Timber 1.0 1.0 100.0%

100
(X)
(X)
(X)
12 Treated timber 1.0 1.0 100.0%
13 Light bulbs (mercury, sodium) 1.0 1.0 100.0%
14 Non-recyclable waste 1.0 1.0 100.0%
All solid wastes must be stored in such a way that pollution of the environment cannot occur through: leaching of the contents
of a container, accidental spillage from the container, the placing of liquids that might enter the storage in the solid waste bin
H. Solid Waste Storage
or overfilling so that the contents blow about and become scattered over the site. Verify that all bins are secure, covered where
necessary and they cannot escape.
There is a written contract with the

1 remover/transporter for the disposal of solid 3.0 3.0 100.0%
waste.
The waste disposal method requires permits
2 3.0 3.0 100.0%
and they are available.
Equipment or programs are available and have
been implemented to increase the waste
3 3.0 3.0 100.0%
minimization and recycling efforts of the
projects.
The project developed a chemical compatibility

4 3.0 3.0 100.0%
matrix.
All solid waste is stored in containers in such a

5 way that polluting the environment cannot 3.0 3.0 100.0%
occur.
Solid waste currently is disposed on site (If so,
6 provide details of waste type, method of 3.0 3.0 100.0%
disposal and location.)
Liquid wastes consist of storm water which is discharged to the natural environment; domestic waste from toilets, washrooms,
and non-commercial kitchens and acceptable discharge to the sewer; trade waste generated from workshops and other
Liquid wastes generated at this facility or industrial facilities; liquid wastes that are removed by contractor from grease traps, sludge pits, septic tanks, and waste
I
project: chemicals, oils or contaminated aqueous wastes, tanks, pits or drums and removed by contractor. The assessor should verify
every type of liquid waste generated to determine how it is disposed of, the destination of the waste, and whether it is reused or
recycled when possible.
1 Storm water 1.0 1.0 100.0%

100
(X)
(X)
(X)
Storm water discharges contain anything that
1a 4.0 4.0 100.0%
may pollute the environment.
A water pollution license or discharge permit
1b 3.0 3.0 100.0%
is held for this facility or project.
A permit is held, and the monitoring, reporting

1c 3.0 3.0 100.0%
and discharge requirements are being met.
2 Industrial waste flows to sewer. 1.0 1.0 100.0%
3 Domestic waste flows to sewer or septic tank. 1.0 1.0 100.0%
The sewer system or septic tank system is

3a approved by the appropriate regulatory 3.0 3.0 100.0%
agency.
4 Waste oil 1.0 1.0 100.0%
Waste oil from transformers and other
5 1.0 1.0 100.0%
electrical equipment
6 Waste chemicals, paints, solvents 1.0 1.0 100.0%
7 Grease trap waste 1.0 1.0 100.0%
Aqueous discharges to the environment (not
J.
storm water).
The facility or project has licenses or permits
1 1.0 1.0 100.0%
for the following discharges:
2 Water to the natural environment 3.0 3.0 100.0%
3 Industrial waste 3.0 3.0 100.0%
4 Liquid waste 3.0 3.0 100.0%
All liquid waste is stored in containers in such
K. a way that pollution of the environment cannot 3.0 3.0 100.0%
occur.
There is a written contract(s) with the
L. remover/transporter for disposal of liquid 3.0 3.0 100.0%
waste.
Any liquid waste currently is disposed on site.
M. (If so, provide details of waste type, method of 3.0 3.0 100.0%
disposal and location.)

100
(X)
(X)
(X)
The site has pollution control equipment
N. available and the site has implemented controls 3.0 3.0 100.0%
to reduce water discharges.
Accumulation areas are appropriately
O. 2.0 2.0 100.0%
managed
P. Accumulation areas are inspected. 2.0 2.0 100.0%
Nondangerous waste consisting of sanitary,

inert and demolition, nondangerous
Q. 2.0 2.0 100.0%
containerized, empty containers, and asbestos
waste are properly managed for disposal.
Requirements for waste recycling and

R. 1.0 1.0 100.0%
reclamation are implemented.
A pollution prevention / waste minimization

program is developed, implemented and
S. 2.0 2.0 100.0%
maintained to prevent, reduce and control
pollution to the environment.
Pollution prevention and waste minimization

T. reports are properly developed, submitted, 2.0 2.0 100.0%
retained, and dispositioned .
U. Other 0.0 0.0
TOTAL 96.0 96.0 100.0% 0.00 0.00 0.00

FIELD IMPLEMENTATION - SUMMARY

REDUCTION
SCORE
IMMINEN
MAXIMU REPEAT MINIMUM
ASSESSED T ENVIRONMENT FINAL MET /
SECTION SECTION NAME COMPONENT M DEFICIENC STANDAR
TOTAL DANGER AL DANGER SCORE NOT MET
POSSIBLE Y D
51 Housekeeping SE 23.0 23.0 0.00 0.00 0.00 23.00 20.7 MET

52 Communication and Coordination HSE 7.0 7.0 0.00 0.00 0.00 7.00 6.3 MET
53 Health & Hygiene HSE 53.0 53.0 0.00 0.00 0.00 53.00 47.7 MET
54 Pre-Commissioning & Commissioning S 6.0 6.0 0.00 0.00 0.00 6.00 5.4 MET
55 Spill Control and Prevention SE 14.0 14.0 0.00 0.00 0.00 14.00 12.6 MET
56 Work Area Lighting S 10.0 10.0 0.00 0.00 0.00 10.00 9 MET
57 Personal Protective Equipment (P.P.E.) HSE 92.0 92.0 0.00 0.00 0.00 92.00 82.8 MET
58 Hand Tools S 13.0 13.0 0.00 0.00 0.00 13.00 11.7 MET
59 Powder Actuated Tools S 17.0 17.0 0.00 0.00 0.00 17.00 15.3 MET
60 Power Tools and Power Equipment SE 46.0 46.0 0.00 0.00 0.00 46.00 41.4 MET
61 103.00 MET
Hot Work (Welding, Heating, Burning) S 103.0 103.0 0.00 0.00 0.00 92.7
62 Electrical S 62.0 62.0 0.00 0.00 0.00 62.00 55.8 MET
63 Equipment Operations S 159.0 159.0 0.00 0.00 0.00 159.00 143.1 MET
64 First Line Breaks HSE 36.0 36.0 0.00 0.00 0.00 36.00 32.4 MET
65 Excavation and Trenching HS 39.0 39.0 0.00 0.00 0.00 39.00 35.1 MET
Steel Erection and Floor and Wall
66 S 52.0 52.0 0.00 0.00 0.00 52.00 46.8 MET
Opening
67 Material Handling and Storage HSE 31.0 31.0 0.00 0.00 0.00 31.00 27.9 MET
68 Signs, Signals, Barricades S 25.0 25.0 0.00 0.00 0.00 25.00 22.5 MET
69 Traffic Control S 25.0 25.0 0.00 0.00 0.00
70 Fire Prevention and Protection HS 42.0 42.0 0.00 0.00 0.00 42.00 37.8 MET
Ladders, Scaffolds, and Elevated Work
71 S 141.0 141.0 0.00 0.00 0.00 141.00 126.9 MET
Platforms
Concrete, Concrete Forms, Shoring,
72 HS 26.0 26.0 0.00 0.00 0.00 26.00 23.4 MET
Masonry
73 Demolition S 22.0 22.0 0.00 0.00 0.00 22.00 19.8 MET

FIELD IMPLEMENTATION - SUMMARY

REDUCTION
SCORE
IMMINEN
MAXIMU REPEAT MINIMUM
ASSESSED T ENVIRONMENT FINAL MET /
SECTION SECTION NAME COMPONENT M DEFICIENC STANDAR
TOTAL DANGER AL DANGER SCORE NOT MET
POSSIBLE Y D
74 Blasting - Use of Explosives S 19.0 19.0 0.00 0.00 0.00 19.00 17.1 MET
75 High-Pressure Water Cleaning HS 42.0 42.0 0.00 0.00 0.00 42.00 37.8 MET
76 Abrasive Blasting S 58.0 58.0 0.00 0.00 0.00 58.00 52.2 MET
77 Tank and Piping System Testing S 24.0 24.0 0.00 0.00 0.00 24.00 21.6 MET
78 Hot Tapping Procedure S 20.0 20.0 0.00 0.00 0.00 20.00 18 MET
79 Traveling and Working Alone S 3.0 3.0 0.00 0.00 0.00 3.00 2.7 MET
80 Confined Spaces HS 24.0 24.0 0.00 0.00 0.00 24.00 21.6 MET
81 Radiation HSE 16.0 16.0 0.00 0.00 0.00 16.00 14.4 MET
82 Lead H 19.0 19.0 0.00 0.00 0.00 19.00 17.1 MET
83 Fibrous Material and Asbestos HS 34.0 34.0 0.00 0.00 0.00 34.00 30.6 MET
84 Tire Management S 24.0 24.0 0.00 0.00 0.00 24.00 21.6 MET
85 Marine Operations S 31.0 31.0 0.00 0.00 0.00 31.00 27.9 MET
86 Railroad Operations S 33.0 33.0 0.00 0.00 0.00 33.00 29.7 MET
87 Site Drainage and Sewage HSE 18.0 18.0 0.00 0.00 0.00 18.00 16.2 MET
Hazardous and Dangerous Waste
88 E 24.0 24.0 0.00 0.00 0.00 24.00 21.6 MET
Management
89 Water Quality E 27.0 27.0 0.00 0.00 0.00 27.00 24.3 MET
90 Storage Tanks E 9.0 9.0 0.00 0.00 0.00 9.00 8.1 MET
91 Polychlorinated Biphenyls E 6.0 6.0 0.00 0.00 0.00 6.00 5.4 MET
92 Pesticide Use E 3.0 3.0 0.00 0.00 0.00 3.00 2.7 MET
93 Potable Water HSE 4.0 4.0 0.00 0.00 0.00 4.00 3.6 MET
TOTALS 1482.0 1482.0 0.00 0.00 0.00 1482.00 1333.8 MET

FIELD IMPLEMENTATION - DETAILS

* REPEATED DEFICIENCY = -10 Max Possible SCORE PENALTY
** IMMINENT DANGER
*
*** ENVIRONMENTAL DAMAGE IMMINENT *** EVALUATOR'S COMMENTS
Percentage REPEATED
= 7% Reduction of Assessment Score MAXIMUM ENVIRONMENTAL
ASSESSED 0 - DEFICIENCIES
100
(X)
(X)
(X)
51 HOUSEKEEPING Refer to Practice 000.653.3300. Project and site housekeeping must be maintained at all P2S locations.
Work areas, walkways, and passageways are

A. 3.0 3.0 100.0%
clean and free of trash and debris.
Provisions have been made for routing trash

B. 1.0 1.0 100.0%
collection and disposal.
Trash receptacles are provided in all work

C. 1.0 1.0 100.0%
areas, and one is present at each water keg.
Scrap lumber is free of protruding nails or

D. 2.0 2.0 100.0%
other puncture hazards.
Glass containers are prohibited; none were
E. 2.0 2.0 100.0%
observed.
Cigarette butt cans, where used, are
F. maintained free of combustible material and 1.0 1.0 100.0%
emptied routinely.
Elevated areas are maintained clear of debris,
G. material, tools, etc., where such items could 3.0 3.0 100.0%
fall to areas below.
Drip pans are used for oil dispensing locations
H. and under threading machines and saws where 3.0 3.0 100.0%
lubricant could drip.
Floors or working surfaces are dry and free of
I. 2.0 2.0 100.0%
oil and grease.
Food or beverages are not permitted in
J. 2.0 2.0 100.0%
operating areas and none were observed.
Offices/storage rooms and areas are orderly
K. 3.0 3.0 100.0%
and maintained.
L. Other 0.0 0.0
TOTAL 23.0 23.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
COMMUNICATION AND HSE Principle 3 requires establishment of communication between P2S, client, contractors, and others with an interest in
52 HSE. Refer to Practices 000.653.0020 and 000.653.1000.
COORDINATION
Regular meetings are held with the client and
A. contractors/subcontractors to discuss HSE 1.0 1.0 100.0%
issues.
A project HSE Committee has been established
that includes management, employees,
B. 1.0 1.0 100.0%
contractor management, and contractor
employees.
C. Toolbox meetings are held on a weekly basis. 1.0 1.0 100.0%
Activities are coordinated and integrated with

D. activities in adjacent areas within a plant or 1.0 1.0 100.0%
nonplant areas.
Kickoff meetings are held with contractors to
E 1.0 1.0 100.0%
review HSE issues?
Shift/tour change handover meeting and
F information exchange procedures are in place 1.0 1.0 100.0%
and followed.
Shift/tour handover meetings are conducted
G 1.0 1.0 100.0%
and reports kept on file.
H Other 0.0 0.0
TOTAL 7.0 7.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.2001. This practice provides guidance for a field Health Management Plan (HMP). Each project
should develop a site- specific HMP that takes into consideration in-country and local requirements, as well as the site
53 HEALTH AND HYGIENE conditions and planned activities. Practice 000.653.2002 outlines minimum requirements for maintaining the sanitation of
the project's/site’s eating, restroom, and other related facilities used by employees at the project/site. Also refer to Practices
000.653.2003, Working in Heat, and 000.653.1401, Work Hour Control/Working Alone.
The required number of toilets are

A. 2.0 2.0 100.0%
provided.
Provisions for servicing/cleaning toilets
B. 2.0 2.0 100.0%
have been made.
Toilets are kept clean and sanitary. Toilet
C. 2.0 2.0 100.0%
paper is in place.
Hand-washing facilities are available for
D. employee use before lunch/breaks when 2.0 2.0 100.0%
required.
Vermin (rodents, insects, etc.) control is
E. 2.0 2.0 100.0%
provided.
Ventilation in work areas is provided for

F. 2.0 2.0 100.0%
the type of work being performed.
Local exhaust ventilation is used where

G. 2.0 2.0 100.0%
necessary.
There are designated areas where
employees can eat meals and take breaks
H. in a sanitary environment separate from 2.0 2.0 100.0%
any toilet facility and not exposed to toxic
materials.
Lunch/dinner areas/facilities are clean

I. 2.0 2.0 100.0%
and kept clean on a regular basis.
A common drinking cup is not allowed;

J. 2.0 2.0 100.0%
individual cups are provided.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
The required supply of drinking water is

K. 2.0 2.0 100.0%
provided and conveniently located.
Where water kegs are used, they are clean,

L. labeled as required, and used only for 2.0 2.0 100.0%
drinking.
Water kegs are sealed to prevent/indicate
M. 2.0 2.0 100.0%
tampering.
Shower and drinking water is tested for
N. 3.0 3.0 100.0%
Legionella.
As appropriate, a health assessment for
O.
operators is made for:
1 Vibrations 1.0 1.0 100.0%
2 Temperature/sunlight 1.0 1.0 100.0%
3 Exposure to chemicals 1.0 1.0 100.0%
4 Noise 1.0 1.0 100.0%
5 Repetitive strain injuries 1.0 1.0 100.0%
P. Temperature/Climate Stress Management Refer to Practice 000.653.2003
The project has a written heat stress

1 2.0 2.0 100.0%
management program/procedure (cold climate)
Employees have received training on heat

2 stress (cold climate) prevention and 2.0 2.0 100.0%
recognition
The program includes previsions for preventive

3 measures such as rotating work assignments, 2.0 2.0 100.0%
rest periods, cool vest, etc.
The program includes a written protocol for

4 first-aid treatment for early symptoms of heat 2.0 2.0 100.0%
stress (cold climate).
Heat stress assessment is made when necessary
5 3.0 3.0 100.0%
(cold climate assessment).
Protection against sunburn is provided (shade,
6 3.0 3.0 100.0%
sun block cream, etc.).


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Q. Fatigue Management Refer to Practice 000.653.1401
Project has written measures to prevent loss
1 1.0 1.0 100.0%
through project employee fatigue.
Management, supervisors, and employees have
2 received training on fatigue management and 1.0 1.0 100.0%
recognition.
Program includes preventive measures such as
rotating work assignments, rest periods,
3 1.0 1.0 100.0%
adequate rest after travel, provision of
nutritious meals, etc.
Adequate accommodations for off-hours rest
4 are provided (comfortable, quiet, disturbance 1.0 1.0 100.0%
free, etc.).
5 Fatigue assessment is made as necessary. 1.0 1.0 100.0%

R. Other 0.0 0.0
TOTAL 53.0 53.0 100.0% 0.00 0.00 0.00
Refer to Practice 000.653.3318. This practice outlines methods for identifying hazards and developing safe work practices for
PRE-COMMISSIONING
54 the pre-commissioning and commissioning stages. Also refer to Practices 000.653.1302, 000.653.3101, 000.653.3315, and
AND COMMISSIONING 000.653.3322.
Responsibilities of the Commissioning

Manager, line management, and employees are
A. 1.0 1.0 100.0%
clearly defined for the pre-commissioning and
commissioning phases.
Plant modules are clearly delineated as to pre-

commissioning or commissioning phase with
B. 1.0 1.0 100.0%
green, white, and blue tagging and bunting
system.
C. Permit to work system is in place and followed. 1.0 1.0 100.0%
Equipment tagging and isolation procedures

D. 3.0 3.0 100.0%
are in place and followed.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
E. Other 0.0 0.0
TOTAL 6.0 6.0 100.0% 0.00 0.00 0.00
SPILL CONTROL Refer to Practices 000.653.1200 and 000.653.4000. Spills are minor emergencies that can be managed by onsite personnel.
55 Written instructions should be available and staff be instructed and trained in accident and spill control methods. Suitable
AND PREVENTION equipment and materials should be provided.
Proper spill control methods are used at this

facility to contain and clean up fuel spills, oil
A. 2.0 2.0 100.0%
spills, chemical spills, gas leaks, contaminated
water, dust, or other (specify).
There are trained spill cleanup teams and

B. 2.0 2.0 100.0%
equipment for all emergencies.
Formal arrangements or assistance are in

place in the event of spill or discharge
C. 2.0 2.0 100.0%
with emergency agencies, neighboring
industries, and community groups.
Specific responsibilities are established in

D. writing for emergency procedures for spill 2.0 2.0 100.0%
response and control.
Appropriate spill prevention and cleanup

supplies and equipment are strategically
E. 2.0 2.0 100.0%
located in fuel/material loading/unloading
and handling areas and transfer points.
Waste resulting from spill cleanup is

F. 2.0 2.0 100.0%
disposed properly.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Spill response drills are planned,

H. scheduled, and conducted in accordance 2.0 2.0 100.0%
with the documented schedule.
I. Other 0.0 0.0
TOTAL 14.0 14.0 100.0% 0.00 0.00 0.00
56 WORK AREA LIGHTING Refer to Practice 000.653.3307.
Required lighting is provided for the work

A. 3.0 3.0 100.0%
being performed.
Portable light plants are maintained and
B. 1.0 1.0 100.0%
kept operational.
Portable light plants are positioned to

C. 1.0 1.0 100.0%
provide maximum lighting where required.
Portable light plants are easily moved

D. 1.0 1.0 100.0%
and positioned.
Lighting meets the requirements for the

E. 1.0 1.0 100.0%
electrical classification for the area.
Portable light plant masts are easily

F. 3.0 3.0 100.0%
raised and lowered.
G. Other 0.0 0.0
TOTAL 10.0 10.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
PERSONAL PROTECTIVE Refer to Practice 000.653.3000. Defines the PPE requirements for projects and all associated worksites. Outlines the basic
57 PPE requirements. Applies to all P2S contractors and all other personnel engaged at the project worksites.
EQUIPMENT (PPE)
A. Head Protection
1 Worn where required. 3.0 3.0 100.0%

2 Bills worn to the front. 2.0 2.0 100.0%
Hard hat suspension systems maintained
3 2.0 2.0 100.0%
in a safe manner.
Hard hats free from cracks, holes, or any
4 2.0 2.0 100.0%
damage.
B. Eye Protection
1 Eye protection is worn where required. 2.0 2.0 100.0%
2 Side shields are required and used. 2.0 2.0 100.0%

Lens cleaning stations and material are
3 1.0 1.0 100.0%
provided.
4 Face shields are worn when required. 2.0 2.0 100.0%
Signs are posted at bench grinders "Face

5 1.0 1.0 100.0%
shields required."
Safety glasses or goggles are worn under

6 2.0 2.0 100.0%
face shields or welding shields.
C. Fall Protection Refer to Practice 000.653.3001

Fall protection training has been
1 4.0 4.0 100.0%
conducted and documented.
Safety harness is required and used where

2 4.0 4.0 100.0%
fall exposure > 6 ft (1.8 m) occurs.
Employees observed wearing and using

3 4.0 4.0 100.0%
safety harness and lanyards correctly.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Lanyards are equipped with shock
4 3.0 3.0 100.0%
absorbers.
Lanyard hooks are provided with locking

5 4.0 4.0 100.0%
safety latch to prevent "roll out."
Lanyards are secured to a substantial

6 object - fall distance is maintained to a 4.0 4.0 100.0%
minimum.
Static/catenary lines are installed

7 correctly to facilitate tie-off and will 4.0 4.0 100.0%
support a force of 5,400 lb (2450 kg).
Fall protection equipment is inspected on

8 a regular basis, tagged accordingl,y and 3.0 3.0 100.0%
documented.
Fall protection equipment is used only for
9 3.0 3.0 100.0%
fall protection.
D. Hearing Protection Refer to Practice 000.653.3003.
Noise areas are posted as areas where

1 2.0 2.0 100.0%
hearing protection is required.
Noise surveys are performed periodically

2 2.0 2.0 100.0%
and documented.
Hearing protection is properly worn
3 2.0 2.0 100.0%
where and when required.
E. Foot and Toe Protection
Appropriate foot wear is worn by all
1 2.0 2.0 100.0%
employees.
Steel toe protection is used where
2 3.0 3.0 100.0%
required.
Hand protection is provided by gloves that

F. are selected according to specific hazards, 2.0 2.0 100.0%
anticipated or present.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Employees working near heavy equipment
G. operations wear high-visibility and 3.0 3.0 100.0%
reflective safety vests.
Employees working non-daylight hours
are provided with reflective striped
H. 3.0 3.0 100.0%
clothing, vests, or other high-visibility
material.
Employees working non-daylight hours

I. 3.0 3.0 100.0%
have reflective tape on their hard hats.
All employees receive information and/or

J. training on the proper use and care of 1.0 1.0 100.0%
PPE.
Emergency eye wash and shower stations

K. 3.0 3.0 100.0%
are clearly marked and not obstructed.
FR/NOMEX clothing meets the

L. 3.0 3.0 100.0%
requirements established for the project.
FR clothing is worn in an approved

M. manner (sleeves rolled down and front 2.0 2.0 100.0%
zippered or buttoned).
Chemical resistant clothing worn by

N. employees meets the level of protection 3.0 3.0 100.0%
specified in the work permit.
Provisions have been made for the

O. decontamination or disposal of chemical 3.0 3.0 100.0%
resistant clothing.
PPE is worn, maintained, and stored in an
P. 3.0 3.0 100.0%
approved manner.
Q. Other 0.0 0.0
TOTAL 92.0 92.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3006. Hand tools are a significant part of any construction or operations and maintenance project.
58 HAND TOOLS Improper care or use of hand tools can lead to employee injury .
Correct tools are used for the work being
A. 3.0 3.0 100.0%
performed.
B. Tools are used in an approved manner. 3.0 3.0 100.0%
C. Tools are carried and stored properly. 1.0 1.0 100.0%
Chisels, hammer wrenches, and other

D. striking tools are dressed at the striking 3.0 3.0 100.0%
end to prevent "mushrooming."
Job-made/home-made tools are prohibited

E. 3.0 3.0 100.0%
and none were observed.
F. Other 0.0 0.0
TOTAL 13.0 13.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3306. Provides minimum safety requirements for the operation, inspection, and storage of powder-
actuated fastening tools. The use of powder-actuated fastening tools must meet the requirements of national and local
59 POWDER-ACTUATED TOOLS governments and American National Standards Institute (ANSI) 10.3 1985. Applies to all projects/sites and execution
offices.
Employees using powder-actuated tools

A. 3.0 3.0 100.0%
have been trained and certified.
Correct load strengths are known and

B. 3.0 3.0 100.0%
used.
Loads are removed while the tool is stored
C. 3.0 3.0 100.0%
or left unattended.
Proper PPE is worn by the tool operator

while using the tool. Proper PPE includes
D. 3.0 3.0 100.0%
hard hat, face shield, safety glasses, and
hearing protection.
The tool and all loads are stored in a

E. 1.0 1.0 100.0%
locked cabinet.
The tool and all loads are issued only to

F. 3.0 3.0 100.0%
trained and certified employees.
The tool is inspected on a regular basis

G. and tagged to show that it has been 1.0 1.0 100.0%
inspected.
H. Other 0.0 0.0
TOTAL 17.0 17.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
POWER TOOLS Refer to Practices 000.653.3306 and 000.653.3308 for guidance on inspection and safe operations of power lawn equipment
60 AND POWER EQUIPMENT and other tools and equipment.
All power tools are inspected on a regular

A. basis and tagged to show that they have 1.0 1.0 100.0%
been inspected.
Required safety guards are in place and
B. 3.0 3.0 100.0%
functional.
Work rests on bench grinders are adjusted

C. 3.0 3.0 100.0%
within 0.1 in. (.25 cm) of the wheel.
Wheels on bench and stand grinders are

D. 3.0 3.0 100.0%
dressed as required.
Discs on portable grinders are compatible

E. with the equipment's maximum revolutions 3.0 3.0 100.0%
per minute (RPMs).
Electrical cords are elevated, protected, or

otherwise arranged so as to prevent
F. 3.0 3.0 100.0%
damage to the cord or create a tripping
hazard.
Employees are trained and certified (when

G. required) in safe operation of power tools, 3.0 3.0 100.0%
equipmet, and lawn equipment.
Risk assessments on vibration white finger

H. and repetitive strain injury (RSI) are 3.0 3.0 100.0%
performed.
Appropriate power tools are provided for
I. 3.0 3.0 100.0%
the job performed.
Equipment (such as drill presses and

J. 3.0 3.0 100.0%
bench grinders) is properly anchored.
K. Grinding disks are properly stored. 3.0 3.0 100.0%


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
There are 9-in. (23-cm) grinders found on
L. 3.0 3.0 100.0%
site.
Defective tools have been tagged properly

M. 3.0 3.0 100.0%
with a "Do Not Operate" tag.
Operators are provided with and use the

O. 3.0 3.0 100.0%
proper PPE.
Gasoline-powered tools and equipment

P. 3.0 3.0 100.0%
are inspected for fuel leaks.
Fire extinguishers are available while

Q. 3.0 3.0 100.0%
refueling equipment.
R. Other 0.0 0.0
TOTAL 46.0 46.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practices 000.653.1302, 000.653.3101, and 000.653.3103. These practices define the requirements associated with
work permits in general and permits to perform hot work in particular, as well as the requirements for handling compressed
HOT WORK gas cylinders. A Hot Work Permit is required when introducing an ignition source in an area of the worksite where fire or
61
(Welding, Heating, Burning) explosion could occur. The source may be a high energy or low energy form. Outlines the individual responsibilities for
employees involved in permitting and executing hot work, hot work permit requirements, and exemptions, document contro,
and training.
Hot work on or near areas or processes

that involve flammable, combustible, or
A. 4.0 4.0 100.0%
explosive materials or chemicals is done
under a safe work or hot work permit.
A fire extinguisher is immediately

B. available and operable at all hot work 3.0 3.0 100.0%
locations.
Welding screens are used around all
C. ground or floor level arc welding 2.0 2.0 100.0%
operations.
Arc welding is performed with a required
D. 3.0 3.0 100.0%
electrical ground.
Welding cables and ground cables are free

E. 3.0 3.0 100.0%
of damage and noninsulated connections.
Welding cables and ground cables are

F. 2.0 2.0 100.0%
inspected on a regular basis.
Cables are suspended or secured using
G. 2.0 2.0 100.0%
nonconductive materials.
Cables and hoses are elevated or

H. 3.0 3.0 100.0%
protected to prevent tripping hazards.
Compressed gas cylinders are labeled as

I. 3.0 3.0 100.0%
required.
Compressed gas cylinders are stored and
J. 3.0 3.0 100.0%
capped as required.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Reverse flow or flashback arrestors are
K. used on all oxygen/acetylene rigs or built 3.0 3.0 100.0%
into torch.
Regulator gauges are attached as required
L. 3.0 3.0 100.0%
and in good condition.
Compressed gas cylinder valves are
M. turned off when not in use for extended 3.0 3.0 100.0%
periods of time.
N. Strikers are used to light torches. 3.0 3.0 100.0%
Welding rods are stored as required and

O. rod stubs are placed in a container to 2.0 2.0 100.0%
prevent a tripping hazard.
Welding rods are not left in the

P. 3.0 3.0 100.0%
electrode/rod holder while not in use.
Compressed gas cylinders are located

Q. outside of closed areas and are not 3.0 3.0 100.0%
exposed to slag or sparks.
Gas cylinders are moved and transported
R. 3.0 3.0 100.0%
in the required manner.
Hot slag and sparks are maintained and

S. controlled as required to prevent fires and 3.0 3.0 100.0%
contact with employees.
Required PPE is worn for hot work

activity or where immediate exposure
T. 3.0 3.0 100.0%
occurs, including eye protection, clothing,
gloves, and respirator, if needed.
Oxygen/acetylene hoses are maintained

U. 2.0 2.0 100.0%
free of oil and grease.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Oxygen and fuel gas cylinders in storage

V. are separated by a fireproof partition or a 3.0 3.0 100.0%
distance of at least 20 ft (6.1 m).


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Compressed gas hoses are inspected and
W. 2.0 2.0 100.0%
are free of damage.
Compressed gas cylinders are properly

X. 2.0 2.0 100.0%
secured to prevent displacement.
A health risk assessment on welding fumes

Y. is performed and control measures are 3.0 3.0 100.0%
taken.
All pressurized equipment is permitted and
Z. 1.0 1.0 100.0%
proper permits are available on file.
All line or hose connections have a positive
AA. means of coupling to prevent uncoupling while 3.0 3.0 100.0%
in use.
All hoses have containment fittings to prevent
BB. 3.0 3.0 100.0%
whipping.
Gas cylinders are transported in a secure and

CC. upright position with regulators removed and 3.0 3.0 100.0%
valve protection caps in place.
Gas cylinders are hoisted only in secured

DD. 3.0 3.0 100.0%
cradles, truck/dolly, slingboard, or pallet.
Cylinders are stored in a secured upright

EE. 3.0 3.0 100.0%
position.
Cylinders are not placed or stored such that

FF. 3.0 3.0 100.0%
they may become part of an electrical circuit.
Cylinders are not placed or stored near piping

GG. systems or layout tables that may be used for 3.0 3.0 100.0%
grounding electrical circuits.
Oxygen cylinders are stored separately from

HH. 3.0 3.0 100.0%
fuel gas cylinders or combustible materials.
NO SMOKING signs are posted in storage

II. 3.0 3.0 100.0%
areas.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Signs indicating cylinder contents will be
JJ. 3.0 3.0 100.0%
posted in storage areas.
Empty cylinders will be stored separately from
KK. full cylinders with their valves in the closed 2.0 2.0 100.0%
position.
Only persons authorized by the cylinder owner

LL. 1.0 1.0 100.0%
or the owner may refill the cylinder.
MM. Other 0.0 0.0
TOTAL 103.0 103.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3315 . Outlines the minimum requirements for isolating (lock out/tag out) hazardous energy and
inspection of electrical equipment. Each country has different voltages and specific requirements for electrical safety. It is
62 ELECTRICAL the responsibility of the Project/Site Manager to comply with applicable local legislation and codes of practice. Also refer to
Practice 000.653.8150, Working Near Overhead Power Lines. Applies to all of P2S’s workplaces.
Electrical equipment is marked with the

A. 3.0 3.0 100.0%
amount of voltage and the control source.
The required lockout/tagout procedure is

B. implemented where circuits are deenergized 4.0 4.0 100.0%
due to maintenance, repair, or other activity.
Employees performing low, medium, or high

C. 4.0 4.0 100.0%
voltage work are trained and certified.
Protective gear (rubber gloves, blankets, hot

D. sticks, etc.) are inspected by an independent 4.0 4.0 100.0%
testing firm.
Tests are performed to determine if current

E. 4.0 4.0 100.0%
carrying parts are hot or deenergized.
All line parts are guarded or protected against

F. 4.0 4.0 100.0%
contact.
GFCI-controlled outlets and panels are labeled
G. 2.0 2.0 100.0%
and tested.
Electrical cords are inspected and approved
H. for the type of usage and are free of breaks in 3.0 3.0 100.0%
the insulation.
Outlets, receptacles, junction boxes, etc., are

I. 3.0 3.0 100.0%
approved and maintained as required.
Electrical cords are suspended or secured

J. 2.0 2.0 100.0%
using nonconducting materials.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Electrical cords are elevated over passage

K. ways or are protected from damage when 3.0 3.0 100.0%
crossing roads or passage ways.
Temporary lighting is installed as required

L. 3.0 3.0 100.0%
using approved materials.
Light bulbs and fluorescent tubes are guarded
M. 2.0 2.0 100.0%
as required.
Buried temporary electrical cables are marked

N. on the surface to avoid accidental contact from 3.0 3.0 100.0%
drilling/excavating.
Electrical plugs are maintained in good

O. condition and are the proper type for 3.0 3.0 100.0%
voltage/amperage/grounding requirements .
All temporary electrical outlets, receptacles,

P. junction boxes, and panels are electrically 3.0 3.0 100.0%
grounded.
All electrical tools are equipped with a ground

Q. 3.0 3.0 100.0%
conductor or are double insulated.
Strain relief is provided for all cords or cables

R. to prevent pull from being directly transmitted 3.0 3.0 100.0%
to joints or terminal screws.
Cord repairs meet or exceed the original
S. insulation and are performed by a designated 3.0 3.0 100.0%
person.
All work within 33 ft (10.1 m) is required to be
T. 3.0 3.0 100.0%
properly permitted.
U. Other 0.0 0.0
TOTAL 62.0 62.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
HSE Principle 9 declares that systems be established for reducing and eliminating hazards and risks in the field. This
63 EQUIPMENT OPERATIONS includes equipment operation. Refer to Practices 000.653.3200, 000.653.3201, and 000.653.3211.
Refer to Practice 000.653.3201.

A. Crane Operations
Load charts are posted and used, and

1 3.0 3.0 100.0%
operators' manuals are available.
The swing radius of the counter weight is
2 3.0 3.0 100.0%
barricaded.
The crane is operated level with all outriggers

3 3.0 3.0 100.0%
fully extended on adequate outrigger pads.
Moving and travel practices are used to

4 3.0 3.0 100.0%
include the use of a flagger.
The operator is trained and certified for the
5 3.0 3.0 100.0%
specific crane being operated.
Specific attention to power line clearance is
6 4.0 4.0 100.0%
given.
Flagman is used to signal crane operators
7 when raising, lowering, and swinging the hook, 3.0 3.0 100.0%
loaded or unloaded.
An anti-two-block limit switch is in place and
8 3.0 3.0 100.0%
functional on all cranes.
Crane, hook, and hoist equipment is free from
9 4.0 4.0 100.0%
defects.
Operator determines weight of load before
10 3.0 3.0 100.0%
performing lift.
B. General Equipment Refer to Practice 000.653.3200.
Seat belts are provided and used with ROPS
1 3.0 3.0 100.0%
structures.
2 All lights are operational. 2.0 2.0 100.0%
3 Horns are operational. 2.0 2.0 100.0%
4 Backup alarms are operational. 3.0 3.0 100.0%
5 Equipment is operated at a safe travel speed. 3.0 3.0 100.0%


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Flagmen are used to signal equipment
6 operators working in confined or congested 3.0 3.0 100.0%
areas.
Seat belts are worn by driver and all
7 passengers in equipment provided with seat 3.0 3.0 100.0%
belts.
C. Haulage Operations Refer to Practice 000.653.3200.
Elevated roads are protected by berms and/or
1 3.0 3.0 100.0%
guard rails.
2 Traffic flow is regulated and enforced. 2.0 2.0 100.0%
3 Speed limits are posted and observed. 2.0 2.0 100.0%
Only authorized vehicles and equipment are
4 3.0 3.0 100.0%
allowed on the haulage roads.
Refueling maintenance activities are performed

5 2.0 2.0 100.0%
away from haulage road traffic areas.
Haulage roads are maintained in good

6 2.0 2.0 100.0%
condition.
Storm water is channeled/controlled to
7 2.0 2.0 100.0%
minimize haulage road hazards.
Dust control is implemented effectively when
8 2.0 2.0 100.0%
and where required.
D. Rigging Equipment Refer to Practice 000.653.3201.
1 Approved rigging practices are used. 3.0 3.0 100.0%
Rigging equipment is maintained and free of
2 3.0 3.0 100.0%
damage, excess wea, or defect.
All crane and sling hooks are equipped with a
3 3.0 3.0 100.0%
functional safety latch.
Regular inspections of rigging equipment are
4 performed and the equipment is tagged 1.0 1.0 100.0%
accordingly.
The throat of load hooks are measured
5 2.0 2.0 100.0%
periodically to detect change in hook gap.
Only trained employees are allowed to perform
6 3.0 3.0 100.0%
rigging.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
All rigging equipment has either manufacturers

7 3.0 3.0 100.0%
certifications or engineering approval.
Rigging practices are in compliance with

8 3.0 3.0 100.0%
Company rigging Standard 000502F1003.
Eye bolts have been inspected & configured for

9 3.0 3.0 100.0%
the capacity of the intended load.
10 Cable clamps are installed properly. 2.0 2.0 100.0%

E. Warning Methods Refer to Practice 000.653.3200.
Reflective triangles are provided for all
1 equipment and vehicles that operate on roads 2.0 2.0 100.0%
either on site or off site.
Reflective triangles are employed to warn of
2 equipment breakdown/accident or road 2.0 2.0 100.0%
hazards, as required.
Flashing lights and/or strobes are used on all
slow-moving vehicles that operate in the
3 2.0 2.0 100.0%
vicinity of large excavation and haulage
equipment.
F. Helicopter Operations
Helicopter landing areas provide required
clearance for rotors away from trees,
1 3.0 3.0 100.0%
buildings, roadways, utilities, poles, and
overhead wires.
2 Loose debris is kept clear of the landing area. 3.0 3.0 100.0%
Required landing pad lighting is provided and

3 3.0 3.0 100.0%
operable for night operations.
A wind sock or wind direction indicator is in

4 3.0 3.0 100.0%
place and in view of the landing area.
Helicopter safety procedures are posted and

5 3.0 3.0 100.0%
communicated to all passengers.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Aviation life jackets are provided and worn by

6 3.0 3.0 100.0%
all passengers when operating over water.
Helicopter inspections are performed regularly

7 by the owner/operator and are adequately 3.0 3.0 100.0%
documented.
G. Machine and Equipment Guarding Refer to Practice 000.653.3307.
Guards around pinch points, rotating
equipment, shafts, pulleys, belt drives, and
1 3.0 3.0 100.0%
chain drives are in place to prevent accidental
contact.
Equipment guards are firmly attached and are

of a material or design that will prevent
2 3.0 3.0 100.0%
contact by hands, clothing, tools, or material
or any other accidental worker contact.
Where rotating equipment maintenance work is

performed, the maintenance is performed with
3 3.0 3.0 100.0%
all guards in place. If the guards must be
removed, the equipment is locked and tagged.
Emergency stop cords are installed on all

4 conveyor belt lines. The emergency stop cords 3.0 3.0 100.0%
are functional and tested on a periodic basis.
Employees servicing or working near pinch

5 points or rotating equipment are not wearing 3.0 3.0 100.0%
loose clothing or any other loose articles.
H. Bridge Cranes Refer to Practice 000.653.3201.
Bridge crane operators are properly trained

1 2.0 2.0 100.0%
and certified.
Bridge crane controls are locked when not in
2 2.0 2.0 100.0%
use.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
I. Mobile Personnel Lifts Refer to Practice 000.653.3204.
1 Operators are properly trained and certified. 3.0 3.0 100.0%
Traveling with the boom extended and/or

2 3.0 3.0 100.0%
elevated is prohibited.
3 The equipment is operated on level ground. 3.0 3.0 100.0%
All employees working in the lift basket are

4 3.0 3.0 100.0%
properly "tied off."
The capacity of the equipment is known by the
5 3.0 3.0 100.0%
operator and is not exceeded.
The equipment is not used to hoist or support
6 3.0 3.0 100.0%
equipment or material.
J. Other 0.0 0.0
TOTAL 159.0 159.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer the Practice 000.653.3320. This practice provides the minimum requirements that must be met before employees may
64 FIRST LINE BREAKS enter a piping system or equipment. This practice also applies to all subsequent breaks in all undrained lines.
Isolation points have been identified and

locked and tagged out in accordance with the
A. 4.0 4.0 100.0%
project's Hazardous Energy Control and First
Line Break procedures.
Contents of line/equipment have been identified

and a review of associated hazards. PPE
B. 4.0 4.0 100.0%
requirements conducted with all involved
employees.
A walkdown of the line/equipment was
C. 4.0 4.0 100.0%
performed with operations personnel.
Line/equipment has been drained, flushed,
D. 3.0 3.0 100.0%
purged and is free of pressure.
Work is being performed under a work permit
that is posted in the immediate area and that
E. identifies specific line, date, time, special 3.0 3.0 100.0%
instructions, and with all required signatures
documented.
Emergency showers, alarm locations, and

F. 3.0 3.0 100.0%
procedures are documented on STA Form.
Work area has been properly barricaded and

G. 3.0 3.0 100.0%
posted to warn employees of work activity.
An unobstructed access to work area has been

H. 3.0 3.0 100.0%
provided and being maintained.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
If a standby employee is required, the employee

has donned the same level of protective
I. 3.0 3.0 100.0%
equipment/clothing as employees performing
work.
Barricades and signs are posted in the area to
J. 3.0 3.0 100.0%
warn employees as required.
Standard line-breaking practices (such as

K. loosening bolts on the lower and opposite side 3.0 3.0 100.0%
of employee making the break) are being used.
L. Other 0.0 0.0
TOTAL 36.0 36.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3311. Covers all work on P2S projects that involves excavating ground or breaking into walls,
floors, and ceilings that conceal services or provide structural support. It includes such operations as spiking, driving of
65 EXCAVATION AND TRENCHING poles, piles and pipes, chasing, and excavations. Describes the individual responsibilities of those involved in
excavation/break-in permitting, the permit requirements, and the issuing of excavation permits. Applies to all P2S and
contractor employeesl. Also refer to Practice 000.653.3322.
A supervisor and a Competent Person are in

A. 3.0 3.0 100.0%
charge of excavation and trenching.
B. Required excavation permits are utilized. 3.0 3.0 100.0%

Documented daily inspections performed
C. 3.0 3.0 100.0%
including adverse weather changes.
D. Spoil dirt is at least 2 ft (0.6 m) from the edge. 3.0 3.0 100.0%
Correct slope angle is maintained or shoring is

E. used where required and approved installation 3.0 3.0 100.0%
and removal procedures are followed.
F. Proper access and egress is provided. 3.0 3.0 100.0%
Approved barricades are erected at the edge of

G. 3.0 3.0 100.0%
all open trenches and excavations as required.
Before beginning any excavation or trenching,

H. all underground utilities in the work area are 3.0 3.0 100.0%
located.
Fall protection is implemented as required for

1 3.0 3.0 100.0%
excavations > 6.5 ft (2 m) in depth.
Confined space entry procedure is followed

when working in any excavation in an
I. 3.0 3.0 100.0%
operating facility, or where there could be a
presence of toxic/hazardous substances.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Possible soil contamination is known and

J. 3.0 3.0 100.0%
required excavation permits are used.
Risk assessment is made for bacteria (such as

K. 3.0 3.0 100.0%
Weil's disease).
Risk assessment is made in case of hyperbaric
L. 3.0 3.0 100.0%
conditions.
M. Other 0.0 0.0
TOTAL 39.0 39.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
STEEL ERECTION AND FLOOR Refer to Practice 000.653.3317. Provides minimum requirements for the erection process and protection of employees
66 during preengineered/fabricated building erection (self-perform or contracted). Defines building erection requirements.
AND WALL OPENING Applies to all projects/sites and execution offices. Also refer to Practices 000.653.3304 and 000.653.3311.
A. Required access and egress is provided. 3.0 3.0 100.0%
Required perimeter cables are used and

B. 4.0 4.0 100.0%
approved installation procedures are followed.
Floor openings are properly guarded or are

C. covered with a secured cover and properly 4.0 4.0 100.0%
labeled as such.
Elevated areas are free of loose excess
D. material and debris that could fall to levels 3.0 3.0 100.0%
below.
Static lines, catenary lines, etc., are installed to
E. 3.0 3.0 100.0%
facilitate employee tie-off.
F. Bolt-up requirements are met. 3.0 3.0 100.0%
G. Bolt buckets are used to contain bolts. 3.0 3.0 100.0%
H. Decking requirements are met. 4.0 4.0 100.0%
I. Approved rigging techniques are used. 3.0 3.0 100.0%
Barricades and signs are posted in the area to
J. 3.0 3.0 100.0%
warn employees as required.
Employees providing hand signals have
K. 3.0 3.0 100.0%
received hand-signal training.
Signals or warnings are provided when loads
L. 3.0 3.0 100.0%
are raised.
All employees are wearing and using required
M. 4.0 4.0 100.0%
PPE (safety harnesses & lanyards).
Taglines are used to control movement of all
N. 3.0 3.0 100.0%
suspended loads.
Floor grating sections are adequately secured
O. 3.0 3.0 100.0%
against displacement.
A steel erection safety plan has been developed
P. 3.0 3.0 100.0%
and implemented.
Q. Other 0.0 0.0


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
TOTAL 52.0 52.0 100.0% 0.00 0.00 0.00
Refer to Practice 000.653.3202. Provides guidelines to verify that all project employees fully understand their responsibilities
MATERIAL HANDLING AND and required actions for safely loading and unloading materials from vehicles such as trucks. Addresses the hazards and job
67 safety analysis, manual handling, lifting equipment, safety standards, and designated loading and unloading areas associated
STORAGE with loading and unloading. Applies to employees engaged in supply, delivery, and receipt of equipment and materials
during all phases of construction/maintenance on any area of the project. Also refer to Practice 000.653.3305.
All materials are stacked and stored in an

A. approved manner according to the material 2.0 2.0 100.0%
properties and characteristics.
Aisles and passageways are maintained clean
B. 2.0 2.0 100.0%
and unobstructed.
Employees have been trained in safe material
C. handling techniques and use safe handling 2.0 2.0 100.0%
techniques.
Materials are stacked to prevent displacement
D. 3.0 3.0 100.0%
and falling.
E. Employees are trained in back safety. 3.0 3.0 100.0%
Material handling equipment is used to
F. 2.0 2.0 100.0%
handle/move material when possible.
Material handling equipment (monorails, A-
G. 3.0 3.0 100.0%
frames, etc.) is labeled as to load capacity.
Softeners are used to protect wire and nylon
H. 3.0 3.0 100.0%
chokers where needed.
Employees use gloves to protect hands when
I. 2.0 2.0 100.0%
handling materials.
A health risk assessment is made for manual
J. load handling (loads, sizes, center of gravity, 1.0 1.0 100.0%
etc.)
TOTAL 31.0 31.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3301. This practice describes the standards for the safe operation of light vehicles and mobile
68 SIGNS, SIGNALS, BARRICADES equipment. The practice addresses project road maintenance, restricted areas and escort vehicles, speed, safety standards,
signage, journey management, driver training, and other related topics.
Accident prevention signs, symbols, and tags

A. are used as required to warn employees where 3.0 3.0 100.0%
potential hazards exist.
B. Flagmen are used where required. 3.0 3.0 100.0%

Barricade methods are used to prevent all
C. 3.0 3.0 100.0%
unauthorized entry.
Barricades are used to warn of potential
D. 3.0 3.0 100.0%
hazards.
E. A barricade procedure has been established. 1.0 1.0 100.0%
Flashing lights or other such methods are used

F. to warn equipment and vehicle operators of 3.0 3.0 100.0%
hazards on or near the roadway.
Signs are clearly posted to advise operators

G. and drivers of speed limits, pedestrians, and 3.0 3.0 100.0%
hazardous conditions.
Regular surveys are conducted to ensure that
H. adequate and proper signage are present in all 3.0 3.0 100.0%
work areas.
I. Other 0.0 0.0
TOTAL 62.0 62.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
69 TRAFFIC CONTROL Refer to Practice 000.653.3211.
A. Site has a traffic control plan. 2.0 2.0 100.0%

Traffic control plan is being used and proper
B. 3.0 3.0 100.0%
authorities notified.
Required Regulatory Transportation Authority
C. 3.0 3.0 100.0%
manuals available and utilized.
D. Work zones:
Barrels, jersey barriers, and others properly in
1 3.0 3.0 100.0%
place according to plan.
Signage in place, correct to standards, and
2 3.0 3.0 100.0%
legible.
Crash cushions in place
3 temporarily/permanent or truck mounted 2.0 2.0 100.0%
(mobile).
Work zones have proper spacing for buffer
4 3.0 3.0 100.0%
zones, channeling devices
Active flaggers and supervisors are trained on

work zone safety and flagging according to
E. 3.0 3.0 100.0%
governing transportation authority or other site
requirements for specific project location.
All active employeesl working in active

roadway or in work zone wearing proper
F. 3.0 3.0 100.0%
orange/green reflective vests and have on all
other proper PPE.
G. Other 0.0 0.0
TOTAL 25.0 25.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
FIRE PREVENTION AND Refer to Practice 000.653.3100. Fire prevention is part of every activity and should be considered in each STA, JSA, and
70 activity.
PROTECTION
A. Fire extinguishers are provided as required.
Located adjacent to each stairway on each

1 2.0 2.0 100.0%
floor level.
Where more than 5 gallons (18.9 liters) of

2 3.0 3.0 100.0%
flammable or combustible liquids are used.
At least one 20-lb (9.1-kg) extinguisher at fuel

3 3.0 3.0 100.0%
dispensing areas.
Required access to fire extinguishers is
B. 3.0 3.0 100.0%
maintained.
C. Extinguishers are identified as required. 2.0 2.0 100.0%
Inside storage of flammable liquids does not
D. exceed 25 gallons (94.6 liters) outside of an 3.0 3.0 100.0%
approved cabinet.
Inside storage cabinets are labeled as
required, and maximum limits (60 gallons
E. 3.0 3.0 100.0%
[227.1 liters] per cabinet and 3 cabinets per
area) are not exceeded.
Materials that react to water are not stored
F. 3.0 3.0 100.0%
with flammables.
Containers are electrically interconnected

G. (bonded) when flammable liquids are 3.0 3.0 100.0%
transferred from one container to another.
Portable storage tanks containing liquid

H. flammables are located at least 20 ft (6.1 m) 3.0 3.0 100.0%
away from buildings.
NO SMOKING - NO OPEN FLAMES signs
I. are posted where flammable liquids are used, 3.0 3.0 100.0%
dispensed, or stored.
J. LPG containers are not stored inside buildings. 3.0 3.0 100.0%


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Smoke detectors are provided in sleeping

K. 3.0 3.0 100.0%
quarters and are tested on a regular basis.
Fire suppression systems are inspected on a

L. 3.0 3.0 100.0%
regular basis to ensure functional availability.
Employees have been trained on how to

M. 2.0 2.0 100.0%
operate a fire extinguisher.
N. Other 0.0 0.0
TOTAL 42.0 42.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
LADDERS, SCAFFOLDS, ROOFS, Refer to Practices 000.653.3204, 000.653.3302, and 000.653.3303. Provides for the safety of employees who may need to
work at height. Wherever practicable, the need for employeesl to work at height should be eliminated. Describes controls for
71 AND ELEVATED WORK working at height and associated risk assessments. Applies to P2S project and contractor employees. Also refer to Practice
PLATFORMS 000.653.3304.
A. Ladders Refer to Practice 000.653.3302.
1 In good condition. 3.0 3.0 100.0%
2 Built and used in an approved manner. 3.0 3.0 100.0%
Secured in an approved manner and placed at
3 3.0 3.0 100.0%
the correct angle.
Exceed the landing area by 3 ft (.91 m) or have
4 3.0 3.0 100.0%
a grab rail.
Are not used where they can be displaced by
5 doors, equipment, etc., unless protected by 3.0 3.0 100.0%
guards or barricades.
Metal ladders not used where contact with
6 4.0 4.0 100.0%
electrical energy is possible.
7 Fixed ladder landing areas kept clear. 3.0 3.0 100.0%
Sections of cable tray or other materials not
8 3.0 3.0 100.0%
used as ladders.
B. Scaffolds Refer to Practice 000.653.3303.
Scaffolds are provided with required access
1 3.0 3.0 100.0%
and egress.
Scaffolds have a standard guard rail (43 in.
[109.2 cm] top rail, 21 in. [53.3 cm] midrail,
2 3.0 3.0 100.0%
and 4 in [10.2 cm] toe board) whenever
possible.
Scaffold tags are used to identify incomplete

3 1.0 1.0 100.0%
scaffolds and requirements for safe use.
Complete decking is provided whenever

4 3.0 3.0 100.0%
possible and is of scaffold-grade material.
Employees who erect and dismantle scaffolds
5 3.0 3.0 100.0%
are trained.
Scaffolds are free of defects and built per
6 3.0 3.0 100.0%
specifications.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Overhead protection is provided where there is
7 3.0 3.0 100.0%
exposure.
Casters are locked and pinned on mobile

8 3.0 3.0 100.0%
scaffolds when in use and no riding is allowed.
Outriggers are provided and used or the

scaffold is secured to the structure when the
9 3.0 3.0 100.0%
height exceeds 4 times the minimum base
dimension.
10 An approved base is provided. 3.0 3.0 100.0%
11 Scaffold boards are secured. 3.0 3.0 100.0%
Scaffold components are not interchanged

12 3.0 3.0 100.0%
between manufacturers/type.
Rope and/or cable are not used for guardrail

13 3.0 3.0 100.0%
protection.
A Competent Person inspects all scaffolding on

14 a daily basis and maintains a current and 3.0 3.0 100.0%
complete record of those inspections.
a. Approved design. 3.0 3.0 100.0%
One-point or two-point suspension scaffold are

1 3.0 3.0 100.0%
erected in an approved manner
Approved independent life line provided for
b. 4.0 4.0 100.0%
each person on a suspension scaffold.
Independent life lines and suspension scaffold
c. cable are not secured to the same item anchor 4.0 4.0 100.0%
point.
d. Approved rope grab lanyards provided. 4.0 4.0 100.0%
e. Tie-off fall protection used. 4.0 4.0 100.0%
Elevated work platforms (high-jackers, scissors
C. Refer to Practice 000.653.3204.
lifts, JLGs, etc.)
Elevated scaffold platforms are of substantial

1 3.0 3.0 100.0%
construction and properly secured.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
2 A means of tie-off is provided and used. 4.0 4.0 100.0%
3 Required access and egress is provided. 3.0 3.0 100.0%
Elevated work platforms are used in
4 accordance with manufacturer's 3.0 3.0 100.0%
recommendations.
a. Outriggers provided and used as required. 3.0 3.0 100.0%
b. Ground controls operational. 3.0 3.0 100.0%

c. Operators trained and certified. 3.0 3.0 100.0%
d. Fall protection provided and used. 4.0 4.0 100.0%
Employees maintain both feet on the platform,
and do not use equipment as a means of
e. 3.0 3.0 100.0%
access /egress, and do not work from guard
rails.
D. Roofs Refer to Practice 000.653.3304.
1 All permits are in place. 1.0 1.0 100.0%
All the hazards from adjacent activities such as

2 vents, relief valve, traveling cranes, working 3.0 3.0 100.0%
below the roof line, et., have been identified.
The roof is designed to withstand the weight of

3 all employees and equipment that will be 3.0 3.0 100.0%
required.
4 Crawl boards are used as required. 3.0 3.0 100.0%
Employees are protected from falling off the

5 3.0 3.0 100.0%
roof, through skylights, or through the roof.
People below are protected from falling

6 3.0 3.0 100.0%
materials.
7 Roof worker tools are being used safely. 3.0 3.0 100.0%
8 Roof workers have appropriate footwear. 3.0 3.0 100.0%
Roof workers are protected from glare and UV
9 3.0 3.0 100.0%
rays.
E. Other 0.0 0.0


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
TOTAL 141.0 141.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3312 Provides the requirements for employees who perform work involving earthwork, concrete,
CONCRETE, CONCRETE and masonry. Provides for safe systems of work in place. Describes safety roles for earth moving equipment and concrete
72
FORMS, SHORING, MASONRY work including transport, pumping, cutting, mixing, shoring, precast and masonry construction, and rebar. Covers all work
that involves equipment used in bulk earthworks and civil works practices.
A. Required access and egress are provided. 3.0 3.0 100.0%
All exposed rebar ends are protected from

B. 4.0 4.0 100.0%
exposure, both vertical and horizontal.
Masonry saws are guarded with a semicircular

C. 3.0 3.0 100.0%
enclosure cover.
All shoring erected to contain and/or support

D. concrete is the required type and approved 3.0 3.0 100.0%
installation procedures are followed.
Precast and lift slab operations are performed

E. 3.0 3.0 100.0%
in accordance with respective standards.
PPE required for these operations is provided

F. and used which includes safety glasses, gloves, 3.0 3.0 100.0%
proper clothing, and foot wear.
All connections on air hoses and pipes are

G. 3.0 3.0 100.0%
secured to prevent displacement.
Effective dust collection and ventilation is in
H. 3.0 3.0 100.0%
place.
Risk assessment on dust hazards is performed

I. (dermatitis/respiratory sensitizers) and 1.0 1.0 100.0%
recommendations are followed.
J. Other 0.0 0.0
TOTAL 26.0 26.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
73 DEMOLITION Refer to Practices 000.653.1002 and 000.653.33130.
A. All operations are planned. 3.0 3.0 100.0%
B. Required access and egress are provided. 3.0 3.0 100.0%
Material removal (floor holes, skip-pan,

C. chutes, etc.) is conducted in an approved 3.0 3.0 100.0%
manner.
All asbestos containing-material was
D. 3.0 3.0 100.0%
removed before demolition.
Structural member removal is conducted
E. 3.0 3.0 100.0%
in an approved manner.
F. Health risks are assessed for: Refer to Practices 000.653.2000, 000.653.2001, and 000.653.3003.
1 Noise 1.0 1.0 100.0%
2 Dust 1.0 1.0 100.0%
3 Asbestos 1.0 1.0 100.0%
4 Repetitive strain injury (RSI) 1.0 1.0 100.0%
5 Vibration white finger 1.0 1.0 100.0%
6 Lead 1.0 1.0 100.0%
7 Other 1.0 1.0 100.0%
G. Other 0.0 0.0
TOTAL 22.0 22.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3314. Provides guidelines for those employees required to perform work that involves drilling and
BLASTING - USE OF
74 blasting operations. Addresses managing drilling contractors, blast operations, and encountering fibrous material
EXPLOSIVES procedures. Covers all work that involves drilling and blasting operations. Applies globally to P2S and its contractors.
A blasting procedure has been developed and

A. 3.0 3.0 100.0%
addresses all current blasting activities.
B. The blasting procedure is followed. 4.0 4.0 100.0%

Storage and transport of explosives are done in
accordance with regulatory requirements,
C. 4.0 4.0 100.0%
manufacturers instruction, and the blasting
policy and procedures.
An approved method for identifying and safely

removing/eliminating "boot legs" or
D. 4.0 4.0 100.0%
unsuccessfully detonated charges has been
developed.
Employees handling and using explosives have
E. 4.0 4.0 100.0%
been trained and are certified.
F. Other 0.0 0.0
TOTAL 19.0 19.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to 000.653.3319. Provides guidelines for the minimum requirements that will be met by P2S and its
HIGH-PRESSURE WATER contractors/subcontractors when performing high-pressure water cleaning (HPWC). Defines the methods and training
75
CLEANING requirements for high-pressure water cleaning. Applies globally to P2S and its contractors. Also refer to Practice
000.653.3103.
Operators are wearing rain suits, gloves, face

shields, hard hats, safety glasses with side
A. 3.0 3.0 100.0%
shields, and rubber steel toe boots or
metatarsal guards.
Standby perator is wearing hard hat and safety

B. 3.0 3.0 100.0%
glasses with side shields.
Operators are not allowing any part of their

C. 4.0 4.0 100.0%
body to be placed in front of the water jet.
Operators are not handling hose within one

D. 4.0 4.0 100.0%
foot of hose-to-hose connections.
E. Operators are trained annually at a minimum. 3.0 3.0 100.0%
Hose data such as manufacturer's symbol,

serial number, working and test pressure, and
F. certified rating that will provide a safety factor 3.0 3.0 100.0%
of 3 to 1 against burst is recorded and retained
at the project.
Work area is barricaded at a minimum of 15 ft

G. (4.6 m) and signs stating, "DANGER - HIGH 3.0 3.0 100.0%
PRESSURE WATER CLEANING."
Equipment to be cleaned is
H. dismantled/isolated, locked, and tagged as 4.0 4.0 100.0%
required.
All fittings and components meet
I. 3.0 3.0 100.0%
manufacturer's guidelines.
Records of high-pressure water cleaning
J. 1.0 1.0 100.0%
equipment inspection are on file.
Lance or mole marker 60 cm (24 in.) from
K. 3.0 3.0 100.0%
nozzle end.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Shotguns have a 6-ft (1.8-m) shroud and are a

L. 3.0 3.0 100.0%
minimum of 66 in. (167.6 cm) in length.
Safety equipment has not been altered or

M. 3.0 3.0 100.0%
bypassed.
Water quality is checked, and water contains

N. 2.0 2.0 100.0%
no bacteria dangerous to people.
O. Other 0.0 0.0
TOTAL 42.0 42.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.2004. This practice outlines minimum requirements for protecting employees engaged in shot,
76 ABRASIVE BLASTING sand, or other abrasive blasting operations. Also refer to Practice 000.653.3103.
All employees conducting abrasive blasting

A. operations have completed the medical 1.0 1.0 100.0%
requirements for use of respiratory protection.
B. PPE for abrasive blasting workers includes:
An airline respirator with continuous flow in a

1 protective hood to cover the head, neck, 3.0 3.0 100.0%
shoulders, and chest is provided.
Each hood is equipped with view ports made of

2 impact resistant safety glass or plastic covered 3.0 3.0 100.0%
by a metal screen.
An air purifier and filter for removal of oil,
water, and any other organic matter
3 3.0 3.0 100.0%
contaminant that might be discharged from the
compressor is provided.
A pressure regulator with an attached gauge is
4 provided if the compressor exceeds 25 psi or 3.0 3.0 100.0%
equivalent.
A pressure relief valve is attached in case of
5 3.0 3.0 100.0%
regulator failure.
Each abrasive blasting worker is provided with
6 an airline hose of not more than 300 ft (91.4 3.0 3.0 100.0%
m).
7 Gauntlet-type leather gloves 3.0 3.0 100.0%
8 Hard leather work shoes 3.0 3.0 100.0%
Clothing made of strong-fibered material,
9 3.0 3.0 100.0%
resistant to flying debris.
An automatic alarm system that will
automatically signal both audio and visual
10 3.0 3.0 100.0%
alarms if the carbon monoxide (CO) level
reaches 10 ppm.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
11 Adequate hearing protection devices 3.0 3.0 100.0%
Airline hoses are made of a nonelectrical

C. conductor material and hose lengths are joined 3.0 3.0 100.0%
by couplings secured to the outside of the hose.
Cable at least 1/4 in. (0.5cm) in diameter or

D. 3.0 3.0 100.0%
safety chains are used at each hose connection.
Nozzles are attached to the hose by fittings that

E. 3.0 3.0 100.0%
prevent the nozzle from becoming disengaged.
Deadman controls are provided for the nozzle

F. 3.0 3.0 100.0%
and hose.
Hoses are not compatible with other air hoses
G. and are capped or otherwise protected when 3.0 3.0 100.0%
not in use.
The compressor has a receiver with a 30-
H. 3.0 3.0 100.0%
minute air supply.
I. Air samples are collected. 3.0 3.0 100.0%
Abrasive blasting areas are barricaded and
J. 3.0 3.0 100.0%
posted "KEEP OUT".
K. Other 0.0 0.0
TOTAL 58.0 58.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
TANK AND PIPING SYSTEM Refer to Practice 000.653.3321. This practicee outlines safety requirements for pressure-testing piping and tank systems
77
TESTING regardless of tank or system size or pressure.
A. The test class has been determined. 3.0 3.0 100.0%
Proper notification has been given to all plant

B. areas impacted or potentially impacted by the 3.0 3.0 100.0%
testing.
A pre-test meeting has been held with
C. managers of all areas and activities that may 3.0 3.0 100.0%
be affected.
An STA meeting has been held with employeesl
D. 3.0 3.0 100.0%
participating in the test.
A test plan has been written and reviewed by
E. the Site/Project HSE Manager or designated 3.0 3.0 100.0%
representative.
The test procedure is in accordance with
F. Engineering Master Specification 000 250 3.0 3.0 100.0%
50050.
Hazards of pressure testing are communicated
G. 3.0 3.0 100.0%
to all employees.
The employees conducting the test are given
H. 3.0 3.0 100.0%
sufficient instruction and training.
I. Other 0.0 0.0
TOTAL 24.0 24.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3316. This practice identifies the minimum safety requirements when welding a hot tap connection
78 HOT TAPPING PROCEDURE onto an existing pipe or vessel in a refinery, chemical plant, or other similar facility.
A detailed procedure has been written for each

A. 1.0 1.0 100.0%
hot tap.
Each procedure conforms to the requirements

B. of American Petroleum Industry (API) 2201, 1.0 1.0 100.0%
latest edition and all references therein.
The client is included in all phases of each hot

C. 1.0 1.0 100.0%
tap process.
Each proposed hot tap procedure has passed
through all engineering design and approval
D. 1.0 1.0 100.0%
cycles including client, P2S, contractor, and
subcontractor approvals.
Metallurgical analysis has been completed for
E. 3.0 3.0 100.0%
each hot tap.
Certification documentation for specific

F. 1.0 1.0 100.0%
conditions is on file for each hot tap machine.
Hot tap machines are carefully inspected

G. (particularly the cutter and pilot bits) before 3.0 3.0 100.0%
use.
An STA has been executed before starting hot
H. 3.0 3.0 100.0%
tap procedures.
Hot tapping is performed by experienced
I. 3.0 3.0 100.0%
professionals.
Welding is performed according to applicable

J. 3.0 3.0 100.0%
code and specification by qualified welders.
K. Other 0.0 0.0
TOTAL 20.0 20.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
TRAVELING AND WORKING

79 Refer to Practices 00653 1004 and 000.653.1401. The practices outline requirements for traveling and working alone.
ALONE
A travel process is developed and
A. 1.0 1.0 100.0%
Risk assessments are conducted when there is a

B. 1.0 1.0 100.0%
need for employees to work alone.
Site-specific safe work practices are written for

C. conditions when an employee needs to work 1.0 1.0 100.0%
alone.
D. Other 0.0 0.0
TOTAL 3.0 3.0 100.0% 0.00 0.00 0.00
Refer to Practice 000.653.3322 Defines the requirements associated with a Permit to Work to enter and perform work in
80 CONFINED SPACES confined spaces. Outlines confined space entry permitting, hazards, requirements for permitting, and employee
responsibilities. Applicable to all confined space entries on the P2S project/site.
A confined space entry procedure that meets

A. 2.0 2.0 100.0%
requirements is in place.
Lighting and electrical tools used inside

B. 3.0 3.0 100.0%
confined spaces are 12 volt or GFCI-protected.
Required emergency equipment is available

C. (such as body harness, SCBA, or fire 3.0 3.0 100.0%
extinguisher).
Standby attemdamt is used and is trained in

D. 3.0 3.0 100.0%
confined space procedures and responsibilities.
Air sampling performed, checking % 02 and %

E. 3.0 3.0 100.0%
L.E.L, at a minimum.
Energy isolation/lockout is implemented
F. 3.0 3.0 100.0%
relative to confined space work.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Entry permits that meet requirements are used,
G. and signoff for responsible parties is provided 2.0 2.0 100.0%
and followed.
Winch/hoisting equipment is immediately

H. available to hoist employees out of confined 3.0 3.0 100.0%
spaces if emergency situation requires.
Risk assessment on dust/vapors is performed

and measures are taken to avoid prolonged
I. 2.0 2.0 100.0%
contact with hazardous materials (such as
respiration protection and ventilation).
J. Other 0.0 0.0
TOTAL 24.0 24.0 100.0% 0.00 0.00 0.00
Refer to Practice 000.653.2300. Establishes the necessary requirements and controls to be used by employees when
81 RADIATION performing tasks involving X-raying or radiographic work. Details the use of radiation sources. Applies globally to P2S and
its contractors.
A. Health risk assessment is made and is current. 2.0 2.0 100.0%
Radiation is incorporated in the HSE

B. 2.0 2.0 100.0%
Management Plan.
C. A radiation protection advisor is appointed. 2.0 2.0 100.0%
Nondestructive testing is planned and

D. 2.0 2.0 100.0%
communicated.
Monitoring in the direct working area
E. (enclosure or cabinet) and outside the working 2.0 2.0 100.0%
area is performed continually.
F. Each radiographer wears a dosimeter. 2.0 2.0 100.0%
Access routes, warning notices, and signals are

G. 2.0 2.0 100.0%
unambiguously defined and communicated.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Emergency plan for foreseeable incidents is in
H. 2.0 2.0 100.0%
place.
I. Other 0.0 0.0
TOTAL 16.0 16.0 100.0% 0.00 0.00 0.00
Refer to Practice 000.653.2005. Employees may be exposed to lead aerosols through various operations dealing with paint
82 LEAD and coatings. These operations include but are not limited to cutting, welding, abrasive blasting, sanding, and heating.
An initial determination of reasonable lead

A. 3.0 3.0 100.0%
exposure opportunities has been conducted.
A thorough Employee Exposure Assessment

B. 3.0 3.0 100.0%
(EEA) has been conducted .
The EEA documentation is maintained with the

C. 1.0 1.0 100.0%
project files for the prescribed period of time.
A written compliance plan is in place before

D. 1.0 1.0 100.0%
beginning field work.
Employees with potential exposure are trained
E. 3.0 3.0 100.0%
sufficiently .
The proper PPE is provided to employees with
F. 3.0 3.0 100.0%
potential exposure.
Engineering controls (including signage) are in
G. 3.0 3.0 100.0%
place.
Medical surveillance is provided to exposed
H. 1.0 1.0 100.0%
employees.
All EEA, medical surveillance, biological

I. monitoring, and employee placement records 1.0 1.0 100.0%
are complete and properly maintained.
J. Other
TOTAL 19.0 19.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
FIBROUS MATERIAL AND

83 Refer to Practices 000.653.2006 and 000.653.3310.
ASBESTOS
Refer to Practice 000.653.3310. Naturally occurring fibrous materials/minerals may be encountered during blasting or
A. Naturally Occurring Fibrous Material excavating certain rock formations as a part of preparing railway cuts, quarries, haul roads, open pits, or other ground
disturbances.
Procedures for handling naturally occurring

fibrous materials are in accordance with
1 1.0 1.0 100.0%
relevant governmental standards and
regulations and P2S's policy.
There is a written plan for dealing with fibrous

2 1.0 1.0 100.0%
materials.
The plan is available to all employees and
3 1.0 1.0 100.0%
contractors.
4 The plan includes:
Procedure for identification of BIF and/or
i 3.0 3.0 100.0%
fibrous material.
A PPE provisions including respiratory
ii 3.0 3.0 100.0%
protection.
iii An excavation strategy. 3.0 3.0 100.0%
Procedures for disposal of any asbestos-
iv 3.0 3.0 100.0%
containing material.
v Procedures for handling asbestos. 3.0 3.0 100.0%
Records of all sampling, handling, and
5 1.0 1.0 100.0%
disposal activities are complete.
Refer to Practice 000.653.2006. This procedure provides guidelines for removal and handling of asbestos as found in small
B. Incidental Asbestos Handling previously unidentified quantities.
Procedures for handling and disposal of

asbestos or asbestos-containing material occur
1 1.0 1.0 100.0%
in accordance with relevant governmental
standards and regulations and P2S policy.
There is a written plan for handling asbestos or

2 1.0 1.0 100.0%
asbestos-containing material.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
The plan provides for employee medical
3 3.0 3.0 100.0%
monitoring.
The plan includes proper PPE including
4 3.0 3.0 100.0%
respiratory protection.
5 The plan includes air monitoring. 3.0 3.0 100.0%
Proper engineering controls and work
6 3.0 3.0 100.0%
practices are in place.
All records of employees and asbestos handling

7 and removal are complete and accurate, 1.0 1.0 100.0%
including employee medical records.
C. Other 0.0 0.0
TOTAL 34.0 34.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
84 TIRE MANAGEMENT Refer to Practice 000.653.3210.
A. Haul routes are properly maintained. 3.0 3.0 100.0%

B. All employees are properly trained. 3.0 3.0 100.0%
Haul routes are within the haul truck tire
C. 1.0 1.0 100.0%
TKPH ratings of the manufacturer.
Truck operations are monitored to not exceed
D. 1.0 1.0 100.0%
TKPH ratings.
Truck tire TKPH ratings are calculated and
E. 1.0 1.0 100.0%
verified for new haulage routes.
F. Truck load weights are not exceeded. 3.0 3.0 100.0%
G. Haul routes are specified. 1.0 1.0 100.0%
H. Cycle requirements are not exceeded. 1.0 1.0 100.0%
I. Haul speeds are within requirements. 3.0 3.0 100.0%
J. Tire condition is monitored. 3.0 3.0 100.0%
Trucks are fitted with tires with the proper
K. 2.0 2.0 100.0%
TKPH specifications.
Tire supplier monitors haulage operations to

L. verify tire TKPH calculations, and trucks are 1.0 1.0 100.0%
fitted with correct tires.
Records on haulage routes are maintained

M. including load weight, route, average cycle 1.0 1.0 100.0%
time, and maximum cycles allowed per shift.
N. Other 0.0 0.0
TOTAL 24.0 24.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Refer to Practice 000.653.3206. This practices outlines the requirements for operations, hazards, and safe work practices
85 MARINE OPERATIONS including dredging, diving, barge, tug, work boat, floating crane, or similar water activities.
Risk assessments have been conducted for all

A. 1.0 1.0 100.0%
marine activities or tasks.
The risk assessments consider meteorological
B. 1.0 1.0 100.0%
data and conditions.
All activities are coordinated and scheduled
with impacted parties including port
C. 3.0 3.0 100.0%
authorities, clients, contractors and
subcontractors, and emergency personnel.
D. PPE for marine operations include:
Life jackets (inflatable once in water) fitted

1 3.0 3.0 100.0%
with whistles and self-activating lights.
2 Retrieval harness and static lines. 3.0 3.0 100.0%

3 Life lines. 3.0 3.0 100.0%
4 Buoys, beacons, and flares. 3.0 3.0 100.0%
All vessels are properly certified by in-country
E. 1.0 1.0 100.0%
and local regulations.
F. All vessels must carry:
First-aid kits of suitable size and content for all

1 potential incidents and injuries to enable 3.0 3.0 100.0%
stabilizationand transfer of an injured person.
Equipment and procedures for transferring

2 3.0 3.0 100.0%
employees from vessel-to-vessel or shore.
Sufficient life-saving equipment, including life

jackets, flares, smoke indicators, retrieval rings
3 3.0 3.0 100.0%
and ropes for all employees, stored in a
waterproof floatation container.
Where practicable and necessary, a tender of

4 suitable capacity for emergency rescue and 3.0 3.0 100.0%
transfer of injured employees.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Each vessel involved in the operation has a
G. 1.0 1.0 100.0%
vessel HSE plan.
H. Other 0.0 0.0
TOTAL 31.0 31.0 100.0% 0.00 0.00 0.00

Refer to Practice 000.653.3205. This procedure provides guidelines for working near or on an operating railroad and
86 RAILROAD OPERATIONS general track construction and maintenance.
A. A risk assessment has been completed. 1.0 1.0 100.0%
B. A railroad work HSE plan has been written. 1.0 1.0 100.0%
The plan is available to all employees and
C. 1.0 1.0 100.0%
contractors.
All work is scheduled and coordinated with the

D. 3.0 3.0 100.0%
local railroad authority and the client.
Machinery and equipment are inspected and

E. determined to be in safe operating condition 3.0 3.0 100.0%
before use.
Only authorized employees are allowed to
F. 1.0 1.0 100.0%
work on or near railroad tracks.
Unless under track possession conditions, no

G. 3.0 3.0 100.0%
person is to "walk the track".
Mobile equipment and vehicles are required to

stop, look both ways, and wait for at least 3
H. seconds to verify that the track is clear before 3.0 3.0 100.0%
proceeding to cross grade-level railroad
crossings.
Tracked equipment is not allowed to cross any

I. railroad without authorization by the Project 2.0 2.0 100.0%
Manager.
Employees are not to board a stationary or
J. 3.0 3.0 100.0%
moving locomotive or rolling stock.
Employees are not to interfere with detonators

K. 3.0 3.0 100.0%
or other site-protection devices.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
No derailed vehicle is to be run on the track
L. unless inspected and authorized by a 3.0 3.0 100.0%
designated person.
No person may obstruct tracks without
M. 3.0 3.0 100.0%
permission.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Employees are prohibited from climbing over,

N. 3.0 3.0 100.0%
under, or between locomotives or rolling stock.
O. Other 0.0 0.0
TOTAL 33.0 33.0 100.0% 0.00 0.00 0.00
Refer to Practice 000.653.4000. Storm water discharge should be controlled and should be free of pollutants such as
suspended solids, oil, or chemical residues, including detergents and soil or mud from washing vehicles, especially when the
87 SITE DRAINAGE/SEWAGE wash water may carry oil and grease or the seeds of noxious plants into natural waterways. Look for debris in the drains and
traps, blocked drains, or drains with vegetation growing in them.
Erosion control measures/equipment (such as

A.
silt fence, hay bales, etc.) are in place.
3.0 3.0 100.0%
Erosion control measures/equipment are in

B.
good condition.
3.0 3.0 100.0%
Storm water discharges from the project

C. include anything that may pollute natural 3.0 3.0 100.0%
waters.
The site has a discharge permit, such as a

permit issued under the U.S. National Pollutant
Discharge Elimination System (NPDES)
D.
program or applicable in-country regulation.
2.0 2.0 100.0%
If so, monitoring and reporting discharge
concentrations are required.
Sewage disposal system (such as at employee

E.
camp) is approved by regulatory agency.
2.0 2.0 100.0%
Septic tanks are cleaned on a regular basis to

F.
avoid overflow.
3.0 3.0 100.0%
The site has pollution-control equipment

G. available and the site has implemented controls 2.0 2.0 100.0%
to reduce water discharges.
H. Other 0.0 0.0


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
TOTAL 18.0 18.0 100.0% 0.00 0.00 0.00
HAZARDOUS AND DANGEROUS

88
WASTE MANAGEMENT
Waste is disposed of in accordance with

regulatory requirements. Wastes include
A. solid, semi-solid, and liquid waste. Waste is 3.0 3.0 100.0%
only disposed at permitted facilities able to
accept the waste.
Hazardous materials are appropriately stored
B.
in approved areas.
3.0 3.0 100.0%
Waste containers are labeled in accordance

C. with requirements and site-specific plans and 3.0 3.0 100.0%
procedures.
Mechanisms are in place to properly identify
D.
and manage waste streams.
3.0 3.0 100.0%
Mechanisms are in place to properly designate

E,
waste.
3.0 3.0 100.0%
Mechanisms are in place to manage dangerous

F. waste subject to land disposal restrictions in a 3.0 3.0 100.0%
compliant manner.
Generator activities for the management of
G. dangerous waste are implemented for the 3.0 3.0 100.0%
project.
Dangerous waste containers are managed and
H. stored in accordance with regulatory and 3.0 3.0 100.0%
contract requirements.
TOTAL 24.0 24.0 100.0% 0.00 0.00 0.00


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
89 WATER QUALITY
Water quality permit conditions, control

standards, monitoring standards, reporting,
A. and recordkeeping requirements are 3.0 3.0 100.0%
implemented for hazardous and potentially
hazardous wastewater discharges.
Management ensures mechanisms are in place

to identify the need for and develop water
quality permits or documents that include
B. associated control standards, monitoring 3.0 3.0 100.0%
standards, reporting, and recordkeeping
requirements to protect the employee, public,
and environment.
Construction methods are documented and

C. implemented to minimize the impact of 3.0 3.0 100.0%
construction activities on water quality.
Management ensures development, submittal,
D. retention, and disposition of water quality 3.0 3.0 100.0%
reports and notifications.
Wastewaters are tested and/or evaluated for

hazardous constituents in accordance with
E. regulations and site-specific plans. Testing is 3.0 3.0 100.0%
performed for bacteriological contaminants as
well as hazardous contaminants.
Wastewater is discharged in accordance with

F. applicable regulatory, permit, or site-specific 3.0 3.0 100.0%
requirements.
Wastewater is not discharged to areas that are

G. not designed to accommodate the discharge or 3.0 3.0 100.0%
that result in pooling of water.


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
Wastewaters are disposed of in accordance

with regulatory requirements, contract
requirements, or as formally directed by the
H.
client. If formal direction is received from the
3.0 3.0 100.0%
client, the direction must be kept as part of the
permanent project files.
Erosion control measures to preclude run-on

and run-off have been implemented in
I
accordance with the site-specific plans and
3.0 3.0 100.0%
procedures.
J. Other 0.0 0.0
TOTAL 27.0 27.0 100.0% 0.00 0.00 0.00
90 STORAGE TANKS
Mechanisms are in place to identify and

develop underground storage tank permits or
A. documents that include associated control 3.0 3.0 100.0%
standards, monitoring standards, reporting,
and recordkeeping requirements.
Hazardous substance tank storage permit

conditions, performance standards, release
detection, corrosion protection requirements,
B. reporting, and recordkeeping requirements are 3.0 3.0 100.0%
implemented for underground and
aboveground storage tanks that store regulated
substances.
Hazardous substance storage tank reports and

C. notifications are properly developed, 3.0 3.0 100.0%
submitted, retained, and dispositioned.
D. Other 0.0 0.0


** IMMINENT DANGER
*
Percentage REPEATED
100
(X)
(X)
(X)
TOTAL 9.0 9.0 100.0% 0.00 0.00 0.00
POLYCHLORINATED
91
BIPHENYLS
Mechanisms are in place to develop

transformer registrations and disposal pathway
A.
documentation for polychlorinated biphenyl
3.0 3.0 100.0%
(PCB) waste and equipment.
PCB management standards, inspection,

storage, reporting, and recordkeeping
B.
requirements are implemented for PCB
3.0 3.0 100.0%
equipment and waste.
C. Other 0.0 0.0
TOTAL 6.0 6.0 100.0% 0.00 0.00 0.00
92 PESTICIDE USE
Pesticide use and control requirements are
A.
implemented.
3.0 3.0 100.0%
B. Other 0.0 0.0
TOTAL 3.0 3.0 100.0% 0.00 0.00 0.00
93 POTABLE WATER
Potable water delivery is performed in
accordance with requirements and, at a
A.
minimum, in a sanitary manner, including
4.0 4.0 100.0%
backflow preventers where appropriate.
B. Other 0.0 0.0
TOTAL 4.0 4.0 100.0% 0.00 0.00 0.00


Field Implementation Details F0951

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Form 000.653.

HEALTH, SAFETY, AND ENVIRONMENTAL SITE SELF-ASSESSMENT

What You Should Know Before Conducting the Self-Assessment

When Should a Self-Assessment be Performed

Reduction Points - Repeat Deficiency

Reduction Points - Imminent Danger

Reduction Points - Environmental Damage

Comments and Recommendations

Copyright © 2009, P2S. All Rights Reserved.

Evaluator Closeout Letter

Sample of Evaluator's Closeout Cover Letter

Copyright © 2009, P2S. All Rights Reserved.

OFFICE ADMINISTRATION and FIELD EXECUTION

Copyright © 2009, P2S. All Rights Reserved.

WHAT YOU SHOULD KNOW BEFORE CONDUCTING THE SELF-ASSESSMENT

WHEN SHOULD A SELF-ASSESSMENT BE PERFORMED

Copyright © 2009, P2S. All Rights Reserved.

§ After a serious injury or fatal accident

Copyright © 2009, P2S. All Rights Reserved.

The purpose of the opening conference is to:

1 = Company safety policy or administrative requirement

Copyright © 2009, P2S. All Rights Reserved.

Copyright © 2009, P2S. All Rights Reserved.

Strategic initiatives will apply to all projects.

REDUCTION POINTS - REPEAT DEFICIENCY

Copyright © 2009, P2S. All Rights Reserved.

§ Has this condition been noted in a previous self-assessment? Yes______ No______

Copyright © 2009, P2S. All Rights Reserved.

REDUCTION POINTS - IMMINENT DANGER

Copyright © 2009, P2S. All Rights Reserved.

REDUCTION POINTS - ENVIRONMENTAL DAMAGE

§ Existing leaks in septic or sewage systems

Copyright © 2009, P2S. All Rights Reserved.

Copyright © 2009, P2S. All Rights Reserved.

§ Maximum possible points

The detailed self-assessment score summary shows, by section name:

§ Maximum possible points

Total Assessed Score = Compliance Score (%)

Copyright © 2009, P2S. All Rights Reserved.

Total Assessed Score - Total Reduction Points* = Final Score (%)

COMMENTS AND RECOMMENDATIONS

Copyright © 2009, P2S. All Rights Reserved.

The closing conference should be specifically used to accomplish the following:

Copyright © 2009, P2S. All Rights Reserved.

A sample final report table of contents is as follows:

SECTION 1 COVER LETTER

SECTION 2 AUDIT SCORE SHEET

SECTION 3 ADMINISTRATIVE AUDIT

SECTION 4 FIELD EXECUTION AUDIT

Copyright © 2009, P2S. All Rights Reserved.

The closeout report should be filed with the self-assessment report.

EVALUATOR CLOSEOUT LETTER

Note: This form is referenced in Practices 000.653.1101 and 000.653.1305.

Copyright © 2009, P2S. All Rights Reserved.

ASSESSMENT PROFILE SHEET

EVALUATOR(S) LABOR POSTURE ACTIVITY

OPEN SHOP CONSTRUCTION

MERIT SHOP MAINTENANCE

AMERICAS AFRICA EAST US NLA CANADA

GENERAL REQUESTED BY CLIENT FOLLOW-UP (Post Failure)

Total DART-Ls - Project To Date: Total Recordables - Project To Date:

Copyright © 2009, P2S. All Rights Reserved.

FINAL SCORE SHEET

§ Has this condition been noted in a previous self-assessment? Yes No