APPENDIX - A

Suggested Toolbox Talk

 PROJECT: ARABIAN RANCHES-III,
DEVELOPMENT PHASE-1C
PROJECT HSE PLAN

DATE: 07-12-2021 REF NO: 18120-HSEP-INDS-0002 REV 00

Suggested Tool Box Talk

Tool Box Talks are comprised of various talks of which the titles are listed on the following Tool Box

No Topics No. Topics

1. HSE Policy and HSE rules and regulations2. HSE responsibilities & do and don’t
Safety Signs (mandatory, warning,
3. Site welfare facilities 4.
prohibitory, safe condition, fire sign)
5. Personal Protective Equipment 6. Excavation & trenching
Working near Live Traffic and traffic
7. 8. Access and Egress
management
9. Slips, Trips and Falls 10. Lifting operations/ and lifting gears
Compressed gas cylinders, use, storage
11. Electrocution 12.
and transport
13. Permit to Work Systems 14. Working near machines and Plants
15. Working in Confined space 16. Fire prevention & Use of Fire extinguishers
17. Hot works (welding, cutting, etc.) 18. Working at height, Scaffolds and Ladder
19. Plants and equipment. 20. First aid & Incident/Near miss Reporting
Working with Chemicals and
21. Manual Handling 22.
Hazardous Substances (COSHH/ MSDS)
Emergency response and
23. Use of Hand Tools and Power Tools 24.
evacuation procedures
Housekeeping, storage of materials and
25. Noise and precautions 26.
general environmental considerations
27. Hot weather Conditions and Precautions28. Manual/ mechanical handling of materials
29. Air compressor 30. Concrete work
Environmental aspects, impacts and
31. 32. Waste Management (Hazards & General waste)
control measures
33. Method Statements & Risk Assessments 34. HSE Promotion and Awareness
35 Confined space works 36 COVID 19
Talk Program table. The sub-contractors training program will be reviewed by the concerned HFC
Sr. HSE Officer /Officer. Topics covered will be based on the related activities and events on site.
The following is a suggested list of topics for tool box talks on site.

96
APPENDIX - C
Training Matrix
 Form No: HFC/HSE/TM/27
HILLS AND FORT CONSTRUCTION LLC Rev: 01
Date 15/02/2019
Yearly Training Matrix

Year: 2021

General Mgr.

Procurement
Construction

Office based
HSE Officers
Project Engr
Project Mgr.

Operatives

office staff

Contractor

Operators

workers
Riggers

Normal

visitors
QA/QC

Sub-
Mgr.

staff

PRO
Foreman
Sl Course Title Trainer
No

1.
Project HSE Induction HSE Team YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
2.PPE & PFPE HSE Team NO NO NO NO YES NO N0 NO NO NO YES NO YES YES YES YES NO
3.Permit To Work HSE Team NO NO NO YES YES YES NO NO NO NO YES YES YES YES YES YES NO
4.
Incident Investigation HSE team NO NO NO YES YES YES YES NO YES NO NO YES YES NO NO NO NO
5.Scaffolding Third Party NO NO NO YES YES YES NO NO NO NO NO NO NO NO NO YES NO
6.Lifting Operation Third Party NO NO NO NO YES YES NO NO NO NO NO NO NO NO NO NO NO
7.
Emergency Procedure HSE Team YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
8. HSE Team/
Heat Stress NO YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
Third party
9.
Method Statements CM/PM/QA/QC NO NO NO YES YES YES NO NO YES NO NO NO YES NO NO NO NO
10.
Legal & Other
HSE Team YES YES YES YES YES YES YES YES YES YES NO NO YES NO NO NO NO
Requirements
11.
Banksman,
Third party NO NO NO NO YES NO NO NO NO NO NO NO NO YES NO YES NO
Slingers/Signalers
12.
MEWP Third party NO NO NO NO NO NO NO NO NO NO YES NO YES NO YES NO NO
13.
Power tools safety
Third party NO NO NO NO YES NO NO NO NO NO YES NO YES NO NO YES NO
Note: As per the project requirement; if any additional training requires will conduct as per the project training Matrix.

Prepared By: HSE Engineeer Approved BY: Project Manager

Date: 07/12/2021 Date: 07/12/2021

Form No: HFC/HSE/TM/27 Rev-01

APPENDIX - D
Legal Register
 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Sl No. Contents Page No.

1.0 UAE Federal Law No. 8 of 1980 – Labor Law 3
2.0 UAE Ministerial Order No. 32 of Year 1982 on Determining Prevention Means and Measures to Protect Workers from Work Hazards 3
3.0 UAE Ministerial Decree No. 401 of 2015 Concerning the determination of midday working hours 7
4.0 Dubai Municipality Code of Construction Safety Practice (DM code of practices) 7
5.0 Dubai Administrative Decision No. 30 of 2007 Enacting the Executive Regulations Implementing Local Order No. (11) of 2003 9
6.0 Local Order No. 11 of 2003 Concerning Public Health and Community Safety in the Emirate of Dubai 9
7.0 Dubai Municipality List of Fines for Information 14
8.0 UAE Federal Law No. 24 of 1999 Concerning Protection and Development of the Environment 16
9.0 UAE Cabinet Decree No. 12 of 2006 Regarding the Regulation Concerning the Protection of Air from Pollution 17
10.0 Local Order No 61 of 1991 on the Environment Protection Regulations in the Emirates of Dubai 17
11.0 Local Order No 7 of 2002 – Management of Waste Disposal Sites in The Emirate of Dubai 18
12.0 Dubai Municipality – Environmental Guidelines, Circulars and Bulletins 19
13.0 Dubai Municipality – Public Health & Safety Department Technical Guidelines & Circulars 22
14.0 UAE Occupational Health and Safety Management System (OHSMS) National Standard, AE/SCNS/NCEMA 6000:2016 27
15.0 Regulation No. 4 of 2009 Concerning the Organization of Work in the Right of Way in the Emirate of Dubai 28
16.0 Roads and Transport Authority (RTA) QHSE Guidelines, Procedures and Circulars 31
17.0 The Roads and Transport Authority – Schedule of Fines for Information 32
18.0 Federal Order No. (11) of 2007 on UAE joining the convention of wetlands of international importance (RAMSAR) 33
19.0 UAE Federal Law No. 12 of 2018 On the Integrated Waste Management 34
20.0 UAE Fire & Life Safety Code of Practice 2011 35
21.0 UAE Federal Law No. (14) of 2014 Concerning the Prevention of Communicable Diseases 36
22.0 Dubai Health Authority (DHA) – Circulars Novel coronavirus (2019- nCoV) alert & guide 35
23.0 Other Requirements (HFC Management Manual & SOP’s) 36
24.0 Executive Council Resolution No. (15) Of 2021 Regarding Sharjah Occupational Safety and Health System (OSHJ System) 36
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

SL No LAW Responsible Person Compliance Status Remarks

1.0 UAE FEDERAL LAW NO. (8) OF 1980 – LABOR LAW

Title 2
HFC HR& Admin Complied implemented as per requirements.
Employment of workers and youth and women labor
HFC HR &Admin, GM,
Title 3
Director construction Complied implemented as per requirements.
Employment contracts, records & wages
Management
Title 4
HFC HR& Admin Complied implemented as per requirements.
Working hours & leaves
Title 5 HFC HR& Admin/HOD/ Complied implemented as per requirements.
Safety, protection health and social care of workers Project Manager HSEMS implemented by all sites and facilities.
Title 6
Disciplinary rules HFC HR& Admin Complied implemented as per requirements

Title 7
Termination of Employment Contract and End HFC HR& Admin Complied. Implemented as per requirements
of Service Gratuity
Title 8
Compensations for Occupational Injuries and HFC HR& Admin Complied implemented as per requirements
Diseases

UAE MINISTERIAL ORDER NO. 32 OF YEAR 1982 ON DETERMINING PREVENTION MEANS AND MEASURES TO PROTECT
2.0
WORKERS FROM WORK HAZARDS
Article 1
• Preventive measures for Protection of workers Director construction HSE team& Fire warden appointed, HIRA (incl.
during work hours and against fire risks (shall Management / Project Yes, being complied. Fire risk assessment) carried out, inspections,
also adopt preventive measures specified by Manager/ HOD trainings and mock drills conducted.
the Ministry of Labor and Social Affairs).

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HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Article 2 All signs (mandatory, regulatory and warning)

• Display of clear instructions and signs written in displayed as per standard (e.g. Traffic signs and
Project Manager/HOD Yes, being complied.
Arabic and other language PPE requirements in both English and Arabic).
Empowerment to stop work policy displayed in
Hindi, Arabic, Urdu, English etc

Article 3 Project Manager/HOD Records maintained in individual sites. (Cross

• Briefing of risks before assuming work HSE Team Yes, being done checked in HSE performance review meetings at
Site execution Team HSE department and during audits).
third party certified first aider’s available and also
Article 4 male nurse based on number of employees and
Project Manager /HOD/ risk level. First aid boxes also available in all
• Supervising first aid treatment and providing Yes, being done
HSE Team prominent locations. (cross-checked during audits
first aid box
and inspections).
risk assessment carried out to identify the hazards
Article 5
Project Manager /HOD/ and control measures are implemented for the
• Providing sufficient protection for the health Yes, being done protection of workmen.
HSE Team
and safety of workers
risk assessment carried out and occupational
Article 6
health hazards identified, and all controls identified
• Measures to prevent or reduce the health Project Manager /HOD Yes, being done implemented.
risks in the workplace
risk assessment carried out and hazards
Article 7
identified, and all controls identified implemented.
• Measures to prevent or reduce the risks due Project Manager /HOD Yes, being done Daily inspections by HSEA.
to access and egress.

Article 8 Fire RA prepared and communicated. The number

• Prevention of fire and providing appropriate of fire extinguisher identified provided and
Project Manager /HOD Yes, being done inspections done on monthly basis. Fire officer
fire extinguishers
visits regularly for compliance inspections.

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HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

risk assessment done and fall protection

Article 9 measures taken including procurement of safety
• Necessary precautions to protect workers harness and design/provision of handrail, mid rail
Project Manager /HOD Yes, being done systems. Scaffolding inspectors and engineer
from dangers of falling and falling objects
available and tagging system followed. Regular
inspection by HSE Team.

Article 10 ensured by regular inspection. Dedicated

workshop to take care of maintenance works.
• Provide constant protective barriers around Project Manager /HOD Yes, being done
exposed parts of machinery

all excavations, trenches, openings provided with

Article 11
barriers (plastic, concrete) or railing system with
• Providing of appropriate protective barriers Project Manager /HOD Yes, being done necessary signages. Regular inspection by HSE
Team
Article 12 carried out as per manufacturer’s instruction
Project Manager / HOD / manual and competent supervision
• Providing protection facilities when installing Yes, being done
Workshop In-Charge
new machines
Article 13 workmen are briefed of the same in TBT. Strict
• Not to allow anyone to remove or install any Project Manager /HOD . Yes, being done action initiated against defaulters
barrier or part when the machine is running
Project Manager /HOD displayed in all diversions,
Article 14
Project Manager /HOD Yes, being done workshops, yard, site gate etc.
• Display of instruction sign boards
Included in HSE plan as workers responsibility and
Article 15
explained to them in TBT/inductions. Disciplinary
• Workers shall comply with orders and All Work Force Yes, being done.
action is initiated against violators
instructions related to his safety

Article 16
Project Manager /HOD Not applicable
• Safe usage of steam boilers
Article 17 followed as per site HSE rules and regulations.
Project Manager /HOD/
• Shall not allow worker to enter in to work site Yes, being done. Part of HSE induction for sites.
HSE Team
without proper PPE

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Article 18 Risk assessment done for all chemicals taking into

• Protection of workers from dangerous Project Manager/ HOD & consideration the MSDS. MSDS displayed in all
Yes, being done.
materials Stores Manager storage area and workmen/supervisory staff kept
informed.
RA is present for all activities. Work permit
Article 19 controls excavation works. Hot works, confined
• Protection of workers involved in digging and space works, height works etc. in construction.
Project Manager /HOD Yes, being done.
demolition works, and construction works Competent supervision and training also provided
including third party.

Article 20 all lifting equipment/tackles inspected by third

Project Manager/ HOD/ party and records maintained in workshop.
• Hoisting machinery and towing tools Yes, being done.
Workshop In-Charge

in case of sub-contractor, there is clear agreement

Article 21 on HSE requirements. Kick- off meeting is done at
Client
• Assigning a work to contractor site level to brief all HSE requirements.

Article 22 all safety equipment like PPE etc. are provided to

• Providing industrial safety equipment Project Manager /HOD Yes, being done. workmen for the safe conduct of work.

Article 23
• Competent labour inspector shall take
samples of the materials used in the
manufacturing process during the official
Labour Inspector Not applicable
working hours when conducted inside the
establishment as specified by provision of
article (175) of law no (8)1980 concerning
the regulation of labour relations.
Article 24 Authorities informed along with clients/ consultant
• Notify the competent labour department on Project Manager /HOD Yes, being complained as per requirement.
accidents that occur during work hours

Article 25 Ministry of Labour &

Not applicable
• Labour inspector duties Social Affairs

Article 26 Project Manager Yes, being

Upon approval from client/consultant.
• Appointment of HSE engineer/officers /HOD/HSE Manager implemented.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

3.0 UAE MINISTERIAL DECREE NO. 401 OF 2015 CONCERNING THE DETERMINATION OF MIDDAY WORKING HOURS

The ministerial order gives a clear and minimum General Manager/ HR & as per requirements.
requirement to be followed in the summer working Admin/ Director project Yes, being complied Evidenced in Summer work schedule and Circular.
hours. The mid-day break timings of 12:30pm to management/HSE
3:00pm must be followed by all employers. Manager/ Project
manager /HOD

DUBAI MUNICIPALITY CODE OF CONSTRUCTION SAFETY PRACTICE

4.0 (ONE OF THE REFERENCES IN CONSTRUCTIONAL AND PROFESSIONAL SAFETY IN THE EMIRATES OF DUBAI)
as per requirements, implemented by Project
Project Manager/section
2.0 General Safety & Health Provisions Yes, being complied Manager. And section head. HSEMS implemented
head
in all sites and facilities.
as per requirements of different clients and
2.13.5 Appointment of Safety Officer (HSE HSEM and consultant or contractual requirements.
Yes, being complied
Advisor) Project Manager

3.0 Occupational Health & Environmental Control HR & Admin / as per requirements. Records maintained by
• Ministerial Resolution No. (37/2) for 1982 Project Manager / administration department.
Yes, being complied
regarding the level of medical attention the Male Nurse /
employer is obliged to provide to his workers. First Aider / HSE Team
Project Manager/Center as per requirements and as identified from risk
4.0 Personal Protective Equipment storekeeper/procurement Yes, being complied assessment. Records of issue available with
dept/ HSE dept. stores department.
5.0 Fire Protection and Prevention as per requirements and cross checked by HSE
Team.
• As per Civil Defense Guidelines HODs / Project Manager Yes, being complied
• UAE Fire and Life Safety code of practice
as per requirements, implemented by Project
6.0 Signs, Signals and Barricades Project Manager/ HODs Yes, being complied Manager as per the control measures mentioned
in risk assessment.
as per requirements. Regular awareness trainings
Store Head / Project are given by HSE Team.
7.0 Material Handling and Storage Yes, being complied
Manager / HOD

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

as per requirements, implemented by Project

Manager. Trained Scaffolders and scaffolding
8.0 Scaffolding & False Work (Temporary inspectors are available. Overall, Senior engineer
Project Manager/ HODs Yes, being complied
Structures) Safety advices and guides the project team

as per requirements, implemented by Project

9.0 Excavation Including Shoring & Piling Works Manager. PTW system is followed for excavation
Project Manager/ HODs Yes, being complied
Safety works. Approved MSRA available for all such
works.
as per requirements, implemented by Project
Manager.
10.0 Concrete and Masonry including Formworks & Concrete buckets, concrete placers have 3rd party
Project Manager / HODs Yes, being complied
Shoring . test certificates.
Formwork and shoring’s are all designed and
there is approved MSRA.
as per requirements, implemented by Project
11.0 Steel Erection & False Work (Temporary Manager.
Project Manager / HODs Yes, being complied
Structures) Safety There is a separate technical department to
support and cross check design safety issues.
12.0 Underground Construction, Tunnels, Shafts, as per requirements and implemented by Project
Cofferdams and Project Manager / HODs Yes, being complied Manager and HODs.
Caisson.
being complied as per requirements by having a
13.0 Demolition Project Manager / HODs Yes, clear approved MSRA.
as per requirements. Regular training and
14.0 Hand and Power operated tools Project Manager / HODs Yes, being complied inspection of the same are carried out.
as per requirements and implemented by Project
Manager in coordination with workshop manager.
15.0 Welding and Cutting Project Manager / HODs Yes, being complied

as per requirements.
Project Manager / Yes, being complied Regular electrical inspection is carried out by a
16.0 Electrical Hazards
Electrical PRM / HODs competent electrician
as per requirements and implemented by Project
17.0 Control of Hazardous Energy (Lockout/ Tag Yes, being complied Manager and HOD.
Project Manager / HODs
out) Taken care by plant engineer in all plants.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

as per requirements and implemented by Project

18.0 Chemical Materials Hazards and Labeling Project Manager / HODs Yes, being complied Manager. MSDS available for all chemicals and
trainings carried out.
as per requirements and implemented by Project
19.0 Confined Spaces Project Manager / HODs Yes, being complied Manager. PTW system is followed for confined
space.
as per requirements and implemented by Project
Project Manager / Plant Manager in coordination with transport
20.0 Road Works / Site Planning / Site Transport Yes, being complied department.
In-Charge
All RTA requirements are fulfilled.
as per requirements in coordination with other
departments.
21.0 Sling and Rigging Equipment Project Manager/ HODs Yes, being complied Regular inspection carried out by HSE Team and
workshop engineer.
as per requirements and implemented by Project
Project Manager / Plant Manager in coordination with transport
22.0 Cranes Yes, being complied
In-Charge department.
All RTA and DM requirements are met.

DUBAI ADMINISTRATIVE DECISION NO. (30) OF 2007 ENACTING THE EXECUTIVE REGULATIONS IMPLEMENTING LOCAL
5.0
ORDER NO. (11) OF 2003 CONCERNING PUBLIC HEALTH AND COMMUNITY SAFETY IN THE EMIRATE OF DUBAI
ENACTING THE EXECUTIVE REGULATIONS IMPLEMENTING LOCAL
Dubai Municipality For Information.
ORDER NO. (11) OF 2003

6.0 LOCAL ORDER NO. (11) OF 2003 CONCERNING PUBLIC HEALTH AND COMMUNITY SAFETY IN THE EMIRATE OF DUBAI
Article 1
• This order shall be called “Local Order No. (11) Of 2003 Concerning
Public Health and Community Safety in the Emirate of Dubai”, and Dubai Municipality For Information.
shall come into effect as of the date of publication in the Official
Gazette.
Article 2
• In applying the provisions of this Order, the following terms and words
Dubai Municipality For Information.
shall, unless otherwise required by the context, have the meanings set
forth against each of them respectively

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HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Article 3 Yes, being complied as per requirements. Male

• Prohibition for any person to cause or be a reason to cause any Health All employees
nurse/ first aiders available for monitoring and
Hazard in the Emirate. regular communication from relevant authorities
shared.
Article 4
• For the purposes of the previous Article, the following activities and acts
shall be considered Health Hazards:
(1) Disposal, throwing or depositing of wastes, garbage and similar materials
in Foodstuff Establishments and other Establishments engaged in
Public Health care or their surroundings, in a manner that may cause Yes, being complied as per requirements and
Project Manager/
them to decay, put the Public Health at risk, or cause disturbance to the implemented by Project Manager where
Section Head
public. applicable.
(2) Odors, sounds, smoke, vapors, dust and wastes produced by any building
or any Establishment which can cause harm to the Public Health.
(3) Any profession, handcraft, activity or other business which may cause
harm to the health and safety of the workers or to the neighboring
people.
Article 19 Yes, being complied as per requirements and
Camp Administrator/
• Occupational health cards for persons working in the field of dealing implemented by Camp Administrator and HR &
HR & Admin
with foodstuff. Admin.
Article 23 Yes, being complied as per requirements and
• The Occupant shall be responsible for the cleanliness and safety of the Project Manager/ implemented by Project Manager. Yes, drinking
drinking water tanks in the building and shall be responsible also for Section Head water test done and tank cleaning done in all
verifying the efficiency of all the water distribution points in the same. facilities as per DM requirement.
Article 28
• All workers of health – related establishments shall be subject to health Yes, being complied as per requirements and
control in accordance with the conditions and requirements determined by HR & Admin implemented by HR & Admin.
the Competent Department, including the requirement of their obtaining DM circular followed.
occupational health cards showing their clearance from infectious disease.
Article 35
• The Competent Department shall be the party responsible and authorized in
Yes, being complied as per DM requirements and
the Emirate for issuance of occupational health cards for workers in health-
HR & Admin implemented by HR & Admin.
related establishments, upon completion of the necessary medical and
DM circular followed.
laboratory tests on them and confirming their clearance from infectious
diseases.
Article 38 Yes, being complied as per requirements and
HR & Admin/ Project
• The Owner and the Contractor shall be, for the term of construction works, implemented by HR & Admin & Project Manager.
Manager/ Section
responsible for controlling Public Health Pests and preventing the sources Annual contracts with approved DM party
Head
of breeding in the Building, water tanks or sewerage connections, and shall available for both waste management and pest
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HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

ensure clearance of the Building and its attachments from such Pests on control
the completion of the construction works.
• Without prejudice to the responsibility of the Owner for the rest of the parts
of the building which continues even after the completion of construction
works, the Occupant shall be responsible for controlling Public Health Pests
in the part of the building occupied by the Occupant.
Article 53
• The term “Health and Safety of Buildings” shall mean fulfillment (by the
building) of the health and environmental conditions and safety
Yes, being complied as per requirements and
requirements which ensures protection of health and safety of its residents
Project Manager/ implemented by Project Manager and section
and maintains its interior and surrounding environments (all in good
Section Head heads.
conditions), including the building materials, potable water systems,
sewerage systems, air-conditioning systems, elevators, emergency exists,
firefighting systems, indoor air quality and common service facilities.
Article 54
• With respect to the health and safety of Buildings in the Emirate, the
relevant requirements on health and environmental conditions issued and
Dubai Municipality For Information.
adopted by the Municipality shall apply.
The Executive Regulation of this Order shall specify the relevant conditions
and requirements thereof.
Article 56
• The Occupant shall maintain healthy indoor air quality of the building
through: (a) provision of proper exhaust system for gaseous emissions
and fumes contaminating the indoor air, and for the heat resulting from Project Manager/ Yes, being complied as per requirements and
various activities and facilities in the building; (b) ventilation of indoor HODs implemented by Project Manager/ HODs.
air in conformance to the approved Indoor Air Quality standards; (c)
keeping the quality of indoor air within the acceptable levels and to
implement measures to control the indoor air quality in such levels.
Article 58
• The Occupant shall undertake regular maintenance of the building in such
a manner that would ensure the building’s continuous compliance to the Project Manager/ Yes, being complied as per requirements and
conditions and requirements of public health and community safety. HODs implemented by Project Manager/ HODs
• The Executive Regulation shall specify the rules and standards necessary
for conducting the required regular maintenance works.
Article 59
• It is prohibited to throw, deposit, drain, release, or discharge any waste Project Manager/
material in public places or dispose of it in places other than those HODs
designated for such purpose or in any manner other than those approved Yes, being complied and implemented by Project
by the Competent Department. In particular, the following are prohibited: Manager. Regular awareness is given to all
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HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

(1) Throwing out of any waste from vehicles on public roads. employees. The same is cross checked by
(2) Dropping of any solid or liquid materials from vehicles on public roads, inspections and audits.
and to carry or transport dispersible materials in open vehicle without
cover.
(3) Urinating or to defecate in places other than those designated for such
purpose, and to spit in public places
(4) Spitting residues of “Paan” or throwing of its wastes in public places.
(5) Disposal of building and demolition waste, trade waste or any refuse
material arising from industrial activities, factories or commercial
establishments into places other than approved disposal sites.
(6) Disposal of wastewater in places other than those designated for such
purpose by the Concerned Regulatory Unit.
(7) Disposal of used oil in sewerage networks, soak away pits, or by spilling it
on pavements or roads.
(8) Discharging of oil or any wastes from marine vessels or ships into the
seawater, on beaches, into Creek water or any seaports.
(9) Dumping of trees and parks residues in places other than those sites
designated by the Competent Department for such purpose.
(10) Spill or spraying of wastewater resulting from washing of cars or vehicles
at places other than those sites designated by the Competent Department
for such purpose.
(11) Condensate water dripping from air-conditioning units or leaking of
any water on public places, pavement or roads.
(12) Disposal of wastes by open burning.
Article 60
• Goods, materials, or any other objects shall not be placed, stored, or
left hanging at public places, house roofs or balconies in a manner that Yes, being complied as per requirements and
Project Manager/
can obstruct traffic or pedestrians, or disfigure the public view or the implemented by Project Manager and section
HODs
aesthetic appeal of the Emirate, or the beauty of building façade and head as per applicability.
balconies or that would violate regulations on the protection of public
health, safety and environment.
Article 61
• The Occupant of the building shall:
(1) Provide a room or dedicated place in or within the building and the
Yes, being complied as per requirements and
same shall be equipped with containers for holding and safe storage Project Manager/
implemented by Project Manager and section
of wastes in accordance with the conditions and specifications HODs
head.
specified by the Competent Department. The provision shall include a
contrivance to facilitate transport of wastes from the building into the
waste room, moving of the containers outside for emptying (of its

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HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

waste load) and to replace it back into position. The Occupant shall
also carry out regular maintenance thereof.
(2) Manage and keep the building interior clean in accordance with the
rules on public health and environment protection.
Article 62
• Private establishments, companies, commercial premises, residential
complex, and hotel establishments shall comply with the following :
(1) Provision of containers for the safe storage of wastes generated from
their activities in accordance to the terms, conditions and standards
Yes, being complied as per requirements and
prescribed by the Competent Department.
Project Manager/ implemented by Project Manager. Annual waste
(2) Changing of waste containers whenever the volume of wastes generated
HODs management contract with approved party
at their premises or activities exceeds the capacity of the available
available.
containers, or when the generated wastes pose a threat on public health
and environment.
(3) Implementation of a program for ensuring cleanliness and safety of the
public and private parking areas directly serving their buildings or
premises.
Article 63
• A person can be allowed to carry on the activity of collecting, storing,
Yes, being complied as per requirements and
transporting, reuse, recycling, or treatment of wastes produced by
Project Manager/ implemented by Project Manager and section
others or to provide cleaning services at public places only upon
HODs head where applicable. In some cases, we
obtaining a valid permit issued by the Competent Department and (he)
engage approved third party.
complies with all the standards and conditions specified by the
Competent Department for such activities.
Article 64
• No person is allowed to:
(1) Place any material that may cause damage to the waste container or
waste transporting vehicle, or that which constitutes hazard on the
Project Manager/ Yes, being complied as per requirements and
health and safety of persons working in the collection, transportation
HODs implemented by Project Manager
and disposal of wastes.
(2) Move or change the location of any waste container provided by Dubai
Municipality or rummaging with the contents of such container without
prior approval from the Competent Department.
Article 65
• As determined by the Competent Department, any person whose Yes, being complied as per requirements and
Project Manager/
activity is found producing significant quantity of wastes shall be implemented by Project Manager and HODs.
HODs
required to implement a program to reduce the quantity of or to recycle Waste management plan in place.
such wastes.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Article 86
• Without prejudice to any more severe penalty provided by any other
legislation, any person who violates any provision of this Order, its
Executive Regulation, and subsequent resolutions or directive issued
under this Order, shall be charged a fine of not less than Dirhams one
Dubai Municipality For Information.
hundred (AED 100) and not more than Dirhams five hundred thousand
(AED 500,000). This penalty may be doubled on repeating the violation
within one year from the date of committing the same violation,
provided that the amount of penalty does not exceed the maximum
amount stipulated in this Order.

7.0 DUBAI MUNICIPALITY LIST OF FINES FOR INFORMATION

VIOLATIONS FINES
• Flushing vehicle washing water in places not specified by the competent and concerned authorities AED 100
• Leakage of conditioner water or any kind of water on the pavements and roads AED 100
• Leaving, storing, putting or hanging any goods, materials or any other things in public places or roofs of houses or balconies in a way
AED 200
deforming the general appearance in the Emirate and its brilliant features, buildings facades and balconies
• Leaving vehicles or equipment in public places carelessly in a way which may hinder the movement of traffic or pedestrians or may deform
AED 200
the general appearance or damage the requirements of general health, safety or environment
• Transporting or changing the place of the municipality waste containers without obtaining the approval from the competent & concerned
AED 200
authorities
• Throwing wastes on the general roads AED 500
• Dropping any solid or liquid materials from vehicles on the general roads, besides carrying or transporting scattered materials from the open
AED 500
vehicles without covering them
• Urinating or excreting in facilities not designated for such purposes AED 500
• Spitting and sputtering in public places AED 500
• Throwing oils or maritime means wastes in seawater or seashores or creek water or ports AED 500
• Throwing wastes of trees and gardens in places not specified for the same purpose by the competent and concerned authorities AED 500
• Not providing containers for storing the wastes inside the building or taking out the storing containers and returning the same to their place
AED 500
directly or as per the directions given, or non‐carrying out maintenance works needed for the storing means
• Not carrying out internal cleaning works in the building and not supervising the same in line with the hygiene and environment rules AED 500
• Not applying hygiene program to the external yards in the public and private parking servicing the same and not providing dustbins required
AED 500
and not supervising the act of discharging and cleanness of the same on a daily basis
• Digging up the contents of the municipality waste containers for getting recyclable materials or any further wastes AED 500
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

• Digging up the municipality waste containers or their contents AED 500

• Spitting the gum remaining or its wastes in the public places AED 1000
• Disposing of wastes by the way of open burning AED 1000
• Not providing room or space inside the building provided with containers for putting wastes as per the terms, conditions and specifications
AED 1000
set out by the competent and concerned authorities
• Not providing containers for storing the wastes by the private companies and establishments, trading centers, residential communities and
hotels which are resulted from their activities in conformity with the stipulations and standards approved in this respect and as determined AED 1000
by the competent and concerned authorities
• Not committing to the directions and instructions stipulated by the competent and concerned authorities which require changing the wastes
containers if the quantity of the wastes resulted from practicing the activities is over the capacity of the provided containers and that the AED 1000
wastes constitute risk and danger to the public health
• Putting any materials may cause damages to waste containers or the waste transport vehicles or may constitute risk to the health and
AED 1000
safety of the labourers who gather the wastes, transport and dispose of the same
• Damaging waste containers and the fences surrounding the same or the solid floorings upon which they lean AED 1000
• Parking the vehicles or leaving equipment or tools before the containers hindering putting the wastes by individuals or discharging their
AED 1000
contents by municipality vehicles
• Putting wastes carried by the vehicles of private companies in municipality containers AED 1000
• Not placing out a plan for reducing the wastes or recycling the same if it becomes evident to the competent and concerned authorities that
AED 1000
the activity practiced by an establishment produces a large quantity of wastes
• Disposing of the used oils in drainage or septic tanks or flushing the same on the pavements or roads AED 3000
• Disposing of the debris and wastes of building, demolition wastes of technical and production processes of the companies, factories and
AED 5000
establishments in places other than designated
• Practicing an activity related to gathering, storing, transporting or reusing, recycling or processing any wastes made by third parties or
providing cleaning services in public services without obtaining a prior permit from the competent and concerned authorities or AED 5000
non‐complying with the standards and conditions stipulated for such purpose
• Not taking the required steps and procedures for preventing the leakage or flow of wastewaters from the building or the falling of the same
AED 10000
from tankers on the general roads
• Importing, dealing with, holding, keeping or taking the gum remaining whether for personal use or for the use of third parties with or without
AED 50000
consideration and this includes betel leaves which are used for making the gums
• Dropping any solid or liquid materials from the readymade concrete transport vehicles during driving along the general road or disposing of
AED 50000
the same in places other than designated
• Disposing of wastewater in any manner in the open places or in places other than designated by the competent and concerned authorities AED 100000

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

8.0 UAE FEDERAL LAW NO 24 OF 1999 CONCERNING PROTECTION AND DEVELOPMENT OF THE ENVIRONMENT
Responsible Person Compliance Status and Remarks
SECTION 1 – ENVIRONMENTAL IMPACT OF Project Manager/
1 Yes, aspect impact assessment done for the activities in all sites.
ESTABLISHMENTS HODs
SECTION 2 – THE ENVIRONMENT AND Project Manager/ Yes, included in the corporate and site HSE objectives and targets
2
SUSTAINABLE DEVELOPMENT HODs and is being practiced.
Project Manager/
SECTION 3 – ENVIRONMENTAL MONITORING
3 HODs & HSE Yes, being carried out wherever required as per client requirements.
Engineer/ Officer
Project Manager/
SECTION 4 – EMERGENCY PLANS FOR
4 HODs & HSE Yes, plans are in place.
COMBATING ENVIRONMENTAL DISASTERS
Engineer/ Officer
CHAPTER 2 – PROTECTION OF WATER
ENVIRONMENT Project Manager/
5 Yes, complied as per aspect/impacts identified.
SECTION 1 THE SCOPE OF ENVIRONMENTAL HODs
PROTECTION
SECTION 2 – PROTECTION OF THE MARINE
ENVIRONMENT Project Manager/
6 Not applicable
PART (I) POLLUTION FROM MARINE MEANS OF HODs
TRANSPORTATION
Yes, controlled and measures taken (e.g. Concrete wash done only
PART (II) POLLUTION FROM LAND SOURCES Project Manager/
7 in designated area). Spillage contained in primary and secondary
HODs
bunds and correct waste disposal procedure followed).
SECTION 3 – PROTECTION OF DRINKING AND Project Manager/ Yes, ensured by controlling spillage and ensuring correct waste
8
UNDERGROUND WATER HODs disposal procedures
Yes, controlled and measures taken (e.g. Concrete wash done only
Project Manager/
9 CHAPTER 3 – SOIL PROTECTION in designated area). Spillage Contained in primary and secondary
HODs
bunds and correct waste disposal procedure followed)
CHAPTER IV – PROTECTION OF AIR FROM Project Manager/ Yes, emissions controlled by regular maintenance as per
10
POLLUTION HODs operation manual and manufacturer’s instructions.
CHAPTER V – HANDLING OF HAZARDOUS Yes, done as per MSDS and COSHH assessment results.
Project Manager/
11 SUBSTANCES AND WASTES AND MEDICAL Hazardous waste disposal as per authorized agency approved by
HODs
WASTES DM/SM/AM. Medical waste not applicable.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

8.0 UAE FEDERAL LAW NO 24 OF 1999 CONCERNING PROTECTION AND DEVELOPMENT OF THE ENVIRONMENT
Responsible Person Compliance Status and Remarks

Project Manager/ Protected, cordoned and the entry is restricted. Regularly inspected.
12 CHAPTER VI - NATURAL RESERVES
HODs Vegetation is relocated and replaced once the activities are
completed.

UAE CABINET DECREE NO 12 OF 2006 REGARDING THE REGULATION CONCERNING THE PROTECTION OF AIR FROM
9.0
POLLUTION
Responsible
Compliance Status and Remarks
Person
Yes, noise emissions controlled by regular maintenance as per
Annex (6) – Allowable Limits for Noise Level in Project Manager/ operation manual and manufacturer’s instructions
1
Different Areas HODs
Document/Record – Noise Monitoring Record

Yes, air emissions controlled by regular maintenance as per

operation manual and manufacturer’s instructions Ambient Air
Annex (8) – Ambient Air Quality Standards (Air Project Manager/
2. Quality Monitoring
Pollutants Limits in the Ambient Air) HODs
Document/Record – Report/Visual Air Emission Checklist

10.0 Local Order No 61 of 1991 on the Environment Protection Regulations in the Emirates of Dubai
Responsible
Compliance Status and Remarks
Person
Yes, controlled and measures taken (e.g., Concrete wash done only
in designated area). Spillage contained in primary and secondary
Chapter 1 – Regulations on the reuse and land disposal of Project Manager/ bunds and correct waste disposal procedure followed). No sludge is
1.
wastewater and sludge HODs disposed on land.
Document/Record – Env Inspection Report
Yes, control measures are taken at project/facilities and no
Chapter 2 – Regulations concerning the disposal of Project Manager/ discharges are allowed into marine waters.
2.
wastewater into marine waters HODs
Document/Record – Env Inspection Report

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Yes, the fugitive dust emissions and exhaust emissions are

controlled through implementation of measures as described in the
Chapter 3 – Regulation for Air Pollution control from Project Manager/
3. Construction Env. Management Plan
stationary sources HODs
Document/Record – Env Inspection Report, Visual Air Emission
Checklist
Yes, the OH&S regulations are met by the implementation of OH&S
Project Manager/
4. Chapter 4 – Occupational Health and Safety Regulations measures.
HODs
Document/Record – HSE Checklists
Yes, noise emissions controlled by regular maintenance as per
Project Manager/ operation manual and manufacturer’s instructions
5. Chapter 6 – Noise Controls
HODs
Document/Record – Noise Monitoring Record
Yes, controlled and measures taken (e.g. Concrete wash done only
in designated area). Spillage contained in primary and secondary
Annexure 2 – Limits for reuse and discharge of Project Manager/ bunds and correct waste disposal procedure followed). No sludge is
6. wastewater to land HODs disposed on land.
Document/Record – Env Inspection Report
Yes, control measures are taken at project/facilities and no
Project Manager/
7. Annexure 3 – Limits for disposal of Sludge discharges/sludge are allowed into marine waters and land
HODs
Document/Record – Env Inspection Report
Project Manager/ Yes, the compliance level is implemented in line with the legal
8. Table of Violations and Penal Actions
HODs requirements.

11.0 Local Order No 7 of 2002 – Management of Waste Disposal Sites in The Emirate of Dubai
Responsible
Compliance Status and Remarks
Person
Yes, the waste generated will only be disposed at DM approved sites.
Project Manager/
Section 3 – Key Policies – Waste Disposal only at DM Document/Record – Waste Hauler approved by DM, Waste
1. HODs/ Plant In-
approved sites Management Certificate, Waste Management Contract and Env.
Charge
Report
Yes, all the waste generated in the Emirate of Dubai project/facilities
will be disposed in Dubai. No waste will be transported outside
Project Manager/
Emirate of Dubai unless approved by DM
2.` Section 4.2 – Import, Export and Disposal of Waste - HODs/ plant In-
Document/Record – Waste Hauler approved by DM, Waste
charges
Management Certificate, Waste Management Contract and Env.
Report

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Yes, only waste hauler trucks that are approved by DM will enter DM
Section 4.3 – Prohibitions – Unauthorized entry into DM Project Manager/ disposal sites.
3.
disposal site HODs Record/Document – RASID online system and DM approved list of
trucks

12.0 DUBAI MUNICIPALITY – ENVIRONMENTAL GUIDELINES, CIRCULARS AND BULLETINS

Responsible
Compliance Status and Remarks
Person
Yes, no discharges will be allowed on land, water and air that exceeds
ENVIRONMENTAL STANDARDS AND ALLOWABLE the requirements mentioned in the standard.
Project Manager/
1 LIMITS OF POLLUTANTS ON LAND, WATER, AND AIR Document Record – Ambient Air Quality Test Record, Dewatering test
HODs
ENVIRONMENT report, Visual Air Emission checklist, Noise Records, Env. Inspection
Reports.
Project Manager/ Yes, the compliance is maintained as the beach sand is not utilized at
2 CIRCULAR FOR INDUSTRIAL AND COMMERCIAL
HODs sites
COMPANIES CONCERNING USAGE OF BEACH SAND
Yes, the project if contractually bound needs to prepare an EIA,
Guidance on the Environmental Clearance (EC)
Project Manager/ otherwise the EIA is prepared by the Client/Consultant and submitted to
3 Requirements for Development and Infrastructure
HODs DM EPSS for necessary Environmental Clearance.
Projects in the Emirate of Dubai
TECHNICAL GUIDELINES NO 6 – DISPOSAL OF
HAZARDOUS WASTES in conjunction with the following
circulars
• Circular No. (3) of 2016 – Notification Regarding
Disposal of Hazardous Wastes.
• Circular No. (5) of 2014 Regarding Management and
Controlling the Handling and Disposal processes of Yes, the hazardous waste as generated are disposed as per DM Waste
Hazardous Waste. Project Manager/ Management guidelines through the DM online portal
4
• Circular to all permit Holders of Collection & HODs
Transportation of Waste Oil in the Emirates of Dubai Document/Record – DM Online Approval Receipt & Env. Monthly report
for the Purpose of recycling / reuse, 2014
• Circular to All Chemical Suppliers & Contracting
Companies in the Emirate of Dubai, 2013
• Circular to all car garages, transport fleet operators,
battery changing shops, and establishments &
premises handling lead-acid batteries, 2011

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

12.0 DUBAI MUNICIPALITY – ENVIRONMENTAL GUIDELINES, CIRCULARS AND BULLETINS

Responsible
Compliance Status and Remarks
Person
Yes, any trade waste like kerb stone cutting slurry and facility discharge
Project Manager/ are done as per DM waste guidelines.
5. Technical Guideline No 2 – Disposal of Trade Water
HODs Document Record – Waste Hauler approved by DM, Waste
Management Certificate, Waste Management Contract and Env. Report
Project Manager/
HODs/ Yes, the Waste Haulers for the projects are identified as per the DM list
Hazardous and Non-Hazardous Waste Processing and of certified waste management service providers.
procurement
6. Recycling premises in the Emirate of Dubai – Information
Bulletin – 9th Jan 2019
manager/ Document Record – Waste Hauler approved by DM, Waste
Transport In- Management Certificate, Waste Management Contract and Env. Report
Charge
Project Manager/ Yes, In accordance with the regulations, Wade Adams abides the
HODs/ Technical Support and Studies Section (TSSS) of Waste Management
procurement Department (WMD) who has established minimum requirements for the
WASTE MANAGEMENT DEPARTMENT, TECHNICAL temporary storage at source, collection and transportation of Municipal
7. manager/
GUIDELINE No.1, WASTE COLLECTION and Solid Waste for a proper treatment and or disposal.
Transport In-
TRANSPORTATION SERVICES
Charge Document Record – Waste Hauler approved by DM, Waste
Management Certificate, Trip Sheets, Waste Management Contract and
Env. Report.
Project Manager/ Yes, the oil spill response and preparedness is being evaluated and
EPSS Technical Guidelines – Oil Spill Response and
HODs/ Plant In- mock drill conducted at sites and facilities
8. Preparedness
charge Document/record – Oil Spill and Usage of spill kit report
EPSS Technical Guidelines – Application for approval to
Yes, the hazardous waste as generated are disposed after applying it
Dispose of Hazardous Wastes Project Manager/
online on the DM portal as per DM Waste Management guidelines
The guidelines are in conjunction with – Procedures for HODs/ Plant In-
9. through the DM online portal. The waste sample is analyzed for the
testing the Leaching Characteristics of Hazardous Waste charge
hazardous content through DM approved Lab.
and Sampling of Hazardous Wastes and Technical
Document/Record – DM Online Approval Receipt & Env. Monthly report
Guidelines No 8
Yes, the concrete batching plant is installed and functioned as per the
Project Manager/
Technical Guideline (9) – Requirements for Temporary requirements of DM.
10. and Permanent Concrete Batching Plants
HODs/ Plant In-
Document/Record – Concrete Bathing plant HSE Documents.
charge
Technical Guideline No – 7 – Policy on the Control of Project Manager/ Yes, Wade Adams has controlled ozone depleting substances in its work
11 Ozone HODs/ Plant In- activities and functions
Depleting Substances charge accordance with this policy in any activities that includes but not limited
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

12.0 DUBAI MUNICIPALITY – ENVIRONMENTAL GUIDELINES, CIRCULARS AND BULLETINS

Responsible
Compliance Status and Remarks
Person
to the following.
• Refrigeration and air conditioning
• Fire protection system
Document / Record – Technical Data Sheet of Refrigerants.
Currently this system prescribed by DM is limited to building works
Dubai Municipality – Al Safat – Dubai Green Building
12 Evaluation System
whereas the scope of works of Wade Adams is limited to Infrastructure
and Road Works.
Dubai Municipality EPSS Technical Guidelines – Project Manager/ Yes, the construction noise will be kept minimum and in line with the
13 Requirements for the Reduction of Construction / HODs/ Plant In- requirements of Dubai Municipality legislation.
Demolition Noise charge Document/Record – Noise Monitoring Record
Project Manager/ Yes, Wade Adams deals with only DM approved waste hauler for Used
Circular No 3 of 2018 – Transport, Recycling and HODs/ Plant In- Lead Acid Batteries.
14 Disposal of Used Lead Acid Batteries charge /Purchase Document/Record – Purchase Order, Trip Sheets, DM Approved No
Manager Objection Certificate.
Circular No 6 of 2015 – Construction and Demolition Project Manager/ Yes, Wade Adams have added the activity of waste collection into its
15 waste collection and transportation services HODs/ Plant In- license.
charge Record – Commercial License
Project Manager/ Yes, Wade Adams recycles the waste stipulated in the guidelines as per
Waste Management Department – Technical Guidelines the requirements.
16. HODs/ Plant In-
No 9 – Recyclable Waste Materials
charge Document/record – DM Online Approval Receipt & Env. Monthly report
Project Manager/ Yes, Wade Adams disposes the waste stipulated in the guidelines as per
Waste Management Department – Technical Guidelines HODs/ Plant In- the requirements.
17. No 10 – Disposal of Unwanted Materials – Nov 2019 charge /Purchase
Manager Document/record – DM Online Approval Receipt & Env. Monthly report
Waste Management Department – Technical Guidelines Project Manager/ Yes, Wade Adams handles and transports the hazardous waste
No 11 – Transportation and Handling of Hazardous HODs/ Plant In- stipulated in the guidelines as per the requirements.
18. Waste – Nov 2019 charge /Purchase
Document/record – DM Online Approval Receipt & Env. Monthly report
Manager
Yes, any asbestos waste arising out of demolition works of existing
Technical Guidelines No 24 – Safety in Handling Project Manager/ public utilities are disposed as per the norms of the guidelines.
17. Asbestos HODs
Document/record – DM Online Approval Receipt & Env. Monthly report
Project Manager/
Dubai Municipality – List of Approved Hazardous Waste Yes, Wade Adams handles and transports the hazardous waste with the
19. Transporter – July 2019
HODs /Purchase transporter stipulated in the circular.
Manager
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

12.0 DUBAI MUNICIPALITY – ENVIRONMENTAL GUIDELINES, CIRCULARS AND BULLETINS

Responsible
Compliance Status and Remarks
Person
Document/record – DM Online Approval Receipt & Env. Monthly report

13.0 DUBAI MUNICIPALITY – PUBLIC HEALTH & SAFETY DEPARTMENT TECHNICAL GUIDELINES, CIRCULARS & BULLETINS

1 TG & Circular No. Title (Technical Guideline) Responsible Person Compliance Status and Remarks
Yes, being complied, implemented by
Industrial Compressed Gas Project Manager/ HODs/
2 DM-PH&SD-P4-TG01 Workshop & Project Managers. Details
Cylinders Plant In-charge
available with workshop.
Audit Manager / HSE
3 DM-PH&SD-P4-TG02 Safety Audit Reports Yes, being complied as per requirements
manager
Yes, being complied and implemented by
Project Manager and section head. Heat stress
4 DM-PH&SD-GU38-MHSW2 Management of Heat Stress at Work Project Manager/ HODs
management plan implanted and followed up by
HSE dept.
Guidelines for Confined Spaces Yes, being complied and implemented by
5 DM-PH&SD-GU39-CSE2
Entry
Project Manager/ HODs
Project Manager. PTW system implemented.
Yes, being complied and implemented by
Guidelines for Electrical Safety at Project Manager / HODs and Project Manager. Regular inspections done by
6 DM-PH&SD-P4-TG05
Work Project manager electrical electrical department. The same is checked
during inspections and audits.
Yes, being complied, implemented by
Project Manager/ HODs/
7 DM-PH&SD-P7-TG06 Emergency Preparedness
Plant In-charge
Department Heads. Emergency response plan
available with all projects.
Project Manager/ HODs/ Yes, being complied as per requirements.
8 DM-PH&SD-GU41-GDM2 Guarding of Dangerous Machinery
Plant In-charge Central workshop ensures the same.
Yes, being complied and implemented by
Project Manager/ HODs/ Project Manager and workshop manager. The
9 DM-PH&SD-GU42-PSB2 Paint Spray Booths
Plant In-charge booths are regularly inspected, and
requirements implemented.
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Project Manager/ HODs/

10 DM-PH&SD-GU65-PPEHP PPE – Head Protection Yes, being complied as per requirements
procurement/HSEM

Project Manager/ HODs/

11 DM-PH&SD-GU59-PPEEFP PPE – Eye and Face Protection Yes, being complied as per requirements
procurement/HSEM

Project Manager/ HODs/

12 DM-PH&SD-GU60-PPEHP2 PPE – Hearing Protection Yes, being complied as per requirements
procurement/HSEM

Guidelines for Personal Protective Project Manager/ HODs/

13 DM-PH&SD-P4-TG10 Yes, being complied as per requirements
Equipment – Hearing Protection HSE Manager

Project Manager / Store

14 DM-PH&SD-GU61-PPEPCL PPE – Protective Clothing Yes, being complied as per requirements
Manager / HSEM

Guidelines for Personal Protective Project Manager /HODs/

15 DM-PH&SD-P4-TG12 Yes, being complied as per requirements
Equipment – Hand Protection HSEM

Guidelines for Personal Protective Project Manager /HODs/

16 DM-PH&SD-P4-TG13 Yes, being complied as per requirements
Equipment – Foot Protection HSEM
Guidelines for Personal Protective
Project Manager /HODs/
17 DM-PH&SD-P4-TG14 Equipment – Fall Protection-Safety Yes, being complied as per requirements
HSEM
Lines
Guidelines for Personal Protective Project Manager / Store
18 DM-PH&SD-P4-TG15
Equipment – Respiratory Protection Manager / HSEM
Yes, being complied as per requirements

Safe Use of Industrial Organic Yes, being complied and implemented by

19 DM-PH&SD-GU43-SUOS2
Solvents
Project Manager/HODs
Project Manager

Yes, being complied and implemented by

20 DM-PH&SD-P4-TG17 Guidelines for First-Aid Requirement Project Manager/HODs
Project Manager
Yes, being complied as per requirements.
Guidelines for Safety in Vehicle Regular safety inspection and trainings are
21 DM-PH&SD-P4-TG18 Transport In-Charge
Repair and Servicing Shops carried out HSE advisor and workshop
manager.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Yes, being complied as per requirements.

Guidelines for Health & Safety in
22 DM-PH&SD-P4-TG19 HR & Admin/ camp Admin Camp boss in different camp controls this and
Kitchens & Food Preparation Areas
follows DM requirements.
Guidelines for Examination and Yes, being complied as per requirements.
23 DM-PH&SD-P4-TG20 Certification of Boilers and Pressure Transport In-Charge All pressure vessels have third party test
Vessels certificate.
Yes, being complied as per requirements. Third
Examination and Certification of
Transport In-Charge / Project party test certificate maintained by transport
24 DM-PH&SD-GU48-ECLA2 Cranes, Hoists, Lifts and other Lifting
Manager/ HODs department. Regular inspection carried out at
Appliances
sites.
Guidelines for Safety in Handling Yes, being complied and implemented by
25 DM-PH&SD-GU50-SHA2 Project Manager/HODs
Asbestos Project Manager
Guidelines for Development of
Emergency Response Procedure for Yes, being complied and implemented by
26 DM-PH&SD-P4-TG25 Project Manager/HODs
Accidents Involving Dangerous Project Manager and section head.
Goods
Guidelines for Liquefied Petroleum Yes, being complied and implemented by
27 DM-PH&SD-P4-TG27 Project Manager/HODs
Gas Cylinders Project Manager and section heads.

Guidelines for Protection Against Yes, being complied and implemented by

28 DM-PH&SD-P4-TG28 Project Manager/HODs
Ionizing Radiation Project Manager whenever applicable.

Guidelines for Obtaining Health and Yes, being complied as per requirements when
29 DM-PH&SD-P4-TG29 Project Manager/HODs
Safety Clearance required.
Yes, being complied as per requirements by the
Health Requirements for Labor
30 DM-PH&SD-GU12-HCLA2
Accommodation
HR& Admin administration department. Camp administrator
maintains all relevant documents.
Health Requirements for Project Manager/HODs/HR Yes, being complied as per requirements of
31 DM-PH&SD-P7-WI12
Construction Sites &Admin clients and consultants.
Project Manager/HODs/
Yes, being complied as per requirements.
32 DM-PH&SD-P7-A-TG-xx Accident Investigation and Reporting HSE/HR & Admin/ Transport
Reported to clients, consultant and to MOHRE.
In-charge
Health Requirements for the
Yes, being complied as per requirements.
33 DM-PH&SD-GU22-HCLSA2 Services Provided inside the Labors HR& Admin
Records maintained by camp administrator.
Accommodations

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Yes, being complied as per requirements and

Health Requirements for Temporary
34 DM-PH&SD-GU23-HCTLA2
Labor Accommodation
HR& Admin/ Camp Admin records maintained by camp administrator.
Regular inspections carried out.
Yes, being complied as per requirements and
35 DM-PH&SD-GU35-URAS2 Usage of Rope Access System Project Manager/HODs
applicability.

Yes, being complied as per requirements.

36 DM-PH&SD-GU66-NSW Night and Shift Work Project Manager/HODs
Client consultant approval got.

Mobile Elevated Work Platform Yes, being complied and implemented by

37 DM-PH&SD-GU67-MEWP Project Manager/HODs
(MEWP) Project Manager/ HODs

For Information and will be complied if used in

38 DM-PH&SD-GU71-MCWP Mast Climbing Work Platforms Project Manager/HODs
the project.

39 DM-PH&SD-GU73-SUL2 Safe Use of Ladders Project Manager/HODs Yes, being complied as per requirements

40 DM-PH&SD-GU74-MAT2 Mobile Access Towers Project Manager/HODs Yes, being complied as per requirements

41 DM-PH&SD-GU85-LAC2 Labor Accommodation Compliance HR & Admin Yes, being complied as per requirements

Cleaning & Disinfection in Built

Environment – Infected Areas HR & Admin / Project Will be complied in case there is a confirmed
42 DM-PH&SD-GU87-CDBE2
Exposed to Confirmed Case(s) of Manager/HODs case(s) of germs.
Germs
Cleaning & Disinfection in Built
Environment – Infected Areas HR & Admin / Project Will be complied in case there is a non-
43 DM-PH&SD-GU88-CDBE4
Exposed to Non-confirmed Case(s) Manager/HODs confirmed case(s) of germs.
of Germs
Cleaning and Disinfection in
Residences Will be complied in case of exposure to an
44 DM-PH&SD-GU89-CDBE6 HR & Admin
infected person.
(Maybe exposed to infected person)
Cleaning & Disinfection in Built HR & Admin /Project
45 DM-PH&SD-GU91-CDBE8 Yes, being complied as per requirements
Environment Manager/ HODs

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Work Permit Precautionary

Measures for Labour HR & Admin / Project
46 DM-PH&SD-GU93-LAP_E Yes, being complied as per requirements.
Accommodations, Transportations Manager/ HODs
and Working at Construction Sites
Intensification of Cleaning and
47 DM-PH&SD-CR2 Disinfection Process in Labor HR & Admin Yes, being complied as per requirements.
Accommodations
Intensification of Cleaning and
HR & Admin / Project
48 DM-PH&SD-CR21 Disinfection Process in Construction
Manager/ HODs
Yes, being complied as per requirements.
Contracting Companies
General Requirements for
Professional Use Store Manager / Project
49 DM-PH&SD-GU86-BIOP2 Yes, being complied as per requirements.
of Business to Business “B2B” Manager
Biocidal Products
List of Approved Professional Use for Store Manager / Project Yes, being complied as per requirements. Store
50 DM-PH&SD-L2-APB
Business-to-Business “B2B” Biocides Manager and purchase department ensures the same.

List of Cleaning and Disinfection HR & Admin / Project Yes, being complied as per requirements.
51 DM-PH&SD-L3-CDC
Companies Manager Purchase department ensures the same.

Reopening Precautionary Measures HR & Admin / HODs / Project

52 DM-PH&SD-CR62 Yes, being complied as per requirements
for Reopening of Prayer Rooms Manager

Yes, being complied as per requirements. Heat

812/02/02/11709196 Circular Circular Regards Heat Stress
53 HODs /Project Manager stress plan made, and regular training and
No. 6, 19/06/2017 Prevention in Summer
inspections carried out.

Circular – Safe Use of Cutting & Workshop In-Charge / Project Yes, being complied as per requirements.
54 812/02/02/1/1814034
Grinding Machines Manager/ HODs Regular inspections are carried out.

812/02/02/1/1815273 Circular Workshop In-Charge / Project

55 Circular – Safe Work at Heights Yes, being complied as per requirements.
No (1), 11/12/2018 Manager/ HODs

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

UAE OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT SYSTEM (OHSMS) NATIONAL STANDARD
14.0
AE/SCNS/NCEMA 6000:2016
Section OHSMS Standard Responsible Person Compliance Status & Remarks
Section 5.1 OHS Policy GM / HSE Manager In Compliance (and same as MS requirements)
GM / All Departmental head/ Project In Compliance (and same as MS requirements). Project
Section 5.2 Objectives
Manager. and departmental objectives also maintained.
GM/ HR & Admin/ HODs / HSE In Compliance as per legal and contractual requirements
Section 5.3 Resourcing
manager/ PM as a minimum.

Section 5.4 Regulatory Compliance HODs / PM / HSEM In Compliance and ROR with status maintained.

Section 6.1 Stakeholder Involvement GM / HSEM/Project Manager/ HODs In Compliance.

In Compliance. Accountability matrix available and
Section 6.2 Accountability GM / Dept. Heads / PM / HSEM
communicated
In Compliance and all procedures, policy and instruction
Section 6.3 Transparency HODs / PM / HSEM made available to all based on their role and
responsibilities.

Section 6.4 Improvement HODs / PM / HSEM In Compliance

Acknowledgement &
Section 6.5 HODs / PM / HSEM In Compliance
Responsiveness
In Compliance as per the legal requirements and best
Section 7.1 Health and Fitness HR & Admin / HSEM practices.

In Compliance. Training procedure, calendar available.

Section 7.2 Training and Awareness HR & Admin / HSEM/ HODs/ PM Separate corporate training department.

In Compliance. Procedure available and risk assessment

OHS Risk Management
Section 8.1 Project manager/ HODs/ HSE team approved by section head/PRM.
Methodology

Section 8.2.1 Management of Change GM / HODs / PM / HSEM In Compliance

In Compliance. Separate procurement and construction

Procurement &
Section 8.2.2 HODs / PM / HSEM department who work in coordination with HSE
Construction Management
department to fulfill HSE requirements.
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

In Compliance. And all incidents reported to relevant

Incident Investigation &
Section 8.2.3 HODs / PM / HSEM authorities including client/consultant. Separate procedure
Reporting
available.
Corrective Action &
Section 8.2.4 HODs / PM / HSEM In Compliance for NCR received.
Prevention
Engineering & Operational
Section 8.2.5 HODs / PM / HSEM In Compliance (Like PTW, Work instructions)
Safety Systems
In Compliance. Emergency response plan available for
Section 8.2.6 Emergency Management HODs / PM / HSEM
every project and facility.
OHSMS Performance
Section 9.1 HSEM / PM/ HODs In Compliance and KPI and status available.
Indicators
OHS Internal Audit &
Section 9.2 HSEM / Audit Manager In Compliance. Carried out by audit department.
Review
In Compliance. Board pack reports, annual performance
Section 9.3 Management Review GM/ Dept. Heads / HSEM
report and management review meetings are held
In Compliance. Master list of records and control
Section 10.0 Document Control HSEM / PM/HODs/HR & Admin
procedure available.

15.0 Regulation No. (4) of 2009 Concerning the Organization of Work in the Right of Way in the Emirate of Dubai
Responsible
Article Compliance Status & Remarks
Person
Article (3)
• It is prohibited for any Person to carry out any work on the Public Way or Yes, being complied as per requirements and
upon the Right of Way or to impose any Traffic Diversion in the Emirate HODs / PM implemented by Project Manager. NOC obtained
unless a No Objection Certificate has been obtained from the Agency for and consultants informed.
this purpose.
Article (4)
• Notwithstanding the statements in Article (3) of this Regulation, the
Competent Entities may in cases of emergency, carry out work upon the Yes, being complied as per requirements and
Right of Way or impose Traffic Diversions before obtaining a NOC, provided HODs / PM implemented by Project Manager. NOC obtained
that the Agency is notified immediately upon the start of such work, and the and consultant informed of all such works.
NOC is applied for within a maximum period of twenty-four (24) hours from
the start of such work.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Article (5)
• It is forbidden to assign any consultant or contractor to construct or carry out Yes, in case of sub-contractor, there is clear
any work to the public road or upon a Right of Way or to impose a Traffic Client agreement on HSE requirements. Kick- off meeting
Diversion unless he is qualified and has been granted a Prequalification is done at site level to brief all HSE requirements.
Certificate by the Agency.
Article (6)
• In carrying out any work or construction upon the Public Way or Right Way,
the Authorised Entity shall be committed to ensuring compliance with the
following:
1. The provisions and technical restrictions, and fixed duration as set out in the
NOC;
2. The temporary and permanent reinstatement of the road cuttings according
to the classifications, provisions and the durations approved by the Agency;
3. Compliance with the approved guidelines of the Agency within the
construction area and the Right of Way, such as the investigation manual
on safety of the roads in the Emirate, the traffic diversions manual, and the
roadsides design manual, or as per any other guidelines as issued by the HODs / PM Yes, being complied as per requirements and
Authority;
implemented by Project Manager.
4. The manhole levels must comply with the conditions approved by the
Agency;
5. The excavations, laying, testing experiments, investigations, backfilling, Site method statements & risk assessments
reinstatement and other works upon the Right of Way are to be carried out approved by consultant are also available and
in sequential manner without interruptions, and the intervals approved by communicated to all concerned.
the Agency;
6. On completion of the work, the construction site must be reinstated as it was
previously, and as per the provisions and technical classifications of the
Agency;
7. The necessary precautions must be observed to avoid any damage to the
existing Service Lines on the construction site;
8. Safety requirements must be followed during the execution of work as per
the approved guidelines manual;
9. Any other obligations stipulated by the By-laws of this Regulation or any
related Resolution.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Article (7)
• The Agency may require a refundable security deposit of not more than one
million (1,000,000) dirhams from the Authorised Entity as a guarantee to The Traffic and
ensure that the authorized work is carried out according to the approved Roads Agency of For Information.
classifications of the Agency, and the Competent Entities for the protection the Authority
of public property.

Article (8)
• The Authorised Entity shall be responsible to compensate for any damage
caused to the Public Way of Service Lines, or to any existing or operational
structures upon the Right of Way, including the lighting network, traffic
information signage, traffic systems, roadblocks, fences, artificial humps, HODs / PM For Information.
landscaping, and any other public and private property which requires the
intervention of the Authority.

Article (9)
• A person is banned from occupying a Right of Way by any kind of Yes, being complied as per requirements.
HODs / PM
occupation whether fixed or unfixed temporary or permanent without Implemented by Project Manager.
permission from the Agency.
Article (10)
• Parking of vehicles is not allowed on the Right of Way as it may endanger All employees Yes, being complied as per requirements.
traffic safety.
Article (11)
• On completion of the work, the Authorized Entity may apply for a Clearance HODs / PM For Information
Certificate from the Agency.
Article (12) The Traffic and
• A regulatory record is established by the Agency and cited as “Golden & Roads Agency of For Information.
Black Points Record”. the Authority
Article (13) The Traffic and
• For implementing the Golden & Black Points Record mentioned in Article Roads Agency of For Information.
(12) of this Regulation the Authority
Article (14)
• Schedule of Fines Nos. (1) & (2), issuance of warning letter to the violating The Roads and
Person and in case of repeated violations in addition to a fine, the Agency For Information.
Transport Authority
may impose one more sanction against the violating Person.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Article (15)
• In the case of a violating Person failing to remedy the violations within the The Traffic and
prescribed period, the Agency shall have the power to remedy the violation Roads Agency of For Information.
and shall demand the violating Person to reimburse the cost of remedying the Authority
the same.
Article (16)
• Any interested Person may submit his grievances regarding the application
of the rules & regulations and procedures of this Regulation and its
implementing By-law during a period not longer than thirty (30) days All employees For Information.
following the application through submitting a complaint to the Agency.

Article (17)
• The employees and inspectors of the Authority who are designated by the
Chairman of the Board of Directors shall have the power of judicial police The Roads and
For Information.
officers in recording the facts of the violation and shall take and minute the Transport Authority
relevant action.
Article (19)
• Local Order No. (1) of 2005 Concerning Laying of Service Lines on Public
Roads in the Emirate of Dubai; and any provision in any other legislation, to Dubai Municipality For Information
the extent of its inconsistency with the provisions of this Regulation, are
hereby repealed.

16.0 The Roads and Transport Authority QHSE Guidelines, Procedures and Circulars

Responsible
Compliance Status & Remarks
Person
Yes, being complied as per requirements.
Project Manager/ Implemented by Project Manager.
1 QHSE Management Plan Practical Guideline for TRA Projects (2013)
HODs HSE plans are prepared in line with this document in
RTA projects.
Yes, being complied as per requirements.
Project Manager/ Implemented by Project Manager.
2 RTA Work Zone Traffic Management Manual (2018)
HODs Site specific MSRA takes into consideration the
requirements mentioned.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Project Manager/ Yes, being complied as per requirements.

3 RTA RSEMS
HODs Implemented by Project Manager.
Yes, being complied as per requirements.
Implemented by Project Manager.
Project Manager/ Site specific MSRA takes into consideration the
4 Dubai Traffic Control Devices Manual (2015 – Volume 01&02)
HODs requirements mentioned.
All traffic control devices are procured to this
standard.
Project Manager/ Yes, being complied as per requirements.
5 RTA QHSE Circulars
HODs Implemented by Project Manager.

Project Manager/ Yes, being complied as per requirements.

6 RTA Right of Way Utilities Distribution manual
HODs Implemented by Project Manager/ HODs.

17.0 The Roads and Transport Authority - Schedule of Fines for Information (Regulation No. (4) of 2009)
Schedule No. (1) – Fixed fines implemented on simple violations by the contractor.
S. No. Violation Details Fine in Dhs.
1 Non-availability of warning signs on the road or in the construction site (totally or partially) 5000
2 Non-availability of flashers and revolving lights on the road or in the construction site (totally or partially) 5000
3 Non-availability of flag man on the road or in the construction site (totally or partially) 5000
4 Non-existence of fixed cones or plastic barriers filled with water on the road or in the construction site (partially) 5000
Non-availability of public safety requirements such as plastic mesh & tiger tapes on the road or in the construction site (totally or
5 5000
partially)
6 Occupation of a Right of Way without the Agency’s permission. 5000
Occupation of a Right of Way pursuant to a No Objection Certificate (NOC) which has expired during a period not exceeding five (5)
7 5000
working days from the date of its expiry.
8 Reinstatement in a method contrary to the approved classifications of the Authority. 5000
9 Non-removal of debris from the Right of Way during construction or thereafter. 5000
10 Non-availability of footpaths during excavations. 5000
11 Lateness in backfilling or in reinstatement. 5000
12 Non-compliance with the conditions of the NOC and its validity period. 5000
13 Non-fixation of identification signs for projects in the Right of Way, or using logos related to other entities. 5000
14 The language used in information signs on the board is incorrectly written whether Arabic or English. 5000
15 Dripping, dropping or leakage of materials such as sand, paints, concrete, or like, on the road. 5000
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

16 Fixation of temporary fences for construction without obtaining a NOC. 5000

Schedule No. (2) – Fixed fines implemented on major violations by the contractor.
S. No. Violation Details Fine in Dhs.
1 Carrying out deep excavations in the Right of Way without concrete humps and other public safety requirements (partially or totally). 50000
2 Carrying out excavation work on the Right of Way without obtaining a NOC from the Agency. 30000
3 Closure of main roads or any part of it or imposing a Traffic Diversion prior to obtaining NOC from the Agency. 20000
4 Closure of arterial roads or any part of them or imposing a Traffic Diversion prior to obtaining a NOC from the Agency. 10000
5 Closure of local roads or any part of, or the imposition of a Traffic Diversion prior to obtaining a NOC from the Agency 5000
6 Imposing a Traffic Diversion in a way contrary to approved classifications of the Agency. 25000
Causing damage to the public roads, such as sinking resulting from (NDRC) or (SHORING), etc., or damage to bridges or tunnels as
7 50000
a result of collision with project vehicles.
8 Causing traffic jams resulting from closure of road due to damage to public Service Lines. 50000
9 Damage to public and private property. 5000
10 Obstructing the tasks of the Agency’s employees and inspectors through non-cooperation. 1000
11 Parking heavy vehicles and buses upon the Right of Way or adjacent areas in such a way that endangers the safety of traffic. 5000

18.0 Federal Order No. (11) of 2007 on UAE joining the convention of wetlands of international importance (RAMSAR)
Article Responsible Person Compliance Status & Remarks
Three Ramsar Sites of International Importance: the Ras Al Khor
Wildlife Sanctuary, the Jebel Ali Sanctuary and Hatta Mountain
Reserve
The Ras Al Khor Wildlife Sanctuary was declared as the first
Ramsar Site in the country in 2007. The second is the Jebel Ali
The requirements of articles mentioned in the order
Wetland Sanctuary, which was announced as a Ramsar Site at the
HODs/Project Manager will be considered during the preparation of any
13th Ramsar Conference of the Parties (COP13) held in Dubai in
environmental study.
October 2018 and the third is Hatta Mountain Sanctuary
announced in 2019.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

19.0 UAE Federal Law No. 12 of 2018 On the Integrated Waste Management System
Article Responsible Person Compliance Status & Remarks
Article 5 – Liability of the Waste Generator, Supplier and HODs/ Project Manager,
For information & guidance.
Establishment Purchase Manager
Complied, implemented the reuse of certain types of
HODs/ Project Manager,
Article 7 – Waste Reuse or Recycling wastes and recycles the waste stipulated in the
Purchase Manager
guidelines as per the requirements.
HODs/ Project Manager, Complied, the waste as generated are disposed as
Article 8 – Disposal of Waste
Purchase Manager per DM Waste Management guidelines.
HODs/ Project Manager, Complied & implemented whenever secondary raw
Article 10 – Reuse of Secondary Products
Purchase Manager materials are usable as secondary products.
Complied, implemented the reuse, recycling and safe
HODs/ Project Manager,
Article 15 – Industrial Waste disposal of industrial wastes as per DM Waste
Purchase Manager
Management Guidelines.
HODs/ Project Manager,
Article 25 – Civil Liability for Environmental Damage For information & Guidance.
Purchase Manager
HODs/ Project Manager,
Article 26 – Administrative Sanctions For Information & Guidance.
Purchase Manager
Article 27 – Penalties
Article 28 - Every private Establishment that throws, buries, burns
or disposes of Waste in open areas, roads, waterways, public parks
and any other areas not designated for this purpose, shall be
punished by a fine not exceeding AED (1,000,000) one million.
Article 29 - Every physical Person that throws, buries, burns or
HODs/ Project Manager,
disposes of Waste in open areas, roads, waterways, public parks For Information & Guidance.
Purchase Manager
and any other areas not designated for this purpose, shall be
punished by a fine not exceeding AED (30,000) thirty thousand.
Article 30 - Whoever violates the other provisions prescribed under
the provisions of this Law, regulations and the decisions issued in
implementation thereof shall be punished by a fine not exceeding
AED (20,000) twenty thousand.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

20.0 UAE Fire & Life Safety Code of Practice- 2011

Responsible Person Compliance Status & Remarks
Yes, being complied
Chapter 1, Construction
as per requirements, implemented by Project
Capter-3 Means of Egress
Manager and section head.
Chapter-4 fire extinguishers.
HSEMS implemented in all sites and facilities.
Chapter-5 exit sign
Chapter-6 emergency lightings
Project Manager, HODs,
Chapter -7 emergency voice evacuation system
Purchase Manager &
Chapter-8 fire detection and fire alarm system
HSEM
Chapter-9 fire protection system
Chapter-10 smoke control and smoke managing system
Chapter-12 fire and life safety during construction and maintenance.
Chapter-17 Risk assessment methodology
Chapter-19 emergency plan and evacuation procedure

21.0 UAE Federal Law No. (14) of 2014 Concerning the Prevention of Communicable Diseases.
Article Responsible Person Compliance Status & Remarks
Article: 1
The protective and Health measures shall be taken in the HR & Admin /
country in the expectance or on the appearance of cases of a HODs/Project
Complied & implemented as per requirements
communicable disease. Such measures shall be taken in manager/HSE team
accordance with the provisions of this law.

22.0 Dubai Health Authority (DHA) - Circulars

Reference Title (Circular) Responsible Person Compliance Status & Remarks

Yes, being complied as per requirements.
DHA/OUT/2020/0000356 Novel coronavirus (2019- nCoV) HR & Admin/ HODs / Project Regular communication and trainings given.
alert Manager / Camp Admin Covid-19 committee formulated for 24x7 coordination.

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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

Yes, being complied as per requirements.

DHA/OUT/2020/0003950 Guidelines Criteria for COVID-19 HR & Admin/ HODs / Project Regular communication and trainings given.
Admission at HDU & ICU Manager / Camp Admin Covid-19 committee formulated for 24x7 coordination

NOVEL CORONAVIRUS COVID- Yes, being complied as per requirements.

UAE Emirates Ministry of 19 COMMUNITY GUIDE HR & Admin/ HODs / Project Regular communication and trainings given.
Health & Prevention Manager / Camp Admin

23.0 HFC HSE management Manual and SOP

Reference Title (Circular) Responsible Person Compliance Status & Remarks

Yes, Complied & implemented as per requirements

HFC/HSE/MSM/843 - Rev-04, HSE Management Manual and HSEM/Project
Date:06/06/2020 Safe work procedures Manager/HODs/ HR &
Admin

24.0 Executive Council Resolution No. (15) Of 2021 Regarding Sharjah Occupational Safety and Health System
Reference Responsible Person Compliance Status & Remarks
Executive Council Resolution No. (15) Of 2021 Regarding Sharjah HR & Admin/HSE Manager/ HODs /
Occupational Safety and Health System For Information & Guidance
Project Manager
Code of practices.
1.OSHJ-GL-01 Mobile Plant
2.OSHJ-GL-02 Mobile Elevated Work Platform
3.OSHJ-GL-03 Scaffolding
4.OSHJ-GL-04 Mobile Access Towers
5.OSHJ-GL-05 Employer Supplier Accommodation
6.OSHJ-GL-06. Employer Supplied Transport
7.OSHJ-GL-07 Personal Protective Equipment Yes, Complied & implemented as per
8.OSHJ-GL-08 Portable Power Tools HSE Manager/ HODs / Project requirements
9.OSHJ-GL-09 Lone Working Manager
10.OSHJ-GL-10 Safe Driving
11.OSHJ-GL-11Safety in Warehousing
12.OSHJ-GL-12Local Exhaust Ventilation
13.OSHJ-GL-13 Compressed Gases and Air
14.OSHJ-GL-14Spray Finishing
15.OSHJ-GL-15Safety in Heat
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 HSE MANAGEMENT SYSTEM LEGAL REQUIREMENT REGISTER OF REGULATIONS

16.OSHJ-GL-16Permit to Work
17.OSHJ-GL-17Safety Signs and Signals
18.OSHJ-GL-18Working On Over Or Adjacent to Roads
19.OSHJ-GL-19Leadership Commitment and Involvement
20.OSHJ-GL-20Measuring OSH Performance
21.OSHJ-GL-21Managing Buildings Safety
22.OSHJ-GL-22Safety in Education Facilities
23.OSHJ-GL-23Employee Consultation Communication and Involvement
24.OSHJ-GL-24Barricading
Guideline:
1.OSHJ-GL-01Mobile Plant
2.OSHJ-GL-02. Mobile Elevated Work Platform
3.OSHJ-GL-03. Scaffolding
4.OSHJ-GL-04 Mobile Access Towers HSE Manager/ HODs / Project Yes, Complied & implemented as per
5.OSHJ-GL-05 Employer Supplier Accommodation Manager requirements
6.OSHJ-GL-06 Employer Supplied Transport
7.OSHJ-GL-07 Personal Protective Equipment
8.OSHJ-GL-08 Portable Power Tools
9.OSHJ-GL-09 Lone Working
10.OSHJ-GL-10 Safe Driving
11.OSHJ-GL-11 Safety in Warehousing
12.OSHJ-GL-12 Local Exhaust Ventilation
13.OSHJ-GL-13 Compressed Gases and Air
14.OSHJ-GL-14 Spray Finishing
15.OSHJ-GL-15 Safety in Heat
16.OSHJ-GL-16 Permit to Work
17.OSHJ-GL-17 Safety Signs and Signals
18.OSHJ-GL-1 Working On Over Or Adjacent to Roads
19.OSHJ-GL-19 Leadership Commitment and Involvement
20.OSHJ-GL-20 Measuring OSH Performance
21.OSHJ-GL-2 Managing Buildings Safety
22.OSHJ-GL-22 Safety in Education Facilities
23.OSHJ-GL-23 Employee Consultation Communication and Involvement
24.OSHJ-GL-24 Barricading
25.OSHJ-GL-25 Working On, Over or Adjacent to Water
26.OSHJ-GL-26 Training and Competence
27.OSHJ-GL-27 New and Expectant Mothers
28.OSHJ-GL-28 Safety on Farms

Page -37
APPENDIX - E
HSE Forms
 Form No: HFC/HSE/IND/01
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date:05/06/2021

HSE Induction-General
UNDERTAKING
I/we, the undersigned, have attended the HSE Induction training and understood the requirements of
following Health & Safety rules in workplace and agreed to follow them. My signature is appended below.

Sl. Company File No / Position/

Name Signature
#: Emirates ID No Trade

* For sub-contractor employees, indicate the name of the company.) (PTO)

Form No: HFC/HSE/IND/01 Rev-02 Page 1/2

 HSE INDUCTION FOR NEWCOMERS
The Following HFC Staff / Technicians / workers / Operators/ sub-contractors have joined and
commenced work at office/site. They have been given "HSE Induction" training and have explained about
Health, Safety & Environment management system, also briefed about the local rules and regulations on
health & safety. The points covered in the training are as follows:

HSE Induction Conducted by: ……………………………… Signature: ………………………………

Designation: ………………………………. Date: …………………………………..

1. Project Details:
2. Scope of Work:
HSE Representative to explain the basic scope for the project and HSE rules, HSE committee details on this project.
3. HSE Policy & Objectives:
The GM of HFC signs the HSE Policy that is aimed at promoting the company's 'Zero Accident' goal.
The HSE Policy is displayed in several locations on site for you to read, understand, and follow.
4. COVID 19 prevention, First Aid and Medical:
Strictly follow the COVID-19 protocols (wear Mask, hand sanitation, social distancing, vaccination)
There are a First Aid Boxes strategically placed around site offices and work areas.
All first aid cases MUST be reported in the First Aid Log or with the Company nurse/first aid provider.
5. Accident Prevention and Reporting:
HFC believes that strictly following the site HSE rules and using 'common sense' can prevent all incidents.
All incidents/near miss MUST be reported to Project Manager or HSE Representative immediately.
6. Housekeeping and welfare facilities:
Housekeeping must be kept at a very high standard. As well as reducing the fire hazard, it also increases the hygiene
levels around the site and working areas.
Ensure the drinking water, rest area and toilet facilitate at work site.
7. Fire Prevention and Control:
Fire extinguishers are provided at required locations around site; use them in an emergency if you are trained.
All portable welding machines, generators, compressors, etc. must be issued with a fire extinguisher.
8. Excavation Safety:
Underground facilities must be identified before the surface is broken. Any doubts CHECK with HFC HSE Rep.
Operators and Engineers must follow the company excavation procedure.
Signs and barricades are provided; if you move them, for any reason, make sure you put them back.
If you cause or make a new hole, ensure that your demarcation and/or barricades are placed.
9. Scaffolding will be used during this project. All scaffolding must be covered by the SCAFFTAG system
Report any defects to your immediate superior. Ensure before entering the scaffolding structure “it is safe to use”
10. Traffic Safety:
Strictly follow the UAE traffic rules at site also. Speed limits for roads and track ways will be set by HFC Project
Management and signposts will be erected. Authorized persons only operate the vehicles/equipment. Offenders will
be punished. Follow designated routes, signs and directions from HFC signalers.
11. Confined Space:
A confined space is anywhere with limited or difficult access, egress, and the possibility of hazardous atmosphere.
Strictly follow the company confined space procedure. Authorized personals only enter the confined space areas.
12. Smoking Policy:
Smoking is NOT permitted inside temporary buildings and restricted locations except in designated areas.
13. HSE incentives and Disciplinary Notice Procedure: Monthly HSE incentive award will arrange in each site and
any safety violations Disciplinary action will take from the management.
14. Chemical Safety:
Make sure that MSDS is available, and the hazards associated with the chemicals and necessary precautions to be
taken are informed to the personnel handling the same. Use the necessary PPE for handling the same.
15. Emergency Evacuation:
The Emergency 'Assembly Point' is situated at various locations-HSE REPRESENTATIVE must give precise
locations and complete updates.
Whenever required (an emergency) all employees must make their way to the emergency Assembly Point.
16. Personal Protective Equipment:
PPE is designed as a last resort to reduce the effects of an accident. It is not an excuse to forget safe working
practices. Hard hat, steel-toed shoe/ boots, coverall and fluorescent vest are the minimum requirements on site.
All tradesmen or workers must use the correct PPE for his work and/or situation and environment.

Form No: HFC/HSE/IND/01 Rev-02 Page 2/2

 Form No: HFC/HSE/TAR/02
Rev: 02
HILLS AND FORT CONSTRUCTION LLC Date: 05/06/2021
Page 1/1
Attendance Record Form
Project & Location: Date:
Training
Subject Description:
TBT
Type of Training/meeting Comunication
Meeting
Other
Reference No: Page of
Name of the Trainer/Supervisor:
Sr. Employment No / Occupation/
Name Signature
no. Company Name Trade
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
*Topics Discussed:

*Feedback:

Name & Signature of the trainer/ supervisor: ……………………………………………

Date: ……………………………
Form No: HFC/HSE/TAR/02 Rev-02
 HILLS AND FORT CONSTRUCTION LLC Form No: HFC/HSE/SOR/04
Rev:02

Site HSE Observation Report Date: 05/06/2021

Date: Report Ref. No:

Site & Location:
Code no CATEGORIES Code no CATEGORIES
1 Excavations 12 Confined spaces
2 Site access / Traffic Management 13 Hot works
3 Work at height / working platform 14 Permit to work Procedures
4 Scaffolding/ladders/ Access 15 3rd party Certification- operator/plant/ equipment
5 Personal Protective Equipment 16 Welfare facilities, First aid and COVID-19 precautions.
6 Temporary Electricals/certification 17 Control of chemical agents (Chemical Handling)
7 Hand & Portable Electrical Tools 18 Fire procedures/emergency procedure
8 Housekeeping, 19 Environment protections
9 Lifting operations 20 Storage procedure.
10 Light equipment’s 21 Supervisions& Trainings/inductions
11 Plant and Equipment’s 22 Others…….

Code Observation Corrective action Action by Closeout status

No taken/Recommended date

Inspected by: Verified by:

Signature: Signature:

Form No: HFC/HSE/SOR/04 Rev-02 Page:1

 Form No: HFC/HSE/RA/003
HILLS AND FORT CONSTRUCTION LLC Rev: 03
Date: 05/06/2021
HEALTH SAFETY ENVIRONMENTAL RISK, ASPECT & IMPACT ASSESSMENT
Task: Risk Assessment No:
Prepared by: Reviewed by: Approved by:

Designation: Designation: Designation:

Date: Date: Date:

RISK MATRIX
Probability
Health & Safety Loss And
Health & Safety Environmental 1 2 3 4 5
Environmental Impact
Unlikely May Happen Likely Very Likely Certain or Imminent
Severity Slight Injury (no lost time) Slight Incident 1 1 2 3 4 5
X Risk Rating

Severity
Probability Minor Injury/Illness Minor Incident 2 2 4 6 8 10
1-8 Low - L Moderate Injury/Illness Moderate Incident 3 3 6 9 12 15
9- 16 Medium - M Serious Injury/Illness Serious Incident 4 4 8 12 16 20
17-25 High - H Fatal/Permanent disability Major Incident 5 5 10 15 20 25
Likelihood: Health & Safety Severity: Environmental Severity: L: Likelihood
Hazardous Chemical required?
1. Unlikely 1. Slight Injury (No lost time) 1. Slight Incident L*: Likelihood with mitigating controls in place
2. May happen 2. Minor Injury/Illness 2. Minor Incident S: Severity
Yes  No 
3. Likely 3. Moderate Injury/Illness 3. Moderate Incident S*: Severity with mitigating controls in place
4. Very Likely 4. Serious Injury/Illness 4. Serious Incident R: Level of uncontrolled risk
(Tick as applicable)
5. Certain or Imminent 5. Fatal/ Permanent Disability 5. Major Incident R*: Assessed level of Residual Risk
Hierarchy of Control (Controls identified may be the hierarchy to provide minimum operator exposure)
Elimination Eliminate the Hazard General Safety Requirements:
Substitution Provide an alternative, that can perform the same task and is safer to use • The daily Tool box talk shall be done by the
Engineering control Provide or construct a physical barrier or guard workforce.
Administrative Controls Develop procedures and guidelines, in consultation with employees, to mitigate • Risk Assessment and Method Statement shall be
the risk. Provide training, instruction and supervision about the hazard. communicated to all.
Personal Protective equipment Personal Equipment designed to protect the individual from the hazard. • Provide proper PPE to all operatives.
Covid 19 prevention: wear Mask and hand gloves all the time • Ensure to follow the COVID-19 protocol.

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 1 of 2

Task: Date:
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 2 of 2

 Hills & Fort Construction LLC Form No: HFC/HSE/SOR/04-A
Rev-02
Monthly Project HSE Observation Register Date: 05/06/2021

J
Project: SITE SUMMARY
Month: Description Issue In %
Open Issue 1 1%
Start date:
Closed Issue 117 99%
End date:
Total observation 118
Weekly Observation Trend:
1st week 2nd week 3rd week 4th week 5th week
Open Issue 0
Open Issue 1 1% 0% Open Issue 0 0% Open Issue 0 0% Open Issue 0 0%
Closed Issue 23
Closed Issue 21 99% 100% Closed Issue 24 100% Closed Issue 23 100% Closed Issue 26 100%

Total observation 22 Total observation 23 Total observation 24

0 0 Total observation 23 0 Total observation 26 0

J J J J J
Open Issue
Open Issue Open Issue
Closed Issue Open Issue Closed Issue Open
Closed Issue Issue
Closed Issue
0 0 0 0 0 0 0

Date Unsafe Act/ Observation Responsible Close Out

Sl no Location Contractor Department Inspected by Description Corrective Action RISK Status Verified By
(dd.mm) condition Code Person/s Date

Page 1 of 1
 1st Week 2nd week 3rd week 4th week 5th week
SITE SUMMARY SITE SUMMARY SITE SUMMARY SITE SUMMARY SITE SUMMARY SITE SUMMARY
Description Issue In % Description Issue In % Description Issue In % Description Issue In % Description Issue In % Description Issue In %
Open Issue 1 1% Open issue 1 5% Open Issue 0 0% Open Issue 0 0% Open Issue 0 0% Open Issue 0 0%
Closed Issue 117 99% closed issue 21 95% Closed Issue 23 100% Closed Issue 24 100% Closed Issue 23 100% Closed Issue 26 100%
Total observation 118 22 Total observation 23 Total observation 24 Total observation 23 Total observation 26

J J J J J J
IF(D6>=0.6,"J",IF(D6>=0.4,"K","L"))
1st 2nd 3rd 4th 5th
2 2 2
week Week week week week 1st Weekly HSE Observation trend 2nd Weekly HSE Observation trend
1 Excavations 1 1 1 1 1
2 Site access/ Site Traffic 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
3 Work at height 0 0 0 0 0
4 Scaffolding/ladders 1 1 1 1 1
Personal Protective Equipment 0 0
5 1 2 1 1 1
Temporary Electricals/
6 certification 1 1 1 1 1
7 Hand tools 1 1 1 1 1
8 Housekeeping 2 2 2 0 2
9 Lifting Operations 1 1 1 1 1
10 Portable Electrical Tools 1 1 1 1 1
11 Mechanical Plant 1 1 1 2 1
12 Confined spaces 1 1 1 1 1
13 Hot works 1 1 1 1 1 3 3
14 Permit to work Procedures 1 1 1 1 1 3rd Weekly HSE Observation trend 4th Weekly HSE Observation trend
15 Certification- lifting/plant 1 1 1 1 1 2 2

16 Welfare facilities & First aid 1 1 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

17 Control of chemical agents 1 1 1 3 1
Fire procedures/emergency 0 0 0
18
procedure 1 1 1 1 5
19 Environment protections 1 1 1 1 1
20 Storage procedure. 1 1 1 1 1
21
Supervisions &
Trainings/inductions 1 1 1 1 1
22 others 1 1 1 1 1
total points 22 23 24 23 26 118

5th Weekly HSE Observation trend

5

2
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0
 Form No: HFC/HSE/SHI/27
Rev: 02
HILLS AND FORT CONSTRUCTION LLC Date: 05/06/2021

SAFETY IN THE HEAT INSPECTION REPORT

Project: Date:
Inspection of Worksite YES NO Remarks
1. Does the work site have Rest area and shade?

2. Inside the rest areas enough tables and seats facilities are available?
3. Is there cool fresh drinking water and rehydration powder available?
4. If cooler is used to supply water, is the lid sealed with tape and the date of filled
written on the container.
5. Is there a communication system for informing employees the current
environmental condition
6. Are there poster reminding employees to drink water?
7. Are there poster reminding employees of the sign and symptoms of heat injuries
and illness.
8. Are First aider available at site?
9. Are contact number available for medical emergency?
Training / Education
1. Do the employees know the signs and symptoms of heat illnesses/injuries?
2. Did you conduct the summer safety Precautions awareness training to all
employees?

3. supervisor conducting Daily TBT to communicating to all employees?

4. Does the supervisor / employees know how to call Emergency

5. Has the worksite had mock-up drill where the scenario is a heat related injury /
illnesses?
Site Procedure
1. Does the site have a process for evaluating the environmental conditions and
heat stress?
2. Is the site following The Ministry of labours Mid-Day Brake for all employees that
work outside in the Summer Month?

Additional Comments:

Inspected By: Verified By:

Name: Project Manager:

Signature: Signature:

Form No: HFC/HSE/SHI/27 Rev: 02

 HILLS AND FORT CONSTRUCTION LLC Form No: HFC/HSE/FAB/26
Rev: 01
FIRST AID BOX INSPECTION RECORD Date: 05/6/2021

Project: Starting Month:

Location:(Box Number): Year:

First Aid Box items
Production Expiry Inspection Details
No. Item Code Numbers
Date Date JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DCE

Inspection Done by:

Name: Designation:

Form No: HFC/HSE/FAB/26 Rev-01

 Form No: HFC/HSE/GWP/24
Hills & Fort Construction LLC
Rev. 01
GENERAL WORK PERMIT Date: 05/06/2021
Employer’s / Contractor’s Name Permit Number:
Contact Number: (issue by Project HSE officer)
Site / Location Details

Duration of Work (7 days Only)

Start Date: End Date:
Start Time End Time:
Description of Work

Equipment required for the task

1 3 5
2 4 6
Check the following points prior to issuing the permit
Sl. Description Yes N/A
1 Valid NOC and Work Intimation printed copy attached? (NOC condition should communicate)
2 Method statement and Risk assessment copy attached? (MSRA should communicated).
3 Project HSE Induction completed for all work group?
Any special permit required? If YES; prepare and attach. (Permit conditions should communicate)
4
(Excavation, hot work, working at height, Road diversion, confined space etc.)
5 Competency certification for equipment and skilled workers required?
6 Sr. Engineer/Surveyor signed Existing utility drawings attached? (highlight the work locations)
7 Sufficient supervisory staff available for the activity? (Critical area assign full time Foreman)
First aid and Welfare facilities facility is available in the vicinity?
8
(drinking water, toilets, rest area etc.); COVID-19 protocols implemented?
9 All lifting equipment and lifting gear are 3rd party certified and in good working condition.
Name of the Permit Name of the
Issuing Authority: Permit Receiver:
Signature Signature
Date Date
Daily Inspection checklist for Permit Receiver: (in box to confirm check has been completed daily)
SAT SUN MON TUE WED THU FRI
1 NOC conditions, MSRA, TBT available on site and
communicated to all work force?
2 All employees are project HSE inducted?
3 Underground utilities located and marked on site?
4 No mechanical activity / excavations in underground
service locations are communicated and controlled?
5 Work area secured for safe operation?
6 Adequate PPE is provided? And proper housekeeping.
7 Check proper access to the work location, Safety
Signages, illuminations and welfare facilities.
8 Do the visual inspections to all lifting equipment /gears?
9 All power & electrical tools should be check.
10 Chemical Handling (as per MSDS)
Permit Receiver Signature
Verified and signed by Project HSE Team
Permit closeout: The task has been completed and area is safe and clean. (If work continuing, ensures to prepare new
permit)
Permit Receiver Name & Signature: Permit Issuer Name & Signature:

Note: Original with Permit Receiver and copy should be at worksite. If any work changes / work stoppage, then permit
should be cancelled and issue new permit.
Form No: HFC/HSE/GWP/24 Rev-02
 HILLS AND FORT CONSTRUCTION LLC Ref No: HFC/HSE/SLP/23
Rev: 02
Safe Lifting Permit Date: 05/06/2021

Project Details
Project: Permit No:
Specific location or area where
Date:
lifting will be conducted

Company Details
Company Company managing the lifting
conducting the lift operation
Crane owner Other companies involved

People Involved (Names & Numbers)

Appointed Crane Supervisor
(Foreman/ Engineer)
3rd party competency
Crane driver/ Operator
and expiry date
3rd party competency
Rigger
and expiry date

Crane Involved
Tones:
Maximum lift capable in
Make / Model
supplied configuration
(consult Load Chart)
Registration / Plant number Boom length to be used Meters:
Yes Yes No
Is the Load chart available in Is SWL indicator
the crane calibrated Date:
No
3rd party Certification- last
Certification due date
inspection date
Certificate Number Last major service
__
Monthly crane inspection Known defects with
sighted: crane if any:
Complete a separate form if more than one hook or configuration is used.
Lifting Gear
Item ID Number SWLL Date thoroughly examined

Visual check made by (Rigger)

The Lift
What is to be lifted?
Place more detail on back of form if req.
What is the weight of lifting equipment used
Kgs:
(Hook, spreader bar etc.)
critical lift: competent Engineer should prepare
Is it Normal Or critical Lift? the lifting calculations and add the copy.

Ref No: HFC/HSE/SLP/23 Rev-02 Page:1

 HILLS AND FORT CONSTRUCTION LLC Ref No: HFC/HSE/SLP/23
Rev: 02
Safe Lifting Permit Date: 05/06/2021

What is the weight of the items to be lifted – Are other cranes

include more info on back of form if required involved Yes / No

Site Conditions
What is the ground angle ___degrees
Obstructions in lifting location
at the lifting location (0 degrees if level ground)
Is the area concealing
Check ground conditions
underground hazards i.e., Pipes,
for outriggers
recently back-filled etc.
Could weather condition effect Yes / No Wind _______m/s
this operation If yes, give details of the
point where the Rain: Light/Heavy
Area barricaded off to prevent Yes / No
operation will cease Other __________
unauthorised access

Information
Pre-start toolbox talk
Name supervisor
conducted
who gave the
Underground services
Toolbox talk
documentation held Yes / No

Approvals
I have checked the above information as indicated and confirm that to the best of my knowledge, the
information is accurate and therefore this form is valid until the prescribed date, providing that conditions
and provided information has not changed.

Engineer name &

Phone No.
signature

Prescribed start Prescribed date/Time

date/Time Valid until
Schematic

Draw location of; 1) Crane, 2) Load pick-up location, 3) load placement location, 4) other items as
appropriate. Include radius distances.

Ref No: HFC/HSE/SLP/23 Rev-02 Page:2

 HILLS AND FORT CONSTRUCTION LLC Form No: HFC/HSE/FEI/22
Rev: 02
MONTHLY FIRE EXTINGUISHER INSPECTION RECORD Date: 05/6/2021

Project: Inspection Date: Ref.NO:

PIN 3rd party

ID Pressure Body Hose/Nozzle
Sl.no Item/ Type Exact Location Weight/size Not service due Remarks
Number Exit Gage condition condition
exit date

Any Additional comments:

Inspected By:
Name:
Signature……………………………………… Date:
Designation:

Form No: HFC/HSE/FEI/22 Rev:02

 Form No: HFC/HSE/EWP/21
HILLS AND FORT CONSTRUCTION
Rev: 02
Date: 05/06/2021
ELECTRICAL WORK PERMIT

(To work with 220 / 380 Volt Power tools):

Project: Permit No:
Location: Date:
Duration of Work Type of Power Tools: Drill Barker Other
Make: Serial Number:
Details of the Work:

Emergency Contact Number:

Sl. no Check Points Yes No
1 The Person deputed for work is qualified to perform the work
2 All concern authorities NOC and permits are available
3 Risk assessment has taken place (communicated to all)
4 The potential shock hazard has been assessed
5 Other workers in near-by areas have been informed of the work
6 ELCB tested and certified
7 Industrial sockets and armoured cables are in use
8 Equipment adequately earthed and damaged cables are not using.
9 Escape routes are available and obstacle-free
10 Toolbox talk is conducted (emergency procedure communicated)
11 Installations and equipment used for electrical work has been properly
maintained and checked
12 Persons trained on firefighting is available at the site
13 Any emergency arrangements required? If yes, please verify
I confirm that the above-mentioned precautions have been met:
Name of the Permit Name of the Permit
Issuing Engineer: Receiver:
Signature: Signature:
Date: Date:
Permit Closeout:
I hereby declare the work undertaken under this Permit has been completed and work area has been
made safe.

Name and signature of the PTW Issuer: Date:

Please Note:
1. Permit is not transferable
2. Permit is valid until the end time as indicated above.
3. Permit cannot be issued for more than 24 hours.
4. If the work is to be continued beyond the validity time, a new permit shall be obtained.
5. Permit is valid only for the job it is issued.

Form No: HFC/HSE/EWP/21 Rev-02

 Form No: HFC/HSE/CAS/20
HILLS AND FORT CONSTRUCTION LLC
Rev: 02
COSHH ASSESSMENT SHEET Date: 05/06/2021

Material Safe Use for Products Classified as Hazardous

Process / Task / Activity Title:

Date: Report Ref. No:

Complete one form for each product and one form for each change in the process/task/activity
Product classified as Hazardous: ❑ Yes ❑ No
Is product Hazardous to the
environment: ❑ Yes ❑ No (If used correctly)
Name of product:

UN Number:

Supplier or Manufacturer:

Quantity held on-site:

Storage requirements:

Warning signage required:

MSDS supplied and available: ❑ N0 ❑ Yes (if not do not proceed)

MSDS less than 5 years old: ❑ No ❑ Yes (if not do not proceed)

Fire Extinguisher Required:

❑ No ❑Yes - ❑ Powder ❑ CO2
Can a less hazardous product be
used in substitution?
❑ Yes ❑ No (if yes do not proceed, investigate substitution)
Can this product be used safely by
just following the MSDS for ❑ Yes ❑ No (if No follow the WMS listed at the bottom of the
next page including all precautions listed here.)
guidance?

❑ Inhalation or suffocation ❑ Swallowed or ingested.

Hazards that this product
presents:
❑ Skin absorption ❑ Environmental
❑ Contact with eyes ❑ Fire or explosion

Material Safe Use Task Resources (how the product is used)

Personnel Involved Equipment Used Other Materials Used

Form No: HFC/HSE/CAS/20 Rev-02 Page 1 of 3

 Form No: HFC/HSE/CAS/20
HILLS AND FORT CONSTRUCTION LLC
Rev: 02
COSHH ASSESSMENT SHEET Date: 05/06/2021

Identify applicable hazard controls for Material Safe Use

What controls are used to eliminate or reduce the risk that the
Hazards identified
hazard presents
❑ Appropriate filter mask PPE
❑ Well naturally ventilated area
Inhalation ❑ Positive pressure self-contained
❑ Forced ventilation or extraction
breathing apparatuses
❑ Appropriate impervious gloves ❑ Barrier creams
Skin absorption ❑ Coveralls, long sleeves, trousers ❑
❑ Glasses ❑ Face shields
Contact with eyes ❑ Goggles ❑ Splash guards
Swallowed or ❑ No smoking permitted.
❑ Washing facilities available.
❑ Decant product into approved
ingested ❑ Gloves
container
❑ Drains covered. ❑ Dust/Fume containment
Environmental ❑ Spill kit available ❑
❑ Fire extinguisher ❑ Fire blanket
Fire or Explosion ❑ Sources of ignition removed ❑ No smoking

Material Safe Use Training

What training is required to undertake the process safely in order
Element
to eliminate or reduce the risk that the hazard presents
❑ Selection ❑ Licences required.
Equipment ❑ Use ❑ Set-up or establishment
❑ Selection ❑ Licences required.
Plant ❑ Use ❑ Set-up or establishment
Personal Protective ❑ Selection ❑ Replacement
Equipment ❑ Use ❑
Product use or ❑ Mixing instructions. ❑ Ventilation set up.
preparation ❑ Precautions required ❑
Environmental ❑ Set-up ❑ Equipment considerations
controls ❑ Use of spill kit ❑
* Refer to the Toolbox talk form for the close out of required training as listed above.
Material Safe Use Special Precautions
Element What special precautions need to be in-place
❑ Eye shower ❑ Burn kit.
First Aid ❑ Whole body shower ❑ General First aid kit
❑ Portable firefighting appliance ❑ Brigade required (emergency)
Fire Fighting ❑ Fire hose reel ❑ Isolation of detectors
❑ Permits required (Hot work) ❑ Spotters
❑ Shut down mechanical ventilation ❑ Permits required.
Ventilation intake systems. ❑ Discharge location clear
❑ Members of the Public considered ❑ Nonexplosive extraction fans
❑ Isolation barricading ❑ Clean-up at completion
Product use ❑ Display of signage ❑ Wash before meals
Environmental ❑ Permits required ❑ Clean-up at completion
controls ❑ Waste disposal considered ❑

This Product has a specific WMS for its safe use (if applicable)
WMS No. or name WMS relating to: Approval date on WMS

Form No: HFC/HSE/CAS/20 Rev-02 Page 2 of 3

 Form No: HFC/HSE/CAS/20
HILLS AND FORT CONSTRUCTION LLC
Rev: 02
COSHH ASSESSMENT SHEET Date: 05/06/2021

International symbology to aid in the safe use of the product.

Warnings associated with this product (if applicable)

❑ Yes ❑ Yes ❑ Yes ❑ Yes

❑ Yes ❑ Yes ❑ Yes ❑ Yes

PPE required with this product (if applicable)

Nitrite Impervious Normal Gloves Protective Suit Rubber Boots Goggles

❑ Yes ❑ Yes ❑ Yes ❑ Yes ❑ Yes

Full Face Shield Welding Shield Dust Mask Vapour Mask Breathing Apparatus

❑ Yes ❑ Yes ❑ Yes ❑ Yes ❑ Yes

Controls associated with this product (if applicable)

❑ Yes ❑ Yes ❑ Yes ❑ Yes ❑ Yes

❑ Yes ❑ Yes ❑ Yes ❑ Yes ❑ Yes

Form No: HFC/HSE/CAS/20 Rev-02 Page 3 of 3

 Form No: HFC/HSE/CSP/19
HILLS AND FORT CONSTRUCTION LLC Rev: 02
CONFINED SPACE ENTRY PERMIT Date:05/06/2021

(Original copy of the permit will be retained at the work location)

Project: Permit No:
Location: Date:
Description of Work:

Duration of Work (One Day Only) Start Date: Start Time End Time:

Check Points
Sl.No. Description Yes No
1 The Person deputed for work is qualified and competent to perform the work
2 Method statement and Risk assessment has taken place and communicated to all workforce
3 Level of Oxygen determined, and ventilation facilities is provided
4 Fire extinguishers are available in the vicinity
5 Second person is available to assist or monitor
6 Adequate personal protective equipment and rescue arrangements is provided
7 Communication and First aid facility is available in the vicinity
8 Emergency evacuation plan in place.
9 Well maintained equipment and tools are provided for work
10 All safety equipment calibrated, and valid certificate is available.
After checking all the above precautions, the confined work can be carried out in the above area
Name of the Permit Name of the Permit
Issuing Engineer: Receiver:
Date & Signature: Date & Signature:
rd
Gas Test reports: (3 party certified person) take the Gas test Prior to start any activities inside the confined space.
Gas Test Details Date: Time: Retest Date: Time:
O2: .................% CO: .................. …...ppm O2: ....................% CO: ......................ppm
H2S: ............ppm LEL: ........................ppm H2S: ............... ppm LEL: ................... ppm
Test Carried out by: Test Carried out by:
O2- Oxygen CO- Carbon Monoxide H2S- Hydrogen Sulphide LEL- Lower Explosive Limit
Emergency Contact Number:
Precautions Yes No
Ventilator provided and ventilated for One hour
Gas Monitor tests is OK (keep the Gas test details)
Proper access and egress provided
Barriers and sign boards provided
Protective equipment worn (like, full body harness, helmet, googles, safety shoes,)
Top man aware of duties and effective communication provided
BA Equipment (if necessary), lighting, Tripod, lifelines are available
Toolbox Talks conducted (emergency procedure and each person’s duties and responsibilities)
I confirm that the above-mentioned precautions have been met.
Name of the Permit Receiver: Signature: --------------------------
Designation: Date:
Verified and signed by Project HSE Team:
Permit Closeout:
I hereby declare the work undertaken under this Permit has been completed and work area has been made safe.

Name and signature of the PTW Issuer: Date:

Note: 1. Permit is not transferable; 2. Permit is valid only for the job it is issued, 3. If the work is to be continued
beyond the validity time, a new permit shall be obtained, 4. Closeout permit should return to HSE dept. for
documentation.

FORM NO: HFC/HSE/CSP/19 REV-02

 Form No: HFC/HSE/HWP/18
Rev: 02
HILLS AND FORT CONSTRUCTION LLC
Date:05/06/2021

HOT WORK PERMIT

Project and Location: Permit No: Date:

Details of work: (The person taking permit (permittee) to fill up) Duration

From: To:
(Hot work would mainly comprise - Welding, Gas-cutting, use of Open Flames or other sources of fire in a fire-prone
place containing inflammable substances, explosives & / or other such highly combustible materials susceptible to
spontaneous ignition & / or explosion.)
A. The person taking permit (permit Receiver) to fill up:
Points to be checked.
Sl.No Details Yes No Not Remarks
required
1 Risk Assessment and Safe Work Procedure has been carried out and
briefed to the workers.
2 Has the area immediately below the work spot, been cleared / removed
of oil, grease, waste cotton & combustibles etc.?
Check the following in Gas cylinders:
I. Gas Cylinder Trolley available
3 II. Two Flash Back Arrestors fitted at Cylinders end
III. Gas cutting hoses found without any visible damages
IV. All Pressure gauges are in working condition
Check the following Welding Machine:
I. Welding machine connections routed through RCCB
4
II. Return path provided through well insulated cable
III. Cable connections are without damage and well insulated
IV. Electrode holders are insulated and in good condition
V. Proper lugs are used for connecting welding cables
5 Have fire extinguishers been kept handy at site?
6 Has tin sheet/ wet gunny bag/ fire retardant cloth / sheet been placed
(in fire prone area) to prevent sparks from causing fire?
7 Is required personal Protective equipment available to welders and Gas
cutters?
8 Other precautions to be taken (specify):
B. The person giving permit (issuing authority- Engineer) to fill up:
After checking all the above precautions, the hot work can be carried out in the above area.
Name of the Permit Name of the Permit
Issuing Authority: Receiver:
Signature: Signature:
Date: Date:
Verified and signed by Project HSE Team:
C. Permit closeout:( To be completed by the Permit Receiver)
The task has been completed and area is safe and clean. (If work continuing ensures to prepare new permit)

Permit Issuer Name & Signature:

Note: Permit Validity: One day. Permit should be registered in the project permit log.

Form No: HFC/HSE/HWP/18 Rev-02

 Ref. No: HFC/HSE/ECL/17
HILLS AND FORT CONSTRUCTION LLC Rev: 02
ENVIRONMENT CHECK LIST Date: 05/06/2021

Project: Report Ref. No:

Conducted by: Date:

Poor: Absence of major control measures (High risk), work to be stopped and risk assessment to be reviewed immediately.
Fair: Some minor controls are missing (medium risk), additional control measures to be implemented.
Good: All required controls are in place (low risk), only monitoring is required.
Description
Evaluation Remarks
Item (insert your observation,
Good Fair Poor N/A and proposed corrective
action plan)
Waste is segregated & collected at
designated appropriate areas (hazardous
from non-hazardous) &adequate waste
containers/skips provided.
Waste is removed /disposed regularly &
according to the authorities Waste Center
guidelines.
Proper oil/chemicals leakage & spill
control in places (tanks bunding, dripping
trays, oil spill response materials).
Allocation of designated area for washing
concrete mixers & pumps.
Proper collection & disposal of wastewater
& sewage water.
Proper management of noise generated from
the project, by installing noise enclosure
measures (e.g., silencers, & work scheduling).
Dust and/or fumes control measures
have been implemented.
Regular maintenance for mobile equipment,
vehicles &machines.
If any Other Observations:

Inspected by: Designation:

Date: Signature……………………….
Project Head Comments:

Name:
Date: Signature……………………….

Original with Project HSE office, Copy to PM CM Engineer Others …………………

Ref. No: HFC/HSE/ECL/17 Rev-02

 HILLS AND FORT CONSTRUCTION LLC Form No: HFC/HSE/CAR/16
Rev: 02
Date:05/06/2021
HSE Nonconformity & Corrective Action Report

1. General Information
Date: Project: NCR Ref.Number: Procedure Reference No:

Department Concerned: Initiator/Auditor:

2. Nonconformity Detail:
Details (If additional space is needed, attach a separate sheet):

Initiator/Auditor name: Responsible Manager:

Signature: (Department/Function)
Date: Signature:
Date:
3. Root Cause
Details: (If additional space is needed, attach a separate sheet)

4. Corrective Action Report (CAR) Closeout

Corrective Action
Proposed corrective actions to be taken to prevent recurrence: (If additional space is needed, attach a separate
sheet)

Action to be taken by: Action to be completed by (Date):

5. Preventive Action taken

Preventive Action details: (If additional space is needed, attach a separate sheet)

Attach proof (Sketch/Photo/documents etc.):

Action taken by: Action to be completed by (Date):

Responsible Manager (Project/Department/Function) Date:

Signature:
6. Verification and Close Out
Verification Details: (If additional space is needed, attach a separate sheet)

Verified by: Date:

Form No: HFC/HSE/CAR/16 Rev-02

 Form No: HFC/HSE/SCA/15
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date: 05/06/2021

HSE Assessment for Approval of Subcontractors

Note: These sheets summarize the result of the assessment process. Documented evidence should be obtained
to demonstrate compliance for each item within a back up file to this pro-forma.

Name of Sub Contractor: Contract Name:

Address:
Telephone No:
Contract Job Title:

1. HSE Arrangements:
* Any organization with 5 or more employees must have Comments / Response
documented policies and procedures.

1.1. Is there a Policy Statement which details responsibilities

and arrangements for managing HSE? *

1.2. Is the Policy Statement current and signed by a Senior

Director? * (attach the copy)

1.3. Is there a documented HSE Management System to

supplement the Policy Statement? *

1.4 RA and Method Statements of an acceptable standard

for relevant activities? *

1.5 Are their formal arrangements, such as Site Inspection

and Accident Investigation Reports, for monitoring HSE?
*

1.6 What arrangements are there for professional HSE

advice? Supply name and phone number.

1.7 The HFC “Subcontractors Health, Safety and

Environmental Conditions” will be issued with all orders
and will be implemented on all projects, is the
subcontractor prepared to accept this?

1.8 (a) Does the subcontractor have Waste Management

Policy which is compatible with the HFC Waste
Management Policy
1.8 (b) If not, does the subcontractor agree to fully endorse
and implement the HFC policy.

Form No: HFC/HSE/SCA/15 Rev-02 Page 1 of 4

 Form No: HFC/HSE/SCA/15
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date: 05/06/2021

2. Previous Experience and Ability: Comments / Response

2.1. Can satisfactory experience be demonstrated in the

relevant areas of work? Provide examples.

2.2. Has HFC received satisfactory trade references

specifically identifying acceptable standards of HSE
performance from reputable sources?

performance from
3. Personnel: Comments / Response
reputable sources?
3.1. Are all operatives directly Employed by the
subcontractor?
• All employees should have Workmen Compensation
Insurance, Emirates ID & Medical cards.
3.2. All employees are done the Covid-19 Vaccination?
3.3. Have details been provided of the arrangements to
ensure all personnel are competent to carry out their
work?
3.4. Will all operatives have 3rd Party Certification?

• What % of the subcontractor’s workforce currently

holds 3rd Party Certification??
• What is the sub-contractor’s policy for targeting 100%
accreditation of workforce with 3rd Party
Certification

3.5. Has the subcontractor provided details of HSE Training

for their workforce? (Training Matrix /Log sheet)

3.6. Has the subcontractor provided details of additional

technical and HSE Training to ensure the competence of
their supervisors?

3.7. Will records of training and competence assessments be

made available to HFC?

3.8 Will all employees receive a project specific briefing prior

to commencing on site and thereafter regular on-site
briefings?

3.9 What is the expected ratio of supervisors to operatives?

3.10 What additional measures are there to ensure that non-

direct employees are competent to carry out their work
and not place themselves or others at risk.
Form No: HFC/HSE/SCA/15 Rev-02 Page 2 of 4
 Form No: HFC/HSE/SCA/15
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date: 05/06/2021

4. Plant and Equipment: Comments / Response

4.1.Will the sub-contractor supply any plant and or

equipment as part of their works?

4.2.Are there procedures to ensure that the plant is.

appropriately selected for the particular operation.

4.3 Are their procedures to ensure that all plant and

equipment is under the control of a competent person?

4.4.Are their procedures to ensure that only competent

personnel / certificated persons operate plant and
equipment? (Require valid 3rd party Certificates)

4.5 Are their procedures for ensuring the necessary

maintenance and statutory inspections of all appropriate
plant and equipment?

4.6 Will records of training, competence, maintenance, and

inspections be made available to HFC?
• HSE Training matrix/ log.
• Competency certificates/ Log.
• Plant / equipment inspection checklist.

4.7 Are their specialist items of plant and equipment to be

supplied as part of the subcontract works?

4.8 Are there any particular measures re specialist items to

ensure statutory compliance, maintenance and
inspection routines are carried out and recorded?

5. HSE Performance:
(*A “Yes” answer must be investigated and discussed with Comments / Response
the HSE Head)

5.1. Has the subcontractor provided accident statistics for

the last 3 Years?

5.2 Has the subcontractor suffered any fatal accidents in the

last 3 years? *

Form No: HFC/HSE/SCA/15 Rev-02 Page 3 of 4

 Form No: HFC/HSE/SCA/15
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date: 05/06/2021

5.3 Has the sub-contractor received any HSE prosecutions or

Prohibition Notices in the last 3years? *

YEAR-1 YEAR-2 YEAR-3

5.4. Accident Statistics for the last 3 years

Number of Fatal Accidents

Number of Environmental Incidents

Total Manhours worked

Manhours worked without LTI

Number of Lost time injury LTI (Reportable)

Lost time Injury Frequency Rate (LTRF)= LTI x 100000 .

Hours Worked

6. Subcontractor Representatives:

*The Subcontractor shall comply with all

Name:
applicable legal and International laws.
Designations:
Assessment Form submitted on behalf of the
Signature:
company by:
Company Stamp: Date:

7. Sub-Contractor Assessment Review and Approval:

Name:
7.1 Assessment Reviewed by: Designation
Signature:
Date:

Name:
7.2. Assessment Approved by: Designation
Signature:
Date:

Form No: HFC/HSE/SCA/15 Rev-02 Page 4 of 4

 Ref. No: HFC/HSE/SCL/14
HILLS AND FORT CONSTRUCTION LLC Rev: 02
SCAFFOLD CHECKLIST Date: 05/06/2021
Project: Location: Report Ref No:
Inspected by: Date:
Poor: Absence of major control measures (High risk), work to be stopped and risk assessment to be reviewed immediately.
Fair: Some minor controls are missing (medium risk), additional control measures to be implemented.
Good: All required controls are in place (low risk), only monitoring is required.
Description:
Evaluation Remarks
Item Good Fair Poor N/A (insert your observation, and
proposed corrective action plan)

All scaffolds erected, inspected, altered &

dismantled by competent team.
Clear and visible signage and scaff-tag
Access ladder provided and properly secured

Sound scaffolding materials free of damage.

Platforms are properly made of planks, free of

damage, tied & no gaps between planks/timbers.
All platform blanks tied down properly

Proper falling protection provided (guard

rail/handrail, mid rail, toe board, mesh guard &
safety net).
Scaffolding properly secured ties, and all braces
properly installed.

Sole/base plate or timber provided.

Overhead protection provided.

Mobile scaffold provides with guard rails, toe

board, full &proper platform, access ladder &
wheels locked.

Personal protective equipment’s provided and

properly used (full body harness connected to
fixed anchor or life line)

Inspected by: Designation: Signature:

Project Head Comments:

Name: Signature

Date:
Original: Project HSE Office
CC: PM. CM Engineer Others …………………….
Ref. No: HFC/HSE/SCL/14 Rev-02
 Form No: HFC/HSE/PEC/13
HILLS AND FORT CONSTRUCTION LLC
Rev:02
PLANT & EQUIPMENT CHECK LIST Date: 05/06/2021

Project No. Date:

Location: Report No:

TYPE OF PLANT: (Tick where applicable)

Tipper /Trailer Lorry mounted crane (HIAB truck) Drum roller (Vibratory Roller)
Bob Cat Backhoe Loader (JCB) Excavator
Pick Up Water Tanker Motor Grader
Front Loader (Shovel) Mobile/Crawler/tower Crane Others (Specify): ------------------
Owned (HFC) -
Hired (if so, name of hiring company); ________________________
PHYSICAL CHECKS:
Registration No. DXB SHJ AUH RAK UAQ AJM FUJ -

Registration Certificate * Yes No Expired Valid Date: ______ / ______ / ___

Competency Cert/Driving
Yes No Expired Valid Date: ______ / ______ / ___
License *
Load Test Certificate * Yes No Expired Valid Date: ______ / ______ / ___
Lifting Gears Yes No Expired Valid Date: ______ / ______ / ___
1 2 3 4 5 6 7 8
Vehicle Permitted to Drive Light Heavy Light Heavy L/Mech. H/Mech.
Motorcycle Handicap
Vehicle vehicle Bus Bus Equip. Equip.
(*) This report should be attached with the copy of the registration, operator/driver driving license and load test certificate
wherever applicable

Head Lights Sound Horn Reverse Horn Reg. No. Plate All Mirrors.

Beacon light Windshield Seat belt Safe Load Indicator. Body & window Glass

Fire Extinguisher Parking Brake / brake. Jib Radius Indicator Lifting points/ Gears/ Accessories.

First aid kit Emergency Exit door Operator/Driver PPE Others…………………………………………

Remarks:

Name:
Inspected by:
Designation: Signature: --------------------------------

Project Manager Remarks:

Signature: --------------------------------

REPORT DISTRIBUTION (tick appropriate boxes):

Original: Project HSE file, Copy to: Project manager Plant Manager Site plant coordinator Hire/supplier.

Form No: HFC/HSE/PEC/13 Rev-02

 Form No: HFC/HSE/ISCW/12
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date: 05/06/2021

HSE Awareness & Incentive Scheme Checklist for Workers

Project & Location:

Date: Ref. No:

Area:
Worker Name:
Supervisor/Engineer Name:

Score:

Description 0 1 2
1. Toolbox talk (TBT)
Attending the Tool box talks regularly
2. Personal Protective Equipment (PPE)
Hard Hat worn (Helmet)
Eye protection worn
Full body harnesses in good condition and worn
Gloves in good condition and worn
Safety boots in good condition and worn
Respirators/dust mask in good condition and worn
Overall or two piece in good condition and worn
3 Safety Culture
Unsafe act/condition reporting
Safe working culture (using of ladders, working on the platform, equipment etc..)
Near miss / incidents reporting
Attending the TBT and training
Using of proper tools
4 General
site duty attendances
Behavior with other colleagues
Using of the welfare facilities
Follow the COVID-19 Protocols (wearing Mask, social distancing, sanitation etc..)
Remarks: Points Schedule
0 Infringement
1 Fair
2 Good

HSE Committee Member Name & Signature:

Form No: HFC/HSE/ISCW/12 Rev-02

 Form No: HFC/HSE/ISCS/11
Rev: 02
HILLS AND FORT CONSTRUCTION LLC Date 05/06/2021

HSE Awareness & Incentive Scheme Checklist for Supervisor/Charge hand

Project & Location:

Date: Ref. No:

Supervisor/Charge-hand Name:
Score:
Sl. No. Description 0 1 2
1. Toolbox talk
Toolbox talks done regularly, documents submitted and complete.
2. Personal Protective Equipment
Hard hat worn by all
Eye protection worn by all
Full body harnesses in good condition and worn
Gloves in good condition and worn
Safety boots in good condition and worn by all
Respirators/dust mask in good condition and worn by all
3. Safe working procedures
Follow the proper Excavation method
Permit to work and TBT performed and followed
Excavation edge properly barricaded with sign boards.
Excavation area proper access and egress provided for the workers
Excavated materials stocked away from the edge of the excavation
Proper equipment use for the excavation activities.
Plant & equipment checked and verified before use
Plant and equipment are transported safely
Housekeeping
Safe working platform provided for working at height.
Scaffolding inspected and Safe Tag provided.
Correct use of lifting equipment and methods followed
Pipe fitters operating safely
Confined work procedure performed and followed
Safety signage displayed
All power tools inspected
Welfare facilities properly implemented at site (rest area, drinking water, Toilets etc...)
4. General
Near miss reporting
Incidents/accidents reported to HSE dept.
Report by team members of any unsafe conditions/acts
Attending the mass toolbox and HSE meetings
Follow the COVID-19 Protocols (wearing mask, Social Distancing, sanitation etc..)
Remarks: Points Schedule
0 Infringement
1 Fair
2 Good
Committee Member Name & Signature:

Form No: HFC/HSE/ISCS/11 Rev-02

 HILLS AND FORT CONSTRUCTION LLC Form No: HFC/HSE/EWP/10
Rev. 02
EXCAVATION WORK PERMIT Date: 05/06/2021
Employer’s / Contractor’s Name
Permit Number:
Contact Number:
Site / Location Details

Duration of Work (7 days Only)

Start Date: End Date:
Start Time End Time:
Description of Work

Check the following points prior to issuing the permit

Sl.No Description Yes No
The Person deputed for work is qualified to perform the work and Have all relevant drawings
1
been consulted? (critical area provide engineer or Senior foreman’s close supervision)
2 Is there a valid NOC and work intimation in operation and at the location?
3 Method statement and Risk assessment has taken place and communicated.
4 Sr. Engineer/Surveyor signed Existing utility drawings attached? (highlight the work locations)
5 Other workers in near-by areas have been informed of the work
6 Are services marked on the ground? (pegs, paint etc.)
7 Work area is properly barricaded where required and proper access is available
8 Adequate personal protective equipment is provided
9 First aid and Welfare facilities facility is available. (drinking water, toilets, rest area)
10 Has the area been checked by a Cable Avoidance (CAT) tools?
11 Well maintained equipment and tools are provided for work
12 Emergency Escape routes are available and obstacle-free
Excavations deeper than 1.2 metres, as well as a ladder, a suitable support system must be
13
implemented to avoid collapse, such as trench sheets, stepping, piling
Name of the Permit Name of the Permit
Issuing Authority: Receiver:
Signature: Signature:
Date: Date:
Daily Inspection checklist for Permit Receiver: (in box to confirm check has been completed daily)
SAT SUN MON TUE WED THU FRI
Proper Edge protection & sign boards are in place and adjacent
structure is it stable. Provide Good access and Egress in place.
Shoring in good condition and dewatering is controlled
Materials stocked away from the edge of the excavation
Toolbox conducted and All personnel wearing correct PPE?
3rd party certificate for operator & equipment’s available
Plant & Equipment movement area is in good condition &
controlled (provide flagman to control the movements)
Clear Emergency route and welfare facility in place
Permit Receiver Signature:
Verified and signed by Project HSE Team:
Permit closeout:( To be completed by the Permit Receiver)
The task has been completed and area is safe and clean. (If work continuing ensures to prepare new
permit)
Permit Issuer Name & Signature:
Note: 1. Permit is not transferable. 2. Permit should be registered in the project permit log.
Form No: HFC/HSE/EWP/10 Rev-02
 Form No: HFC/HSE/MPR/09
Rev: 02
HILLS AND FORT CONSTRUCTION LLC
Date: 05/06/2021
MONTHLY HSE PERFORMANCE REPORT
Project No: Monthly Period:
Project Name: Submit date:

Current Month Accumulative Total

Number of Employees (Contractors) (Ave)
Number of Employees (Sub-Contractors)
Total
Man-Days Worked
Monthly Man-hours
Manhours worked without LTI:
Number of LTI
Man-Days Lost
Incident Rate:
No of LTI's * 1000000_________
Total no. of man hours worked
Severity Rate:
Total Man days lost * 1000000_____
Total number of man hours worked
Major incident/ Personal injury Report (lost workdays cases):
Fatality:
Plant/Vehicle Incidents:
Property Damages
Fires:
Near Misses:
Environmental Incidents:
Medical cases & First aid:
Other Information:
Power consumption Water consumption Plant & Equipment fuel consumption
This month Accumulate This month Accumulate This month Accumulate

HSE Meeting, HSE Inspection and NCR

Number of HSE Inspections
Number of HSE Tours /client Inspection.
Number of HSE Meeting Held.
Number of HSE Committee Meeting Held.
Any warning Notice/ fine/black Points from client/Authorities:
Number of Audits carried out:
Any additional notes attached
Training
Training No. of sessions No of Attendees
Induction
In house Training
3rd Party Training
Toolbox / Safety Talks
Prepared by: Approved by:
Designation: Designation:
Date: Date:
(Attach all related Documents copy.
Form No: HFC/HSE/MPR/09 Rev-02
 Hills & Fort Construction LLC Form No: HFC/HSE/WPR/08
Rev: 02

WEEKLY HSE PERFORMANCE REPORT Date: 05/06/2021

Project No: Period:

Project name: Submit date:

Current Week Accumulative Total

Number of Employees (Contractors)
Number of Employees (Sub-Contractors)
Total
Man-Days Worked
Weekly Man-hours
Man-hours worked without LTI:
Number of LTI
Major incident Report/personal Injury (lost workdays cases):
Fatality:
Medical cases
Plant/Vehicle Incidents:
Property damages
Fire:
Near Misses:
Environmental Incidents:
First aid:
Other Information:
Number of HSE Inspections
Number of HSE Tours /client Inspection
Number of HSE Meeting Held
Any warning Notice/ fine/black points from client/Authorities:
Number of Audits carried out:
Any additional notes:
Training
Training No. of sessions No of Attendees
Induction
In house Training
3rd Party Training
Toolbox / Safety Talks

Prepared by: Approved by:

Designation: Designation:

Date: Date:
Note: Weekend submits to Project In-charge and HSE dept.

Form No: HFC/HSE/WPR/08 Rev-02

 HILLS AND FORT CONSTRUCTION LLC Form No: HFC/HSE/NMR/07
Rev: 02
Date: 05/06/2021
Near Miss Report
Project:
Location: Date & time:
Person who reporting the Near Miss: Designation:

Please check all appropriate conditions:

Unsafe Act Unsafe Condition Unsafe work
Unsafe use of equipment Unsafe equipment Environmental issues.

Near Miss Description:

Contributing Factors:
Improper Equipment Use. Equipment Malfunction/Failure Insufficient Training
Hazardous Waste Disposal Oil Leakage Other……...
Primary Couse:

Immediate Corrective action & Current Status:

Reporting person’s Name & Signature:

Preventive Actions:
(What action is need to prevent the near miss happening again?) By Whom When

Action taken by:

Name: Signature:

Designation: Date:

Verified by:
Name: Signature:

Designation: Date:

CC: HSE Dept. PM CM Engineers /Foreman Others

Form No: HFC/HSE/NMR/07 Rev-02

 HILLS AND FORT CONSTRUCTION LLC Ref No :HFC/HSE/IR/ 06-A
Rev: 02
INCIDENT LOG Date:05/06/2021

Project: Project Start Date:

Person Incident Preventive

Sl no Ref.No Date & Time site Location Reported By Incident Details Incident Type Risk Level Remarks
involved Root Cause action

1
 Form No : HFC/HSE/IR/06-A
HILLS AND FORT CONSTRUCTION LLC Rev-01
Date : 05/06/2021
DETAILED INVESTIGATION REPORT

INCIDENT TITLE:
Project Name:
Detailed Investigation Initial Incident
Report Ref. No: Report Ref. No:

EXECUTIVE SUMMARY

INJURY CLASSIFICATION (IF ANY)

Minor: First Aid (FA)

Moderate: Medical Treatment Case (MTC)
Severe:
Lost Day Case (LDC) – One day
Lost Time Injury (LTI)

INCIDENT DESCRIPTION:
DETAILED DESCRIPTION OF SCENE, LOCATION, PEOPLE INVOLVED, ETC…

SEQUENCE OF EVENTS

IMPACT OF THE EVENT

EMERGENCY PROCEDURES

WITNESS ACCOUNTS

WORK ACTIVITIES INVOLVED

INVESTIGATION FINDINGS AND OBSERVATIONS

BACKGROUND INFORMATION

Environment:

Form No: HFC/HSE/IR/06-A Rev-01 Page 1 of 6

 Form No : HFC/HSE/IR/06-A
HILLS AND FORT CONSTRUCTION LLC Rev-01
Date : 05/06/2021
DETAILED INVESTIGATION REPORT
ROOT CAUSE ANALYSIS TABLE
IMMEDIATE CAUSES - SUBSTANDARD ACT(S)
Substandard Act(s) ☐ N/A ☐ Failure to manage a change in conditions / task
(Highlight applicable sections in yellow) ☐ Servicing equipment while in operation
☐ Operating equipment without authority ☐ Horseplay
☐ Failure to warn others ☐ Under the influence of alcohol and/or other drugs
☐ Failure to secure ☐ Using equipment incorrectly
☐ Operating at improper speed ☐ Failure to follow policy, procedures, instructions
☐ Making safety devices inoperative and/or practice
☐ Using defective equipment ☐ Failure to check / monitor / measure / inspect
☐ Failing to use personal protective equipment properly ☐ Failure to communicate / coordinate
☐ Improper loading ☐ Failure to identify hazard / risk
☐ Improper placement ☐ Failure to react / correct / prevent
☐ Improper mechanical lifting ☐ Improper manual handling
☐ Improper position for task ☐ Using handheld / portable tools without authority
☐ Engineering / Design Error ☐ Inadequate form completion or record keeping
☐ Exceeding working limits of equipment or other ☐ Inappropriate selection of equipment
☐ Failure to install correctly ☐ Lack of Supervision
☐ Operator error
Explanation of Substandard Practices(s)

IMMEDIATE CAUSES - SUBSTANDARD CONDITION(S)

Substandard Condition(s) ☐ N/A ☐ Inappropriate Equipment
(Highlight applicable sections in yellow) ☐ Road conditions
☐ Inadequate guards or barriers ☐ Weather conditions
☐ Inadequate or improper personal protective equipment ☐ Inadequate communication
☐ Defective hand-held tools ☐ Inadequate information / data
☐ Congested or restricted areas ☐ Lack of / instruction / procedures
☐ Inadequate warning system ☐ Inadequate preparation / planning
☐ Fire and / or explosion hazards ☐ Inadequate support / assistance
☐ Poor housekeeping ☐ Defective equipment / Equipment Failure / Fatigue
☐ Noise exposures ☐ Defective materials
☐ Radiation exposures ☐ Inadequate training
☐ Temperature extremes ☐ Exposure to vibration
☐ Inadequate or excessive illumination ☐ Inadequate / no access / egress
☐ Inadequate ventilation ☐ Infection / Virus
☐ Current ☐ Lack of resources (personnel / budget / time)
☐ Environmental Conditions ☐ Medical Condition
☐ Ground Conditions ☐ Time pressure
Explanation of Substandard Condition(s)

Form No: HFC/HSE/IR/06-A Rev-01 Page 2 of 6

 Form No : HFC/HSE/IR/06-A
HILLS AND FORT CONSTRUCTION LLC Rev-01
Date : 05/06/2021
DETAILED INVESTIGATION REPORT
ROOT CAUSES - Job Factor(s)
Job Factor(s) ☐ N/A ☐ Inadequate planning of use Inadequate Leadership and/or
(Highlight applicable sections in ☐ Use by unqualified or untrained Supervision
yellow) people ☐ Giving inadequate policy,
Abuse or Misuse ☐ Use for wrong purpose procedure, practices, or guidelines
☐ Improper intentional conduct that Purchasing ☐ Giving objectives, goals or
is condoned ☐ Improper handling of materials standards that conflict
☐ Improper intentional conduct that ☐ Improper salvage and / or waste ☐ Improper or insufficient delegation
is not condoned disposal ☐ Inadequate identification and
☐ Improper unintentional conduct ☐ Improper storage of materials evaluation of loss exposures
that is condoned ☐ Improper transporting of ☐ Inadequate instructions,
☐ Improper unintentional conduct materials ☐ Inadequate availability
that is not condoned Engineering ☐ Improper loading or rate of use ☐ Inadequate human factors /
☐ Inadequate assessment of loss ☐Inadequate inspection and/or ergonomics considerations
exposures monitoring ☐ Inadequate removal and
☐ Inadequate assessment of ☐ Inadequate maintenance replacement of unsuitable items
operational readiness
☐ Inadequate communication of ☐ Inadequate salvage and
☐ Inadequate consideration of safety and health data reclamation
human factors/ergonomics ☐ Inadequate contractor selection / ☐ Inadequate standards or
☐ Inadequate evaluation of changes management of specifications
☐ Inadequate monitoring of ☐ Inadequate identification of ☐ Lack of calibration of inspection and
construction hazardous materials test equipment orientation and / or
☐ Inadequate monitoring or initial ☐ Inadequate mode or route of training
operation shipment ☐ Inadequate matching of individual
☐ Inadequate or improper controls ☐ Inadequate receiving inspection qualifications and job / task
☐ Inadequate standards, and acceptance requirements
specifications and/or design criteria ☐ Inadequate research on materials ☐ Inadequate performance
Work Standards / equipment measurement and evaluation
☐ Inadequate communication of ☐ Inadequate specifications on ☐ Inadequate or incorrect
standards requisitions performance feedback
☐ Inadequate development of ☐ Inadequate specification to ☐ Inadequate work planning or
standards vendors programming
☐ Inadequate maintenance of Maintenance ☐ Lack of supervisory / management
standards ☐ Inadequate preventative job knowledge
☐ Inadequate monitoring of maintenance ☐ Providing inadequate reference
compliance ☐ Inadequate reparative documents, directives and guidance
Wear and Tear maintenance publications
☐ Improper extension of service life Tools and Equipment ☐ Unclear or conflicting assignment of
☐ Inadequate adjustment / repair / responsibility
maintenance ☐ Unclear or conflicting reporting
☐ Inadequate assessment of needs relationships
and risks
Explanation of Job Factor(s)

Form No: HFC/HSE/IR/06-A Rev-01 Page 3 of 6

 Form No : HFC/HSE/IR/06-A
HILLS AND FORT CONSTRUCTION LLC Rev-01
Date : 05/06/2021
DETAILED INVESTIGATION REPORT
ROOT CAUSES - Personal Factors

Personal Factor(s) ☐ N/A ☐ Infrequent performance Physical or Physiological Stress

(Highlight applicable sections in ☐ Lack of coaching ☐ Atmospheric pressure variation
yellow) Mental or Psychological ☐ Blood sugar insufficiency
Improper Motivation Stress ☐ Constrained movement
☐ Excessive frustration ☐ "Meaningless" or "degrading" ☐ Drugs
☐ Improper attempt to avoid activities ☐ Exposure to health hazards
discomfort ☐ Conflicting demands / ☐ Exposure to temperature
☐ Improper attempt to gain directions extremes
attention ☐ Confusing directions / demands ☐ Fatigue due to lack of rest
☐ Improper attempt to save time or ☐ Emotional overload ☐ Fatigue due to sensory overload
effort ☐ Extreme concentration / ☐ Fatigue due to task load or
☐ Improper performance is perception demands. duration
rewarded (tolerated) ☐ Extreme judgment / decision ☐ Injury or illness
☐ Improper production incentives demands ☐ Oxygen deficiency
☐ Improper supervisory example ☐ Fatigue due to mental task load Physical/Physiological Capacity
☐ Inadequate discipline or speed ☐ Hearing deficiency
☐ Inadequate performance ☐ Frustration ☐ Inappropriate height, weight, size,
feedback ☐ Mental illness strength, reach, etc.
☐ Inadequate reinforcement of ☐ Preoccupation with problems ☐ Limited ability to sustain body
proper behaviour ☐ Routine, monotony, demand for positions
☐ Inappropriate aggression uneventful vigilance ☐ Other permanent physical
☐ Inappropriate peer pressure Mental/Psychological Capacity capabilities
☐ Lack of incentives ☐ Emotional disturbance ☐ Other sensory deficiency (touch,
☐ Proper performance is punished ☐ Fears and phobias taste, smell, balance)
Lack of Knowledge ☐ Inability to comprehend ☐ Respiratory incapacity
☐ Inadequate initial training ☐ Intelligence level ☐ Restricted range of body
☐ Inadequate orientation ☐ Low learning aptitude movement
☐ Inadequate update training ☐ Low mechanical aptitude ☐ Sensitivities to sensory extremes
☐ Lack of experience ☐ Memory failure (temperature, sound, etc)
☐ Misunderstood directions ☐ Mental illness ☐ Substance sensitivities or allergies
Lack of Skill ☐ Poor coordination ☐ Temporary disabilities
☐ Inadequate initial instruction ☐ Poor judgment ☐ Vision deficiency
☐ Inadequate practice ☐ Slow reaction time
☐ Inadequate review instruction
Explanation of Personal Factor(s)

ROOT CAUSES - Organisational Failures

HSE Basics Risks Management Systems
☐ Confined space ☐ Leadership & Commitment
☐ Driving ☐ HSE Policy & Principles
☐ Equipment / system isolation ☐ Organisation
☐ Fitness for work ☐ Risk Management
☐ Ground disturbance ☐ Hazard identification
☐ Hazardous substance ☐ Management of change

Form No: HFC/HSE/IR/06-A Rev-01 Page 4 of 6

 Form No : HFC/HSE/IR/06-A
HILLS AND FORT CONSTRUCTION LLC Rev-01
Date : 05/06/2021
DETAILED INVESTIGATION REPORT

☐ Lifting Operations ☐ Implementation & Performance Monitoring

☐ Loading and unloading of vehicles ☐ Audit & Review
☐ Personnel transfer ☐ Systems and Procedures
☐ Simultaneous operations
☐ Working at height
☐ Working with Equipment
Explanation of Organisational Failures:

SUMMARY OF KEY FINDINGS

IMMEDIATE CAUSES

ROOT CAUSES

RECOMMENDATIONS AND ACTION PLAN

IMMEDIATE ACTIONS – SHORT TERM

IMMEDIATE ACTIONS – LONG TERM (THROUGHOUT PROJECT CYCLE)

ACTION PLAN
S. NO. ACTION DESCRIPTION RESPONSIBILITY TARGET DATE

1.

2.

3.
4.

Form No: HFC/HSE/IR/06-A Rev-01 Page 5 of 6

 Form No : HFC/HSE/IR/06-A
HILLS AND FORT CONSTRUCTION LLC Rev-01
Date : 05/06/2021
DETAILED INVESTIGATION REPORT
APPENDICES ATTACHED WITH THIS REPORT
[TICK (✓) IN THE APPLICABLE BOX]
S. No. APPENDICE TYPE QUANTITY DETAIL /REF # (IF ANY)
01 INITIAL NOTIFICATION REPORT
02 LETTERS/ EMAILS
03 FAXES
04 MINUTES OF MEETINGS
05 MSRA
06 LOG SHEETS
07 WORK PERMITS
08 NOC
09 POLICE REPORT
10 DRAWINGS
11 MEDICAL REPORT
12 INSPECTIONS
13 EXCERPTS FROM PROCEDURES
14 MANUALS
15 INSTRUCTIONS
16 TESTING & INSPECTION CERTIFICATES
17 TBT & TRAINING RECORDS
18 SKETCHES
19 PHOTOS
20 Other….

MEMBERS OF INVESTIGATION TEAM

S. NO. NAME PM/ DEPARTMENT/ SECTION HOD DESIGNATION

MANAGEMENT REVIEWS
DATE & TIME:

ATTENDEES NAME DESIGNATION SIGNATURE

NAME SIGNATURE DATE

Report Prepared by:

Reviewed by

Approved By

Form No: HFC/HSE/IR/06-A Rev-01 Page 6 of 6

 Form No: HFC/HSE/IR/06
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date: 05/06/2021

INCIDENT REPORT AND INVESTIGATION FORM

INCIDENT/ ACCIDENT DETAILS Report Ref No:
Date: Project & Location:
Time: HFC Employee(s): Yes No
Reported Date: Reported By:

Incident Type: Fatality Injury Property Damage Heat related illness Near Miss

Fire Vehicle Incident Spill/ Release/ Others……….

Discharge to land and atmosphere
PERSON(S) INVOLVED
1. Name: Designation:
Company ID: Department:
PERSON(S) WHO SUPERVISING THE TASK
1. Name: Desination:
Company ID Department:
WITNESSES
1. Name: Designation
Company ID Department:
VEHILE/EQUIPMENT DETAILS (Where applicable):
Registration No: Driver/Operator Name:
Licences & 3rd Party
3rd Party Certificates:
Crtificates Details:
PRSONEL INJURY DETAILS (where applicable)
Injury Type:
Body part injured: please indicate on chart
Strain/ Sprain
Scratch/ Abrasion Cut/ laceration
Fracture Bruising
Burn Dislocation
Sting/ bite Foreign Body
Other (Heat illness)
Treatment Given:

Hospitalised (inpatient) Doctor

First Aid Not Required

Lost Time Injury: …… Days

Restricted Work Cases: …… Days

Form No: HFC/HSE/IR/06 Rev-02 Page 1

Incident Details (Fact only)
Describe in detail what happened- e.g. who, what, where, how (include diagrams/ photographs and use a separate sheet if necessary)

Immediate and Corrective actions

By whom When

ANALYSIS- Track the factors which are thought to have contributed to the cause of the incident
Task Environment Organizational
Lifting Housekeeping Poor communication
Carrying Slippery conditions No Policies/ procedures in place
Repetitive Movement Excessive noise Poor job design
Twisting Weather conditions Failure to identify Hazards
Driving Heat / Cold Lack of staff / budget
Other (works) Lighting / Visibility Lack of training / supervision
Surface conditions Pressure to complete task
Humacn factors Equipment
Lack of experience / training Faulty equipment
Stress/ fatigue Lack of equipment
Safety procedures not followed Poorly maintained
Improper work technique Wrong for the task
Physical limitations Lack of signage
Skylarking / horesplay
Root cause:

Preventive Actions:
(What action is need to prevent the incident happening again?) By whom? When?

Project Mannager/ Site In-charge Comments/ Recommendation:

Name & Signature:

Risk assessment reviewed? Yes No

Report Prepared by:

Name: Signature: Designation: Date:

REPORT DISTRIBUTION (tick appropriate boxes):

Original to: HR Dept. (within 24 Hrs) Copy to: Project Manager HSE Mgr.. Commercial Others (If any Specify)….
For Head Office USE Only:
Commercial / HR & Admin Dept. Other (specify)……………………….
Is incident noticeable to insurance Yes No Date:

Form No: HFC/HSE/IR/06 Rev-02 Page 2

 Form No: HFC/HSE/DN/05
HILLS AND FORT CONSTRUCTION LLC Rev: 02
Date:05/06/2021
HSE Disciplinary Notice
Name of Offender receiving Disciplinary notice: File Number: Date: Time:

Employer: Project: Location:

HFC Safety Breaches: HFC Safety Breaches:
• Failure to safely manage work activities under your control. • Operating plant equipment and transport without license or
• Failure to safely supervise work activities under your control. permission.
• Failure to discharge your safety responsibilities. • Failure to carry out a lifting operation in a safe manner.
• Failure to follow agreed safety rules and procedures. • Failure to use the designated safe access and egress routes.
• Failure to report an accident, incident, near miss, or • Failure to use portable electrical appliances safely.
environmental incident to the HSE Dept. immediately. • Failure to provide and maintain proper working platform.
• Working without valid NOC for excavation works. • Working on an unsafe work platform.
• Failure to follow the authorities NOC conditions. • Failure to follow site rules and procedures in relation to road safety.
• Failure to provide and maintain adequate welfare facilities. • Failure to use color coded lifting gear.
• Carrying out an unsafe act /condition at site. • Working or walking on unguarded edges.
• Failure to use and wear the correct PPE. • Removing any safety device from equipment without permission
• Failure to use fall protection where appropriate. • Machine digging where hand dig is the agreed safe system of work.
• Working without a “valid permit to work” for excavation. • Assault on a person or HFC property.
• Working without a “valid permit to work” for confined • Working on site without induction.
spaces. • Failure to implement a direct safety instruction from a Manager,
• Working without a “valid HFC General work permit”. Supervisor, or Safety Engineer / Officers.
• Failure to operate plant and equipment or vehicles in a safe • Failure to follow the COVID-19 protocols.
manner.
First Warning Verbal Warning Mention the previous warning dates.

Second Warning One Days Basic Salary

Third warning 3 Days Basic Salary
HR Manager will decide the further action.
4th warning
To be referred to HSE Disciplinary Committee
HFC Safety Breach Description:

Action required by offender.

Offender: I hereby accept the Disciplinary Notice served.

Name: Designation:

Signature: Date of Issue:

Issued by:
Name: Designation:

Signature: Date of Issue:

Approved by PM/DM/Project In-charge:
Name: Designation:

Signature: Date of Issue:

Cc:
GM PM HSE Manager Time keeping Office Others
*Orginal document send to HR Manager. ( within 24 Hrs), * Projet HSE officer should keep the copy and recored.
Form No: HFC/HSE/DN/05 Rev-02
APPENDIX - F
Generic Risk Assessment
 HILLS & FORT CONSTRUCTION LLC
Form No: HFC/HSE/RA/003
HEALTH SAFETY ENVIRONMENTAL RISK, ASPECT & IMPACT ASSESSMENT Rev: 03
Date: 05-06-2021

Task: Generic Risk Assessments

Prepared by: Sajin Kumar Vijayan Approved by: Ahmed Abdelkader
Designation: HSE Engineer Designation: Project Manager

Date: 07-12-2021 Date: 07-12-2021

RISK MATRIX
Probability
Health & Safety Loss And
Health & Safety Environmental 1 2 3 4 5
Environmental Impact
Unlikely May Happen Likely Very Likely Certain or Imminent
Severity Slight Injury (no lost time) Slight Incident 1 1 2 3 4 5
X Risk Rating

Severity
Probability Minor Injury/Illness Minor Incident 2 2 4 6 8 10
1-8 Low - L Moderate Injury/Illness Moderate Incident 3 3 6 9 12 15
9- 16 Medium - M Serious Injury/Illness Serious Incident 4 4 8 12 16 20
17-25 High - H Fatal/Permanent disability Major Incident 5 5 10 15 20 25
Likelihood: Health & Safety Severity: Environmental Severity: L: Likelihood
Hazardous Chemical required?
1. Unlikely 1. Slight Injury (No lost time) 1. Slight Incident L*: Likelihood with mitigating controls in place
2. May happen 2. Minor Injury/Illness 2. Minor Incident S: Severity
3. Likely 3. Moderate Injury/Illness 3. Moderate Incident
Yes  No  S*: Severity with mitigating controls in place
4. Very Likely 4. Serious Injury/Illness 4. Serious Incident R: Level of uncontrolled risk
(Tick as applicable)
5. Certain or Imminent 5. Fatal/ Permanent Disability 5. Major Incident R*: Assessed level of Residual Risk
Hierarchy of Control (Controls identified may be the hierarchy to provide minimum operator exposure)
Elimination Eliminate the Hazard General Safety Requirements:
Substitution Provide an alternative, that can perform the same task and is safer to use • The daily Tool box talk shall be done by the
Engineering control Provide or construct a physical barrier or guard workforce.
Administrative Controls Develop procedures and guidelines, in consultation with employees, to mitigate • Risk Assessment and Method Statement shall be
the risk. Provide training, instruction and supervision about the hazard. communicated to all.
Personal Protective equipment Personal Equipment designed to protect the individual from the hazard • Provide proper PPE to all operatives

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 1 of 40

 RA-01 Task: PRE-CONSTRUCTION LAND SURVEY Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Slips, trips and
Presence of falls HSE induction, Craft Trainings, Method statement, Risk
workers on site Abrasion, strain assessment, Surveyor, Site
Surveyors,
Skin cancer, sun Proper supervision, PPE, Toolbox talks and welfare Engineer,
chainmen, other
Generating burn, de 5 4 20 facilities 5 1 5 Construction
officials
domestic wastes hydration, poison Proper waste collection and disposal system in place manager,
environment
of snakes and Ref: DMCOP CHAPTER 2General Health and Safety
other insects Provision

HSE induction, Craft Trainings, Method statement, Risk

Serious injuries assessment,
Plant & Equipment Dust particles Surveyors, Proper supervision, PPE, Toolbox talks and welfare Surveyor, Site
Movement at site become major chainmen, other facilities Engineer,
5 5 25 5 1 5
threat for officials Regular water sprinkling Construction
Pre-construction Dust Pollution and operatives and environment Proper maintenance of plant & equipment. manager,
1
land survey emission environment Ref: DMCOP CHAPTER 2General Health and Safety
Provision
Serious injuries
and property
damage due to
HSE induction, Craft Trainings, Method statement, Proper
Vehicle overturn,
supervision, PPE, Toolbox talks, Traffic Management Surveyor, Site
Ste Traffic collision Operatives
system, vehicle maintenance system and welfare facilities Engineer,
Dust particles Consultant/
5 5 25 Use water for dust suppression and maintain the access 5 1 5 Construction
become major Client officials
Dust Pollution and roads regularly. Proper maintenance of vehicle. manager,
threat for & environment
emission Ref: DMCOP CHAPTER 2General Health and Safety HSE Officer
operatives and
Provision
environment

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 2 of 42

 RA-02 Task: SITE CLEARANCE (Removal /Translocation of Quarantine Material, Natural Species, Flora Fauna, Trees) Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Slips, trips and
falls
No site clearance may take place until the site has been
Abrasion, strain
officially handed over by the client and the notification to
Skin cancer, sun
proceed has been handed over to HFC
burn, de
HSE Induction prior to start the clearance activities
hydration, poison
Only trained and competent operatives will be appointed.
of snakes and
Necessary PPE
other insects Surveyor, Site
Removal of Operatives First Aid arrangements
Injuries due to Engineer,
Quarantine Consultant/ Proper traffic management system in place
1 Site clearance collision 5 4 20 5 1 5 Construction
materials, Dust Client officials Identify, protect / remove the Hazardous substance storage
Leakage of manager,
pollution and visitors safely
hazardous
Enforce spill control
substances due to
Spill kit made available.
damages
Arrange water sprinkling for dust suppression
Dust particles
become major
Ref: DMCOP CHAPTER 2General Health and Safety
threat for
Provision
operatives and
environment
HSE Induction
First aid arrangements made available.
Slips, trips and
Necessary PPE Surveyor, Site
Removal / Trans falls and cut
All operatives Obtain necessary approval or NOC from concerned Engineer,
location of Trees injuries
5 4 20 department. 5 1 5 Construction
Environmental
Environment Removal/ Translocation of trees only as per the legal manager,
impact
requirements.
Ref: DMCOP CHAPTER 2General Health and Safety
Provision
Identify all Mechanical and electrical connections and
Project Manager,
Removal of isolate them to prevent major injuries and electrocution.
Personnel Injury, Construction
existing Pipe/ Operatives 5 4 20 Obtain PTW if applicable 5 1 5
electrocution Manager and HSE
installations Ref: DMCOP CHAPTER 2General Health and Safety
Department
Provision

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 3 of 42

 RA-03 Task: OPEN MANHOLES Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Replace manhole cover if available or cover with securely
Death or serious fixed cover Foreman,
Personnel or Operatives
injury to Manhole covers to be marked Site Engineer,
machine falling Consultant/
1 Open Manholes personnel and/or 5 5 25 Identify and protect the open manholes by providing 5 1 5 Construction
into Open Client officials
damage to warning/ hard barriers and necessary sign boards Manager,
Manholes and visitors
property Ref: DMCOP CHAPTER Chapter 20 – Miscellaneous HSE Officer
Road Works/Site Planning/Site Transport
Disintegration or Foreman,
Operatives PTW
collapse of Site Engineer,
.Excavation close Consultant/ Move or protect temporary Structure.
existing structure. 5 5 25 5 1 5 Construction
to existing structure Client officials Detailed Method Statement
Serious personnel Manager,
and visitors Ref: DMCOP CHAPTER 9 – Excavation
injury HSE Officer

Ref: DMCOP CHAPTER Chapter 20 – Miscellaneous

Road Works/Site Planning/Site Transport

RA-04 Task: REMOVAL OF CONCRETE WASTE, CONCRETE STRUCTURES/ CONCRETE ELEMENTS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Check the integrity of lifting eyes it lifted compile lifting
plan.
Use designed spreader beam. Only use competent trained Foreman,
Crush injury to Operatives
Dropped loads crane operatives and rigger Site Engineer,
Removal of personnel or Consultant/
1 caused by lifting 5 4 20 Lifting Equipment and lifting gears must be certified as per 5 1 5 Construction
concrete waste damage to Client officials
equipment failure policy/standards. Visual inspection of all lifting equipment Manager,
property and visitors
prior to use. Test certificates shall be checked to ensure HSE Officer
validity. All lifting gears to be color coded
Ref: DMCOP CHAPTER 10 Concrete and Masonry
Removal and HFC will appoint an approved third party to carry out the Project Manager,
disposal of Environmental disposal of concrete waste. Maintain the waste consignment Construction
All Operatives 3 3 9 3 1 3
Concrete waste impact note Manager and HSE
from site Ref: DMCOP CHAPTER 10 Concrete and Masonry Department

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 4 of 42

 RA-04 Task: REMOVAL OF CONCRETE WASTE, CONCRETE STRUCTURES/ CONCRETE ELEMENTS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Identify all Mechanical and electrical connections and
Existing services Site engineer,
isolate them to prevent major injuries and electrocution.
connected to the Serious injury, All Operatives 5 4 20 5 1 5 Construction
Obtain PTW if applicable
concrete structures electrocution Manager
Ref: DMCOP CHAPTER 10 Concrete and Masonry

RA-05 Task: REMOVAL ASBESTOS MATERIAL Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Trained personnel only deployed for the removal job.
Necessary PPE enforced.
HFC will appoint an approved agency for the disposal of
Asbestos waste.
Where practicable, the waste material should be wetted in
order to minimize Asbestos dust emission.
Asbestos wastes shall be disposed by submitting the
"Application for Disposal of Hazardous Waste" to
Environmental Protection and Safety Section, at the Project manager,
Chronic injury Operatives &
Removal Asbestos Removal of appropriate disposal site designated by the local Authority. Construction
1 Environmental Environment 5 4 20 5 1 5
material asbestos material No asbestos waste in the land-fill site shall be left uncovered Manager, HSE
impact
at the end of a working day. Department
Workers occupied in the collection, transport or disposal of
asbestos waste should be provided with suitable protective
clothing and respiratory equipment.
Contaminated protective clothing shall be segregated and
cleaned separately. Examples of asbestos waste to be
communicating at site HSE Induction
Identify aspects and impacts through EIP
Ref: DMCOP CHAPTER 3.16 Asbestos

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 5 of 42

 RA-06 Task: WORK NEAR OR UNDER LIVE OVERHEAD ELECTRIC LINES Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Obtain concerned NOC/ Permit. Precaution as per the NOC
requirement. Stop work in bad weather condition.
Continuous supervision required. Emergency arrangements
1.Striking of power in place. Tool box talk delivery. Banksman will be working
line with heavy with each machinery. Banksman to be placed both entry and
Electrocution, Foreman, Site
plant/ Equipment exit of the crossing points.
Work near /under Death/ Serious Engineer,
or equipment being Operatives/ Provide Height Gantry/ goal post and cautionary sign boards
1 live overhead burn 5 4 20 5 1 5 Construction
placed within 5 M inspectors and barriers must be erected to highlight the hazards and
electric lines Disruption to manager,
of conductor line prevent people working inside the hazard zone unless they
supplies HSE Officer
(arcing) leading to have to.
electrocution Safe system of work under the power line will be included
in Pictorial presentation of HSE induction
Ref: DMCOP CHAPTER 9 – Excavation

Obtain concerned NOC/ Permit. Precaution as per the NOC

requirement. Stop work in bad weather condition.
Electrocution,
Emergency arrangements in place. Tool box talk delivery. Project Manager,
Death/ Serious Operatives/
Banksman to be placed both entry and exit of the crossing Construction
Striking of pylon burn inspectors 5 4 20 5 1 5
points. Implement good traffic management system. Manager and HSE
Disruption to
Provide cautionary sign boards and barriers must be erected Department
supplies
to highlight the hazards and prevent any collision.
Ref: DMCOP CHAPTER 9 – Excavation

RA-07 Task: WORKING WITH ELECTRICAL HAND TOOLS Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Clothing, hair or Electrical
Operatives
Working with limbs can be safety guards to be fitted. Only trained and competent Foreman,
Rotating equipment Consultant/
1 electrical hand entangled with 4 5 20 persons to operate equipment. 4 2 8 Foreman, Site
/ missing guard Client officials
tools equipment Ref: DMCOP CHAPTER Hand and Power-Operated Tools Engr.
and visitors
resulting in injury HSE Officer

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 6 of 42

 RA-07 Task: WORKING WITH ELECTRICAL HAND TOOLS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

All hand tools must be maintained and inspected. All Electrical

Operatives
Faulty switches/ Electrocution electrical connections must be industrial sockets. Low Foreman,
Consultant/
controls and Death or serious 5 5 25 voltage tools should be used and must be inspected before 5 1 5 Foreman, Site
Client officials
connections injury each use. Where practicable, electrical cables to be Engr.
and visitors
sufficient length to portable appliance test by electrician or HSE Officer
weekly basis
Ref: DMCOP CHAPTER Hand and Power-Operated Tools
Electrical
Operatives Industrials Electrical cables and sockets should be used for
Electrocution Foreman,
Damaged Electrical Consultant/ external use.
Death or serious 5 5 25 5 1 5 Foreman, Site
cables Client officials All electrical circuitry to be inspected weekly
injury Engr.
and visitors Ref: DMCOP CHAPTER Hand and Power-Operated Tools
HSE Officer
Appropriate hearing protection must be worn at all times.
High levels of Hands should be kept warm to maintain blood circulation. Electrical
Operatives
noise can result in Use of electrical hand tools has potentials to inflict serious Foreman,
Noise and Consultant/
temporary or 4 5 20 injury as flammable materials. Maintenance and inspection 4 1 4 Foreman, Site
Vibration Client officials
permanent hearing of hand tools. Sharp bits/discs. Provide rotation of job. Engr.
and visitors
damage Provide training HSE Officer
Ref: DMCOP CHAPTER Hand and Power-Operated Tools

RA-08 Task: USE OF PORTABLE GRINDERS Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Serious Cut
Eye injury and/or injury, Blindness Suitable eye protection (goggles or face shields) must be
respiratory Operatives
or respiratory worn at all times when carrying out grinding operations. Foreman, Site
Use of portable problems-caused Consultant/
1 illness 4 5 20 House keeping 4 1 4 Engineer,
grinders by flying metal Client officials
Particular Proper disposal of metal waste HSE Officer
particles from and visitors
problems can Ref: DMCOP CHAPTER Hand and Power-Operated Tools
grinding operations occur with coated

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 7 of 42

 RA-08 Task: USE OF PORTABLE GRINDERS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
materials
(stainless steel)

Appropriate PPE must be worn by the operative.

Personnel injury Abrasive wheel must be only changed by trained personnel.
caused by Operatives use correct disc/mounting tools.
Blindness, head Foreman, Site
inadequately Consultant/ Do not use cutting discs for grinding.
injury, body 5 4 20 5 1 5 Engineer,
mounted discs Client officials Provide training.
injury HSE Officer
disintegrating or and visitors Ref: DMCOP CHAPTER Hand and Power-Operated Tools
flying off.
Operatives Remove flammable material from work area.
Fire or explosion Foreman, Site
Death or serious Consultant/ Tool box talks by supervisor.
caused by 5 5 25 5 1 5 Engineer,
injury Client officials Fire extinguishers in place.
mechanical sparks HSE Officer
and visitors Ref: DMCOP CHAPTER Hand and Power-Operated Tools
All hand tools must be maintained and inspected. All
electrical connections must be industrial sockets. Low
Operatives
Damaged/ Electrocution, voltage tools should be used and must be inspected before Foreman, Site
Consultant/
improper electrical Death or serious 5 5 25 each use. Where practicable, electrical cables to be 5 1 5 Engineer,
Client officials
connections injury sufficient length to portable appliance test by electrician or HSE Officer
and visitors
weekly basis
Ref: DMCOP CHAPTER Hand and Power-Operated Tools

RA-09 Task: WELDING AND FLAME CUTTING Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Burns to skin
Hot work permit.
Hot welding from heat Operatives
Anti-flash screen to be erected to protect others. Foreman, Site
Welding and slag/burning radiation. Slag Consultant/
1 5 5 25 Appropriate PPE must be worn at all times. No jewelry to be 5 1 5 Engineer,
Flame cutting splatter and particles and Client officials
worn HSE Officer
arc/flame flying splatter. and visitors
Ref: DM COP CHAPTER 15 Welding and Cutting
ARC EYE injury

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 8 of 42

 Fire or explosion. Hot work permit.
Ignition source Operatives
Injury to Anti-flash screen to be erected to protect others. Foreman, Site
from flame /arc or Consultant/
personnel due to 5 5 25 Appropriate PPE must be worn at all times. No jewelry to be 5 1 5 Engineer,
faulty welding Client officials
burns or electric worn. HSE Officer
equipment. and visitors
shock. Ref: DM COP CHAPTER 15 Welding and Cutting
Gas cylinders to be lashed securely in upright position
outside module.
Flash back to Burns due to fire
Operatives Flash back arrestors to be used on all regulators.
cylinder or gas or physical injury Foreman, Site
Consultant/ Oxygen cylinders to be store separately from fuel gas
release due to to personnel 5 4 20 5 1 5 Engineer,
Client officials cylinders.
damage of caused by HSE Officer
and visitors Empty cylinders to be returned to storage on completion.
regulator. rocketing cylinder
Tool box talks by supervisor
Ref: DM COP CHAPTER 15 Welding and Cutting
Incorrect return
path for welding
current resulting in Welding area must be isolated from adjacent equipment
Operatives
failure of wire Death or serious securely. Foreman, Site
Consultant/
ropes or earth injury 5 5 25 Competent person will carry out the job, proper supervision 5 1 5 Engineer,
Client officials
protective required HSE Officer
and visitors
conductors in Ref: DM COP CHAPTER 15 Welding and Cutting
adjacent
equipment.

RA-10 Task: ROUTINE MAINTENANCE WORK Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Use proper maintenance procedure and proper tools and
equipment.
Lifting Equipment certificate and inspections.
Serious
Improper work Routine inspections of power tools.
injury/illness to Operatives
methods Competent personnel. Foreman,
Routine personnel. Consultant/
1 5 4 20 Adequate training 5 1 5 Plant/ Equipment
maintenance work Oil spillage, used Serious fuel/oil Client officials
Use proper maintenance procedure, mitigate the oil spillage manager
oil filters contamination of and visitors
and collect and dispose the used oil filters and contaminated
soil
substances properly. Spill kit shall be available
Environmental awareness training
Ref: DM COP CHAPTER 2,3 & 4
Injury to Warning signs, adequate guards, adequate lightings, lock Foreman,
Trapping /crushing personnel – cuts Operatives 5 4 20 out/tag out of powered machinery. 5 1 5 Plant/ Equipment
and lacerations. Competent operator manager

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 9 of 42

RA-10 Task: ROUTINE MAINTENANCE WORK Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Puncture wounds Consultant/ Ref: DM COP CHAPTER 2,3 & 4
Client officials
and visitors

Injury to Operatives No loose clothing, tie up hair, no loose jewelry, adequate

personnel- Foreman,
Consultant/ guards,
Entanglement 5 4 20 5 1 5 Plant/ Equipment
inability to escape Client officials LO/TO of equipment’s.
from danger of manager
and visitors Ref: DM COP CHAPTER 2,3 & 4
becoming trapped.
Operatives Adequate guards
Death or serious Foreman,
Impact from Consultant/ Watchman/banks man
injury to 5 4 20 5 1 5 Plant/ Equipment
moving equipment. Client officials Reverse alarms, adequate lightings
personnel. manager
and visitors Ref: DM COP CHAPTER 2,3 & 4

RA-11 Task: USE or DISCOVERY OF HAZARDOUS/TOXIC/IRRITANT/CORROSIVE CHEMICALS Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Depending on the
substance, and the Review possible use of alternate, safer material.
way in which it is Necessary training for safe handling & usage of chemical/
used, acute and/or hazardous substances
Project Manager
chronic disease to Prevention of exposure.
Operatives Technical
personnel can Isolation dedicated storage areas.
Exposure to human Consultant/ Manager
1 Use of chemicals occur. 5 4 20 MSDS information and training. 5 1 5
body Client officials Store/Purchase
Exposure can COSH Assessment.
and visitors Supervisor
occur thru PPE like respiratory chemical masks, goggles, rubber gloves
HSE Manager
inhalation, etc. Pre-warning of arrival
ingestion or direct Ref: DM COP CHAPTER 18 Chemical Materials Hazard
contact with skin, and Labeling
eye.

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 10 of 42

 RA-11 Task: USE or DISCOVERY OF HAZARDOUS/TOXIC/IRRITANT/CORROSIVE CHEMICALS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Necessary training for safe handling & usage of chemical/
hazardous substances
Slip/ fall can PPE like oil resistant safety boots.
Technical
cause personnel Use of drip trays, bunds.
Manager
injury Isolation, dedicated storage areas.
All Machine Workshop
Spillage to the Contamination of Proper storage containers.
operatives and 4 4 16 4 1 4 Supervisor
ground earth may cause Pre-warning of arrival.
ground workers Store/Purchase
serious Use of drip trays, bunds.
Supervisor
environmental Contain and clean up spillage, spill kits
HSE Manager
impact Including contaminated ground.
Ref: DM COP CHAPTER 18 Chemical Materials Hazard
and Labeling

Train the workforce at induction

If any unidentified substances/ containers discovered, to be All work force,
Accident discovery Death, serious All Machine reported to PM immediately Project Manager
of Hazardous injury acute or operatives and 5 5 25 Safe removal and disposal system in place 5 1 5 Technical
chemicals chronic effects ground workers Emergency spill control system in place Manager
Ref: DM COP CHAPTER 18 Chemical Materials Hazard HSE Manager
and Labeling

RA-12 Task: MANUAL HANDLING Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Use mechanical means where possible, i.e. crane, rigging

equip, trolleys, forklifts etc.
A Manual Handling Assessment shall be implemented to
Strained muscle
Attempting to identify the precaution necessary to ensure personnel are not
and torn ligaments Store keeper,
move/ hold load Operatives injured.
1 Manual handling Personal injury, 4 5 20 4 1 4 Foreman
above physical Manual Handling training shall be implemented for the
Back injuries, HSE Officer
capabilities workforce to ensure they are aware of the risk present and
crushing, hernia
precaution necessary. safe stacking of material
Ref: DM COP CHAPTER 2 General Health and Safety
Provision

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 11 of 42

 RA-12 Task: MANUAL HANDLING Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Personal shall wear suitable hand protection to reduce
Handling Loads possibility of injury
without wearing Always ensure sufficient assistance is available and ensure Store keeper,
Cuts, burns and
suitable personnel Operatives 4 5 20 PPE is used to minimize the risk from sharp. Drop abject. 4 1 4 Foreman
abrasions
protective Ref: DM COP CHAPTER 2 General Health and Safety HSE Officer
equipment Provision

RA-13 Task: TRANSPORTATION OF MATERIALS Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Serious injury to Load fully secured by competent riggers and checked before
personnel moving.
Operatives
Environmental Adequate lashing.
Falling load (solid Consultant/
Transportation of Impact like dust Only trained to operate Plant Manager/
1 particles, hazardous Client officials, 5 4 20 5 1 4
materials pollution Provide proper covering of the load, prevent leakage of the logistic supervisor
liquid etc.) visitors and
contamination of transporting container
public
hazardous Ref: DM COP CHAPTER 2 General Health and Safety
substances Provision
Use the escorts to clear road in advance of vehicles and to
Serious injury to Operatives
protect the rear. Every load
personnel Consultant/
Road traffic Properly trained operatives. remove and dispose the Plant Manager/
Contamination of Client officials, 5 4 20 5 1 4
accident contaminated soil properly logistic supervisor
fuel/ oil to the visitors and
Ref: DM COP CHAPTER 2 General Health and Safety
ground public
Provision
Operatives
Collision with
Consultant/ Pre planning of route using known dimensions of load and
other road users, Plant Manager/
Wide load Client officials, 5 4 20 vehicle. Removal of obstructing objects in advance. Use 5 1 4
Damage to logistic supervisor
visitors and pilot vehicle
property, Delays
public
Traffic Operatives
Pre-planning of route and trimming of movement. Plant Manager/
Blocking Roads congestion, Consultant/ 5 4 20 5 1 4
Movement to be in stages to allow other vehicles to pass. logistic supervisor
collision Client officials,

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 12 of 42

 RA-13 Task: TRANSPORTATION OF MATERIALS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
visitors and
public

RA-14 Task: EXCAVATION FOR UTILITY SERVICES (FIRE, STREET LIGHT. Etc) Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Obtain necessary NOC
Electrocution, As built documentation.
Striking of Serious injury to PTW.
Underground Foreman,
personnel, Operatives Supervision of PTW requirement
services (electric Site Engineer,
Disruption of Consultant/ All the services will be detected, exposed and clearly
1 Excavation cable, water/ 5 4 20 5 1 5 Construction
services. Client officials marked prior to start the excavation
gas/hazardous Manager,
Serious and visitors Detect and expose the underground services prior to
liquid pipelines HSE Officer
environmental machine excavation. PTW, Craft Training,
etc.) pollution System in place for disposal of contaminated earth.
Ref: DMCOP CHAPTER 9 – Excavation
Excavation permits that identify shoring or sloping
Crush injuries to Operatives Site Engineer,
requirements.
personnel and Consultant/ Construction
Collapsing wall 5 4 20 Equipment kept away from edge. 5 1 5
damage to Client officials Manager,
Provide warning signs
property and visitors HSE Officer
Ref: DMCOP CHAPTER 9 – Excavation
Death or serious
Ladders access Foreman,
injury to Operatives
Personnel or Suitable crossing point Site Engineer,
personnel and/or Consultant/
machine falling 5 4 20 Rigid barriers. 5 1 5 Construction
damage to Client officials
into excavation Warning sign Manager,
property. and visitors
Adequate lighting/PTW HSE Officer

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 13 of 42

 Accidental
spillage causing Proper access for equipment to the excavation.
contamination of Spill kit made available.
hazardous Ref: DMCOP CHAPTER 9 – Excavation
substances
Disintegration or PTW Foreman,
Operatives
collapse of Move or protect temporary Structure. Site Engineer,
Excavation close to Consultant/
existing structure. 5 4 20 Proper shoring 5 1 5 Construction
existing structure Client officials
Serious personnel Detailed Method Statement. Manager,
and visitors
injury Ref: DMCOP CHAPTER 9 – Excavation HSE Officer

RA-15 Task: SCAFFOLDING ERECTION/DISMANTLING Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Failure of structure Only competent scaffolder to erect or modify scaffolding.

–caused by Death or serious
Operatives Scuff tag in place. Inspection by scaffold Scaffold
inadequate injury to
Consultant/ supervisor/competent person. Supervisor,
1 Scaffolding erection. personnel, 5 5 25 5 1 5
Client officials Regular scaffold material inspection. Weekly Scaff tag Scaffold inspector,
Overloading of damage to
and visitors inspection Site engineer
scaffold or failure property
Ref: DMCOP CHAPTER 8Scaffolding Safety
of component

Falls of Material, Care must be taken when passing equipment from one
Death or serious
equipment/tools- Operatives location to another. Scaffold
injury to
caused by careless Consultant/ Planning should take place to ensure that only required Supervisor,
personnel, 5 5 25 5 5 25
handling or Client officials amount of equipment in site at any one time. Scaffold inspector,
damage to
inadequate during and visitors Use of tool bags Site engineer
property
the erection process Exclusion zones required
Ref: DMCOP CHAPTER 8Scaffolding Safety
Trapping the
hands/fingers Operatives Scaffold
Care must be taken when removing or replacing equipment
between tubes or Fractures or cut to Consultant/ Supervisor,
4 5 20 in racks 4 5 20
boards when finger Client officials Scaffold inspector,
Ref: DMCOP CHAPTER 8Scaffolding Safety
stacking or de- and visitors Site engineer
stacking
Death or serious Operatives Scaffold
Scaffolds only to be on solid ground with adequate support
injury to Consultant/ Supervisor,
Partial collapse 5 5 25 for standards. Regular inspection 5 1 5
Personnel. damage Client officials Scaffold inspector,
to property
Ref: DMCOP CHAPTER 8Scaffolding Safety
and visitors Site engineer

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 14 of 42

 RA-16 Task: WORKING AT HEIGHT Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Work at height to be carried out only when scaffold cannot
reasonably be provided. Step ladders to be secured or
footed.
Ref: DMCOP CHAPTER 8 Scaffolding Safety
Safety harnessed or fall arrestor (where applicable) to be Foreman,
Operatives
worn with lanyard securing on a firm structure. Site Engineer,
Serious injury to Consultant/
1 Working at height Personnel falling 5 5 25 Step ladders not to be used outside modules, on gratings etc. 5 1 5 Construction
personnel Client officials
For work in height, a scaffold must be provided. (Refer to Manager,
and visitors
risk assessment working on scaffold structure) HSE Officer
Ladders and forklifts must not be used as time saving
devices. The above precautions are necessary for jobs even
of short duration
Ref: DMCOP CHAPTER 8 Scaffolding Safety
Serious injury to
personnel and Use of tool bags, safety nets, toe board.
Foreman,
damage to Operatives Not overloading walkways.
Site Engineer,
Tools and material property Consultant/ Barricade areas below.
4 5 20 4 1 4 Construction
falling Spillage of Client officials Training for safe handling of Hazardous substances.
Manager,
hazardous and visitors Spill Kit Made available
HSE Officer
Substances causes Ref: DMCOP CHAPTER 8 Scaffolding Safety
contamination

RA-17 Task: RIGGING/LIFTING Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Competency assessment-only trained and competent Foreman,
Unsafe acts-caused Serious injury to Operatives
personnel to carry out rigging tasks, operate equipment or Site Engineer,
by inexperienced or personnel or Consultant/
1 Rigging/Lifting 5 5 25 handle substances involved 5 1 5 Construction
incompetent damage to Client officials
Ref: DMCOP CHAPTER 21 Sling and Rigging Equipment Manager,
personnel property and visitors
CHAPTER 22 Cranes HSE Officer

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 15 of 42

 RA-17 Task: RIGGING/LIFTING Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Foreman,
Crush injury to Operatives Hiring of mobile cranes to meet company policy/standards.
Dropped loads Site Engineer,
personnel or Consultant/ Visual inspection of all lifting equipment prior to use. Test
caused by lifting 5 4 20 5 1 5 Construction
damage to Client officials certificates shall be checked to ensure validity.
equipment failure Manager,
property and visitors Exclusion zones to be created
HSE Officer
Ref: DMCOP CHAPTER 21 Sling and Rigging Equipment
CHAPTER 22 Cranes

Fall from heights, Personnel working close to unguarded openings etc. Are to Foreman,
Operatives
dropped objects wear safety harness. Where there is a potential for personnel Site Engineer,
Serious injury to Consultant/
etc. Caused by 5 4 20 to fall into, guard rails must be provided with toe boards 5 1 5 Construction
personnel Client officials
unguarded Ref: DMCOP CHAPTER 21 Sling and Rigging Equipment Manager,
and visitors
openings CHAPTER 22 Cranes HSE Officer
Color coding and test certificates shall be checked to ensure
Failure of validity. All equipment’s shall be inspected for damage
Foreman,
equipment during Operatives prior to use. On completion of task, check and return all
Site Engineer,
Faulty lifting service –causing Consultant/ equipment’s to storage. Any damaged equipment shall be
5 4 20 5 1 5 Construction
equipment damage to plant Client officials quarantined and reported to supervision immediately.
Manager,
and/or serious and visitors Records maintained weekly
HSE Officer
personal injury Ref: DMCOP CHAPTER 21 Sling and Rigging Equipment
CHAPTER 22 Cranes
Crane operator should possess competency certificate from
third party. Where applicable, method statements shall be
Movement of
read to establish specific precaution is necessary. If direct Foreman,
equipment or load Operatives
lifting is not possible, use of tag lines shall be utilized to Site Engineer,
causing damage to Consultant/
Uncontrolled lifts 5 4 20 avoid the load swinging. Lifting plan to be developed for 5 1 5 Construction
plant and/or Client officials
special lifts. Lifting assessments from 1&2 to be filled and Manager,
serious personal and visitors
signed by supervisor and crane operator prior to lift. HSE Officer
injury
Ref: DMCOP CHAPTER 21 Sling and Rigging Equipment
CHAPTER 22 Cranes

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 16 of 42

 RA-18 Task: USE OF MAN CAGE BASKET Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Third party certification
Operatives Plant Manager
Injury to Inspection before use
Use of man Inadequate man Consultant/ Foreman,
1 personnel caused 5 4 20 Independent tie off required 5 1 5
cage basket cage Client officials Site Engineer,
by fall Ref: DMCOP CHAPTER 21 Sling and Rigging Equipment
and visitors HSE Officer
CHAPTER 22 Cranes

Foreman,
Unauthorized Operatives
Work can be carried out with a cold work permit. Site Engineer,
Working with o out operation can Consultant/
5 4 20 Stop activity, disciplinary action against supervisor. 5 1 5 Construction
permit. cause failure of Client officials
Ref: DMCOP CHAPTER 21 Sling and Rigging Equipment Manager, HSE
supervision. and visitors
CHAPTER 22 Cranes Officer

RA-19 Task: CONFINED SPACE ENTRY Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Implement Confined Space Entry Permit to Work System.
3rd party trained/ competent personnel only permitted to Foreman, Site
Oxygen enter the confined space, Gas monitoring required prior to Engineer,
Death/ Serious Operatives/
1 Confined space Deficiency/ 5 5 25 entry. Use escape breathing set. Stand by person should be 5 1 5 Construction
illness inspectors
Enrichment available always. Do not place any combustion equipment manager,
like generator beside the confined space. HSE Officer
DMCOP CHAPTER 19 Confined Spaces

Implement Confined Space Entry Permit to Work System.

Presence of harm 3rd party trained/ competent personnel only permitted to
or toxic/ flammable enter the confined space, Gas monitoring required prior to Foreman, Site
gases entry. Use escape breathing set. Stand by person should be Engineer,
Death/ Serious
Operatives 5 5 25 available always. Proper communication system provided. 5 1 5 Construction
illness, Fire
E.g.: - H2S, CO, Rescue equipment like tripod, rescue breathing apparatus. manager,
LPG, Natural Gas Trained rescue team shall be available. Medical emergency/ HSE Officer
etc. first aider shall be available. Do not place any combustion
equipment like generator beside the confined space. Use
intrinsically safe torch inside.

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 17 of 42

 RA-19 Task: CONFINED SPACE ENTRY Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
DMCOP CHAPTER 19 Confined Spaces

Implement Confined Space Entry Permit to Work System.

Death/ Serious 3rd party trained/ competent personnel only permitted to Training for safe
illness, dizziness enter the confined space, Gas monitoring required prior to handling of
Use of Toxic
Spillage of entry. Use chemical respiratory mask. Use exhaust fan. Hazardous
chemical Operatives 5 5 25 5 1 5
hazardous Stand by person should be available always. Proper substances.
substances
Substances causes communication system provided. Rescue equipment like Spill Kit Made
contamination tripod, rescue breathing apparatus. Use appropriate PPE available
DMCOP CHAPTER 19 Confined Spaces
Implement Confined Space Entry Permit to Work System.
3rd party trained/ competent personnel only permitted to
enter the confined space; necessary work plat form shall be Foreman, Site
provided. If not continuous use of tripod required. Stand by Engineer,
Serious injury,
Slip, trip and Fall Operatives 5 5 25 person should be available always. Proper communication 5 1 5 Construction
death
system provided. Rescue equipment like tripod, rescue manager,
breathing apparatus. Trained rescue team shall be available. HSE Officer
Medical emergency/ first aider shall be available.
DMCOP CHAPTER 19 Confined Spaces
Implement Confined Space Entry Permit to Work System.
3rd party trained/ competent personnel only permitted to
enter the confined space; do not allow long term work inside Foreman, Site
confined space. Drink more water. Stand by person should Engineer,
Restricted access/ Fall, Serious Operatives/
5 5 25 be available always. Proper communication system 5 1 5 Construction
egress injury, death inspectors
provided. Rescue equipment like tripod, rescue breathing manager,
apparatus. Trained rescue team shall be available. Medical HSE Officer
emergency/ first aider shall be available.
DMCOP CHAPTER 19 Confined Spaces

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 18 of 42

 RA-20 Task: TESTING OF PIPELINE Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Pressure testing of pipeline to be carried only after

receipt of approved Work Notification duly signed by
Resident Engineer
Prior to proceeding with pressure testing activities,
personnel are to ensure that all temporary blind
flanges / spades are properly tightened with suitable
gaskets.
All applicable Work Permit are to be obtained from
the Safety Department for entry into Valve Chambers
to check the integrity of the spaded joints. The area
around the Pressure Test Cabin and the pipeline to be Foreman,
Spillage could Operatives
Leakages from pressure tested is to be cordoned off with safety cones Site Engineer,
1
Testing of pipe cause injury to Consultant/
temporary flange Client officials
5 4 20 and tapes. Pressure Test warning sign boards to be 5 1 5 Construction
line personnel due to Manager,
joints and visitors displayed at vantage points along the pipeline.
slips / falls HSE Officer
temporary hoses and connections are to be checked
for suitable pressure rating. To ensure that all
instruments are calibrated and verify its validity.
Personnel to periodically check all the temporary
flange joints and hose/instrument connections for
leaks.
Only non-spark tools to be used to tighten fasteners
when testing using aviation fuel.
Ref: DMCOP CHAPTER 2 &17 General Health and
Safety Provision & Control of Hazardous Energy
(Lockout/ Tag out)
Personnel to continuously monitor the pipeline
Pressure release/ throughout the HOLD PERIOD.
flooding during Crush injury/ Adequate access and egress must be provided. Foreman,
Operatives
testing due to sinking in water to Site Engineer,
Consultant/ Personal protective equipment shall be strictly
breakage/ personnel or 5 4 20 5 1 5 Construction
Client officials enforced during the operation
explosion of damage to Manager,
and visitors Ref: DMCOP CHAPTER 2 &17 General Health and
property HSE Officer
weakened area or Safety Provision & Control of Hazardous Energy
joints. (Lockout/ Tag out)

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 19 of 42

 RA-20 Task: TESTING OF PIPELINE Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

System to be carefully depressurized.

Effluents from pipeline hydro testing activities shall
be disposed of to trade effluent, surface water drain,
foul sewer or directly to land/ sea in accordance to and PM
depending on UAE environmental limit values for Foreman,
Emptying to the
Discharge of test Site Engineer,
land / sea caused Environment 5 4 20 discharge of water 5 1 5
Construction
water/ liquid contamination Ref: DMCOP CHAPTER 2 &17 General Health and Manager,
Safety Provision & Control of Hazardous Energy HSE Officer
(Lockout/ Tag out)

RA-21 Task: DEWATERING Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
HSE Induction
Trained personnel only deployed for installation jobs.
Keep safe distance from the Excavation/ trench edge
Fall, Use proper lifting equipment and lifting gears
Dewatering Personnel injury Make sure Proper connections and hoses Site Engineer,
pump installation Operatives Fire extinguisher/ fire point to be provided Construction
1 Dewatering Property 5 4 20 5 1 5
Environment Contaminated soil to be removed and Manager,
damage HSE Officer
Oil spillage disposed separately
Drip Tray to be placed
DMCOP CHAPTER 2 General Health and Safety
Provision

Foreman,
Routine Slip, fall, Operatives No major maintenance will be at site Site Engineer,
Maintenance and personnel injury 5 4 20 Trained personnel only deployed for routine maintenance 5 1 5 Construction
Oil/Fuel Spillage Environment jobs Manager,
refueling
Appropriate PPE to be used HSE Officer
Used oil/ filters to be collected and dispose separately

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 20 of 42

 RA-21 Task: DEWATERING Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Make sure the drip trays are in place and drained/ emptied
properly
DMCOP CHAPTER 2 General Health and Safety
Provision
Provide and maintain temporary storage/ lagoon
All pipe joints shall be regularly monitored, and any leakage
parts shall be immediately repaired
Discharge line to be protected from the damage PM
Collapse of
Discharge of water Special zone to be provided over the discharge line for Site Engineer,
storage/ flooding Operatives
to the temporary 5 4 20
crossing the vehicle/equipment 5 1 5 Construction
Personnel injury Environment
storage or lagoon Regular inspection and maintenance to be done for the Manager,
Property damage
storage area to prevent from collapse HSE Officer
Emergency arrangements in place DMCOP CHAPTER 2
General Health and Safety Provision

RA-22 Task: HOUSEKEEPING Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
High levels of housekeeping must be maintained o daily
basis
Supervisor shall monitor the standard and implement clean
Spillage of liquid, up where necessary.
Rubbish shall be disposed of in the correct skip. Spill kits to Foreman, Site
grease, oils etc Slips, trips and Operatives
be provided. Engineer,
Incorrect stowage falls Consultant/
1 Housekeeping 5 4 20
Emergency spill procedure in place 5 1 5 Construction
of cables, Contamination of Client officials
Mitigate the oil spillage and collect and dispose the used oil manager,
soil and visitors
Lines, hose etc. filters and contaminated substances properly. Spill kit shall HSE Officer
be available
Environmental awareness training DMCOP CHAPTER 2
General Health and Safety Provision

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 21 of 42

 RA-22 Task: HOUSEKEEPING Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
All waste and combustible materials shall be removed from
Fire and/or the site immediately
explosion can Workshop, machinery and plant shall be cleaned on regular
occur when waste basis to remove any dust or debris which could be ignited by
Combustible spark or hot surfaces. Supervisor to nominate personnel to
Build up of waste, Foreman, Site
materials or debris Operatives clean up
Engineer,
Combustible are ignited by Consultant/
5 4 20
Segregate and dispose the wastes regularly. Combustible 5 1 5 Construction
materials and sparks or hot Client officials
waste must be kept/ stored properly with all fire protection manager,
debris surfaces and visitors
measures. Educate the workforce to minimize, segregate the HSE Officer
Increase insects
may cause serious waste properly.
communicable DMCOP CHAPTER 2 General Health and Safety
diseases Provision

Can occur when Poor housekeeping is responsible for the greatest proportion
particles do dust. of hook up and commissioning injuries. Do not expect
Debris or grit etc. others to tidy up. Work sites must be left tidy for the Foreman, Site
Operatives
Are blown around following shift. Engineer,
Foreign bodies in Consultant/
the workplace or 5 4 20
Personnel’s must wear appropriate eye protection and 5 1 5 Construction
eyes Client officials
when such minimize the amount of dust created. manager,
and visitors
particle is HSE Officer
DMCOP CHAPTER 2 General Health and Safety
dislodged from
work areas Provision

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 22 of 42

 RA-23 Task: IN-SITU GRP LAMINATION WORKS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Site specific risk assessment should be done based on the chemicals
involved, activities in the vicinity, work control measures, location
and configuration of the workplace etc.

Material Safety Data Sheets of all chemicals used in the operation

must be available on site. If the operation is to be carried out by in-
house contractors, the store-in-charge should procure this. If the
operation is carried out by specialized agencies/contractors, they
have to submit the MSDS and method statement for evaluation.

COSHH assessments of the chemicals must be made available on

site and it must be referred in addition to this assessment.
Death/ Serious No hot work should be carried out in the vicinity where the
illness, dizziness, lamination work is carried out or the chemicals are stored. This Foreman, Site
Storage and use of skin allergy, includes welding, brazing, soldering, flame cutting, grinding and Engineer,
1 GRP lamination Toxic chemical Spillage of Operatives 5 5 25 cutting using abrasive wheels, heating of materials etc. 5 1 5 Construction
substances at site hazardous manager,
Substances causes Non-metallic tools (that does not produce sparks / heat) should be HSE Officer
contamination employed for chipping/chiseling where the activity is being carried
out.

Ventilation must be checked and if natural ventilation is not

sufficient, LEV must be provided. Fresh air may be purged into the
area if it involves a confined space.

Note: If the operation is to be carried out inside water tanks, the

assessment for confined space should be referred along with this.
Training for safe handling of Hazardous substances.
Spill Kit Made available
DMCOP CHAPTER CHAPTER 18 Chemical Materials Hazard and
Labelling

All the operatives involved in the task should be adequately

trained and experienced in the operation. Additional training
Foreman, Site
session may be conducted by the HSE representative on the
Engineer,
Death/ Serious Operatives/ precautions to be employed. Toolbox talk will be carried out
Oxygen Deficiency 5 5 25 5 1 5 Construction
illness inspectors by the supervisor on site before carrying out the operation
manager,
HSE Officer
DMCOP CHAPTER 19 Confined Spaces

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 23 of 42

 Do not allow long term work inside confined space. Drink
more water. Stand by person should be available always. Foreman, Site
Proper communication system provided. Rescue equipment Engineer,
Heat Stress / Heat Death/ Serious Operatives/
5 5 25 like tripod, rescue breathing apparatus. Trained rescue team 5 1 5 Construction
Exhaustion illness inspectors
shall be available. Medical emergency/ first aider shall be manager,
available HSE Officer
DMCOP CHAPTER 19 Confined Spaces

RA-24 Task: HANDLING REINFORCEMENT STEEL & FIXING Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Serious personnel
injuries like cut
HSE induction, Craft Trainings, Adequate communication
Slips, trips & falls injury, crush
of Method statement & Risk assessment to work force.
while handling & injury, eye injury,
fixing. fracture, internal
Adequate competent supervision, PPE (safety shoes,
injuries while fall,
coverall, hand gloves, safety goggles, helmets, full body
Faulty hand tools, penetration of Work force Site Engineer,
safety harness etc), daily Toolbox talks, housekeeping,
sharp edges of steel bars into Construction
Handling provision of safe working platforms, access/egress, checking
reinforcements human body or manager,
1 reinforcement Consultant & 4 5 20 of hand tools before starting the day work and adequate 4 1 4
steel and fixing death etc. employer provision of first aid, emergency arrangements and other Superintendent,
Falling of steel Representatives welfare facilities in place. Foremen
reinforcements and visitors. Provision of adequate storage facilitates of steel. HSE Officer
from height. Provision of timely waste removal and provision of separate
skips of steel as well as domestic waste. (waste management
Striking/hit by steel
Generating waste system)
while working.
steel & domestic DMCOP CHAPTER 2 General Health and Safety
Waste generation. waste lead Provision
environment
pollution

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 24 of 42

 RA-24 Task: HANDLING REINFORCEMENT STEEL & FIXING Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
HSE induction, Craft Trainings, Adequate communication
of Method statement & Risk assessment to work force,
Electric, fire hazard supervision, checking of temporary electrical system power Site Engineer,
Electric shock, Work force tools by competent person’s 110V power tools, Good Construction
while using grinder
death, burns, housekeeping around the work area, implementation no manager,
cutting. Consultant &
property damage, 5 4 20 smoking at site, use of correct PPE 5 1 5
environment employer DMCOP CHAPTER 2 General Health and Safety Superintendent,
Environment damage etc Representatives Provision Foremen
pollution/ and visitors.
contamination HSE Officer

HSE induction, Craft Trainings, Adequate communication

of Method statement & Risk assessment to work force,
supervision.

Temperature monitoring, provision of welfare facilities like

cold drinking water/electrolytes. Site Engineer,
Hot weather/ Work force Construction
Adverse weather Heat stress and Consultant & manager,
5 4 20 Provision of first aid and medical arrangements. 5 1 5
condition and heat stroke employer
fatigue Representatives Superintendent,
and visitors Provision adequate of refreshments/rest. Foremen
HSE Officer
DMCOP CHAPTER 2 General Health and Safety
Provision

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 25 of 42

 RA-25 Task: FORM WORK FIXING /REMOVALS FOR WALLS OF MANHOLE AND STRUCTURES Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

HSE induction, Craft Trainings,

Adequate communication of Method statement &
Collision/struck of Risk assessment to work force.
Serious personnel
workers with form Adequate competent supervision.
injuries like cut
works. Correct use of PPE (safety shoes, coverall, hand
injury, crush Site Engineer,
Slips, trips, fall. gloves, safety goggles, helmets, full body safety
injury, eye injury, Work force
Collapse of form harness etc), Construction
fracture; Internal Consultant &
1 Carpentry works work. 5 5 25 Daily Toolbox talks. 5 1 5 manager,
injuries while fall. employer
Falling tools and Provide adequate provision of first aid, emergency Superintendent,
Penetration of Representatives
portable arrangements &welfare facilities to protect from bad Foremen
protruding nails and visitors
equipment’s over weather, heat related illness. HSE Officer
into human body DMCOP CHAPTER 2 General Health and Safety
the workers.
or death etc. Provision & CHAPTER 14 Hand and Power-Operated
Tools

Sudden releases Obtain TTC Lifting permit and fulfill all PTW requirement
Lifting equipment and lifting gears must be certified and Site Engineer,
of load or failure Work force
Unplanned lifting will lead to crane operator and rigger must be competent Construction
operation of Consultant & 5 4 20 5 1 5 manager,
fatality /serious employer
formwork DMCOP CHAPTER 2 General Health and Safety Provision Superintendent,
injuries. Representatives
&equipment’s & CHAPTER 21 Sling and Rigging Equip
Overturning of and visitors Foremen
liftingequipment’s HSE Officer

Checking of hand tools before starting the day work.

Check all temporary electrical and power tools by
competent technician/electrician. Site Engineer,
Unsafe hand tools. Electric shock or Work force Do not use damaged electrical wires /tools.
Electrocution and burns. Construction
Consultant & Use only 110V power tools &ELCB in circuit.
fire while using Loss of life, 5 5 25 5 1 5 manager,
employer Use right tool for right task.
power tools. property & burns Representatives Provide adequate firefighting equipment’s and fire Superintendent,
by fire. and visitors watch/warden. Foremen
DMCOP CHAPTER 14 Hand and Power-Operated HSE Officer
Tools

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 26 of 42

 Improper access or Provision of certified/checked safe working platforms, Foreman, Site
Work force
egress. access/egress etc. Engineer,
Fall from height Consultant &
Unsafe working Construction
may cause serious employer 5 5 25 5 1 5
area or work manager,
injuries/Internal Use Scaff tag
platforms.
injuries. Representatives DMCOP CHAPTER 2 General Health and Safety
and visitors Provision
Fire and/or
explosion can All waste and combustible materials shall be removed from
occur when waste the site immediately
Combustible
materials or debris Workshop, machinery and plant shall be cleaned on regular
Poor house
are ignited by basis to remove any dust or debris which could be ignited by Foreman, Site
keepings. Unsafe spark or hot surfaces. Supervisor to nominate personnel to
sparks Engineer,
storage/use of
Increase insects clean up Segregate and dispose the wastes regularly Construction
shuttering oils or Combustible waste must be kept/ stored properly with all fire
may cause serious 5 4 20 5 1 5 manager,
other lubricants. Environment protection measures. Educate the workforce to minimize, segregate
communicable HSE Officer
diseases the waste properly
Waste Maintaining proper housekeeping,
accumulations Oil and other flammable materials store as per MSDS.
Oil spillage may Provide and maintain skips for collecting construction waste and
cause Slip, fall domestic waste separately. Provide and maintain suitable spill kits
and contamination for removing oil spills if any. DMCOP CHAPTER 2
(Environment General Health and Safety Provision
pollution) etc.

Provide adequate provision of first aid, emergency

Work force Foreman, Site
Adverse weather Fatigue/ arrangements &welfare facilities to protect from bad
Consultant & Engineer,
condition and dizziness/heat 5 5 25 weather, heat related illness. 5 1 5
employer Construction
fatigue. stress/heat stroke. Refreshments/job breaks for rest.
Representatives manager,
and visitors DMCOP CHAPTER 2 General Health and Safety
Provision

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 27 of 42

 RA-26 Task: CONCRETING OPERATIONS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
HSE induction, Craft Trainings.
Fatality or serious Adequate communication of Method statement &
personnel injuries Risk assessment to work force. Site Engineer,
Knock down of Work force Adequate competent supervision. Construction
like cut injury,
men by vehicle, Consultant & Correct use of PPE (safety shoes, coverall, hand gloves, manager,
1 Concrete works crush injury, eye 5 4 20 5 1 5
plant/equipment employer safety goggles, helmets, full body safety harness, masks Superintendent,
injury, back
Representatives etc.), Foremen
Slips, trips, falls injury, fracture
and visitors Daily Toolbox talks. HSE Officer
while concreting. etc. Internal
injuries while fall. DMCOP CHAPTER 18 Chemical Materials Hazard and
Labeling

Failure of pump
may fall over the
men will lead
Collapse/failure serious
of concrete pump injuries/property Check the third-party certification of concrete pump,
Site Engineer,
/transit mixer. damage. Work force concrete pouring skips, lifting gear certifications&
Construction
Hazard from using Failure of skips Consultant & maintenance records.
manager,
concrete pouring and falling over employer 5 4 20 Use banks man/flag /rigger for guiding the loads/pump. 5 1 5
Superintendent,
skips. the men. Representatives Remove the waste concrete/ spilled concrete as early as
Foremen
Collapse of Collapse of and visitors possible and dispose it properly
HSE Officer
shutters. shutters will lead DMCOP CHAPTER 2 General Health and Safety
to fatality/serious Provision
injury by
crushing, trapping
of men inside the
shutters.

Chemical burns
Site Engineer,
form concrete and Work force
Construction
skin diseases from Consultant & Appropriate PPE especially hand gloves and gumboots must
Skin diseases and manager,
direct contact with employer 5 4 20 be provided. Washing facility must be available nearby. 5 1 5
eye injury may Superintendent,
concrete. DMCOP CHAPTER 18 Chemical Materials Hazard and
occur Foremen
Representatives Labeling HSE Officer
Hazard of concrete and visitors
splash into eyes

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 28 of 42

 Check all temporary electrical and power tools by
competent technician/electrician.
Electric shock or Work force Do not use damaged electrical wires /tools.
Electrocution and burns. Consultant & site Engineer,
Use only 110V power tools &ELCB in circuit. Construction
fire of portable Loss of life, employer Store flammable materials as per MSDS.
5 5 25 5 1 5 manager,
generator/vibrator property & burns Representatives
by fire. and visitors Superintendent,
Provide adequate firefighting equipment’s and fire Foremen
watch/warden. HSE Officer

DMCOP CHAPTER 14 Hand and Power-Operated Tools

Site Engineer,
Construction
Hazards from Hand Arm manager,
5 4 20
Rotate/provide rest time for vibrator operator to reduce the 5 1 5
concrete Vibration Superintendent,
Work force effect of HAV.
vibrator.(hand arm syndrome (White Foremen
DMCOP CHAPTER 14 Hand and Power-Operated Tools
vibration) finger)
HSE Officer

Provision of certified/checked safe working platforms, Site Engineer,

Serious injuries access/egress etc. Construction
Work force
due to fall from manager,
Consultant & 5 5 25 5 1 5
Unsafe height and affect Segregate pedestrian and vehicle access with barricade and Superintendent,
employer
access/egress emergency warning sign boards Foremen
Representatives
evacuation/ rescue
and visitors DMCOP CHAPTER 2 General Health and Safety
operations
Provision HSE Officer

Provide adequate provision of first aid, emergency Site Engineer,

Work force arrangements &welfare facilities to protect from bad Construction
Adverse weather Consultant & weather, heat related illness etc. manager,
will lead to employer Superintendent,
Adverse weather 5 5 25 5 1 5
fatigue/ Representatives Foremen
condition and visitors
DMCOP CHAPTER 2 General Health and Safety
dizziness/heat
stress/heat stroke. Provision
HSE Officer

Work force Site Engineer,

Oil spills & waste Environment Maintaining proper housekeeping,
Consultant & 5 4 20 5 1 5 Construction
accumulation pollution and Provide and maintain skips for collecting construction waste
employer manager,
(Concrete waste soil contamination and domestic waste separately.
Representatives Superintendent,
&washing of will occur while
and visitors Foremen

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 29 of 42

 concrete carrying washing concrete Provide and maintain suitable spill kits for removing oil HSE Officer
vehicles). carrying spills if any.
vehicles
Provide designated washing area for concrete vehicles to
stop to chemical contamination to soil

Provide and maintain skips for collecting construction waste

and domestic waste separately.
Provide and maintain suitable spill kits for removing oil
spills if any.
Provide designated washing area for concrete vehicles to
stop to chemical contamination to soil.
DMCOP CHAPTER 2 General Health and Safety
Provision

RA-27 Task: BACKFILLING OPERATIONS AROUND MANHOLES/STRUCTURES Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

HSE induction, Craft Trainings.

Adequate communication of Method statement &
Knock down of Risk assessment to work force.
men by heavy plant/ Adequate competent supervision.
equipment. Keep always safe distance with the machine while working. Site Engineer,
Slips, trips and Correct use of PPE (safety shoes, coverall, hand gloves, Construction
Work force safety goggles, helmets, full body safety harness, masks manager,
falls. Edge collapse Fatality or serious
Consultant & etc), Superintendent,
1 Backfilling while back filling. personnel injuries 5 4 20 5 1 5
employer Daily Toolbox talks. Foremen
Uneven surface like crush injury
Representatives Isolation for work area by safety barricade and warning HSE Officer
Vehicle falls into fracture etc.
and visitors signs to stop unauthorized entry to the work place.
trenches
while working. Provide banks man to guide the Plant/ Equipment while
working at open edges.
unguarded rotating Provide competent operator & proper maintenance, service
roller parts etc. for the Plant/ equipment
Provide and maintain guards for rotating parts of roller to
entanglement.

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 30 of 42

 RA-27 Task: BACKFILLING OPERATIONS AROUND MANHOLES/STRUCTURES Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Serious injuries Use safe access/egress in to the trench for machine as well
due to fall from Work force Site Engineer,
as workers.
height and affect Consultant & Construction
Unsafe 5 4 20 DMCOP CHAPTER 2 General Health and Safety 5 1 5 manager,
emergency employer
access/egress
Representatives
Provision Chapter 9 Excavation Superintendent,
evacuation/ rescue
operations and visitors Foremen
HSE Officer

Sprinkle water to stop /arrest the dust.

Provide and maintain skips to collect the domestic waste

Provide proper maintenance to stop oil leakage or spills

Serious health Site Engineer,
Work force from the machine.
issues, vehicle Construction
Dust pollution Consultant &
collision, manager,
Oil spills employer 5 4 20 Provide and maintain skips to collect the domestic waste. 5 1 5
Contamination/ Superintendent,
Representatives
Domestic waste and visitors & Provide and maintain spill kits if any Foremen
generation. Environmental HSE Officer
pollution.
Environment DMCOP CHAPTER 2 General Health and Safety
Provision Chapter 9 Excavation

Provide/maintain good housekeeping and fire extinguishers Site Engineer,

Work force
Loss of life and around the area to reduce the fire hazard. Construction
Fire hazard to Consultant &
property due to manager,
Plant/ equipment. employer 5 4 20 5 1 5
fire. Superintendent,
Implement no smoking at site to reduce the fire hazard
Foremen
Representatives DMCOP CHAPTER 2 General Health and Safety
and visitors Provision Chapter 9 Excavation HSE Officer

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 31 of 42

 RA-28 Task: WORKING WITH AIR COMPRESSORS & JACK HAMMERS Date: 07.12.2021
OHS & E OHS & E
Persons Initial Risk Residual Risk
OHS & E Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Rating Rating
Existing Controls Measures Person
Involved
S P SxP S* P* SxP*

HSE induction, Craft Trainings.

Adequate communication of Method statement & Risk

assessment to work force.
Adequate competent supervision.
Correct use of PPE (safety shoes, coverall, hand gloves,
safety goggles, helmets, full body safety harness, anti-
Work force vibration hand gloves/aprons, ear plug/muff, nose masks
Working with air Fatality or serious
Failure of Consultant & etc),
1 compressors and personnel injuries 5 5 25 5 1 5
compressed air employer Daily Toolbox talks (Daily hazard identification & briefing)
jack hammers like cut injury,
hose & fittings. Representatives Daily checking and periodic maintenance of compressor &
fracture,
and visitors jack hammer and fittings

Use of wipships/ joint locks to stop sudden failure of

compressed air hose joints.
DMCOP CHAPTER 2 General Health and Safety
Provision

Minimize the exposure time and proper usage of ear

protection muffler/plugs. Site Engineer,
Noise and dust Loss of hearing Work force Adequate water sprinkling for dust suppression Construction
generation. due to noise, Dust Consultant &
5 4 20 5 1 5 manager,
Oil spills from inhalation. employer
Provide and maintain suitable spill kits or drip tray to stop Superintendent,
compressor. Representatives
or removing oil spills if any. Foremen
Environmental and visitors and
pollution environment DMCOP CHAPTER 2 General Health and Safety HSE Officer
Provision

Loss of life and Work force 5 5 25 5 1 5

Site Engineer,
Fire hazard to Proper Maintenance of the equipment.
property due to Consultant & Construction
compressor. Appropriate fire extinguisher must be provided
fire. employer manager,

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 32 of 42

 Representatives DMCOP CHAPTER 2 General Health and Safety Superintendent,
and visitors Provision Foremen
HSE Officer

Site Engineer,
Minimize the exposure time Construction
Vibration from Hand Arm manager,
Work force
Jack hammers. Vibration 5 4 20 Rotate/provide rest time for vibrator operator to reduce the 5 1 5 Superintendent,
syndrome (White effect of HAV (Hand Arm Vibrations). Foremen
finger) DMCOP CHAPTER 2 General Health and Safety HSE Officer
Provision

RA-29 Task: WORKING WITH ROAD SAW (ASPHALT CUTTING) Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

HSE induction, Craft Trainings.

Adequate communication of Method statement & Risk Site Engineer,

Fatality or serious Work force assessment to work force. Construction
Entanglement with personnel injuries Consultant & Adequate competent supervision. manager,
Asphalt cutting machine blade. like cut injury, employer 5 4 20 5 1 5
Correct use of PPE (safety shoes, coverall, hand gloves, Superintendent,
fracture, eye Representatives safety goggles, helmets, full body safety harness, nose Foremen
injury etc. and visitors masks etc.) HSE Officer
Daily Toolbox talks (Daily hazard identification & briefing)
DMCOP CHAPTER 2 General Health and Safety
Provision

Do not store fuel at site, proper maintenance of the Site Engineer,

Work force equipment. Construction
Fire hazard to the Loss of life and Consultant & Appropriate Fire extinguisher must be available at site manager,
machine. property due to employer 5 5 25 5 1 5
Superintendent,
fire. Representatives DMCOP CHAPTER 2 General Health and Safety Foremen
and visitors
Provision HSE Officer

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 33 of 42

 RA-29 Task: WORKING WITH ROAD SAW (ASPHALT CUTTING) Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Work force Make sure the reservoir of cutting fluid always full Site Engineer,
Generation dust. Dust inhalation. Consultant & Construction
Oil spills from the Environment employer Provide regular maintenance for the machine. manager,
4 4 16 4 1 4
machine. pollution Representatives Superintendent,
and visitors and Provide and maintain suitable spill kits if any Foremen
DMCOP CHAPTER 2 General Health and Safety
Environment Provision HSE Officer

Site Engineer,
Possibility of site Work force Provide adequate traffic diversions or traffic managements. Construction
Hazards from site traffic accidents, Consultant &
DMCOP CHAPTER 2 General Health and Safety manager,
traffic. fatality/ serious employer 5 5 25 5 1 5
Provision CHAPTER 6 Sign Signals and Barriers Superintendent,
injuries
Foremen
Representatives
and visitor
HSE Officer

RA-30 Task: WORKING WITH MOBILE CRANES-LIFTING OPERATIONS/CONSTRUCTION WORKS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

HSE induction, Craft Trainings.

Slips, trips and Adequate communication of Method statement & Risk
falls. Fatality or serious assessment to work force. Site Engineer,
Impact/hit by personnel injuries Work force Adequate competent supervision and strict prohibition of Construction
Working with crane. like cut injury, Consultant &
1 mobile crane- 5 5 25
two tire working system. 5 1 5 manager,
Mechanical fracture, eye employer Correct use of PPE (safety shoes,coverall,hand gloves, Superintendent,
lifting operations failures to lifting injury etc. Representatives safety gogles,hemets,full body safety harness ,nose masks Foremen
gears and lifting and visitors etc), HSE Officer
appliance. Property damage. Daily Toolbox talks
Inspection of soil bearing capacity before placing the crane.
Daily and periodic crane inspection before each operation.

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 34 of 42

 RA-30 Task: WORKING WITH MOBILE CRANES-LIFTING OPERATIONS/CONSTRUCTION WORKS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Periodic maintenance & statutory certification of lifting gear
and crane.
Strictly follow the HFC lifting permit to work system
Use competent operator for the crane.
Provide competent riggers to guide the crane.
DMCOP CHAPTER 21&22 Slinging and rigging &
Cranes

Stop operation in blind spots /congested locations.

Hitting nearby Aware of overhead power lines and underground utilities Site Engineer,
Electrocution, Work force Provide HEIGHT GANTRY in entrance and exit Construction
structures or
fatality serious Consultant & Provide adequate traffic diversions or traffic managements. manager,
existing 5 5 25 5 1 5
injuries and employer Segregation of pedestrian/other workers from the lifting Superintendent,
underground/overh
property damage Representatives operation area with necessary safety barricades, warning Foremen
ead services.
and visitors sign boards and flag man as required. DMCOP HSE Officer
CHAPTER 21&22 Slinging and rigging & Cranes

Follow the weather forecast and stop operation in wind /

Collapse /fall of poor visibility. Site Engineer,
Work force Operator must consider the bad weather conditions like sand
crane due to poor Construction
Fatality serious Consultant & storm, fog, heavy wind etc.
soil bearing manager,
injuries and employer 5 4 20 5 1 5
capacity. Working DMCOP CHAPTER 21&22 Slinging and rigging & Superintendent,
property damage
in bad weather Cranes Foremen
Representatives
and visitors
HSE Officer

Provide adequate traffic diversions or traffic managements. Site Engineer,

Work force Construction
Consultant & Stop operation in blind spots /congested locations. manager,
Fatality serious Superintendent,
employer
Site Traffic injuries and 5 4 20 5 1 5
Foremen
Representatives Segregation of pedestrian/other workers from the lifting
accidents. property damage HSE Officer
and visitors operation area with necessary safety barricades, warning
sign boards and flag man as required
DMCOP CHAPTER 21&22 Slinging and rigging &
Cranes

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 35 of 42

 RA-30 Task: WORKING WITH MOBILE CRANES-LIFTING OPERATIONS/CONSTRUCTION WORKS Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Site Engineer,
Work force Provide/maintain good housekeeping and fire extinguishers Construction
Consultant & around the area to reduce the fire hazard.
Fire hazard to the Loss of life and manager,
employer
crane. property due to 5 4 20 5 1 5 Superintendent,
Representatives
fire. Implement no smoking at site to reduce the fire hazard Foremen
and visitors
DMCOP CHAPTER 21&22 Slinging and rigging & HSE Officer
Cranes

Avoid operatives standing/working under the suspended Site Engineer,

loads. Construction
Use tag line for controlling the loads while lifting. manager,
Use certified and checked lifting gears. Superintendent,
Foremen
Use outrigger pads and crane legs fully extended. HSE Officer
Always place the crane leveled ground.
Dust inhalation. Work force Use correct slinging methods to lift the load.
Generation
Environment Consultant & Do not take over lifts or short cuts.
domestic waste. 4 4 16 4 1 4
pollution employer
Oil spills and
Representatives Check the safe load indicator is working or not.
excessive smokes
and visitors and
from crane.
Environment
Provide regular maintenance for the machine.
Provide and maintain suitable spill kits if any.
DMCOP CHAPTER 21&22 Slinging and rigging &
Cranes

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 36 of 42

 RA-31 Task: EARTH WORKS-WORKING WITH DOZERS, GRADERS, SHOWELS ETC. Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
HSE induction, Craft Trainings.
Adequate communication of Method statement & Risk
assessment to work force.
Adequate competent supervision.
Correct use of PPE (safety shoes, coverall, hand gloves,
safety goggles, helmets, full body safety harness, nose
masks etc),
Fatality or serious Daily Toolbox talks (Daily hazard identification & briefing).
personnel injuries Use competent banks man for guiding the machine. Site Engineer,
Work force Follow permit to work system. Construction
Slips & falls from like cut injury,
Consultant & Provide competent operator with valid operating license, manager,
1 the machine. fracture, eye 5 4 20 5 1 5
Earth works employer well periodic maintained machines etc. Superintendent,
injury etc.
Hits/roll over the Representatives Use audible reverse alarms and revolving warning lights. Foremen
men and visitors Provide welfare arrangements like suitable toilets, rest area, HSE Officer
Property damage.
cold drinking water and health drinks etc.
Prohibit the use of mobile phones while operating the
machine.
Switch off the engine and put hand brakes when machine is
not working or operator not in operating seat. Do not carry
workers inside the machine unless the additional passenger
seat is provided with safety belt.
DMCOP CHAPTER 9 Excavation

Site Engineer,
Work force
Fire hazards and Loss of life and Provide/maintain good housekeeping and fire extinguishers Construction
Consultant & 5 4 20 5 1 5
mechanical failure property due to around the area to reduce the fire hazard. manager,
employer
to the machine. fire. Implement no smoking at site to reduce the fire hazard Superintendent,
Representatives
and visitors
DMCOP CHAPTER 9 Excavation Foremen
HSE Officer

Strictly follow Excavation Permit system Site Engineer,

Work force
Hitting the existing Construction
Electrocution, Consultant &
underground or Scan the area and protect all underground services manager,
fatality serious employer 5 5 25 5 1 5
over head services. Superintendent,
injuries and Foremen
Provide adequate hazard warning
property damage Representatives
and visitors
DMCOP CHAPTER 9 Excavation HSE Officer

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 37 of 42

 RA-31 Task: EARTH WORKS-WORKING WITH DOZERS, GRADERS, SHOWELS ETC. Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Site Engineer,
Work force Follow the weather forecast and stop operation in wind /
Equipment Construction
Consultant & poor visibility.
Adverse weather collision, hitting 5 4 20 5 1 5 manager,
employer Provide temperature and other weather monitoring
conditions. personnel due to Superintendent,
Representatives information to work force.
poor visibility Foremen
and visitors DMCOP CHAPTER 9 Excavation HSE Officer

Generation of dust Site Engineer,

Work force Adequate Water sprinkling for dust suppression
and environment Dust inhalation, Construction
Consultant & Use of dust mask
pollution. Health Problems manager,
employer Provide first aid and emergency arrangements.
spill/leak from the and Superintendent,
Representatives 5 4 20 Provide suitable welfare arrangements. 5 1 5
machines. Environment Foremen
and visitors and Provide regular service and maintenance for the machine at
Generation of pollution HSE Officer
Environment designated place. Provide and maintain suitable spill kits if
domestic waste.
any. Provide skips to collect the wastes
DMCOP CHAPTER 9 Excavation

RA-32 Task: CONSTRUCTION OF ROAD Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*

Striking of power Site Engineer,

line with heavy Appoint Competent person who is approved by local
Electrocution, Construction
plant/ Equipment authority
Death/ Serious Plant operators manager,
Construction of or equipment being Competent person will supervise the work and must be in
1 burn and site 5 5 25 5 1 5 Superintendent,
road placed within 5 M attendance at all times. (Must be trained in first aider and
Disruption to personnel. Foremen
of conductor line firefighting.)
supplies HSE Officer
(arcing) leading to All persons working on task will receive a special induction
electrocution. dealing with overhead power lines safe working procedure.

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 38 of 42

 RA-32 Task: CONSTRUCTION OF ROAD Date: 07.12.2021
OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Method statement and risk assessment must be
communicated to all operatives prior to commencement of
works.
Daily Tool Box Talk will be conducted by competent
person.
Banks man will be in attendance at all times. . Banks man to
be placed at both entry and exit of the working zone.
Goalposts/Height restriction will be erected at entry and exit
points to working zone
Goalposts will be highlighted in fluorescent red and white
paint.
Access to working zone will only be through designated
goalposts.
Only inducted personnel will be authorized to enter working
zone.
Hazard warning signage (Danger overhead lines No
unauthorized access will be placed around working zone.
Plant and equipment entry shall only be allowed access to
working zone via goalposts and shall not move outside of
working zone which will be demarcated by traffic cones.
DMCOP CHAPTER 9 Excavation

Site Engineer,
Electrocution, Concrete barriers will be placed around pylon prior to Construction
Death/ Serious 5 5 25 commencement of clearing, leveling and compacting works. 5 1 5 manager,
Striking of pylon Operatives/
burn Superintendent,
inspectors DMCOP CHAPTER 9 Excavation
Disruption to Foremen
supplies. HSE Officer

Collision of plant Plant and equipment entry shall only be allowed access to
5 4 20 working zone via goalposts and shall not move outside of 5 1 5
Site Engineer,
and equipment. Serious injury, Plant operators
working zone which will be demarcated by traffic cones Construction
fatality, fire, and site
Oil spillage manager,

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 39 of 42

 explosion, serious personnel. And Superintendent,
injury environment Proper maintenance of equipment Foremen
contamination Spill kit shall be provided / available at site HSE Officer
DMCOP CHAPTER 9 Excavation

RA-33 Task: WORKING IN SUMMER Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Take heed of weather report. When the "Very Hot Weather
Warning" is in force, enhance control measures, e.g. where
practicable, reschedule the work to cooler periods in the
daytime (e.g. before 10:00 am or after 4:00 pm) and arrange
the work at a cooler place; arrange more frequent rest breaks
Temperature (e.g. appropriate break after 20-40 minutes of work);
provide sheltered resting areas near the work location;
Operatives Engineer, Project
Sun burn, skin provide workers with drinking water and remind them to
Directly affected Consultant/ manager,
cancer, personal 4 5 20 take plenty of water and stay alert of their physical 4 1 4
by the temperature Client officials Foremen
injury conditions, etc. - Eliminate or relocate the sources of hot air.
of the outdoor and visitors HSE Engineer
- Exhaust hot air out of the workplace. - Provide air
environment conditioning to the workplace
Increase air flow with appropriate ventilation system, e.g.
air-conditioning and/or portable fans. - Keep hot air
draughts away from the workers
Ref: DMCOP CHAPTER 2General Health and Safety
Working in Provision
1
summer Take heed of weather report. When the weather is humid,
Humidity enhance control measures as mentioned above. - Remove
steam or moisture by exhausting it out of the workplace,
Operatives particularly workplaces in a confined area. - Increase air flow Engineer, Project
workplace directly Flu, infection,
Consultant/ with appropriate ventilation system, e.g. air-conditioning manager,
affected by the respiratory 4 5 20 4 1 4
Client officials and/or portable fans. - Wear thin and vapor permeable Foremen
humidity of the problems
and visitors clothing HSE Engineer
outdoor Ref: DMCOP CHAPTER 2General Health and Safety
environment Provision

Set up sunshade/shelter over the working positions where

Operatives practicable. - Wear light-colored, loose-fitting clothing made
Heat Radiation
Consultant/ of natural materials, where it does not pose safety concern. - Engineer, Project
Skin burn, eye
Client officials 4 5 20 Wear light-colored safety helmets in construction sites. In 4 1 4 manager, Foremen
workers work under injury
and visitors other workplaces, wear wide brimmed hat to block away HSE Engineer
direct sunlight
sunlight on the face and neck. - Take heed of weather report.
When the UV index is at a high level, enhance sunshade

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 40 of 42

 facilities and reduce outdoor work as appropriate. - Isolate
heat generating facilities. - Use suitable materials to cover the
radiant surfaces (especially black or dark-colored surfaces) of
the facilities or use facilities with no radiant surfaces. - Set up
suitable screens to reflect radiant heat away from the workers.
- Provide reflective protective clothing for the workers Ref:
DMCOP CHAPTER 2General Health and Safety Provision
Increase air flow with appropriate ventilation system, e.g. air-
Air Movement Operatives conditioning and/or portable fans. - Keep hot air draughts Engineer, Project
Personal Consultant/ away from the workers. manager,
Client officials 4 4 16 4 1 4
air stagnant in the injury/suffocation Ref: DMCOP CHAPTER 2General Health and Safety Superintendent,
workplace and visitors Provision Foremen
HSE Officer
Provide mechanical aids for workers to minimize physical
Workload
demand on them. - Reorganize the work to reduce intensity Engineer, Project
Personal injury, Operatives and pace of bodily movement of the workers. manager,
carrying a heavy 4 3 12 4 1 4
backpain Ref: DMCOP CHAPTER 2General Health and Safety Superintendent,
object over a long
Provision Foremen
distance
HSE Officer
Acclimatization
Allow time for acclimatization starting with a lower workload
workers not yet Operatives or shorter working duration, and gradually increasing the Engineer, Project
acclimatized to the Consultant/ workload or duration over a number of days. manager,
Hypoxemia 5 3 15 5 1 5
hot work Client officials Ref: DMCOP CHAPTER 2General Health and Safety Superintendent,
environment and visitors Provision Foremen
HSE Officer

RA-34 Task: TRAFFIC DIVERSION Date: 07.12.2021

OHS & E
Persons OHS & E Initial
OHS & E Residual Risk Responsible
SN Activity Hazard /Aspect Risk / Impact /Property Risk Rating
Existing Controls Measures Rating Person
Involved
S P SxP S* P* SxP*
Unauthorized
people and public Adequate signage will be displayed around the work
entering the location to warn the people for no entry workplace will be Site Engineer,
Unauthorized Operatives barricaded according to the nature of work
excavated area Construction
/Public entry into Consultant/ Flashing lights will be provided to make the people aware of
1 Traffic Diversion and falling in to 5 4 20 5 1 5 manager,
the diversion area Client officials the barricading in the night. TBT shall be provided and the
the excavations. Superintendent,
Serious injury and visitors foreman/ supervisor shall ensure strict compliance. Foremen
Ref: DMCOP CHAPTER 20 Road Works/Site Planning/Site HSE Officer
Transport

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 41 of 43

 Operatives flagman should be skilled and have competency certificate, Foreman,
Major or serious
Un trained or Consultant/ proper supervision must be provided. High Viz jacket must Site Engineer,
injury, vehicle
incompetent Client officials 5 3 15 be worn at all times with other PPE. 5 1 5 Construction
collision, falling
flagman and visitors Ref: DMCOP CHAPTER 20 Road Works/Site Planning/Site Manager, HSE
objects,
Transport Officer

People will stay in barricaded areas at all times to avoid

being exposed to moving traffic.
Major injury,
Fractures, If accessing areas where physical barriers need to be Foreman,
Being hit by abrasions, Operatives bypassed, please ensure that the necessary approvals are Site Engineer,
moving vehicle lacerations Consultant/ 5 5 25 obtained through a permit system 5 1 5 Construction
Client officials Manager, HSE
Damage to and visitors High Viz jacket must be worn at all times with other PPE.
Use crash cuhion barrier with shadow light during night Officer
property
hours
Ref: DMCOP CHAPTER 20 Road Works/Site Planning/Site
Transport
NOC will be obtained and kept in the work location for
Imposing heavy Foreman,
Operatives perusal by the concerned authorities (RTA).
fines by the Site Engineer,
NOC from Consultant/ Before commencing the work it shall be notified to concern
concerned 4 3 12 4 1 4 Construction
concerned authority Client officials department
authorities Manager, HSE
not obtained. and visitors Ref: DMCOP CHAPTER 20 Road Works/Site Planning/Site
Officer
Transport

Form No: HFC/HSE/RA/003 Rev-03 Date: 05/06/2021 Page 42 of 42

 APPENDIX – G
Covid 19 Infection Control Plan
 COVID-19
INFECTION CONTROL PLAN
 TABLE OF CONTENTS

Sr. No. Contents

01 Scope

02 Legal and other requirements

03 Role and Responsibilities

04 Inspection/ Monitoring

05 Strategies implemented for the employees on site.

06 Documents management/receiving/issuing procedures on site.

07 Personal Hygiene measures implemented on site.

08 Emergency response

09 Reporting

10 Posters

11 Contingency Response arrangements

12 Cleaning Register

13 DM Circular

Control Measures in place

14

15 Distribution

16 Attachments
1.0 SCOPE

This plan aims to provide and maintain, so far as is reasonably practicable, a safe and healthy working environment
for all our employees including sub-contractor and be able to meet all duties by ensuring that adequate precautions
are taken to prevent Coronavirus, during and after the construction works. All the areas where HFC and their
subcontractors working will be covered (related to site works only and offices on site and Dubai Chamber building).

Description of Covid-19
The virus has been named “SARS-CoV-2” and the disease it causes has been named “corona virus disease 2019”
(abbreviated “COVID-19”) Corona viruses are a large family of viruses that are common in people and many different
species of animals, including camels, cattle, cats, and bats. Rarely, animal corona viruses can infect people and then
spread between people

2.0 Legal and other requirements

• WHO guidance notes. https://www.who.int/health-topics/coronavirus
• HSE guidance notes.
• DM-PH&SD-CR 2 (Attached) For more information, please visit Dubai Municipality website /Health & Safety
Information www.dm.gov.ae
https://twitter.com/SEHAHealth/status/1236996678500134913?s=20

3.0 ROLE AND ESPONSIBILITIES

Project Manager (Ahmed Abdelkader) shall have the overall responsibility of the project for execution, quality and
safety.
• He shall maintain the planning and co-ordination of day to day activities.
• Ensure all necessary resources are provided to control Covid-19 at the site.

Project/ Site Engineer (janin Jacob) shall be responsible for monitoring of the day-to-day activities on site.
• Co-ordinate with site HSE department to prevent Covid-19.
• Ensure the provided necessary resources (sanitizers and cleaning liquids/ Items) are enough for
the project.
• Ensure that contingency plan of covid-19 is implemented at the site.

3.01 Supervisors/ Charge Hands shall be directly responsible for the day-to-day job at site.
• Conduct trainings and awareness regarding the Covid-19 & Hygiene.
• Make sure the Housekeeping is maintained well.
• Ensure that all the employees are using adequate protection equipment’s.
• If anyone found sick at site immediately inform to the safety department.
3.02 Subcontractors: -
• Ensure that all work area, Welfare facilities are hygiene.
• Conduct adequate training for the labors and staff.
• Provide adequate PPE’s such as Hand protection, Eye protection, and Face mask then work related
PP’s.
• Arrange training cleaning employees with adequate protection measure such as Hand protection,
Eye protection, and Face mask.
3.03 Workers: -
• Avoid close contact with people who are sick.
• Avoid touching your eyes, nose, and mouth.
• Stay home when you are sick.
• Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
• Clean and disinfect frequently touched objects and surfaces using a regular household
cleaning spray or wipe.
 Follow CDC’s recommendations for using a facemask

3.04 Safety officer (Praveen K. Pillai) shall be responsible for the health & safety aspects on site as per
the Main contractor and safety Manual.
• Ensure all necessary resources are provided to control Covid-19 at the site.
• Provide adequate Trainings and awareness to the employees.
• Ensure the employees are using all the provided necessary items in a respective manner.
• Ensure that the office and welfare area are clean and tidy.
• Provide and maintain adequate signage.
4.0 Inspection and Monitoring

• HFC security personnel will monitor the employees check temperature of all the employees while entering
and even when descending the site.
• While entering the camp camp-boss or security staff will check all employees’ temperature.
• HFC safety officer will monitor all site staff (contractor, subcontractors and consultant) and check their
temperature in daily basis at offices.

5.0 Strategies Implemented for the employees on site to fight against corona virus (COVID-19)
5.1. Temperature monitoring is conducting for all staff and workers including consultant in daily basis.
5.2. Any employees returning from their home country/other countries/leave will be
quarantined/isolated until negative test result.
5.3. Members of staff are advised to avoid travelling abroad. A range of preventive measures are taken upon
return (including medical checks and quarantine) HFC will assess employees’ return to work on case by case
basis
5.4. Offices, office accessories and welfare facilities are disinfecting in daily basis with appropriate cleaning
agents.
5.5. Labor accommodations, transportation vehicles and prayer room are disinfecting in daily basis.
5.6. Business travel is only allowed if authorized by the company top management
5.7. Non-essential meetings and gathering in the office or on site shall be avoided. Employees shall utilize the
online facilities to hold meetings if possible.
5.8. If unavoidable, indoor meetings may proceed with the minimum number of attendees being seated at
least 2 meters apart if possible, in a well-ventilated room.
5.9. Meeting room surfaces will be sanitized/disinfected after each meeting.
5.10. Greeting will be a simple wave or a hand to chest gesture and must not entail hand shaking, hugging or
kissing.
5.11. Vulnerable employees are more at risk of severe COVID-19 effects and hence shall be given the choice
to work from home if possible.
5.12. If work from home is not practical, then vulnerable employees shall keep their direct contact with others
to the absolute minimum.
5.13. Vulnerable employees are to conduct work from home should a COVID-19 case be identified at work
5.14. Hand sanitizers and hand washing products are provided in all the areas, work stations, welfare facilities,
site offices and security point.
5.15. Face masks and hand gloves are made available for necessary staff on site.
5.16. Designating one receiving desk for all submittals (i.e. Admin desk).
 5.17. Visitors and members of staff suffering from flu-like symptoms shall be instructed to work from
home/hotel until they are given the all clear
5.18. Alternative days for Working from home is now mandatory for office staffs where ever possible (Planning
Engineers/QS/Timekeepers/Draughtsman etc.)

6.0 Documents management/receiving/issuing procedures on site.

6.1. The receptionist who receives the items wears latex non-powdered gloves.
6.2. The item particulars are recorded on a log sheet and the receiving date and time are recorded
on each item.
6.3. If the item surface is of a nature that can be sterilized safely (i.e. smooth plastic, metal etc.) then
this will be done using the sterilizing agents and the item is then delivered after tagging ‘
STERILISED’ to the intended recipient.

7.0 Personal Hygiene measures implemented on site.

6.1. Personal hygiene is key in preventing cross contamination and spread of all types of bacteria and viruses.
Members of staff will be reminded to practice good personal hygiene through circulars, posters and in person.
Employees are to sanitize at least daily their own work space including:
a) Keyboards;
b) Desk phones;
c) Mobile phones;
d) Desk working space.
Sanitizers and tissues will be distributed around the office for this purpose. All contaminated items (wipes, tissues,
masks etc.) are to be disposed of in the bins immediately.
6.2. Employees and visitors shall maintain a good standard of personal hygiene at all times by:
a) Washing hands with soap and water for at least 20 seconds or alternatively rubbing their hands with alcohol
sanitizer after scanning their fingers, shaking hands, sneezing, coughing or touching unclean surfaces.
b) Preventing other from exposure to their sneezing and coughing by using tissue or by using their elbow/sleeve.
c) Avoiding touching their mouth, nose or eyes with dirty hands.
d) Avoiding close contact with others.
6.3 Visitors and members of staff suffering from flu-like symptoms shall be instructed to work from home/hotel
until they are given the all clear.
6.4. Sharing of work equipment
a) Headsets and other items including PPE, mouth, eye or ear pieces shall not be shared among staff.
b) Any other shared work items (i.e. IT equipment, stationery etc.) shall be sanitized before use.

8.0 Emergency response

Should an individual in the office/accommodation/site be infected then immediately the following will occur

• Immediate isolation of the individual and notification with the Authorities DHA call center -800 342, Estijaba
service at the operation center, Department of Health - 8001717 or Ministry of Health & Prevention -
80011111.
• The Area where that person has been working/staying will be deep cleaned and disinfected and those who
have worked closely with the individual will be stood down at home for 3 days (the period for any symptoms
to manifest)
• Work will resume after this period of precautionary stand down
• IF there is another case in the same office, then it means that the infection has spread and forthwith the
office will be closed and all staff will work from home.
 Follow the flow chart in the event of medical emergency occurrence

Employee with Covid-19 Symptoms

Quarantine the patient & notify site

emergency team

Notify to Site management & Follow infection control

HR department procedure for air born
If the case is stable, send to nearest precautions
hospital.
If the case is unstable call
Notify to consultant/client & ambulance service
DHA

Doctor will assess the case

(Covid-19)

-Ve Identify Close & Casual

contacts
+ Ve

Discharge Further Close contacts to be isolated

Treatment for 7 days and conduct home
environment assessment

9.0 Reporting

Staff are required to report to HR/PM if they:

6.1 Return from a trip abroad.

6.2 Develop flu-like symptoms.

6.3 Test positive or have reasons to believe that they have been in contact with someone whom has

tested positive for COVID-19.

6.4 Have reasons to be categorized as ‘vulnerable’

6.5 Witness other employees or visitors with flu-like symptoms in the office.
10.0 Posters
11.0 Contingency Response arrangements.
Government Health Authority Contacts
For any medical support or inquiry, please contact:
“Estijaba" service at the operation centre –Department of Health at 8001717
Ministry of Health & Prevention at 80011111
Dubai Health Authority at 800342
 Site Emergency Contact Number
SL Name Position Contact Number
01 Ahmed Abdelkader Project Manager 0564229585
02 Gopikrishnan Con. Manager 056 5071085
03 Sajin Kumar vijayan Safety Officer 0565481542
04 Subhash First Aider 056 5053244

NEAREST HOSPITALS
Hospital Name Contact Number Distance & Time
Rashid Hospital 04 219 2000 31 min (32.7 km) from site
NMC Royal Hospital, DIP 04 810 8808 29 min (35.3 km) from site

12.0 Cleaning Register

13.0 DM Circular
Ensuring full compliance of DM requirements on site and accommodation

+
 APPENDIX – H
Environmental Impact Assessment & Control
 ENVIRONMENTAL IMPACT
ASSESSMENT AND CONTROLS
Evaluation of Environmental Impact-Criteria

Evaluation of Impact -(Criteria) :

Column Description Values

A Likelihood of occurrence 5-Very Likely ; 1-Very Unlikely
B Ease of Detection 5-Very Difficult ; 1-Very Easy
C Ease of resolution 5-Very Difficult ; 1-Very Easy
D Severity of consequence 10-Very Severe ; 1-Very Minor

Environmental Impact = (A+B+C) * D

Items scoring over 40 are significant impact

1.0 Impact Assessment

Evaluation of Impact Evaluation of Impact (Residual)

Activity Aspect Impact Control
Significance Measures Residual
A B C D (A+B+C)*D A B C D Significance
Disturbance of pre- Pollution of water,
Work in or near areas of existing land contamination of land, air 2 2 2 6 36 see control 2 3 2 3 21
contaminated land contamination pollution measures 1.10
Storage and use of diesel,
chemicals, materials, plant Pollution of water,
Incidental spills or see control
and equipment, Unloading contamination of land, air 3 1 2 6 36 2 1 2 4 20
leaks measures 1.1
of Diesel to storage tank pollution, Depletion of natural
resources

Noise emissions, Nuisance to local see control

communities, 4 1 3 4 32 18
Air emissions, measures 1.4 3 1 2 3
Contamination of air
Traffic going to and from site depletion of natural resources,
contamination of land due to
leakage of diesel, air pollution see control
Use of Diesel 5 2 2 4 36 4 1 2 3 21
from the measures 1.4
exhaust gases and increase of
greenhouse gases
Activities producing
hazardous waste e.g paint, Improper disposal Pollution of water, see control
3 1 2 5 30 6
oil and fuels, concrete wastage of contamination of land, air measures 1.1 & 1 1 1 2
additives materials pollution. Use of materials 1.7
All Activities , cement Nuisance to local see control
mixing, transport and 28 2 1 2 2 10
Dust emissions communities 4 1 2 4 measures 1.7
materials.
Concrete mixing / ready mix Discharge waste Pollution of water, see control
lorries water contamination of land 4 1 2 4 28 measures 1.7 1 1 2 8
2
Pollution of water,
Maintenance of vehicles & Incidental spills or contamination of land, Air see control
2 1 1 2 8
plant leaks pollution 4 1 1 4 24 measures 1.5
Nuisance to local see control
All Activities Visual communities 2 1 1 2 8 measures 1.3 1 1 1 1 3
 Evaluation of Impact Control Evaluation of Impact
Measures (Residual)
Activity Aspect Impact Significance Residual
A B C D (A+B+C)*D A B C D Significance
Dewatering & Water Pollution, depletion of see control
1 1 1 4 12 1 1 1 2 6
Pumping Discharge of silty water natural resources measures 1.10
Discharge of wastewater Pollution of water and ground, see control
1 1 1 4 12 1 1 1 1 3
Site Toilets odor measures 1.8
Activities producing
Non-hazardous waste
Improper disposal, Pollution of water,
e.g domestic & see control
wastage of materials contamination of land, air 2 1 2 2 10 3
office waste, measures 1.6 1 1 1 1
pollution. Use of resources
construction
materials
Destruction of flora Contribute to global warming, See Control
including Ghaf Tree enhanced greenhouse effect, 1 1 1 2 6 measures 1.9 1 1 1 3
1
drier climate
Excavation and Health hazard to animals
Sewerage Works See control
Harm to Fauna around the sewage sludge 1 2 2 2 10 1 1 1 1 3
measures 1.9
 Evaluation of Impact Evaluation of Impact (Residual)
Control
Activity Aspect Impact Significance Measures Residual
A B C D (A+B+C) *D A B C D Significance
The thrown-out paper has the
potential to decompose and
produce methane, a greenhouse
gas. Indirectly, manufacturing of
Paper Consumption
paper reduces natural resources
See control
and increases greenhouse gases 5 2 4 6 66 3 2 3 4 32
measures 1.12
& also requires huge input of
chemical, energy and water
causing decrease of natural
resources
Water Consumption Depletion of natural resources by
(Bottled Water, tap water), using water, Generation of See control
Use of water in amenities wastewater, pollution &, 3 2 2 5 35 3 1 2 3 18
measures 1.13
through using toilet, basins Depletion of natural resources (by
Office Activities
& Sinks using water in amenities),
Use of re-cyclable Generation of general waste, land
/reusable resources contamination during disposal of See control
4 2 3 4 36 3 1 2 3 18
cartridges, stationaries, reusable resources, measures 1.14
glass...etc
Generation of Green House Gases
Energy consumption & depletion of natural resources 2 2 2 3
3 2 2 5 See Control
(Electricity), use of non- by using generators for the
measures 1.11
renewable electricity generation of electricity
35 18
(Generator)
1.1 Storage and use of Fuels, Oils and Chemicals

Fuels, oils and chemicals will be stored and used to prevent pollution as follows:
Activity Impacts Control Measures in Place Additional Control measures

Storage.
1. Drums will be kept in a bund or
Pollution of surface and 1. Storage areas for fuels, oils and chemicals will be located away from
drip tray in a designated area,
ground water. heavily trafficked areas. If this is not possible the fuels, oils and
Storage and use of fuels, oils and with a designated area for
chemicals will be protected from damage by vehicle impact.
Chemicals, Unloading of Diesel. Contamination of Land Air empty drums awaiting removal
2. Tanks for fuels, oils and chemicals will be surrounded by a bund with from site
Pollution
all pipe work kept inside the bund. Bunds containing more than 200
liters of oil, fuel or other liquids will hold 110% of the largest tanks 2. Bags and sacks of materials will
capacity. Fuel dispensing hoses should be fitted with automatic cut- be kept off the ground on
off valves. The area around the tanks and bunds will be concreted and pallets in a designated area and
graded so that spills can be contained and easily cleaned up. covered
3. Small containers of liquids will be kept in a location where they will
not cause pollution if incidentally split
4. All containers will be labelled with their contents and capacity
5. Training and information to be given to all operatives
REFUELLING: -

1. Bulk refueling of tanks will be supervised by a nominated and

competent personnel
2. Levels in tanks will be checked before delivery to prevent
overflowing
3. Training and information to be given to all operatives.
 Activity Impacts Control Measures in Place Additional Control measures

Unloading: -
Storage and use of fuels, oils and Pollution of surface and 1. Determine the fuel level in the tank and calculate the volume it can
Chemicals. ground water. The tank truck unloading will be
accommodate more.
done during day light hours except
Contamination of Land Air 2. The operator to ensure that spill response materials are in adequate
under
supply.
Pollution emergency conditions and will be
3. Tank trailer brakes shall be set, the wheels shall be chocked, and driver scheduled whenever possible.
shall remain with the vehicle during the entire unloading period.
4. Ensure proper methods are used for hose connection, hose
disconnection and precautions are taken to avoid unnecessary
drippings and/or releases from hoses and connection equipment.
5. Ensure that storage tank is vented prior to connecting unloading line
6. Ensure that all hoses are connected tight and that a collection bucket
is placed under the trailer –unloading valve.
7. Once unloading has ceased, the hoses will be disconnected such that
any material in the line will gravity drain in to the tank
1.2 Storage and use of Vehicles, Plant and Equipment

Vehicles, Plant and equipment will be stored, used and maintained to prevent pollution as follows:
Activity Impacts Control Measures in place Additional Control measures

USE OF VEHICLES, PLANT AND EQUIPMENT

Storage, use and maintenance Nuisance to local
1. Engines will be turned off when not in use (this also reduces fuel Vehicles, plant and equipment will
of Vehicles, plant and communities
consumption) not be washed down on site, except
equipment
Pollution of surface and 2. Drip trays will be placed under any vehicle, plant or equipment that is leaking to remove any mud/soil before
ground water oil or fluid and the item will be serviced immediately to repair the leak leaving the site in order to keep the
3. Vehicle’s will keep to defined roads where practicable roads. A minimal amount of water
Contamination of
4. Electrically powered plant will be used, instead of diesel or petrol- is to be used
land
powered plant where practicable
Air pollution 5. Doors and covers on plant and vehicles will be kept shut
6. If excessive smoke is emitted from any vehicle, plant or equipment the item
must be serviced immediately. If this does not rectify the problem the item
will be removed from site
7. Training and information to be given to all operatives
MAINTENANCE OF VEHICLES, PLANT AND EQUIPMENT

1. Vehicles and plant will be regularly maintained

2. Maintenance of vehicles, plant and equipment that may be easily
removed from site will not take place on site but off-site in a proper
workshop
3. Where it is not possible to remove maintenance will take place on site. Drip
trays and containers will be used to contain oil and fluid changes and any
leaks and spills.
4. Training and information to all operatives
1.3 Noise and Vibration

Construction activities will be managed as follows to minimize noise emissions and the risk of nuisance to the local communities:
Activity Impacts Control Measures in place Additional Control measures

The noisiest activities will be

All activities Nuisance to local
1. Working hours will be adhered to in accordance with current regulations programmed to take place during
communities
the day, with quieter activities
(Only for the areas of 2. Working methods will be selected that produce the least amount of taking place in the evening, at night
high noise, if noise practicable time and at week- ends.
applicable) 3. Noise control equipment will be used, such as mufflers, silencers and
jackets.

4. Noise monitoring will be undertaken to ensure compliance with noise

limits. Records of these measurements will be kept.
5. Training and information to all operatives
1.4 Traffic going to and from site

Activity Impacts Control Measures in place Additional Control Measures

1. Traffic routes to be reviewed to identify any sensitive receptors, such as schools, If excessive smoke is emitted from any
Traffic going to and from Site Noise pollution
hospitals where special controls may be needed to minimize the impacts. vehicle, plant or equipment the item
Air Pollution 2. Engines will be turned off when not in use (this also reduces fuel must be serviced immediately. If this
consumption) does not rectify the problem the item
Depletion of
natural 3. Drip trays will be placed under any vehicle, plant or equipment that is leaking will be removed from site
resources oil or fluid and the item will be serviced immediately to repair the leak
4. Vehicle’s will keep to defined roads where practicable
5. Electrically powered plant will be used, instead of diesel or petrol-
powered plant where practicable
6. Doors and covers on plant and vehicles will be kept shut
7 Training and information to be given to all operatives
8 If excess noise is noticed from any vehicles, it has to be investigated and to be
rectified through proper maintenance or other suitable means.
1.5 Maintenance of Vehicles and Plant

Activity Impacts Control Measures in place Additional Control Measures

Storage, use and maintenance of Nuisance to local MAINTENANCE OF VEHICLES, PLANT AND EQUIPMENT
Vehicles, plant and equipment communities 1. Vehicles and plant will be regularly maintained
Pollution of surface 2. All major Maintenance works of vehicles of vehicles, plant and
and ground water equipment that may be easily removed from site will not take place Vehicles, plant and equipment will
on site but off-site in a proper workshop not be washed down on site, except
Contamination of land Air
3. Where it is not possible to remove maintenance will take place on to remove any mud/soil before
pollution site. Drip trays and containers will be used to contain oil and fluid leaving the site in order to keep the
changes and any leaks and spills. roads clean and tidy. A minimal
4. Training and information to be given to all operatives amount of water is to be used
1.6 Waste

Activity Impacts Control Measures in place Additional Control Measures

WASTE AVOIDANCE, MINIMISATION, RE USE AND RECYCLING Nil

All activities producing waste Use of resources 1. Waste generated from sites will be reviewed periodically to establish
Nuisance to local opportunities for avoiding its generation, waste minimisation and
communities whether any of it can be reused or recycled.
2. Use of disposable items such as plastic cups and batteries should be
Pollution of surface avoided
and ground water.
WASTE STORAGE
Contamination of
Land 1. Hazardous and non –hazardous waste will be kept separate, clearly
labelled bins or skips. Different types of hazardous waste will not be
Air Pollution mixed together.
2. Skips and bins will be located in a designated waste storage area and
where possible on a concrete hard standing to keep the area clean
3. Bins will be provided for rubbish generated by construction workers

REMOVAL OF WASTE FROM SITE

1. Non-hazardous and domestic waste will be removed from site by the

Contractor and taken to a municipality approved landfill for disposal
2. Hazardous waste will be transported off site by an approved
contractor licensed by the Government to an approved area for
disposal.
3. Training and information to all operatives
1.7 Concrete Mixing, Ready-mix Lorries

Activity Impacts Control Measures in place Additional Control Measures

Concreting
Concreting Pollution of surface and 1. Concrete from vehicles, plant and equipment such as the chutes of ready –
ground water mix wagons will be washed with the minimal amount of water into a designated Nil
wash out pit. The water will evaporate leaving concrete which may be used
hardcore or sent to a concrete recycler
2. Concrete from static lines will not be blown back directly onto the land.
Plastic sheeting is to be provided at all static lines
3. Concrete waste from buckets must only be cleaned out in a designated area.
Spills or incidental discharges from buckets are to be cleaned up immediately
1.8 Welfare Facilities

Activity Impacts Control Measures in place Additional Control Measures

Contamination of Land Do not discharge to storm drain system if sediments present Nil.
Site welfare facilities (e.g. toilets,
showers, canteen) Pollution of surface Toilets, washrooms and any canteen facilities will discharge into a septic tank and
water with silt taken off site at regular intervals to be disposed of at a licensed area.

Pollution of surface or To prevent incidentally overflowing these tanks a float alarm should be fitted.
ground water
Odour problems
Contamination of Land
1.9 Excavation and Sewerage Works

Activity Impacts Control Measures in place Additional Control Measures

Excavation and Sewerage Works Impact of Flora such as – Do not destruct any tree if it happens to be at the place of excavation. The tree to be Nil
contribute to global removed carefully with its roots and replant it in another place. Do not remove
warming, national trees (Ghaf Tree). Get permission from the authorities before removal and
enhanced greenhouse re-planting
effect, drier climate

Fauna impacts with network infrastructure should be reported, recorded and

mitigation measures developed to avoid repeated incidents. Mitigation
Impact of Fauna--- measures should be developed where necessary (eg- endangered or threatened Nil
Health hazard to animals species or multiple incidents at the same location), monitor areas where
information has highlighted potential fauna impact. The original
mitigation measures might not be appropriate and alternative methods may
need to be established. Provide barricade of high elevation where animals
can interact with the sewerage sludge or deep excavation
1.10 Dewatering & Contaminated Land

Activity Impacts Control Measures In Place Additional Control Measures

Works in areas of potentially Pollution of surface and

Any in situ measurements will be made under the supervision of a suitably Trip trays to be available with all the
contaminated Land. ground water
qualified person from the laboratory equipment’s.
Contamination of Land
Air Pollution Check for odors, sediments, discoloration or an oily appearance on ground
Pollution of surface and water, Check site records for soil and groundwater test results.
Dewatering and Pumping
ground water, Depletion
of water resources
1.11 Energy Consumption

Activity Impacts Control Measures In Place Additional Control

Measures
Energy Consumption Generation of Green House Gases, Depletion of Natural resources,
(Electricity), Use of non- depletion of natural resources, Land Ensure the proper combustion of fuel in the generator by proper Avoid the use of disposable
renewable electricity contamination during the filling of maintenance and monitoring, provide drip tray while cups and plates.
(Generator), Spillage of diesel transferring diesel to the Generator.
diesel while filling the
generator
1.12 Consumption of Paper
The thrown-out paper has the potential
to decompose and produce methane, a Internal correspondence through internet as practicable as
Use of paper Utilize paper on both sides
greenhouse gas. Indirectly, possible.
manufacturing of paper reduces natural
resources and increases greenhouse All incoming correspondence should be scanned, wherever,
gases & also requires huge input of possible, and distributed via email instead of hard copy
chemical, energy and water

1.13 Consumption of Water

Water consumption (Bottled Depletion of natural resources, Reduce the consumption of water through personal care of
Water, tap water), Use of generation of waste (Bottles), each employee by reducing wastages, limit the usage of
Nil
water in amenities through generation of waste water and drinking water only for drinking purpose. Do not keep tap
using toilet, basins & Sinks pollution open whenever not in use, Avoid leakages through a good
maintenance of facilities
1.14 Consumption of recyclable/reusable resources

Use of recyclable/reusable Generation of general waste, land Use the printer cartridges to the maximum possible level of Issue and distribute information
resources-cartridges, contamination during disposal use, refill the printer cartridges a number of times before bulletin regarding this subject.
stationeries glass...etc. disposal