CONSTRUCTION OF AFENOSERVICE

GENERAL MAINTENANCE ROAD 665M X 6M ASPHALT

CONTRACT WORKS
OF NAOC AT IRRI
FACILITIES
COMMUNITY IN DELTA
(BUILDING/ ESTATE STATE FOR
SERVICES) - AFENO
LOT 2ASPHALT ROAD
- LAND AREA - PHASE 1
LOCATION
7200027088
2100002976

26-02-2024
 OCCUPATIONAL HEALTH MANAGEMENT PLAN

Table of Content

1.0 Introduction

2.0 Management Commitment

3.0 Health Policy and Objectives

4.0 Departmental Organizational structure

5.0 Hazard and Effect Management Process

6.0 Planning Implementation and Monitoring

7.0 Audit and Management Review

APPENDIX

HEALTH ASPECT

RISK MANAGEMENT PLAN

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 OCCUPATIONAL HEALTH MANAGEMENT PLAN

1.0 INTRODUCTION

This plan is intended as a document which embraces all Health Programme as been practice in
SHROMB GEOTECHNICAL LIMITED. It is aimed at given Practical support to the policy and
objectives of the company toward good health Management System. The plan features the
Company’s HSE Policy, targets and objectives, departmental organizational structure, identifies the
health hazards associated with each work activity during the execution of the various projects of
SHROMB GEOTECHNICAL LIMITED All Staff and Sub-Contractor Staff (Third Parties) shall be
required to support the plan and to make positive contribution to the achievement of both
SHROMB GEOTECHNICAL LTD and CLIENT’s health policies, targets and objectives.

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2.0 MANAGEMENT COMMITMENT

M.D’S MESSAGE

HSE Programme is of Primary Importance, not only to our Client or us as a Company but for the

safety of every individual.

This corporate HSE plan will be based on the company’s activities on their various contract/project
operations.
We will be guided by CLIENT’s new contract management guide, the Strategy and Planning Guide
of May 1992, and the mineral oil regulatory act of 1999.
The implementation of this plan will well to:
 Avoid injury to and preserve the health and safety of its own employees, those of its
Contractors an of any members of the public that may be affected. Minimize the impact on
the environment in which CLIENT operates.
 Every SHROMB GEOTECHNICAL LTD employee must therefore plan his or her work in
accordance with this policy; and any activity must be suspended when the employee
believes that it cannot be carried out in accordance with the policy, he or she must report
this immediately to the supervisor.

SHROMB GEOTECHNICAL LTD HSE Programme is being expanded and reviewed, new phases,
training, provision and maintenance of safe/healthful working condition/equipment for all
employees and controls are being developed. I encourage and request dedicated participation of
all employees in this programme and specifically to ensuring a zero-accident operation in this
contract. Safety is good business. Build it into your daily jobs.
I wish you all a safe operation!!!

REV-01
Signed and Authorized by

KOLAWALE ONI
General Manager
Issue DateDATE:
ISSUED 20TH August
26TH 2021
FEBRUARY, 2024

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3.0 HEALTH POLICY AND OBJECTIVES

OCCUPATIONAL HEALTH POLICY

All staff shall be medically fit and shall remain medically fit throughout their employment.

SHROMB GEOTECHNICAL LTD shall maintain an insurance scheme against any liability that
may result in the event of any personnel suffering occupational disease or any impairment to
health.

Company’s retained Clinic shall handle all routine medical and medical emergencies.

“No Smoking” rule MUST be enforced.

Drug/Alcoholic addiction MUST be discouraged amongst staff and suspected staff shall be
subjected to screening/test to find out drug/alcoholic level in blood.

Health monitoring of all staff shall be a routine affair to assure the continued fitness of all staff.

First Aid Box manned by a competent NURSE MUST be provided for field Operation. Records of
medicaments or injuries treated MUST be documented.

The enforcement of this policy shall be the responsibility of the HSE Manager.

REV-01
Signed and Authorized by

KOLAWALE ONI
General Manager
Issue DateDATE:
ISSUED 20TH August
26TH 2021
FEBRUARY, 2024

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DRUG, ALCOHOL & WEAPONS POLICY

In the interest of maintaining safe, orderly and efficient operations, illicit narcotics and related
materials, alcohol, guns and other weapons/fire arms are completely prohibited.
Their use or possession by employees while working or residing on any job site including all
waterborne operations or property/facility under the Control of
SHROMB GEOTECHNICAL LTD may result in immediate dismissal.
This rule applies to all operations and locations on a 24-hour basis.
SHROMB GEOTECHNICAL LTD will conduct periodic unannounced searches and screening of
employees’ personal effects and lockers to assure that no one is in possession of such illegal or
unauthorized items.
Employees will be required to submit to periodic alcohol and drug test (URINALYSIS OR BLOOD TESTS) or
when specific circumstances warrant, workers will be tested according to DOT regulations for alcohol.

If a suspected worker’s urine/blood tests positive for alcohol/drug, such a worker will be
rehabilitated by counseling and treatment and will be disallowed from performing safety sensitive
duties. Where such a worker indulges in same unsafe act again, then the termination penalty will
be applied.
Employees may be subjected to voluntary searches prior to transportation to and from work
locations and at all times while on site, warehouse, yard, jetty, company premises or houseboats.
In the event that the Company discovers such illegal or unauthorized items in the possession of an
employee, such items and/or materials MUST be reported and released to appropriate law
enforcement agency followed by a stringent reprisal on such victim with termination of
appointment.

REV-01
Signed and Authorized by

KOLAWALE ONI
General Manager
Issue
ISSUEDDateDATE:
20TH August
26TH 2021
FEBRUARY, 2024

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Objectives and targets

SHROMB GEOTECHNICAL LTD. intends to ensure that all workers are healthy before
engagement and provide a healthy work environment, which will enhance both production and the
morale of all employees.

SHROMB GEOTECHNICAL LTD. shall ensure that all persons to be engaged or who are engaged
for the execution of the works or the rendering of services under the project shall be and shall
remain medically fit throughout the duration of the project.

To this end, all employees shall undergo medical examination to ascertain their fitness for the job.
Each medical certificate shall be valid for a period of six months. Pre-mobilization medical
examination shall also be carried out before any project mobilization; this is to ensure that all
personnel being mobilized to site are certified fit for the project.

TARGETS:
Zero fatality
 LTI = 0
 LTIF = 0

 Waterborne accident = Nil

 Zero – spillage incident

 Zero – fire

 Minimize property damage (<1PD)

 Prevent and reduce by over 100% all accident (road, air, water)

 MTC = 1

 Community/Security related incidents: ceiling = 0

 Enhanced UAA; </two per staff per year.

 95% competent person level for staff.

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 100% awareness on emergency Drill response

 100% medical fitness

 100% swimming competency

 12 nos. HSES meetings per year contract.

 12 nos (per type) emergency drills for all types (fire, abandon site, medevac/injury

response etc). per year for the various contract.

 HSES briefings (tool box meeting) - daily

 100% job safety induction

 Enhanced reporting of nearmiss (at least 5 per staff per year)

 Weekly site audits by HSES adviser.

 Quarterly site audits by Management.

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4.0 DEPARTMENTAL ORGANIZATIONAL STRUCTURE ( HSE ORGANOGRAM )

Managing
director

HSE-MS
Coordinator

Environmental Safety Health Security Community

Affairs
Safety Retained Medical
officer consultant Chief security C.L.O

Security
Environmental
Officer
Fire safety First aider Community workers

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4.1 KEY PERSONNEL COMPETENCE RESPONSIBILITIES AND FUNCTION

The health unit of the HSE department should be manned by a competent and qualified Health
Supervisor who should be a certified nurse and a registered member of any professional body relevant
to the nursing profession.

The health supervisor should be assisted by health/medical officers who should be trained first aiders.
They are to man be in charge of site medical management and report to the health supervisor who in
turn should report to the HSE Manager as has been demonstrated by the by the departmental
organogram above.

SHROMB GEOTECHNICAL LTD HEALTH personnel should posses demonstrable competencies in the
following areas:
 Ability to communicate in written or spoken English.
 Ability to conduct Health audits
 Training ability in First Aid and Medivac
 Ability to conduct incident investigation and identify underlying causes
 Knowledge of health requirements, rules regulations, and ability to monitor
compliance and identify ways of reducing environmental impact.
 Be fully conversant with techniques used in the management of health hazards,
health impact assessment and advising on suitable measures, which can be used
for preventing and ultimately recovering from accident situations.
 Be fully conversant with client's HSE documents and emergency procedure.

4.2 HEALTH COMMUNICATION AND AWARENESS

EMERGENCY EVACUATION PROCEDURE

In order to avoid damage resulting from confusion, stampede and to prevent crisis situation from
escalating, it is the policy of the company to identify specific emergencies or crisis situation for which
specific plan of actions are drawn. All such plans are practiced within the limits of human and materials
resources and are aim at:

1. Saving life.
2. Minimizing waste on normal operation.
3. Minimizing pain and suffering.
4. Restore normal operation.
5. Stop resource damage.
6. Minimize impact on the environment.
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Also the emergency plans are directed towards realizing maximum assistance at the shortest possible
time, and ensure that all services likely to be involved or affected are informed within the shortest
possible time. An orderly and effective response to the measure in place is of vital importance for
achieving desired results.

Works at all sites shall be reviewed and all potential major emergency including but not limited to the
under listed are demonstrated.

. MEDEVAC/MEDRESCUE
. Armed robbery case
. Spill/leakage
. Fire
. Man overboard
. Community related site crisis

All procedures shall be posted on notice boards and in a prominent location in the office area.

COMMUNITY MANAGEMENT DURING EMMERGENCY: See Security Plan and Community

Management Plan in the appendix for detailed explanation of this.

FIRE EMERGENCY PROCEDURES

a) If you discover fire outbreak

 Avoid panicking.
 Raise the alarm, utilize radios and or telephones and/or shout ‘Fire, Fire, Fire.’

 Telephone company and client Fire department and report location of fire and give nature of
fire.
 Fight fire with available extinguisher if you can do it safely.
 Assemble at the mustering point for head count.
 Client management will be notified by the Construction Manager either by written message,
radio or telephone.

b If you hear the fire alarm

 Leave whatever you are doing/work site at once. In an office close the door behind you.
 Follow the exit route.
 Close door behind you.
 Assemble at the mustering point for roll call.
 Don’t re-enter the building/ work site for a forgotten item until you are told so by the fire warden.

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c Man overboard;

 Raise alarm
 Keep the victim in sight at all times, inform radio operator
 Throw a life buoy with a life-line to the victim
 Boat driver to maneuver such that the propeller is away from victim
 Boat should be allowed to drift down stream to where victim can be helped into it
 Stand by boat to be dispatched to the area immediately.

MEDICAL EVACUATION (MEDEVAC)

On medical emergency (e.g. serious injury)

 Administer first aid treatment

 Give location and condition of patient
 State assistance required
 Contact our clinic doctor (where applicable).
 Inform our client
 Emergency contact addresses:

A MEDEVAC Procedure chart is attached in the appendixes

EVACUATION BY STANDBY VEHICLE

Evacuation by road of person requiring medical treatment is to be attempted only with patients who will
not be adversely affected by the length or conditions of the trip to proper medical facilities. The proper
sequence of illustrations to follow when initiating an emergency evacuation by standby vehicle.

The injured person or ill patient must be assessed by the First Aider / Dresser. If there is need, or
questions arise whether there is need to send the patients for further medical attention, the supervisor
on site must be contacted immediately.
Once possible need to transport patient (s) is / are identified, SHROMB GEOTECHNICAL LTD
Retainer clinic at Port Harcourt must be notified by radio/phone that a patient is coming in. the standby
vehicle which may be based either in the field or camp must be contacted by radio or telephone. The
location of the patient, as well as the rout to the location of the injured and estimated travel time to the
patient, must be given.

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NOTE: standby vehicle evacuation able on a 24 hours basis if required.
The standby vehicle is dispatched with a Nurse on board to pick up patient(s).
The standby vehicle location, the nurse takes charge of the situation, sees the patient(s) and notifies
Port Harcourt Base. Upon arrival at the Clinic at Port Harcourt, the medical staffs evacuate the patient(s)
and disposition of further required treatment determined.

MEDEVAC BY STANDBY VEHICLE

Medical / safety on site believes for MEDIVAC / MEDIRESCUE exists.

Supervisor must be notified and THE CLINIC in Port Harcourt standby vehicle position that a patient
(s) is / are required transportation for further medical treatment. The following information should be
given:
(a) Name (s) of patient(s)
(b) Illness / injury
(c) History of patient(s) injury / illness
(d) Current ambulance location to injured.
(e) Estimated travel time to location.

The standby vehicle is dispatched to the location. On board is a nurse with any equipment necessary for
the incident?

The standby vehicle arrives on location. The nurse takes charge of patient(s), emergency treatment is
given.

Upon arrival at the Clinic, the patient (s) is / are evacuated by medical staff and disposition of further
required treatment determined.

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EVACUATION BY HELICOPTER

Evacuation by helicopter, which involves action of client MED RESCUE system, will be initiated for
persons with medical conditions or injuries that require urgent medical attention and situation precludes
use of other means of evacuation. The proper sequences of instructions to follow when initiating an
emergency evacuation by helicopter are as follows:
The Port Harcourt Base should be contacted and advised that MED RESCUE situations exist on the
crew. If the evacuation cannot be made by other means due to time constraints, the attempt to activate
the clients MED RESCUE system will begin.

NOTE: Field locations can access the client system directly from Field base, which is equipped with a
radio / telephone system. Once the system is activated, MEDX, Clients Emergency will assess the
situation by radio. They will speak directly to the person giving care to victim(s) requiring emergency
transport. The CMO, MEDX, or Client designated duty Doctor will decide whether he feels the situation
warrants MED RESCUE is authorized, the patient(s) must be transported to the Helipad.

NOTE: MED saves are only authorised at night if delay would risk the patient's life. If the duty Doctor
does not feel the situation warrants MEDI RESCUE cannot be initiated, the client duty Doctor will advise
site Medical / Safety personnel concerning treatment. Once a MED RESCUE has been approved,
MEDX will notify AIRX to dispatch the helicopter with a Doctor to location.
When the helicopter arrives, the on – board Doctor will access the patient and prepare him for transport
to Port Harcourt for further treatment.
The ambulance and Medical Personnel from Port Harcourt Base will be dispatch to meet the incoming
patient. The Medical Personnel will access the patient and determine further treatment.

5.0 HAZARD AND EFFECT MANAGEMENT PROCESS (HEMP)

The management of the company is aware of the hazardous nature of the job and the exposure of the
work force to these hazards. They have therefore made it as policy that health hazard analysis for every
project is developed and the disseminated the effect of hazard on work force through training. Each
hazard identified should be analised and controls put in place to mitigate the effect of the hazards,
recovery measures should also be in place incase there is a failure in the controls that are established.

SHROMB GEOTECHNICAL LTD. Health Aspect Tables form part of the Hazard and Effects Register
and HEMP of SHROMB GEOTECHNICAL LTD. HSE Case.

Criteria for significance evaluation are given in detail in the HSE MS. The evaluation involves an
assessment of the Health Risk, following the definitions of probability and consequences to people as
per the Risk Matrix. Other assessment criteria include legal obligations, community issues, reputation
issues, and whether there was insufficient information for assessment. The scores of the various
assessments are added, resulting in a “total score” on a scale from 0 to 6, which gives an indication of
the relative significance of the aspect.
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For each health aspect, the Tables list:
A number of sources, each with the numerical results of its risk assessment and significance
evaluation
The health impact
Applicable legislation (State, Federal, and International)

Health Aspects table is attached as appendix.

6.0 PLANNING, IMPLEMENTATION AND MONITORING

It is the goal of SHROMB GEOTECHNICAL LTD. To ensure that all workers are healthy before
engagement and provided a healthy working environment which will enhance both production and
workers morale.

All workers shall therefore be medically certified fit for the job. Medical certificate of fitness of personnel
shall be obtained and copies retained at site. Routine re-certification shall be carried out as at when due.
Drivers / operators shall be retested every six months. Food handlers and caterers to be involved in the
operation shall be tested for Toberculosis (TB), or made to produce evidence of been screened for TB,
(if the caterer is a subcontractor). This test is to be carried out every six months.

First aid cabin shall be provided. These cabins shall stock all items/drugs specified for Client operations.
The first aid facilities shall be manned by a safety officer with training in first aid, or a nurse who has
adequate training in this regard. There shall be health monitoring program for all manner of workers to
assure their continued medical fitness for the job. All company’s medical shall be undertaken by
company’s retainer clinic ; all enquiry is to be directed to Dr. In-charge)

SHROMB GEOTECHNICAL LTD shall also maintain insurance in the joint names of the company and
the client (SHROMB GEOTECHNICAL LTD.) against any liability that may result such as personnel
suffering from any occupational disease of any other impairment.

OCCUPATIONAL HEALTH PROGRAMME

 SHROMB GEOTECHNICAL LTD. acknowledge the need for prevention of illness arising out of
working with harmful substances or in an environment harmful to health. In order to prevent
adverse effect on health of its employees and other persons who may be affected by its
activities.
 SHROMB GEOTECHNICAL LTD. shall conduct health risks assessment for its activities and
implement control measures to eliminate or minimize health risks and introduce substitute
products if possible.

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 SHROMB GEOTECHNICAL LTD. shall provide necessary instruction, training and adequate
supervision to all its employees to enable them to carry out their activities without adverse
health effects.
 SHROMB GEOTECHNICAL LTD. shall ensure exposure to hazardous substances and
atmospheres is minimized and that necessary PPE is provided and used wherever necessary.
 SHROMB GEOTECHNICAL LTD shall ensure that initial and routine medical examinations are
conducted on all its employees in accordance with SHROMB GEOTECHNICAL LTD. and
Client’s requirement.
 SHROMB GEOTECHNICAL LTD shall ensure that health and hygiene standards are complied
with at all work areas and camps, including offices houseboats and other accommodations.
 SHROMB GEOTECHNICAL LTD. shall ensure that qualified medical and first aid personnel
and facilities are available to our staff.
 SHROMB GEOTECHNICAL LTD. will set targets, conducts audits and monitor its occupational
health performance.

Prior to starting “the Project” the following items shall be in place.

 SHROMB GEOTECHNICAL LTD. work site health organization for the project (refer to
Appendix 1 of Health Plan)
 Medical fitness of workers and periodical checks (refer to health plan)
 First aid Training and refresher courses (refer to HSE Plan)
 Hygiene control at work site, including drugs and alcohol control (refer to Health Plan)
 Occupational health preservation programme (refer to Health Plan)
 Medical facilities, instrumentation and medicines (refer to Health Plan)
 Sanitary inspection of critical areas at the work site (refer to Health Plan)
 Accident prevention programme (Refer to health Plan)

RISK ASSESMENT
An initial health risk assessment of the project is identified in the following table, high risk are highlighted
in Red, medium risk in Yellow and low risk in Green. Work specific health risk will be addressed in the
attachment to the work method statement.

Table (a) Health Risk Assessment: identified Danger Levels of Health Risk

DANGEROUS (LIFE LESS DANGEROUS LEAST DANGEROUS

THREATENING)
Myocardial infection Malaria Arthritis
Snake bite Typhoid Myalgia
HIV STD Low Back pain
Hepatitis Diarrhea Dermatitis
Burns Chicken Pox Allegic Rhinitis
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Hypertension Sciatica Allergic Conjuctivities
Diabetes Mellitus Hemorrhoids Allergic Dermatitis
Grievous injuries Hemia Acute Gastritis / A. P. D.
Occupational injuries Non-Grievous injuries Helmenthiasis
Non-occupational injuries Occupational injuries Scabies
Occupational Illness Non-occupational illness Ear infections
Occupational illness Upper and lower respiratory
infection
Malaria Sinusitis
Boils, Furuncles
Insect Bites

Table (b): Health Risk Assessment.

MOST COMMON LESS COMMON LEAST COMMON

Malaria Allergic Dematitis Burns
Typhoid Bacillary Dysentery Snake Bite
Mylgia Acid Peptic Disease Refractive Error
Allegic rhinitis Chicken Pox HIV
Lumbago Allergic Conjunctivitis Hepatitis
Diarrhea Diabetes Mellitus STD
Respiratory Infection Hypertention Hemorrhoids
Dermatophytosis Injuries occupational Hernia
Arthritis Injuries non Occupational Ear Infection
Acute Gastritis Allergic Bronchitis Appendicitis
Helmenththiasis Insect Bites Scabies
Food Poisoning

With a clear understanding of the health threats the HSE department can identify the particular type of
occupational health threat that may affect a particular part of the Project. The Company medical
consultant is in a position to produce a risk analysis based on the consequences of the threat and the
probability of occurring. Existing medical records (as evidence of previous incidents) are therefore very
important to this assessment. A simple ranking is designed for each threat as follows.

 H = High Risk

 M = Medium Risk

 L = Low Risk

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The threats and associated risks initially identified for “ the Project” exposure are presented in a format
as shown in table C below. The table should be updated periodically to advise the project Manager but
he is to be informed immediately of a sudden grave increase in risk. This has been completed following
a site visit.

Table C: Threat Assessment and Risk Analysis

THREATS RISK CLASSIFICATION TREND

General threats H M L
Diabetes Mellitus H *
Hypertension H *
Malaria (cerebral) H *
Diarrhea H *
Typhoid H *
HIV M *
Hepatitis M *
Non-occupational injuries M *
Chicken Pox M *
STD L *
Hermorrhoids L *
Arthritis L *
Myalgia L *
Helmenthiasis L *
Scabies L *
PROJECT SPECICIF THREATS
Occupational injuries H *
Snake bite M *
Burns M *
Hermia L *
Dermatitis L *
Allergic Rhinitis L *
Allergic Conjunctivitis L *
Allergic Dermatitis L *
Ear Infection L *
Upper and Low respiratory L *
infections
Exposure to chemicals M *
Exposure to Gases (H2S) L *
Ultra violet radiation (welding) M *
Dusts L *
Food Poisoning L *
Noise L *
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Ergonomics (Manual Handling M *
activities)

Key: H = High Risk

M = Medium Risk
L = Low Risk
>> = Trend increasing
<< = Trend Decreasing
 = No trend at this time

ON SITE (LOCAL) MEDICAL FACILITIES

Medical facilities will be provided on the project as follows:

 Medic at each work location

 First aid Station equipped to handle minor medical and first aid incidents
 Back up from company Medic (radio and medivac if needed)
 An adequate supply of medicines and equipment to stabilize sick / injured persons
 Access to evacuation transport (usually by ambulance boat, may include helicopters)
 Resuscitation equipment Air splints Rescue stretcher
 First Aid Kits at the work face.

First Aid Kits

Table below shows the typical minimum contents of first Aid kits supplied to the project. These kits shall
be kept under the control of the Medic and be inspected at dailly intervals to ensure that the content
remain intact and available. Whenever the content are depleted or removed the medic shall report the
circumstances to the Project HSE Manager.

The Medic shall order replacement medical supplies through the company Base Medic.

Typical minimum content of first aid kits and instructions on use are listed in the table below:

S/NO. QUANTITY ITEMS WHEN TO USE DOSAGE HOW TO USE

1 100 Tabs
2 100 Tabs
3 50 Tabs
Tab PANADOL For all types of Pains, 2 tabs at a time, repeat the
(paracetamol) Headache feeling of fever, same if necessary after 6 hours,
cold and flu. all after food
Tab. NIVAQUINE High Body temperature 4 tabs at a time, then 2 tabs
(Chloroquine) after 6 hours, all after food
Tab PIRITON (Anti For all itching conditions. 1 Tab 2 or 3 times in a day. This
Allergic) Itching caused by Nivaquine can make you sleepy, do not
drive or operate machine
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4 100 Tabs Tab LOMOTIL (Anti For frequent stooling 2 tabs a times another 2 tabs
Diarrhea) Dirrhea after 4 – 6 hours. Give plenty of
water / O.R.S. to drink.
5 1 Bottle Magnesium Trisiliate For hearty burns abdominal 2 tablespoon at a time, another
Mixture (Antacid) upsets, Griping stomach 2 tablespoon after 4 – 6 hours.
pains Give plenty of water /O.R.S. to
drink
6 1 Bottle Expectorant Mixture For cough and cold 2 teaspoon immediately.
(Cough syrup) Another 2 teaspoon after 6
hours. Can cause sleep. Better
take at night.
7 1 Bottle Savlon solution (anti- For cleaning wounds Use the cotton with the liquid to
septic) clean the wound before
covering
8 1 Bottle Visine solution (eye Eye redness or itching and 2 drops to the eye and repeat
drop) aching after 4-6 hours
9 1 Tube Ben-gay cream For muscular pains and joint Rub a little quantity on the
injuries – sprains and affected part. Do not place
strains cotton wool on the face of
wounds.
10 1 Roll Cotton Wool For cleaning wounds and Use cotton wool with savlon to
use as absorbing material in clean wounds. Do not place
several bleeding cotton wool on the face of
wound
11 1 Packet Cotton gauze For covering wounds Cover all wounds with gauze
after cleaning then and before
plaster or bandage
12 1 Packet Cotton bandage For dressings and supports To hold dressing in firm position.
Also used as bandage
13 1 Roll Adhesive Plaster For covering dressing if Cut the plaster as required and
there are no bandages or cover the wound
when the use of bandage is
not comfortable
14 1 Packet Strip or dressing For small wounds and Clean the wounds and cover
plaster bruises with strip
15 1 Packet Triangular bandage For slings, supporting Tie the triangular bandage after
broken arms and legs. all other first aid practice when
Immobilizing injuries necessary
16 2 Pieces Wooden Splints For supporting broken After first aid, place each splint
bones at each side of the affected area
and tie above and below the
affected points

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17 1 Pairs Scissors To cut bandages and After using bandage and
plaster only plasters cut the excess with the
scissors
18 1 Pieces Dressing forceps For use as required so long To hold the dressings to avoid
as it does not cause anxiety cross infection
in the patient
19 1 Pocket note book and To be used to record any Not applicable
pen first aid treatment given

STAFFING

A trained Medic (RN) and designated first aiders will be assigned on the project (minimum of two first
aiders per work location). These personnel shall hold appropriate qualifications and have experience in
the trauma and health hazards associated with the work. Refer to relevant section of health plan for the
competency assurance of medical and health staffing deployed for this contract.

RETAINED MEDICAL SUPPORT – BACK UP ASSISTANCE

In addition to company retained clinic at port Harcourt and sick at our base yard, all equipped with fully
trained competence medical resources, the company shall during the course of the project execute have
access to medical facilities from client and governmental medical installation at strategic locations within
the project areas, such as Emergency Medical Services (EMS).

Due to the remote location on the project, there will be no retained medical support. Support will be
provided by SHROMB GEOTECHNICAL LTD. Medical unit in Port who may request for additional
support from other SHROMB GEOTECHNICAL LTD. Locations that may be closer. In all location
SHROMB GEOTECHNICAL LTD. Medevac will be in place together with support from Client if
needed.

Refer to Medevac arrangement for details of additional medical back up from client. Thus there is
possibility at certain locations to use the services of an adjacent or contiguous Clients helicopter.
Arrangement for this will be coordinated through the Client site representative.

CONTINGENCY PLANS

For transportation of injured or sick personnel a boat or ambulance / vehicle shall be available. In certain
locations personnel may be transported to an adjacent client helipad for evacuation. In this instance the
evacuation will be coordinated through client’s site representative. Refer to the Medical Evacuation
Procedure chart below.

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FLOW CHART: MEDICAL EVACUATION PROCEDURE

Incident occurs that is beyond the scope or

capabilities of site personnel or facilities

Medic proceeds to the location of the incident

(incident may be reported directly to the First Aid
Station) and assesses the situation

NO YES
HANDLE
Medic handles the incident and
Medic assesses the support the
needs and advise the senior reports as per procedure
SHROMB GEOTECHNICAL LTD
representative on site

Evacuation by boat

or helicopter

Senior SHROMB GEOTECHNICAL LTD Ambulance boat is called

Representative will initiate helicopter Patient is stabilized by the
movement
nurse

Senior SHROMB GEOTECHNICAL LTD

Client’s representative will
representative will initiate ambulance
initiate excavation process boat movement

If needed the ambulance boat

is called. Patient is stabilized Senior SHROMB
by the Nurse GEOTECHNICAL LTD
representative will advise he
Client’s representative

END
The incident or
circumstances will be
investigated and full report
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 OCCUPATIONAL HEALTH MANAGEMENT PLAN
HYGIENIC STANDARD / HOUSEKEEPING

Hygienic standard will be maintained in accommodation and kitchen areas to meet Government and
Client standards. To ensure this the project HSE personnel shall inspect the facilities on a weekly basis
and provide a report on their findings to the project Manager and the HSE Manager. The Company
Doctor will inspect facilities and standards during his monthly site visits and advise on areas to be
improved.

Hygiene awareness will be promoted by the use of signs stating rules and requirements. Signs shall be
a language understood by the staff and regularly checked by the exposure (continuous use of the same
information). Where necessary and / or appropriate the Project HSE Officer shall regularly change signs.

CLEANLINESS
The project HSE personnel shall as part of their scheduled inspection programme, monitor the
arrangements in place to ensure cleanliness of the accommodation, kitchen and work areas. They will
assess compliance with the waste Management plan and segregation / Manager and the project HSE
Manager.

Refer to relevant section of the company’s Health Plan in the appendix of the HSE Plan for other details.

7.0 AUDITS, INSPECTIONS AND FOLLOW-UP PROGRAMME

Audit will not be limited to just the construction activities but will also inspect site facilities such as living
quarters, mess halls, clinics (where applicable) etc.

Formal audits of the construction site will be held monthly and as may be determined by our client.

Audits and inspections will be assisted with the use of the checklist, HSE audit and inspection forms.
Each audit will be documented, indicating the items for correction, areas of good practice and plans to
correct and avoid areas of failures. Items for correction shall be addressed immediately and follow-up for
a closeout.

The company’s Hazard identification form or hazard register shall be utilized. Active site shall be audited
to assess compliance to HSE standards and procedures and or guidelines. There shall be site audits,
HSE advisors’ audit and management audit teams. These audits shall be scheduled based on the
project duration, location and type etc. there shall be effective audit and inspection action point follow-up
and close out reports.

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7.1.1 AVAILABILITY / PROCEDURE

A project audit schedule shall be drawn and judiciously observed. Audit programs shall comprise but not
limited to the following:
 Pre-Mobilization Inspection
 Unsafe Act / Unsafe Condition (UAA) / HIR Audit
 HSE Plan Implementation Audit
 Management site HSE Audit
 HSE site inspection
 Advisors’ HSE Audit

MANAGEMENT REVIEW
SHROMB GEOTECHNICAL LTD HSE coordinator and Director of Operations will prepare and review
all company’s HSE documentation and policies against set objectives and targets annually or bi-
annually or as required, while the Managing Director shall approve the documents. The HSE
Coordinator will review HSE Performance Indicator monthly.

All major incidents and accidents to be reviewed by a management review panel and approved by the
managing Director. Monthly technical and HSE project review meetings held. The meeting will be
chaired by the Director of Operations. The Managing Director will chair management HSE meeting.

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ATTACHMENT
SHROMB GEOTECHNICAL LTD. Health Aspect Tables form part of the Hazard and Effects Register of
the HSE Case. Criteria for significance evaluation are given in detail in the HSE MS. The evaluation
involves an asses SHROMB GEOTECHNICAL LTD management of the Health Risk, following the
definitions of probability and consequences to people as per the Risk Matrix. Other assessment criteria
include legal obligations, community issues, reputation issues, and whether there was insufficient
information for assessment. The scores of the various assessments are added, RESULTING in a “total
score” on a scale from 0 to 6, which gives an indication of the relative significance of the aspect.
For each health aspect, the Tables list:
A number of sources, each with the numerical results of its risk assessment and significance
evaluation
The health impact
Applicable legislation (State, Federal, and International)
Applicable policies

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Hazards and
Effects Register, PART 3 – Health ASPECTS
S/N SOURCE HEALTH ASPECT HEALTH IMPACT RISK SIGNIFICANT DIRECT/ OPERATIONAL CONTROL
RANKING INDIRECT
0: Insignificant
1-6: Significant
1 Exposure to Aromatic Chemical Agents Acute: Dizziness, light B4 2 Direct Oil/Chemical Spill Plans and
chemicals headedness, vomiting, Procedures, Toolbox meeting
unconsciousness` Regular Monitoring and follow
Chronic: Bone marrow up, Appropriate PPE
depression, aplastic anaemia Health Education
2 Exposure by inhalation/skin Chemical Agents Acute: Vomiting, tremors and B2 0 Indirect Toolbox meeting, Health
contact with pesticides and convulsion surveillance-Personal sampling,
biocides (Vector control Chronic : Nerve damage with Provision of appropriate PPE,
chemicals) persistent muscular Health Education
weakness
3 Skin contact with used/unused Chemical Agents Dermatitis, skin cancer A1 0 Indirect Toolbox meeting
lubricating oils SHOC Card, Health Education
4 Skin contact with crude oil Chemical Agents Dermatitis, skin cancer B3 0 Direct Oil/Chemical Spill Plans and
Procedures, SHOC Card,
Toolbox meeting

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5 Exposure to heating and Chemical Agents Lung damage, asphyxiation, A1 0 Indirect Toolbox meeting, Daily progress
vehicle exhaust and flare meeting
gases above limit by inhalation
(CO, SO2 NOx)
6 Exposure TO operational Chemical Agents Lung damage, lung cancer, B2 0 Direct Toolbox meeting, Health
hazard . Eye injuries from ultra violent surveillance, PPE
radiation from electric arc.
7 Skin/eye contact with Chemical Agents B4 2 Indirect Toolbox meeting
corrosives (i.e. battery acid) Intense irritation and
chemical burns of the teeth,
eyes, and skin.
8 Exposure by inhalation to dusts Chemical Agents Lung disease, bronchitis B2 0 Indirect FO/OP/021, Toolbox meeting
not otherwise classsified above Health Education, PPE
(eg. Cement Dust)
H-22.03
9 Exposure by skin contact and Chemical Agents Dermatitis, irritation, B2 0 Indirect Toolbox meeting
inhalation (above limit) to sensitisation Health Education. PPE
degreasers (terpenes)
10 Exposure to thermal stress Physical Agents Heat Exhaustion, Heat B2 0 Direct Gradual exposure of worker to
above limit Syncope, Heat Cramps heat, Supply of salted fluid,
Monitoring of worker’s health,
Pre-placement Medical
examinations
First aid treatment, training
11 Exposure to high levels of Physical Agents Cataracts, heat stress, burns - - Indirect First aid treatment, training
INFRARED radiation.

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12 Exposure to noise dose above Physical Agents Noise Induced Hearing Loss C3 2 Indirect Hearing Conservation
limit (85 ?? dBA daily average) Temporary Threshold Shift Programme, Noise Survey -
(TTS) Noise Contour maps, Signpost
at areas greater than 85 dB(A),
Provision of ear-protectors ,
pre- and periodic audiometry
tests, ,
13 Exposure to external radiation Physical Agents B4 2 Direct Radiation – Local Rules, PTW,
sources above limit (e.g. Cataracts, sterility, erythema, Health surveillance
sealed sources, x-ray) cancer PPE- Film Badge
Health Education
14 Exposure to ultraviolet light Physical Agents Eye:- Cataract burn & B2 0 Indirect Health education
(solar) above limit retinal burn,
Skin:- Pigment darkening-
(Albinos and Caucasians),
Skin cancer
15 Contact with venomous/rabid Biological Agents Poisoning, A4 0 Indirect Medical treatment
animals Pest Control
16 Ingestion of / skin contact with Biological Agents Nausea, vomiting, hepatitis A A1 0 Direct Certification of food handlers,
water borne pathogens ,typhoid, polio, periodic medical for food
(contaminated potable water, handlers, Good house keeping,
sanitary waste) examination, Food and water
sampling

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17 Contact with insect disease Biological Agents Malaria, Yellow Fever, B2 0 Direct Malaria prevention campaign
vectors ( e.g. mosquito, Onchocerciasis, Malaria prophylaxis programme,
simulium damnosum(black Leishmaniasis Yellow fever vaccination, Health
flies) sand flies, fleas, lice etc) education, Medical treatment
18 Contact with water borne Biological Agents Schistosomiasis, B2 0 Indirect Medical treatment, health
disease vectors or parasites Dracunculiasis education
(e.g. Schistosomiasis,
Dracunculiasis )
19 Skin contact / injection of body Biological Agents Hepatitis B, HIV infection A4 0 Indirect Medical treatment, health
fluid borne pathogens education,
20 Ingestion of food borne Biological Agents GI disorders (nausea, A2 0 Indirect Certification of food handlers,
pathogens vomiting), toxic effects, periodic medical for food
typhoid, handlers, Good house keeping,
examination, Food and water
sampling Catering Inspection
check-list, Medical Treatment
21 Skin infections due to poor Ergonomic Factors Skin infections A1 0 Direct Personal Hygiene
personal hygiene Good Housekeeping
Maintenance of PPE
Medical treatment, Health
Education
22 Manual handling of loads. Ergonomic Factors Musculoskeletal disorders C3 1 Direct Training, pre-placement medical
Health Education
23 Use of poorly designed Ergonomic Factors Musculoskeletal disorders B3 0 Direct Training
workstations/workplaces

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24 Work-induced stress. Psycho-social Fatigue,, Isomnia, , D3 1 Direct Planning and prioritization of
Factors headache, Depression, work schedules, Regular
Irritability, Fear, exercise, Creation of time for
Restlessness, rationalization, leisure and relaxation, Share
Paranoid, Obsession, , problems with others, Have self
Hypertension, peptic ulcer, , confidence, Avoid unreasonable
targets, Periodic Medical
Examinations
25 Crisis Induced STRESS (due Psycho-social Hypertension, peptic ulcer, D3 1 Indirect Employee Assistance
to third party actions eg Factors clinical depression/anxiety, Programme, Counseling,
community problems nervous breakdown Medical treatment,

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