IOGP423 Short HSSE Questionnaire
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Question
1.1. Are you registered in Shell Approved
Service Provider system (Avetta, ISnet, Achilles
(FPAL), EPIM,SEQual)?
* Please refer to the attached document for
guidance on expected evidence to support
your answer to each question (translated
versions available).
1.2. Please provide registration number of
Shell approved Service Provider.
1.3. Please upload a copy of the Achilles
(FPAL), EPIM or SEQual Verification report.
1.4. If available, please indicate if you have
any of the below HSE Management System
certificates.
1.5. Please upload the latest audit report
together with a copy of your certificate from
the indicated HSE Management System Audit.
2. Does your company have HSE objectives
and an associate plan? Explain how they are
developed, reviewed and implemented. If yes,
please provide a copy. (and/or provide
details, context, evidence) (IOGP423
E2.4/OGUK 3.1)
3. Describe the scope and content of your
competency validation and assurance process
including ongoing verification (IOGP423
E3.3/UKOG.3.3a)
Self Assessment Responses Available Question Self Assessment Responses Available
 A = We have more in place/available then listed in below
 ISnet 4. Describe your process to assess, manage  B = Available: - Stakeholders overview/mapping is available - Communication process
 Avetta and proactively engage with your (internal and external stakeholders) and Engagement plan is available - Grievance register and
 Achilles (FPAL) company's interested parties or stakeholders Compliance register is kept up to date
 EPIM (IOGP423 E4.2/UKOG.4.1a)  C = Not all from what is listed is in place/available
 SEQual  D = We have nothing in place/nothing available on this topic
 Not Registered in any system
 A = We have more in place/available then listed in below
 B = Available: - A Procedure how we manage Risks is available - HSSE Risks are registered
5. Describe your HSE risk management
and include mitigating actions
process. (IOGP423 E5.1/UKOG.5.1a)
 Free Text Field  C = Not all from what is listed is in place/available
 D = We have nothing in place/nothing available on this topic
 A = We have more in place/available then listed in below
 Attach a file 6. Describe the processes in place to
 B = Available: - An equipment overview/register with maintenance status is kept up to date -
operate, maintain, replace, test, inspect,
An inspection and test plan is available - Equipment Manufacturer manuals and
calibrate, certify and verify performance of
recommendations are followed
 ISO 45001 facilities and equipment (IOGP423
 C = Not all from what is listed is in place/available
 ISO 14001 E6.5/UKOG.6.1c)
 D = We have nothing in place/nothing available on this topic
 OSHA 18001
 VCA
 A = We have more in place/available then listed in below
 SCC 7. What arrangements does your company
 B = Available: - An Emergency response plan or training plan is available - Risk scenarios
 MASE have for: • Contingency planning •
covering both business and community element are present - Critical suppliers are identified as
 STOW Emergency response • Crisis management •
part of business continuity plan
Continuity management? (IOGP423
 C = Not all from what is listed is in place/available
E7.5/OGUK.11.1a)
 Attach a file  D = We have nothing in place/nothing available on this topic
 A = We have more in place/available then listed in below
 A = We have more in place/available then listed in 8. How does your company ensure  B = Available: - Organisational charts and job descriptions are available - Roles and
consistent application of processes to responsibilities are defined - Examples of tool box talks, safe job analysis, permits to work are
below
confirm work is executed in accordance with available - Management of change process is defined - A Stop Work polic
 B = Available: - HSE Policy - HSE Objectives - HSE
plans? (IOGP423 E8.1/UKOG.9.1a)  C = Not all from what is listed is in place/available
Improvement plans
 D = We have nothing in place/nothing available on this topic
 C = Not all from what is listed is in place/available
 D = We have nothing in place/nothing available on 9. Please provide the following Company
this topic work-related activities statistics for each
 A = We have more in place/available then listed in year for the last three (3) years and current  Attach a file (see table attached on the next page)
below year-to-date (YTD), including work
 B = Available: - HSE training performed by Contractor personnel:
plans/programs/matrix and/or Job descriptions and  A = We have more in place/available then listed in below
competence requirements are available - HSE 10. Describe your management system  B = Available: - Assurance process and plans are in place - Audit are executed according to
introduction program for new-employees & assurance process and how it is plan - Findings are managed and close-out is reported regular
Competence assurance process or system is in place implemented? (IOGP423  C = Not all from what is listed is in place/available
 C = Not all from what is listed is in place/available E10.1/UKOG.13.1a)  D = We have nothing in place/nothing available on this topic
 D = We have nothing in place/nothing available on
this topic
Expected Evidence for HSSE Questionnaire
QUESTION WHAT TO PROVIDE QUESTION WHAT TO PROVIDE
 Service Provider registration number 7. Contingency,  Emergency response plan or training plan
1. Documented  Service Provider summary report Emergency, Crisis &  Risk scenarios covering both business and community element
Management System  Certificates (check validity) Continuity Mgt.  Critical suppliers identified as part of business continuity plan
 Latest verification Audit report  Organisational charts and job descriptions
 Roles and responsibilities
 HSE training plans/programs/matrix 8. Execution &
 Examples of tool box talks, safe job analysis, permits to work,
 Job descriptions and competence requirements Control of Activities
2. HSE Objectives  Management of change process
 HSE introduction program for new-employees  Stop Work policy
 Competence assurance process or system
9. Incidents, events
 Complete set of data (see attached table)
 Resource management process or plan & Non-Comformities
 Selection criteria for suppliers (sub-contractors)
3. Competence
 Audit program of suppliers  Assurance process and plans
Assurance 10. Assurance
 HSE Prequalification/HSE Capability assessments  Evidence showing audits are executed according to plan
 Supplier/(Sub)-Contractor Performance Process, Including
 Evidence showing findings are managed and close-out is
Audits
 Stakeholders overview/mapping reported regularly
 Communication process (internal and external stakeholders)
4. Stakeholders &
 Engagement plan
Customers
 Grievance register
 Compliance register

5. Risk Assessment &  Procedure to manage Risks

Control  HSSE Risk registers including mitigating actions

 Equipment overview/register with maintenance status

6. Asset Design &
 Inspection and test plan
Integrity
 Equipment Manufacturer manuals/recommendations
IOGP423 Performance Data (Question 9 attachment)

PERFORMANCE DATA (IOGP423) YTD 2021 2020 2019 2018

a. Number of fatalities

b. Number of lost time injuries

c. Number of Resticed Workday Casess

d. Number of Medical Treatment Cases

e. Number of First Aid Cases

f. Number of Near Miss Incidents

g. Fatal Accident Rate (per 100 million hours worked)

h. Lost Time Injury Frequency (per million hours worked)

i. Total Recordable Incident Rate (per million hours worked)

j. Total number of exposure hours