PJT.

CODE UNIT
SHELL NIGERIA EXPLORATION &
CLIENT PRODUCTION COMPANY LIMITED
0 001
(SNEPCo)

TENDER REF:
THE PROVISION OF WELL ENGINEERING SUPPORT
PROJECT CONTRACT NO.
SERVICES FOR SNEPCo NO CW745443
Page Revisions
PJT/UNIT PROJECTS DEVELOPMENT
0

DOC. TITLE HSE RESPONSE SHEET_ QUESTIONNAIRE FOR CONTRACTOR HSE CAPABILITY ASSESSMENT

HSE RESPONSE SHEET_ QUESTIONNAIRE FOR CONTRACTOR HSE CAPABILITY ASSESSMENT

0 01.09.202 ISSUE FOR: Christopher Engr. Obot Edet SHELL NIGERIA EXPLORATION
3 Wealth
Technical &
PRODUCTION COMPANY
Rev Date Description Prepared by Approved Client
 S/N HEADING DESCRIPTION RESPONSE
1 Leadership and commitment
1.1 Commitment to HSE through How are senior managers personally involved in HSE Senior managers play a crucial role in Health, Safety, and
leadership management, promotion of positive HSE culture and Environment (HSE) management and the promotion of a
ensuring commitment at all levels in your organisation? positive HSE culture within an organization. Their personal
involvement is essential to ensure commitment at all levels.
Here are some ways senior managers are personally involved in
HSE management:
1) Setting the Tone
2) Policy Development
3) Resource Allocation
4) HSE Training and Education
5) Regular Audits and Inspections
6) Communication and Reporting
7) Accountability
8) Emergency Response
9) HSE Committees
10) Feedback and Suggestions
11) Recognition and Awards
12) Leading Change

Kindly see attached:

Section 1.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of PPE
 Distribution
Section 1.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Management participation in HSE Meeting
Section 1.3_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Inhouse
HSE Training
Section 1.4_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Emergency Drill
Section 1.5_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Toolbox
Meeting
Section 1.6_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of HSE
Award

2 Policy and Strategic

Objectives
2.1 HSE policy documents What are the HSE Policies and Commitment Statements
governing your activities? Provide copies. Who is
responsible for their dissemination and enforcement?
Provide name, job title and experience.
Below are the lists and Evidences of C.D Princeton Nigeria
Limited Policies
Kindly see attached:
Section 2.1.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Annual
leave policy
Section 2.1.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Anti bribery
and corruption policy
Section 2.1.3_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Cashes
policy
Section 2.1.4_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Competency
assurance policy
Section 2.1.5_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Comunity
relations policy
Section 2.1.6_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Drug &
alcohol policy
Section 2.1.7_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Environmental policy
Section 2.1.8_Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Environmental social and governance (esg) policy
Section 2.1.9_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Equipment
policy
Section 2.1.10_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Hr policy
Section 2.1.11_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Hse audit
policy
Section 2.1.12_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Hse
compliance assurance policy
Section 2.1.13_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Hse
incentive policy
Section 2.1.14_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Hse policy
Section 2.1.15_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Hse
sustainability policy
Section 2.1.16_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Local
content policy
Section 2.1.17_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Quality
policy
Section 2.1.18_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Recruitment
policy
Section 2.1.19_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Seat belt
policy
Section 2.1.20_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Security
policy
Section 2.1.21_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Site visit
policy
Section 2.1.22_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Stop work
policy
Section 2.1.23_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Training
policy
Section 2.1.24_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Waste
disposal policy
Section 2.1.25_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Unlawful
Wage Deductions and Withholding of Worker's Possessions
Policy
Section 2.1.26_ Hse Response Sheet_ Questionnaire For

3 Organisation,
Responsibilities, Resources,
Standards and
Documentation
3.1 Organisation - commitment
and communication
3.2 Competence and Training of
managers/ supervisors/senior
site staff/ HSE advisers
3.3 Competence and General HSE
Training
What are your HSE activities, Performance targets and
Monitoring strategies? How is your company structured
to manage this (organogram) and ensure effective
communication to staff and all stakeholders?
Have the managers, supervisors and all staff managing
HSSE critical activities received the required HSE training?
If YES, please provide your competence/training matrix
Where are the competence requirements for those jobs
involved in managing HSE hazards and risks defined? How
is their competence assessed?
Contractor Hse Capability Assessment _CV of Responsible
Person for HSE enforcement_Samuel Nguma
Section 2.1.27_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _CV of Responsible Person
for HSE enforcement_Christopher Wealth
Kindly see attached:
Section 3.1.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _ Hse Response
Sheet_ Questionnaire For Contractor Hse Capability
Assessment _Evidence of HSE 2023 Matrix
Section 3.1.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of C.D
Princeton Organogram
Yes,
Kindly see attached:
Section 3.2.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _HSE training matrix
Section 3.2.2.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of training
certificate_ICCON
Section 3.2.2.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of training
certificate_HUET
Kindly see attached:
Section 3.3.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Hazard
Identification Procedure
3.4 Specialised Works/ Materials Are there specialized activities involving radioactive Yes.
handling materials, asbestos removal, chemical or other Kindly see attached:
Occupational Health Hazards in your operation? How are Section 3.4_ Hse Response Sheet_ Questionnaire For
they managed and brought to the attention of your staff? Contractor Hse Capability Assessment _Evidence of Chemical
Handling Procedure
3.5 Assessment of suitability of How do you assess your subcontractor Kindly see attached:
Subcontractors/ other (i) HSE Competence Section 3.5_ Hse Response Sheet_ Questionnaire For
companies (ii) (ii) HSE performance standard Contractor Hse Capability Assessment _Evidence of HSE
(iii) (iii) monitor implementation/operation Subcontractor Integration Procedure
3.6 Standards Where do you spell out the HSE standards (internal and Our HSE standards and policies are shared to members of staff
external) to be met during your operations? How are they and client via mail, and also published on the company website,
addressed (identified) in your Plan, implemented, we also have our them posted on the company notice board for
monitored? visitors to read.
4 Hazards and Effects
Management
4.1 Hazards and effects What are the techniques used for Hazard identification, Kindly see attached:
assessment assessment, control and recovery in your organization? Section 4.1.1_ Hse Response Sheet_ Questionnaire For
What are the systems in place to manage those including Contractor Hse Capability Assessment _Evidence of Hazard
chemical/ physical agents? How are these communicated Identification Procedure
to staff and monitored? Section 4.1.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Chemical
Handling Procedure
4.2 Personal protective What are the standard protective equipment required for Kindly see attached:
equipment your activities, have they been issued to relevant staff Section 4.2.1_ Hse Response Sheet_ Questionnaire For
and usage enforced and monitored? Contractor Hse Capability Assessment _Evidence of Personal
Protective Equipment Program
Section 4.2.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of PPE Issue
Register
Section 4.2.3_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of PPE
Inspection Register
4.3 What are the Environmental Standards required by your company activities? What are
Performance the waste streams applicable to your operations? How
are they managed, recorded and verified?
5 Planning and Procedures
5.1 HSE or operations manuals Do you have an HSE MS or Operations Manual that
addresses your company's HSE working practices
including emergency response? How are they
communicated to staff, implemented and monitored?
5.2 Equipment control and What equipment are used in your company operation?
maintenance What arrangements do you have for their Certification
and preventive maintenance?
Kindly see attached:
Section 4.3_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Waste
Management Procedure
Yes.
Kindly see attached:
Section 5.1.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of HSE
Manual
Section 5.1.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Emergency Response Plan
Kindly see attached:
Section 5.2.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Ownership of Blending Plant
Section 5.2.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Ownership of Forklift
Section 5.2.3_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Ownership of Crane
Section 5.2.4_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Ownership of Tuck
Section 5.2.5_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Forklift
Certificate
Section 5.2.6_ Hse Response Sheet_ Questionnaire For

5.3 Road Safety Management What arrangements does your company have for
managing road and transport hazards? How are these
communicated to relevant personnel and monitored?
Contractor Hse Capability Assessment _Evidence of Crane
Certificate
Section 5.2.7_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Forklift
Operator Certificate
Section 5.2.8_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Truck
Inspection Check list
Section 5.2.9_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Crane
Inspection Check list
Section 5.2.10_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence Fleet
Maintenance Plan
Kindly see attached:
Section 5.3.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of
Transportation Safety and Journey Management Plan
Section 5.3.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Driving
Job Hazard Analysis

6 Implementation and
Performance Monitoring
6.1 Management and What are the HSE performance indicators in use to Kindly see attached:
performance monitoring of monitor HSE activities in your company? Provide target Section 6.1.1_ Hse Response Sheet_ Questionnaire For
work activities against actual (trend) reports for the last 3-5 years. Contractor Hse Capability Assessment _Evidence KPIs
Section 6.1.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _HSE Statistics for the
past five years
6.2 Statutory notifiable Have you recorded any high potential, statutory or NO
 incidents /dangerous notifiable incidents, fines or prohibitions in the last five
occurrences years in Health, Safety or Environmental? If yes, give
details including incident type, date, country, causes,
investigation, preventive and follow-up measures taken.
6.3 Health- Drugs and Alcohol, How do you manage Health Performance issues in your
Retainership clinic, fitness to company i.e. staff medicals, retainership clinics and proof
work of usage, Drug & Alcohol pre-employment and random
testing, staff exposure to chemical and physical agents
monitoring etc? How are they implemented and
monitored?
6.4 Incident investigation and What arrangements does your company have for incident
reporting (actual incidents, UA/UC/NM) reporting and
investigation? How are these and other learning's
cascaded to staff?
7 HSSE Audit
7.1 Auditing Do you have an HSE Audit program? If yes, what are the
audit types, coverage, qualification of auditors, audit
schedule and range, audit reports and status of action
closeout? Does this include any form of external
certification programs?
Kindly see attached:
Section 6.3.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Drugs
and Alcohol Policy
Section 6.3.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Alcohol
Test
Section 6.3.3_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of HMO
Agreement
Kindly see attached:
Section 6.4.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of Incident
Investigating and reporting procedure
Section 6.4.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of HSE
cascading
Kindly see attached:
Section 7.1.1_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of HSE
Auditing Procedure
Section 7.1.2_ Hse Response Sheet_ Questionnaire For
Contractor Hse Capability Assessment _Evidence of third-
party auditing
8 HSE Management Additional
Features

8.1 HSSE-MS Management Do you have an HSSE MS or HSSE Performance review Yes ,
Review program? If yes, how often are these performance review
done. Provide Plan, Minutes of such reviews, attendance Section 8.1_ Hse Response Sheet_ Questionnaire For
list and status of action closeout? Contractor Hse Capability Assessment _Evidence of Hse
Meeting

9 Company Specific
Information