648 4 6
P&SC Supplier-HSE
MS Sub-El.
Verificat.
2,1 Interviews/Records
2,1 Interviews/Records
5,2 Interviews/Records
3,3 Interviews/Physical
Checks/Records
1,1 Interviews/Records
3,5 Interviews/Records
5,1 Interviews/Records
5,1 Interviews/Records
8 10
COMPLETED
0/24
QUESTIONS
Checklist Date: [Date]
Auditor Name: [Team Leader Name]
Category
Answer
Answer
Range
Topic
Q-Nr
Question Remarks Assessor Guidance
P&SC-HSE 13851 Is there a documented policy for HSE? CAT1 Y,N Yes: There is a documented policy for HSE.
No: There is not a documented policy for HSE.
P&SC-HSE 17287 Is the HSE policy fully implemented? CAT1 Y,N,N/A Yes: The policy is implemented, periodic communications are done to remind it and
a consistent and structured training program is in place to make sure it is
understood and applied
No: Policy is not fully is place or implementation approach and tools are not
sustainable
P&SC-HSE 17296 Has the supplier had Zero fatalities in the past 24 months? CAT1 Y,N
P&SC-HSE 17299 Are these overall competencies monitored on a regular basis? CAT1 Y,N All suppliers should have safety training available to their employees, whether it be
health, mechanical lifting, reporting etc.
Yes: The competencies are monitored on a regular basis to identify gaps in
training.
No: Competencies are not reviewed periodically.
P&SC-HSE 13850 Do you have a dedicated person/ organization for HSE? CAT2 Y,N A HSE person available to a supplier is beneficial but not mandatory. Some
suppliers hire external HSE Personnel (Agency); this is an acceptable way to have
HSE checkd within a company or the responsibilities lie with the mangement team.
Yes: There is a dedicated HSE person or the supplier use an external resource to
maintain the expected level of HSE or the manager has clear roles and
responsibilities for HSE in his job description.
No: There are no HSE roles or responsibilities assigned to anyone within the
company.
P&SC-HSE 13852 Are there HSE Standards and Procedures? CAT2 Y,N Yes: The supplier can provide evidence of documented standards and procedures
for HSE. This may be a in a manual form and accessible to all employees.
No: The supplier cannot provide evidence of documented standards or procedures.
P&SC-HSE 13853 Does the supplier have a documented disaster preparedness CAT2 Y,N A disaster preparedness document should be in place to cover any natural disaster
plan in place and has it been reviewed in the past 6 months? that may occur such as hurricane or tornado etc. This should align what the
particular roles of personnel at the location are and what is the guidance of the
company e.g., everyone evacuate / some designated to stay behind etc.
Yes: The company has a disaster preparedness document that clearly outlines the
direction for the personnel in the event of a disaster.
No: There are no specific guidelines documented for a disaster and it is not clear to
the personnel on what they should do in such an event.
P&SC-HSE 13854 Do you have a an emergency response plan in place and has CAT2 Y,N An emergency response plan document should be in place to cover any
it been reviewed in the past 6 months? emergency situation that may occur such as a fire, chemical spill, personal injury,
explosion etc. This should align what the particular roles are of personnel at that
place are and what is the guidance of the company e.g., is there an emergency
response team, who are they? Are they current? Should everyone evacuate, where
is the muster point etc.
Yes: The company has an emergency response plan document that clearly outlines
the direction for personnel in the event of an emergency.
No: There are no specific guidelines documented for an emergency and it is not
clear to the personnel on what they should do if such an event were to occur.
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 3,3 Interviews/Records P&SC-HSE 13855 Are there employee safety training programs in place? Are CAT1 Y,N All suppliers should have safety training available to their employees, whether it be
these overall competancies monitored on a regular basis? health, mechanical lifting, reporting etc.
Yes: There are training programs available and refreshers are available and
maintained for recertification where applicable. Training competencies are made
available and the latest % achieved can be presented. The competencies are
monitored on a regular basis to identify gaps in training.
No: Training programs are not available.
6,2 Interviews/Physical P&SC-HSE 13856 Does the supplier have an internal audit process that CAT2 Y,N Suppliers should have an internal audit process that allows for regular checks of
Checks/Records specifically targets saftey requirements in the workplace? minimum saftey equipment e.g. fire extinguishers, smoke alarms, Emergency
Response plan maps, emergency exit signs etc.
Yes: There is an internal audit process that covers the minimum saftey
requirements of the workplace and records of the audits are kept with findings.
No records of any audits with respect to minimum safety requirements can be
presented by the supplier.

3,5 Interviews/Records P&SC-HSE 17289 Is the company ISO14001 certified? CAT2 Y,N "Yes: the company is ISO14001 certified and certification is valid
No: The company is not certified or certification is not valid any more"
3,5 Interviews/Records P&SC-HSE 13857 Does the supplier have a drug & alcohol policy? CAT2 Y,N Schlumberger's expectation is such that our suppliers shall have a drug and alcohol
policy in place.
Yes: There is a documented policy in place and a process to communicate it to all
employees (e.g. during onboarding training for new employees).
No: There is no policy in place or there is a policy but there is no process in place to
ensure that it is communicated through the organisation.
2,1 Interviews/Physical P&SC-HSE 17290 Have worker safety risks been identified? Have risk mitigation CAT2 Y,N
Checks/Records measures been defined , posted and included in HSE policy?

3,1 Interviews/Records P&SC-HSE 17280 Does the company has valid HSE international certification CAT2 Y,N
such as SA8000 or similar?
2,1 Interviews/Records P&SC-HSE 17291 Are there any written guidelines explaining how to use / handle CAT2 Y,N,N/A
hazardous substances (Acids, paint, solvents…)?

2,1 Interviews/Physical P&SC-HSE 17288 Is there a documented environment charter? CAT2 Y,N Yes: A charter exist to describe what company does to reduce its impact on
Checks/Records environment (CO2, recycling, dangerous substances utilization and recycling,
waste management…)
No; Such policy does not exit or is incomplete
3,3 Interviews/Records P&SC-HSE 17292 Are workers trained to use hazardous substances and wear CAT2 Y,N,N/A
appropriate personal protection equipment?
2,1 Interviews/Records P&SC-HSE 17293 Are there any guidelines explaining how to use / handle CAT2 Y,N,N/A
dangerous equipment (lifting equipment, high voltage
equipment…)?
3,3 Interviews/Records P&SC-HSE 17294 Are workers trained to use dangerous equipment and wear CAT2 Y,N,N/A
appropriate personal protection equipment?
5,2 Interviews/Records P&SC-HSE 17295 Has the supplier had less then 10 work accident over past 24 CAT2 Y,N,N/A
months?
5,2 Interviews/Records P&SC-HSE 17297 Is HSE performance consistently monitored ans documented? CAT2 Y,N

5,2 Interviews/Records P&SC-HSE 17300 Does the company HSE policy apply to its subcontractors / CAT2 Y,N
suppliers?
8,1 Interviews/Records P&SC-HSE 17301 Does the company audit its subcontractor / suppliers to make CAT2 Y,N
sure they respect its HSE policy?
8,1 Interviews/Records P&SC-HSE 17302 Are those supplier audit results compiled and accessible? CAT2 Y,N

Total: N/A
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