HEALTH, SAFETY AND

ENVIRONMENTAL
MANAGEMENT
SYSTEM

2016
 QUALITY, HEALTH, SAFETY AND E N V I R O N M EN T
Document: Health, Safety and Environmental Management System
Section: 0.0 Revision: 02
Title: Table of Contents Date: 27/01/17

Section Description Revision Date

1.0 Introduction
1.1 Introduction 01 10/03/16

2.0 HSE Policy and Procedures

2.1 HSE Policy Statement 01 10/03/16
2.2 Environmental Policy 01 10/03/16
2.3 Management HSE Responsibilities 01 10/03/16
2.4 HSE Department Responsibilities 01 10/03/16
2.5 Role of Contractor/Visitors 02 01/27/17
2.5.1 Visitor Orientation 01 10/03/16
2.6 Management of Change 01 10 / 03 / 16
2.7 HSE Record Retention 01 10 / 03 / 16
2.8 Office Safety 01 10/03/16
2.9 Offshore Safety 01 10/03/16
2.10 Vehicle Operation 01 10/03/16
2.11 Internal HSE Audits 01 10/03/16
2.12 Customer Audits 01 10/03/16
2.13 Regulatory Audits 01 10/03/16
2.14 HSE Expectations 01 10/03/16
2.15 System Compliance Procedures 01 10/03/16
2.16 Publications 01 10/03/16

3.0 Health
3.1 Blood Borne Pathogens 01 10 /04 /16
3.2 Hearing Conservation 01 10/04/16
3.3 HSE Risk Assessment 01 10/04/16
3.4 Behavior Based Safety Process 01 10/04/16
3.5 Personal Protective Equipment (PPE)
Requirements 01 10/ 04 /16
3.5.1 Fall Protection 01 10/04/16
3.5.2 Respiratory Protection 01 10/04 / 16
3.6 Industrial Hygiene 01 10 /04 /16
3.7 General Training 01 10/04/16
3.8 Short Service Employee 01 10/04/16
3.9 Drug & Alcohol Substance Abuse Policy 01 10/04/16
3.11 Health and Hygiene 01 10/04/16
3.12 Excessive Fatigue 01 10/04/16
 QUALITY, HEALTH, SAFETY AND E N V I R O N M EN T
Document: Health, Safety and Environmental Management System
Section: 0.0 Revision: 04
Title: Table of Contents Date: 23/01/20

Section Description Revision Date

4.0 Safety
4.1 Coordination of HSE 01 10/05/16
4.2 Initial Incident Notification 01 10/05/16
4.2.1 Injured Employee Policy 01 15/05/19
4.2.2 Incident Investigation Procedure 01 10/05/16
4.3 Transitional Duty 01 10/05/16
4.4 Stop Work Authority 01 10/05/16
4.5 Job Safety Analysis 01 10/05/16
4.6 Permit to Work 03 13/01/20
4.6.1 Confined Space 01 10/05/16
4.6.2 Hot Work 01 10/05/16
4.6.3 Cold Work 01 10/05/16
4.6.4 LOTO Energy Isolation 01 10/05/16
4.6.5 Compresses Gas Cylinders 01 10/05/16
4.7 Fire Safety 01 10/05/16
4.8 Mechanical and Operational Integrity 01 10/05/16
4.9 Machine Grounding 01 10/05/16
4.10 Electrical Safety 02 13/01/20
4.10.1 Assured Grounding 01 10/05/16
4.11 Hand Tools 01 10/05/16
4.12 Manual Lifting 01 10/05/16
4.13 Welding, Cutting, Brazing & Burning 01 10/05/16
4.14 Walking & Working Surfaces 01 10/05/16
4.14.1 Ladders 01 10/05/16
4.14.2 Scaffolds 02 23/09/18
4.14.3 Walkways – Stairways 01 10/05/16
4.15 Hazard Communication 01 10/05/16
4.16 Crane Operation and Inspection 01 10/05/16
4.16.1 Overhead Cranes 01 10/05/16
4.17 Forklifts 01 10/05/16
4.18 Excavation 01 10/05/16
4.19 Loose Gear Testing 01 23/09/18
 QUALITY, HEALTH, SAFETY AND E N V I R O N M EN T
Document: Health, Safety and Environmental Management System
Section: 0.0 Revision: 02
Title: Table of Contents Date: 27/01/17

FORMS

HSE-001-00…………………………………………………………..…….Incident Investigation Report

HSE-002-00………………………………………………………………………….Incident Report Form
HSE-003-00……………………………………………….Transitional Duty Program Agreement Form
HSE-004-00………………………………………….…Transitional Duty Program Extension Request
HSE-005-00……………………………………………… Transitional Duty Program Medical Release
HSE-006-00…………………………………………….…… Transitional Duty Program Refusal Form
HSE-007-00…………………………………………………………………….Asbestos Reporting Form
HSE-008-00………………………………………….…………………Cartridge Change-Out Schedule
HSE-009-00…………………………………………………………Certification of Hazard Assessment
HSE-010-00………………………………………………………………….Fall Protection Rescue Plan
HSE-011-00………………………………………………….…………….Full Body Harness inspection
HSE-012-00……………………………………………………………………………..…Permit To Work
HSE-013-00…………………………………………………….Job Safety and Environmental Analysis
HSE-014-00…………………………………………………………………………….Lanyard Inspection
HSE-015-00……………………………………………………………………………..Lifeline Inspection
HSE-016-00………………………………………………………………..…NORM Survey Data Sheet
HSE-017-00………………………………………………………Rescue-Positioning Device Inspection
HSE-018-00……………………………………………………………………Respirator Fit Test Record
HSE-019-00………………………………………….Respiratory Protection Hazard Evaluation Profile
HSE-020-00…………………………………………………………………..….…Rope Grab Inspection
HSE-021-00…………………………………………………………..……....Security Assessment Form
HSE-022-00…………………………………………………………Self-Locking Carabiners Inspection
HSE-023-00……………………………………………………………………….……….SRL Inspection
HSE-024-00……………………………………………………..……….….SRL Sealed Unit Inspection
HSE-025-00…………………………………………………………………….……..Tag Line Inspection
HSE-026-00……………………………………… …Change Management System Revision Request
HSE-027-00…………………………………Management of Change Performance and Development
HSE-028-00……………………………………Management of Change Post-Inspection Report Form
HSE-029-00…………………………………………Management of Change Pre-Inspection Checklist
HSE-030-00……………………………..Management of Change Revision/Additional Request Form
HSE-031-00…………………………………………………….…………….Company HSE Action Plan
HSE-032-00……………………………………………….………….…Visitor Safety Briefing Checklist
HSE-033-00…………………………………………………………………..….Crane Inspection Report
HSE-034-00……………………………………………………………..Forklift Pre-use Inspection Form
HSE-035-00…………………………………………………..…Forklift Operations Authorization Form
HSE-036-00………………………………………………...…….Hepatitis B Vaccine Declination Form
HSE-037-00…………………………………………………………...…….HSE Weekly Reports Form
HSE-038-00………………………………………………………………...Mobile Crane Daily Checklist
HSE-039-00………………………………………….……………..Mobile Crane Pre-Starting Checklist
HSE-040-00………………………………………………………..…Mobile Crane Pre-Travel Checklist
HSE-041-00…………………………………………………Overhead Crane and Hoist Daily Checklist
 QUALITY, HEALTH, SAFETY AND E N V I R O N M EN T
Document: Health, Safety and Environmental Management System
Section: 0.0 Revision: 03
Title: Table of Contents Date: 23/01/20

HSE-042-00……………………………………………………...Overhead Crane and Hoist Inspection

HSE-043-01………………………………………….…………….…Post Job Crane Inspection Report
HSE-044-00…………………………………………………..……….Pre-Use Crane Inspection Report
HSE-045-00…………………………………………………………………….…Vehicle Incident Report
HSE-046-00…..……………..…….………………………………………….…Body Temperature Chart
HSE-047-01………………………………………………..…Vessel Monthly Crane Inspection Report
HSE-048-00……………………………………………....Contractor Employee Pre-Mobilization Form
HSE-049-00……………………………………………….…Contractor Short Service Employee Form
HSE-050-00………………………………………………………………New Hire Orientation Checklist
HSE-051-00…………………………………………………………………….……….Meeting Log Form
HSE-052-00…………………………………………………………………..Visitor Induction Log Sheet
HSE-053-00…………………………………………………………………….…Emergency Action Plan
HSE-054-00……………………………………………….………Emergency Preparedness Drill Form
HSE-055-00…………………………………………………………………….………..Medical Inventory
HSE-056-00………………………………………………………………………………..…..Medical Log
HSE-057-00………………………………………………….……Safety and House Keeping Checklist
HSE-057-01……………………………………………………………..……Specific Lockout / Tagout
HSE-058-00……………………………………………………………………….Records of Rest Hour
HSE-059-00…………………………Model Format for a Table of Shipboard Working Arrangements
HSE-060-00……………………………………………………….………..Record of Tagging/ Labelling
HSE-061-00…………………………………………………………………………………....Stop Cards
HSE-062-01………………..………………………Periodic Inspection of Energy Control Procedures
HSE-063-00………………..……………..……………..………… Weekly Crane Inspection Checklist
HSE-063-01………………..…………..……………..…………………..……………..Work Permit Log
HSE-064-00………………..…………..……………..………………… Chemical Inspection Checklist
HSE-064-01………………..………..……………..…………………… Subcontractor Audit Checklist
HSE-065-00………………..………………..……………..……………Daily Crane Pre-Use Check list
HSE-066-00………………..……………..……………..…………….. Enclosed Space Entry Checklist
HSE-067-00………………..………………………..……..…..…..…..……………..…… Safe Lift Plan
HSE-068-00………………..………………………..……..…..……….…Personnel Transfer Checklist
HSE-069-00………………..…….……Gangway & Acco. Ladder Inspection Maintenance Checklist
HSE-070-00………………..…….……………………………………….…Witness Interview Checklist
HSE-071-00………………..…….………………………………………….…Medical Declaration Form