Integrated Management System Document #-I-F-042, Date of Prepration-18thMarch2020,

Contractor Management System -Feedback Form Revision-0, Classification Internal Circulation, Owner-QHSE Team
Revise&resubmit
WF Satisfactory
Service Provider HSE reference number Type of Document Comments for re- Project Location Date of Review
Number Comments
submission
TR-417_PJT-1 & PJT-3_M/S.
M/s. Leaders
HSE-2024-SC-61,SC- LEADERS
136705 Fort Contracting 18 3 PJT 1 & PJT 3 7-May-2024
135 FORT_MSRA_SCAFFOLDING EREC
LLC
TION AND DISMANTLING
Please refer Empower Guidance note I-GL-061-HSE compliance requirements for better understanding the below mentioned review comments
Sl No Type Topics Feedback Remarks
Scope of work found satisfactory as per HSE, however MS shall be approved by TD/
Scope N/A Performing authority.
Comment resolution sheet - Mandatory for Revise & Comment Resolution sheets which highlight the changes applied during re-submissions
revised submissions Resubmit for easy tracking which enabling us to speed up the review process
PDF format document where find and
search option enabled to speed up review N/A
process
Dubai Airport induction confirmation -
N/A
ONLY FOR Dubai Airport related tasks
Both Consultant / Main contractor / sub-
Satisfactory
contractor (if any) logo available?
Roles and responsibilities Satisfactory
Method Sign / Seal / Approval from MS prepared Please include
1 Satisfactory
Statement by, Reviewed by and Approved by
Submitted MS mentioned for 2 plants ( PJT 1 & PJT 3 ).kindly submit plant specific MSRA .
Task methodology Satisfactory
Revise & Please include height of the scaffolding along with location details
Task methodology
Resubmit
Tools and equipments Satisfactory
Test / Competency / Calibration Revise & Please include competency certificate for scaffolders and scaffolding inspectors.Can be
Certificates Resubmit submitted prior to commencement of the task at site.
Safety Data Sheet N/A
Emergency Response Plan Satisfactory Please include
Lifting Plan N/A
Soil compaction assurance N/A
Emergency contact details ( contractor Satisfactory Please include contractor emergency number and legel authorities
Risk Matrix in the RA Satisfactory
Both Consultant / Main contractor / sub- Please include
Satisfactory
contractor (if any) logo available?
Risk identification and calculation Satisfactory
Sign /Approval from RA assessor and Satisfactory Please include
2 Risk Assessment Control measures mentioned for night shift activities .please include the activity details in
Relevance as per tasks in MS Satisfactory MS along with separate night shift ERP,Night shift crew member details along with Safety
officer and first aider
Relevance as per tasks in MS Satisfactory Task specific RA to be submitted for review.life line and fall arrestors mentioned in RA.
Tools and equipments Satisfactory
PPE Satisfactory
Environmental controls Satisfactory
Environmental
3
controls
Waste management Satisfactory
HSE Legal Please include relevent DM code of construction chapters .
requirements Relevant DM code of constructions
4 Satisfactory
chapters with name and numbers
Document evidents - for further action