Qatar Gas

Procedure 01.15.10.
10
Qatargas Operating Company Effective Date 2007/05/29
Issue Date 2007/09/16
Limited Valid Until 2010/09/16
Revision 01a
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PROCEDURE:
Contractor
Safety
Management
System
Prepared By:
Contractor Safety Management System Safety & LPE Sections
Issued By:
SEQ Department
01.15.10.10Rev01a.doc--05/10/2010
Procedure 01.15.10.10
Revision 01a
REVISION HISTORY
Revn Issue Date Amendment Description Date Effective Revalidated

No. (dd/mm/yyyy) (dd/mm/yyyy) (dd/mm/yyyy)
00 1996/10/31 First issue with title “Contractor Safety 1996/11/01
Regulations”
00a 2001/01/18 Sections involving Safety Audit, Powered Hand 2001/01/18
Tool and Qatargas EHS&Q Policy updated.
01 2005/01/15 Complete revision of the document to provide a 2005/01/15
full picture of Qatargas vs. contractor interface

from safety point of view.
01a 2007/09/16 Qatargas Host responsibilities updated. Tracking and 2007/05/29
Monitoring Section included. Document updated to the
current template for Intranet. Changes marked by [01a]
boxes on the right margin.
Prepared By:
Issued By:
Page ii SEQ Department
01.15.10.10Rev01a.doc--05/10/2010
Revision 01a
TABLE OF CONTENTS
1. INTERNAL CONTROLS ............................................................................................. 1

1.1 VALIDATION............................................................................................................ 1
1.2 EMPLOYEE RESPONSIBILITIES ............................................................................ 1
1.3 APPROVAL.............................................................................................................. 1
2. PURPOSE ................................................................................................................... 2
3. SCOPE ........................................................................................................................ 2
4. PROCEDURE - DEFINITIONS.................................................................................... 2
4.1 QATARGAS HOST: ................................................................................................. 2
4.2 CONTRACTOR HOST ............................................................................................. 2
4.3 SHORT TERM CONTRACT: .................................................................................... 2
4.4 MEDIUM TERM CONTRACT: .................................................................................. 2
4.5 LONG TERM CONTRACT: ...................................................................................... 2
4.6 PROCEDURE-OVERVIEW ...................................................................................... 3
4.7 PROCEDURE - DETAILED STEPS ......................................................................... 4
4.7.1 Step 1 (Pre-Qualifying the Contractor) .......................................................... 4
4.7.2 Step 2 (Appointment of QG Host) ................................................................. 4
4.7.3 Step 3 (QG Host to Supply Additional Information to Contractor) ................. 5
4.7.4 Step 4 (Inspection of Contractor Equipment/Facilities) ................................. 6
4.7.5 Step 5 (Contract Supervision by QG Host) ................................................... 7
4.7.6 Step 6 (Contract Completion Documentation) ............................................... 7
4.7.7 Step 7 (Contractor Safety Performance Reporting) ...................................... 8
4.7.8 Step 8 (Archiving Documentation) ................................................................ 8
4.8 DEVIATION.............................................................................................................. 8
4.9 TRACKING & MONITORING ................................................................................... 8
5. APPENDIX ................................................................................................................... I
5.1 REFERENCES & DEFINITIONS ............................................................................... I
5.1.1 Qatargas Reference Documents ................................................................... I
5.1.2 Definitions ...................................................................................................... I
5.2 QATARGAS HOST APPOINTMENT LETTER ......................................................... II
5.3 LETTER FROM QG HOST TO THE CONTRACTOR .............................................. II
5.4 QATARGAS CHECKLISTS ..................................................................................... III
5.5 NOTIFICATION FOR NEW OR REPLACED EQUIPMENT .................................... IV
5.6 NOTIFICATION FOR NEW OR REPLACED PERSONNEL .................................... IV
5.7 ANNUAL SAFETY CHECKLIST SPREADSHEET.................................................... V
5.7.1 Current Health & Safety Worksite Condition Checklists ............................... VI
5.7.2 HSE Risk Assessment Identifying Potential Hazards .................................. VII
5.7.3 Nine High Risk Activity Checklists .............................................................. VIII
5.7.4 Tool Box Talks Notification Form ................................................................. IX
5.8 CONTRACTOR EXIT INTERVIEW .......................................................................... X
5.9 CONTRACTOR SAFETY PERFORMANCE & RATING REPORT ........................... X
Prepared By:
Issued By:
Page iii SEQ Department
01.15.10.10Rev01a.doc--05/10/2010
Limited Valid Until See front page
Revision 01a
1. INTERNAL CONTROLS
1.1 VALIDATION
To assure Management's, Shareholders' and External Agencies' confidence in the
Company's policies and practices; Qatargas Internal Audit may verify without notice,
compliance with this Procedure.
Safety, Environment & Quality Department shall review and re-validate this Procedure at
least every 3 years to ensure that it continues to serve the purpose intended.
1.2 EMPLOYEE RESPONSIBILITIES

All employees and contractors of the Company are required to observe the Company‟s
applicable policies and procedures. All applicable Qatargas and Contractor Supervisors shall
explain the contents of this Procedure to their staff, if needed, to implement it.
1.3 APPROVAL
This Procedure and its significant amendment/revision require the following approvals:
Position Signature Here Date
Head of Safety
Chief SE&Q Officer
Chief Operating Officer - Operations
Chief Operating Officer - Eng. & Ven.
Chief Operating Officer - Administration
Supply Manager
This document has been reviewed by Documents and Standards. It complies with the
requirements of Procedure 01.00.01.02, and it is considered ready for issue.
Signed: _________________________________ Date: ______________
Prepared By:
Issued By:
Page 1 SEQ Department
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Revision 01a
2. PURPOSE
The purpose of CSMS (Contractor Safety Management System) is:
 To enable Qatargas to effectively manage the safety performance of its contractors.
 To provide a full picture of interface between Qatargas and contractor from safety angle.
 To enable contractor supervisors and their employees to use good practices and
checklists for Equipment, HSE Worksite Condition, HSE Risk Assessment and High Risk
Activities contained in this document.
 To encourage Qatargas (QG) employees to benefit from above checklists in their regular
activities even where contractors are not involved.
3. SCOPE
This Procedure applies to all medium and long-term contractors who will work for Qatargas
in any capacity on any of its operating facilities both onshore and offshore. Short-term
contractors and all consultants/trainers/similar professionals working only in the office
environment are exempted from this Procedure both onshore and offshore. This Procedure
also details the appointment and duties of the Qatargas Contractor Host. The full
administration and success of this system relies heavily on the how well the Qatargas host
performs his duties.
The Forms and Checklists contained in this document are available in “word format” on the
Intranet under “SEQ Forms”. They can be copied as per individual needs. However,
Qatargas holds no responsibilities if these are changed fundamentally, resulting in
compromise with safety. The PDF format on P&P Master Index on the Intranet is the
reference to check validity of the P&P documents.
4. PROCEDURE - DEFINITIONS
4.1 QATARGAS HOST:
The relevant Department Manager will appoint the QG “Host” who is to be the focal point
person and responsible for his allotted Contractor‟s safety performance and full interface-
management while the contractor is on QG premises, including completion of scope of work.
QG Host is sometimes referred to as Qatargas Representative in other documents.
4.2 CONTRACTOR HOST

The main contact person from contractor side whom the Management of the contracting
company appoints. He is also referred to as Contractor Representative in other documents.
4.3 SHORT TERM CONTRACT:

Duration of the work: 1 to 5 days. This Procedure does not apply to short-term contracts but
potentially high-risk jobs involved should be reviewed with Head of Safety.
4.4 MEDIUM TERM CONTRACT:

Duration of the work: 6 days to 3 Months.
4.5 LONG TERM CONTRACT:

Duration of the work: longer than 3 Months.
Prepared By:
Issued By:
01.15.10.10Rev01a.doc--05/10/2010
Revision 01a
4.6 PROCEDURE-OVERVIEW
Contractor Safety Management System Flowchart
The following flowchart defines responsible parties and outlines an 8-step process to be followed.
Contract work identified
Contractor to submit a Third Party Certification/Audit

STEP 1: for Occupational Health & Safety Administration
Contractor Pre-Qualification Process Standard (ISO 18001) or other recognized Safety
(through QG Contracts Section in Supply Dept) System e.g. Du - Pont, NSCA, Safety Map, NOSA,
ISRS & 5* for review by QG Safety Section to check
Contractor‟s Safety
Pre-Qualification.
Contractor appoints a Contractor

Contract Awarded
Host
STEP 2:
Relevant Qatargas Department Manager appoints a QG Host who is the focal point for future interactions between
QG and the Contractor Host. Person preparing initial technical scope of work may be the same as QG Host.
STEP 3:
QG Host to supply checklists & additional information (P&Ps Contractor submits the following documents
etc as QG Standards) to the Contractor Host. and certificates to the QG Host:
Contractor inspects his equipment/ systems against these, and - List of employee names with (2) photos
against his own Standards (where QG Standards not - Copy of employees‟ drivers licenses
available), and submits inspection results to the QG Host. - Contractor lifting equipment register (*)
- Heavy Equipment Operators Certificates
- Lifting Equipment Operators Certificates
STEP 4: - Lifting equipment Certificates of fitness
QG Host does the following: - List of mobile equipment road license
- Request QG Maintenance Dept to check contractor‟s - Any other professional licenses/certificates
equipment upon arrival on site using the QG checklists. required for and supporting the jobs done by
- Ask contractor to replace his faulty or rejected equipment employees. (* Per QG Inspection P&P 02.18.20.10)
items and organize inspection of new ones.
- Request QG Inspection Section to review documentation and
inspect lifting equipment.
- Ensure all hand tools and PPE are inspected
- Arrange all Qatargas-related information, including Trade and
SEQD Policies & Procedures to the Contractor Host for safe
conduct of the job.
- Assign a lay-down area for contractor equipment Contractor must immediately inform the QG Host of
- Inspect contractor camp facilities prior to start of work and - any personnel changes during contract life-time.
perform monthly inspections thereafter from SHE angle until - any changes, additions or reductions in equipment
contract ends. during contract life-time.
- any defective/damaged equpt. during contract life.
STEP 5: STEP 6:
QG Host to supervise contractor during work on site. Kick off Upon completion of the contract, QG Host to
and regular meetings to include SHE on agenda. Contractor to inspect outgoing equipment with special emphasis
supply QG Host with completed checklist & audit as per the on Hazardous Waste and carry out an exit review.
Annual Safety Checklist Spreadsheet ( Planner).
STEP 7: STEP 8:
QG Host to complete Contractor Safety Performance Report QG Host to file the completed Contractor Safety
and forward it to the QG Safety Section. Management System Document.
LEGEND
RED (Step 1) is the responsibility of the CONTRACTS department
PINK (Step 2) is the responsibility of the relevant Qatargas Department Manager
BLUE (Steps 3 to 8) is the responsibility of the Qatargas Host (QG Host)
Prepared By:
Issued By:
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Revision 01a
4.7 PROCEDURE - DETAILED STEPS
4.7.1 Step 1 (Pre-Qualifying the Contractor)

1. The Qatargas Contracts Section shall request from the bidding Contractor a Third Party
Certification/Audit Documentation for OHSAS (Occupational Health & Safety
Administration Standard i.e. ISO 18001) or for a recognized safety system e.g. Du –
Pont, NSCA, Safety Map, NOSA, ISRS and 5*. This will be the contractor‟s pre-
qualification safety documentation requirement.
2. SEQD (Safety Section) is responsible for reviewing and authorizing these submitted audit
documents to confirm Contractor‟s Safety Pre-Qualification. Safety Section is also

responsible for the database to house all the contractor relevant information, including
but not limited to:
 Number assigned to a contractor for his submitted document;
 Name of Qatargas Host & Contractor Host
 Date of submission of annual audit;
 Result of OHSAS System or other recognized Safety System Audit;
 Contractors‟ Classification of Active or Hold
3. If qualified, the submitted audit documents of a contractor are valid only for 12 months
from the day it is received by Qatargas. The contractor must comply with the
requirements of the certifying authority and retain certification throughout the duration of
the contract. The contractor must submit the third party (surveillance) audit-documents
for their offsites facilities to Qatargas annually. For details, refer to Step 5 (Section 4.7.5)
Note:
1) QG Host Department/ Section must provide to the contractors through Contracts Section a
minimum of work-related information about Qatargas ( i.e. Policies & Procedures for specific
Trades/Disciplines and Safety, Environment & Quality, Standing Instructions, Circulars etc)
in technical specification package(s) at the bidding stage so that the contractors get an
overview of Qatargas requirements. The current SEQD and Trade/Discipline Policies &
Procedures are available on Qatargas Intranet. A sample list of SEQD P&P is provided in
Appendix 5.1.
2) Finer details can be provided by QG Host direct to the selected contractor during Step 3
(Additional Information) in Section 4.7.3 once the contract has been awarded.
4.7.2 Step 2 (Appointment of QG Host)

Once the contract has been signed by both parties,
1. The Qatargas Host needs to be appointed. The relevant Department Manager is
responsible for this appointment. Any Qatargas employee can be appointed as Qatargas
Host for the contractor. The person should be a Qatargas employee who has the expertise
in the work to be done and who is directly involved with the task to be completed.
2. The appointed QG Host has the defined duties to perform (See Section 4.7.2.1 below). The
Qatargas Host or his Assistant QG Host must, at all times, be on site or contactable when
his contractor is working. This shall necessitate the appointment of an Assistant QG Host.
Prepared By:
Issued By:
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Revision 01a
3. It is mandatory to formally appoint (Primary) QG Host by letter. Pro-forma of this letter is
enclosed in Appendix 5.2. Departmental Manager may identify the assistant QG Host at
the beginning itself, otherwise later during primary QG Host‟s absence. Such later
nominations must be recorded through e-mails/minutes of meeting/handover register or
any other written communication, and known to the Contractor Host.
4. The QG Host shall also be documented by SEQD (Safety Section) through a Smart
Number allotted to each CSMS (Contractor Safety Management System), comprising of
the following fields:
 Day, Month,Year / Procedure Distribution Number (starting from 0001)/ Full Name of the
QG Host with his staff No/ Name of the contracting company/Contract work to be
performed.
4.7.2.1 Qatargas Host Responsibilities:
It is the Qatargas Host‟s responsibility to:

1. Ensure this document (i.e. CSMS) is complied with;
2. Ensure that all updates on the CSMS shared drive are made monthly as per Section 4.9. 01a
3. Ensure that all checklists and audits are completed on time and accurately;
4. Represent Qatargas and keep Management informed on all matters of concern arising
within the contractor‟s scope of work.
5. Ensure that the contractor takes all reasonably practicable steps in accordance with the
relevant Qatari Laws to ensure the health and safety of their employees, their
subcontractors, Qatargas employees and third parties that might come into contact with
their operations.
6. Make regular site inspections to monitor his contractor‟s compliance with this Procedure.
7. Incorporate contractor health & safety performance as part of all meetings with
contractors.
8. Ensure timely correction of safety hazards that have been identified.
9. Complete contract close-out documentation.
4.7.3 Step 3 (QG Host to Supply Additional Information to Contractor)

This step is the first operational interaction between the QG Host and the Contract Host on
awarding of the contract. The QG Host must send out direct to the Contractor Host all
additional Qatargas information (such as Checklists, Policies & Procedures for specific
Trades/Crafts and Safety, Environment & Quality, Standing Instructions, Circulars etc) so
that the contractor is fully prepared to discharge his contract responsibilities in a safe and
professional manner.
It will also be the responsibility of Contractor Host to ask QG Host for such additional
Qatargas information which shall help him to discharge his contract responsibilities in a safe
and professional manner. The intent here is to prepare Contractor to meet Qatargas
standards on equipment and human resources. Wherever such requested additional
information is not available with QG, the contractor has to satisfy his internal
checklists/systems (as per ISO 18001 or QG accepted Standard) and submit these
additional documents to the QG Host.
Prepared By:
Issued By:
01.15.10.10Rev01a.doc--05/10/2010
Revision 01a
1. Appendix 5.3 contains a covering letter to be sent by QG Host to the Contractor, along with
the above additional Qatargas information.
2. A non-exhaustive list of QG checklists is in Appendix 5.4. QG Host must send these
checklists or as applicable to the contractor. He must also ensure that these documents
completed by contractor are received by him, including full names and photos of all
contractor employees who are to work at Qatargas and including all Lifting Equipment
Certification before going to Step 4. Photos are required for H2S/BA badges and other
safety certifications by Qatargas.
3. QG Host must also ensure that the Contractor Host supplies a list of relevant requisite
licenses/professional qualifications of contractor employees and copies of these

professional documents.
4. By this stage, the contractor must have collected a minimum of SEQD P&Ps which are
marked * on a sample list of SEQD P&Ps in Appendix 5.1. Additions are subject to the
scope of the contract and mutual agreement between QG Host and the Contractor Host.
4.7.4 Step 4 (Inspection of Contractor Equipment/Facilities)

Upon arrival of the contractor at Qatargas:
1. The Qatargas Host will conduct/organize a series of equipment checks with the help of
checklists/information used by the contractor in Step 3 (Section 4.7.3). Special checks are
to be done by QG Maintenance (e.g. vehicles/Internal Combustion Engine operated
equipment, Electrical Equipment or those equipment or tools which can not be checked
directly by QG Host or his Section). QG Inspection Section shall be involved with
documentation audit/verification for lifting equipment or other services as per Company
Inspection Policy. Services of other functional sections should be requested per need.
2. These checks are a confirmation of the checklists filled in and returned by the contractor in
Step 3. Step 3 & 4 ensure that all equipment supplied and used by the contractor is in good
and safe working conditions.
3. Qatargas Host will ensure that all contractor vehicles/Internal Combustion Engine operated
equipment have a QG Garage inspection sticker before permitting the contractor access
into Qatargas Plant. Any equipment that does not meet Qatargas requirements must be
replaced as soon as practicable and at the cost of the contractor.
4. A Lay down Area also needs to be allotted to the Contractor. Once the contactors‟
personnel & equipment has been permitted on site, the contractor is not permitted to
exchange any of the above without filling out a change of personnel or equipment Form.
See Appendix 5.5. The changed personnel and equipment of the contractor will go through
the same inspection/checking phases before being accepted by QG Host.
5. Contractor Host needs to provide the Qatargas Host with a full list of completed QG
Mandatory Safety training. Firewatch‟ for Hot/Open Flame work must be audited and
certified by Fire & Rescue Section of Qatargas. Confined Space Holewatch‟/Standby
people must attend training through Qatargas SEQ Training Coordinator.
Prepared By:
Issued By:
01.15.10.10Rev01a.doc--05/10/2010
Revision 01a
4.7.5 Step 5 (Contract Supervision by QG Host)

The QG Host is now required to:
1. Follow the Annual Safety Checklist Spreadsheet (Appendix 5.7), which will assist him to
effectively supervise his contractors.
2. The above Audit Spreadsheet requires the use of the following:
 Current Health and Safety Site conditions Checklists (Appendix 5.7.1)
 HSE Risk Assessment Identifying Potential Hazards (Appendix 5.7.2).
 Nine High Risk Activity Checklist (Appendix 5.7.3)

 Tool Box Talk Notification Form is referenced in Appendix 5.7.4. An extract from
Qatargas Procedure # 01.15.03.04 “Effective Presentation of Tool Box Talks” is in
Appendix 5.7.4.1 to assist the contractor in delivering quality Tool Box Talks to his
people.
3. QG Host shall take necessary steps to ensure that contractor personnel are functionally
aware about Qatargas equipment or facilities/system whenever contractor personnel have
to use them.
4. Qatargas EHS Audit Program (# 01.15.11.04) applies to contractor worksite &
establishment wherein QG Host, Middle Management and Top Management can carry out
Supervisory Self-Audit, Compliance Audit and Corporate Management EHS Tour
respectively. Similarly, Contractor establishments are subject to external audit under QMSI
(Qatargas Management System for Continuous Improvement), encompassing ISO,
PROSPER or other applicable Standards.)
5. In keeping with Qatargas culture of “Incident & Injury Free is up to Me”, Contract personnel
under supervision of the Contractor Host and their other applicable supervisors shall:
 Ensure that they take all reasonably practicable steps in accordance with the relevant
Qatar Laws to ensure the health and safety of themselves, their subcontractors,
Qatargas employees and third parties that might come into contact with their operations.
 Follow Qatargas CSMS in full.
 Follow all applicable Qatargas Policies and Procedures including training.
 Maintain high standard of hygienic and safety conditions both at workplace and the living
camp, including respecting the environment.
4.7.6 Step 6 (Contract Completion Documentation)

Upon completion of the contract,
1. The Host will carry out an exit interview which includes a number of checks. This will
ensure that the contractor departs Qatargas having fulfilled all his contractual obligations
and returned all Qatargas property.
2. The checklists to be used for this final check is the checklists the contractor supplied the
QG Host at the beginning of the contract including any modifications, exchange &
additional equipment
3. An Exit Interview Pro-forma is enclosed in Appendix 5.8.
Prepared By:
Issued By:
01.15.10.10Rev01a.doc--05/10/2010
Revision 01a
4.7.7 Step 7 (Contractor Safety Performance Reporting)

The QG Host is to:
1. Complete the Contractor Safety Performance Report enclosed in Appendix 5.9 and return
it to the Head of Safety. This report will rate the contractor‟s safety performance.
2. Based on the contractor performance report, the Head of Safety will classify the contractor
to be included on the Active List or the Hold List. Contractors with an Active Rating will be
first to be offered any future Qatargas work.
4.7.8 Step 8 (Archiving Documentation)

1. The Contractor Safety Management System Document is to be filed and retained by the
QG Host.
2. This document must be retained for audit purposes.
4.8 DEVIATION
Any deviation from this Procedure shall be subject to the written approval of the Head of
Safety.
4.9 TRACKING & MONITORING

01a
1. A system of tracking and monitoring CSMS online is available on Qatargas SEQ network
drive located at \\qghqdoc\Technical\seq\A - SEQD SAFETY\CSMS 2007\Checklists
Folder. QG Hosts should open the file „CSMS 2007.xls‟ and update the following
worksheets therein.
a. QG and Contractor Host information
b. CSMS status sheet
c. Incident and lessons learnt log
d. Contractor Safety Metrics Sheet
The detailed working, utility and current location of this system shall be explained by the
designated Plant Safety Officer to the QG Hosts through presentations and/or one-to-one
interaction.
2. The designated Plant Safety Officer and SEQ in general shall monitor progress made on
CSMS deployment monthly.
3. Each QG Host or his designate shall update individual progress made in each month.
4. A formal audit of this online CSMS Tracking and Monitoring system shall be carried out
every six months by the designated Plant Safety Officer and report issued to the defaulting
QG Hosts. A copy of the report shall be sent to the Sectional Head and Departmental
Manager of the QG Host. A copy of the report shall also be sent to the Chief SEQ officer
and Head of Safety.
Prepared By:
Issued By:
01.15.10.10Rev01a.doc--05/10/2010
5. APPENDIX
5.1 REFERENCES & DEFINITIONS
5.1.1 Qatargas Reference Documents 01a
1. A sample list of SEQ Policies & Procedures is attached on the next page. However, please
always refer to the Policies and Procedures page on Qatargas Intranet for the latest
updates. Those marked * are the minimum which contractors must know, in addition to
what QG Host and Contractor Host together decide.
2. All other Policies and Procedures of different departments are also on Qatargas Intranet.
3. The word files can be downloaded on a CD or printed and forwarded to the Contractor Host
on his request or as felt necessary by the QG Host for safe and professional performance
of the contractor.
5.1.2 Definitions
The authoritative definitions listed, when used in this Policy and Procedure, have the
meanings ascribed to them here.
Must An authoritative word meaning the physical action referred to is mandatory and
has to be justified in writing if the action is not carried out.
Shall An authoritative word meaning the performance referred to is mandatory. It is
generally used in the legal sense.
Should An authoritative word meaning the action referred to is strongly recommended.
May An authoritative word meaning the action referred to is acceptable and to be
considered.
Might Is not an authoritative word when used in this document but means the action
could occur.
Appendix 5.1: References & Definitions Effective 2007/05/29
Appendix Page I Issue Date 2007/09/16
Valid Until See front page
Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
EFFECTIVE LAST
Note: 1) These P&Ps are written for
DATE OF ISSUED
NUMBER POLICY & PROCEDURE TITLE Qatargas Operating Plants.
REV 00 REVISION
2) COMMENTS (See Below)
( First Issue) with date
POLICY & MANAGEMENT (Section 1)

Safety, Health, Environmental & Rev 03;
00.15.01.01 May-1999
Quality Policy Feb-05
Rev 00a;
00.01.15.02 Qatargas Facial Hair Policy Oct-2001
Apr-06
Management Safety, Health & Rev 01b;
01.15.01.04 Nov-1996
Environment Committee Feb-07
Rev 00b;
01.15.01.05 EHS Management of Change Jan-2000
Nov-05
Refusal to Work due to Safety or Rev 00a;
01.15.01.05 Mar-2002
Environment Concerns Jun-04
SAFETY (Section 2)
Rev 00a;
01.15.02.01 Personal Protective Equipment Nov-1996
Oct-04
Rev 01;
01.15.02.02 Prescription Safety Glasses Nov-1996
Sep-06
Rev 01;
01.15.02.04 H2S Safety Nov-1996
Jul-07
Rev 04;
01.15.02.10 Permit-to-Work System Nov-1996
Nov-04
Rev 01;
01.15.02.12 Restricted Safe Photography Nov-1996
Jun-06
Isolation, Lock out and Tagging of Rev 01a;
01.15.02.17 Sep-1998
Energy Sources Oct-06
Rev 01b;
01.15.02.18 Confined Space Entry Nov-1996
Jan-06
Portable Compressed & Liquefied Gas
Rev 01;
01.15.02.26 Cylinders: Safe Handling, Use & Nov-1996
Saf
ty
Storage Sep-05
li
ety
Vehicle Access, Safe Driving & Rev02c;
ua
01.15.02.27
Road Safety
Sep-1998
Dec-04
,E Q
nvir
01.15.02.28 Hot Tapping Nov-1996
Rev 00c; onment &
Feb-07
Safety Aspects of Mobile Crane Rev 01;
01.15.02.30 Nov-1996
Operations Jul-07
Safety at Height (Fall Arrest Rev 01;
01.15.02.32 Mar-1997
Equipment) Nov-04
Inspection Plan for Fall Arrest
01.15.02.33 Dec-2004 Rev 00
Equipment
Rev 01;
01.15.02.40 Excavation Nov-1996
Jun-05
Filling of SCBA Cylinders using Rev 02;
02.15.02.52 Breathing Air Compressors Oct-2002 Renumbered from 01.15.03.52
Sep-07
Utility Hose Identification, Selection Rev 00a;
01.15.02.61 Dec-2006
and Use May 07
TRAINING (Section 3)
Safety, Environment & Quality Rev 02b;
01.15.03.01 Sep-1998
Training Aug-05
Safety Environment & Quality
01.15.03.02 Dec-1999 Rev 00 It is issued directly by SEQD
Training Passport
Ongoing work; It is issued directly by
Safety Environment & Quality
01.15.03.03 Jan-1996 Ongoing; SEQD every qtr. Available on
Training Catalog
Intranet
Effective Presentation of Tool Box Rev 00a;
01.15.03.04 Mar-2004
Talks Mar-07
01.15.10.10Rev01a.doc--05/10/2010
03.15.03.50 Lifeboat Exercise/Training Launch Rev 03;
& Recovery Procedure Aug-2000
Sep-06
WORKPLACE HEALTH PROTECTION (Section 4)
Radiation Protection Program Rev 01b;
01.15.04.50 Nov-1996
(Industrial Radiography) Oct-06
ENVIRONMENTAL MANAGEMENT SYSTEM (Section 5)
Environmental Management Rev 01b;
01.01.15.04 Apr-2000 Corporate level document
System Apr-06
Environmental Monitoring & Rev 00b;
01.15.05.02 Apr-1999
Reporting (Onshore) Jun-06
Environmental Monitoring & Rev 00b;
01.15.05.03 Oct-1999
Reporting (Offshore) May-06
Register of Environmental Aspects Rev 01b;
01.15.05.04 Dec-1999
and Impacts Jun-06
Rev 00b
01.15.05.05 Air Emissions Inventory Mar-2000
Jun 06
Rev 01a;
01.15.05.06 Waste Management Plan Jan-1996
Jan-05
Environmental Compliance Rev 00;
01.15.05.07 Feb-1996
Evaluation Jun-06
Disposal of Effluent Generated
02.15.05.61 from Plant Shutdowns
Mar-2007 Rev 00
VACANT SLOT (Section 6)
HAZARD /RISK ANALYSIS (Section 7)

Rev 00a;
01.15.07.01 EHS Risk Acceptance Criteria Mar-2004
Feb-07
Rev 00d;
01.15.07.02 Job Safety Analysis Apr-2002
Feb-07
EMERGENCY RESPONSE (Section 8)
Offshore Emergency Response Rev 01e;
01.15.08.02 Aug-1998
Plan May-07
Shipping Emergency Response Rev 01c; Issued directly by SEQD for CMT
01.15.08.07A Feb-1999
Brochure Sept-03 and ERT members
Offshore Emergency Response Rev 01b; Issued directly by SEQD for CMT
01.15.08.07B Jun-1999
Brochure Mar-04 and ERT members
Onshore Emergency Response Rev 01b; Issued directly by SEQD for CMT
01.15.08.07C Feb-1999
Brochure Oct-03 and ERT members
CMT(Crisis Management Team) Rev 01b; Issued directly by SEQD for CMT
01.15.08.07D Feb-1999
Emergency Response Brochure Oct-03 and ERT members
Senior Management Crisis Rev 01;
01.15.08.08 Dec-1998
Management Team Plan Feb-07
Shipping Emergency Response Rev 02;
01.15.08.09 Oct-1998
Plans Sep-07
Onshore Emergency Response Rev 01f;
01.15.08.10 Oct-1996
Plans Feb-07
Issued directly by SEQD only for CMT
03.15.08.11-18 CMC-Tabletop-Guidebooks Jun-2004 Rev-00 members
Published on SEQ page of Intranet.
Quarterly Emergency Contact Rev 01;
01.15.08.22 May-2003 (Published and Issued directly by SEQD
Directory Sept-03 every 3-months)
Emergency Evacuation Procedures

02.15.08.30 Apr-2005 Rev 00
for Onshore Non-Plant Buildings
INCIDENT INVESTIGATION (Section 9)

Reporting & Investigation of Rev 03e;
01.15.09.01 Nov-1996
Incidents/Accidents/Near Misses Aug 05
01.15.10.10Rev01a.doc--05/10/2010
STANDARDS (Section 10)
Rev 01;
01.15.10.01 EHS Handbook (Onshore) Dec-1998
Mar-07
Rev 00 e;
01.15.10.02 EHS Handbook (Offshore) Jul-1999
Sep-06
Rev 02;
01.15.10.05 Restricted Smoking Jul-1998
Oct-04
Contractor Safety Management Rev 01a;
01.15.10.10 Nov-1996
System Sep-07
Rev 01a;
01.15.10.11 Safe Scaffolds Nov-1996
Jul-07
Terminal Safety Manual - LNG Rev 00b;
01.15.10.20 Jun-1996
Berth 1 Feb-07
Terminal Safety Manual - Rev 01;
01.15.10.21 Jul-1996
Condensate Berths 2A & 2B May-06
Terminal Safety Manual - Sulfur Rev 00a;

01.15.10.22 Sep-1997
Berth Oct-04
REVIEWS (Section 11)

Rev 00c;
01.15.11.04 EHS Audit Program Nov-1999
Aug-06
Rev 01;
01.15.11.10 EHS Review of Projects Nov-1996
Nov-05
PERFORMANCE MEASUREMENT (Section 12)
VACANT SLOT (Section 13)
FIRE & RESCUE (Section 14)

Fire Protection System: Inspection, Rev 00b;
02.15.14.01 Mar-2000
Testing and Maintenance Program Aug-06
Fire & Rescue Section: Standing LDec-2004
03.15.14.02 Rev 00
Operating Procedures e
g Rev 07;
02.15.14.04 Basic Muster Points Requirements eNov-2006 Mar-07
n Rev 01;
03.15.14.06 SEQ SMS Alerting Guidelines dNov-2006 See Fire & Rescue Intranet page
Nov-06
Handling of Pressurized Cylinders Rev 00a;
02.15.14.12 Nov-2003
(Fire Protection System-ITM) Feb-07
QUALITY (Corporate-Corporate Documents) 01.01.00.XX)
Qatargas Management System for
Rev 05b;
01.01.00.01 Continuous Improvement(QMSI) Jan-1999 Corporate level document
Feb-07
Manual
Rev 02a;
01.01.00.03 Management Review Jun-2000 Corporate level document
May-04
Rev 02c;
01.01.00.05 QMSI Internal Audits Jun-2000 Corporate level document
Nov-06
Rev 02;
01.01.00.07 Improvement Suggestions Nov-1999 Corporate level document.
Jun- 04
SAMPLE ONLY AS ON 16 SEPTEMBER 2007. SEE LATEST LIST ON QG INTRANET.
01.15.10.10Rev01a.doc--05/10/2010
5.2 QATARGAS HOST APPOINTMENT LETTER
PLEASE SEE THE FULL-SIZED LETTER ATTACHED NEXT.
5.3 LETTER FROM QG HOST TO THE CONTRACTOR
PLEASE SEE THE FULL-SIZED LETTER ATTACHED NEXT.

Appendix 5.2: QG Host Appointment Letter Procedure 01.15.10.10

Effective 2007/05/29
Appendix 5.3 Letter from QG Host to Contractor Host
Appendix Page II Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
Qatargas Contractor Safety Management System
Qatargas Host Appointment Letter

By accepting this appointment, you will be the QG focal point to the Contracting Company noted
below, all its employees and all its subcontractors. This appointment places the job-related
safety responsibility of the below-mentioned contractor with you.
Contractor – Company Name: ………………………………………………………………..…………

Contractor Host Name:………………………………………………
Contractor Host Address:………………………………………………………………………………..
It is the Qatargas Host’s responsibility to:

1. Ensure this document is strictly and accurately followed and complied with;
2. Ensure that all checklists and audits are completed on time and accurately;
3. Represent Qatargas and keep Management informed on all matters of concern arising
within the contractor‟s scope of work.
4. Ensure that the contractor takes all reasonably practicable steps in accordance with the
relevant Qatar Laws to ensure the health and safety of their employees, their
subcontractors, Qatargas employees and third parties that might come into contact with
their operations.
5. Make regular site inspections to monitor his contractor‟s compliance with this Procedure.
6. Incorporate contractor health & safety performance as part of all meetings with contractors.
7. Ensure timely correction of safety hazards that have been identified.
Note: Though the QG Host can take help of his subordinates by briefing/ training them
for effective interaction with contractors, he is primarily responsible for his duties.
………………………………………. ………………………………………….
Appointing Manager Name Signature
Date:…………………………………..
I accept this appointment:

Main QG Host Name: Assistant/Support QG Host Name:
Signature Signature
Date Date
01.15.10.10Rev01a.doc--05/10/2010
Qatargas Host Letter to Contractor Host

To the Contracting Party (Name):……………………………………………………………………….
Address: ………………………………………………………………………………………………….
Qatargas Contract Job:………………………………………………………………………………….
Qatargas Contract Number/P.O. Number:……………………………………………………………..
Attention (Contractor Host Name):……………………………………………………………………..
Dear Sir,
I am your Qatargas Host for the above contract. I am your focal point and responsible for your
contract. All questions, problems, contractual concerns or, in fact, any concern must be addressed
to me.
1. Please find enclosed a number of Qatargas checklists. You as the contractor are required to:
 Complete the checklists accurately as soon as practicable;
 Notify me if you will be using equipment at Qatargas which is not covered by one of the
supplied lists;
 Return the completed checklist to me as soon as possible.
2. Please find enclosed some of additional Policies & Procedures from SEQD and
Trade/Discipline so that you are fully prepared to discharge your contract responsibilities in a
safe and professional manner.
3. You are also required at this stage to supply me with a list of all the people with two passport-
photographs each, including your sub-contractors who will be working on this contract.
4. Please send me the copies of all your certification for your lifting equipment and those of
professional licenses/certificates of your applicable skilled workers/professionals.
I must receive all the above information before this contract can proceed to the next stage. If you
need any further information, please let me know so that you are fully prepared to discharge your
contract responsibilities in a safe and professional manner. I am looking forward to assisting you to
ensure smooth and safe running of this contract.
Please note: 1) Intentional use of substandard or counterfeit equipment and use of unqualified personnel on
Qatargas premises is considered a serious violation of safety norms. 2) Working language in Qatargas is
English. Under exceptional case when a worker does not understand English, it will be responsibility of his
immediate supervisor to assist him to know Qatargas standards. If Qatargas faces any loss due to this, your
company will be liable.
Regards
QG HOST: PLEASE ATTACH
YOUR CARD HERE TO ASSIST
THE CONTRACTOR IN
QG Host Signature CONTACTING YOU
QG Host Name
Date:
(Note: This initial letter is a sample. The QG Host is free subsequently to contact the Contractor Host through
e-mails to save the time.)
01.15.10.10Rev01a.doc--05/10/2010
5.4 QATARGAS CHECKLISTS
Please see the pages attached next. Though effort has been made to cover as many points
as possible, these are non-exhaustive checklists. Not all items may be applicable to you.
They are for your guidance. Use your own professional judgement additionally to add to
safety. In unlikely event of any mismatch between an item shown here and Qatargas
Procedure on the subject, Qatargas Procedure shall be considered binding.
Appendix 5.4: Qatargas Checklists Effective 2007/05/29
Appendix Page III Issue Date 2007/09/16
Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
PLEASE PROVIDE A LIST OF ALL YOUR PEOPLE RELEVANT PROFESSIONAL

LICENSES/CERTIFICATES INCLUDING A COPY OF EACH
These licenses include but are not limited to: Forklift, Crane, truck, tanker.
License/Certificate Issued To (Name in Full) Valid Till/ Date

Type
Date ………………
Write name of relevant Supervisor to ensure the above information is

complete, true and correct ……………………………………………………
Copy this page, as required, to enable you to provide your QG Host with a full
list of relevant licenses
01.15.10.10Rev01a.doc--05/10/2010
PLEASE PROVIDE A LIST OF ALL YOUR JOB SAFETY ANALYSES (JSA’s). ALSO
ATTACH AN ELECTRONIC COPY OF ALL THESE JSA’s IN THEIR COMPLETED
FORM.
JSA Title and Number Date JSA Composed Comments

Date ………………
Write name of relevant Supervisor to ensure the above information is
complete, true and correct …………………………………………………
Copy this page as required to enable you to provide your QG Host with a full
list of relevant licenses
01.15.10.10Rev01a.doc--05/10/2010
PNEUMATIC POWERED TOOLS
POINTS TO BE INSPECTED CHECKED COMMENTS
 Ensure all pneumatic connections

are tight and in good order
 Are all handles and grips are in place

and in good condition
 All machine guards are in place and

in good condition
 Equipment is identified and number
visible
 Is governor operating effectively and

accurately at rated RPM
 General cleanliness
 Correct operation of selector switch,

if fitted
 Is RPM clearly marked on machine

casing
 Any Other
Date ………………
Write Name of person carrying out this check ……………………..……
Write name of relevant Supervisor to ensure the above checklist has been
correctly completed ……………………………………………………
01.15.10.10Rev01a.doc--05/10/2010
CHAIN SLINGS AND ATTACHMENTS
 Any twisted or bent links
 Nicks or gauges
 Cracks in weld areas, shoulders or

any other section of link
 Corrosion pit marks
 Elongation caused by stretching
 Distorted or damaged links or

attachments (Master and coupling
links)
 Spread in throat opening of hook
(Maximum 15%)
 Safety latch fitted and closing

correctly
 Maximum load marking clearly
indicated/identification number
 Excessive wear at bearing points or

surfaces
 Sheave block and chain block
 Is the equipment correctly color

coded for this current term
 Storage
 Please attach all Loading Equipment
Certificates
 Any Other
Date ………………
Write Name of person carrying out this check ……………………………
correctly completed …………………………………..…………………
01.15.10.10Rev01a.doc--05/10/2010
FIBRE ROPE, SLINGS AND ATTACHMENTS CHECKLIST
 Broken or cut fibers
 Worn eyes
 Worn or distorted fittings

 Splices
 Torn or frayed material
 Broken stitching
 Any kinks
 Hook throat spread size (Maximum 15%)
 Conditions of safety latch
 Maximum load marking clearly

indicated/identification number
 Sheave block condition
 Is the equipment correctly color coded

for this current term
 Storage
 Please attach all Loading Equipment
Certificates
 Any Other
Date ………………
correctly completed ………………………………………………..……
01.15.10.10Rev01a.doc--05/10/2010
WIRE ROPE SLINGS AND ATTACHMENTS

 Wear or mechanical abuse
 Corrosion
 Broken wires
 Fatigue - indicated by square break of

wire
 Any kinks
 Drying out of lubrication
 Splice of ferrule
 Condition of ferrule
 Spread in hook throat openings

(Maximum 15%)
 Safety latch
 Maximum load marking/identification

number
 Is the equipment correctly color coded

for this current term
 Hook distortion and signs of cracking
 Storage
 Any Other
Date ………………
correctly completed ………………………………………..……………
01.15.10.10Rev01a.doc--05/10/2010
FIRE EXTINGUISHERS CHECKLIST
 Check unit for external rust
 Check whether discharge tube is in good

condition.
 Check that instructions and labelling are

in good condition
 Check whether a discharge nozzle is

clean and unobstructed.
 Weigh CO2 extinguishers to ensure that

they are full
 Check pressure gauge arrow indication
is in the green shaded area.
 Check base of extinguisher from rust or

deformity
 Check extinguisher has been serviced

within the last 6 months (check
inspection record card/tag)
 Any Other
Note: Fire fighting and rescue equipment brought in by the contractor shall be checked by
Qatargas fire & rescue section.
Date ………………
01.15.10.10Rev01a.doc--05/10/2010
FIRST AID FACILITIES CHECKLIST
 The First Aid Kit to be supplied will cater

for all foreseeable injuries
 All first aid kit contents are in date with

at least 6 months to expiry
 Contents: Is it clean and easy to get to?
 Contents Checked against the contents

list.
 Ensure contents / list contains a

minimum of:
 Antiseptic
 Minor to Trauma bandaging
 Gloves
 Rescues Mask with one way valve
 Eye wash / solution
 Register book
 Any Other
Date ………………
correctly completed ……………………………………..………………
01.15.10.10Rev01a.doc--05/10/2010
HAND OPERATED HOISTS
 Hoist casing for cracks or dents
 Hoist chains/ropes for cuts, kinks,

corrosion, abrasion and elongation
 Hammer locks/links for free movement

and pins for security
 Hook swivels for free movement and

wear
 Hooks for spreading and damage
 Lever for damage
 Direction for change lever and easy

operation
 Chain guides for damage and elongation
 Safety latches
 Capacity markings and identification

correct and clearly visible
 Storage
 Any Other
Date ………………
correctly completed ………………………………..……………………
01.15.10.10Rev01a.doc--05/10/2010
PORTABLE ELECTRICAL EQUIPMENT

MUST BE COMPLETED AND TAGGED BY A QUALIFIED ELECTRICIAN

 Damaged or frayed flexible cord
 Loose connections
 Correct polarity
 Earth wire continuity

 Connections tight and effective
 Flexible cord secured at plug entry
 Earthing connections to have sufficient
slack to prevent accidental pull-out
 Handle grips, etc. must not be
damaged or cracked
 Using an appliance tester perform the
following tests:
-Earth Bond Test – Pass / Fail
-Insulation Test – Pass / Fail
-Load Test – Pass / Fail
-Operation Test – Pass / fail
 Switches on machines or equipment

must be operable
 Machine or equipment housing must
not be damaged, exposing live
connections
 Any Other (See Electrical Safety Rule

# 01.20.41.00 for further details)
Note: Qatargas preference is for pneumatically operated equipment or tools wherever
possible. When electrically operated equipment/tools are used, the voltage must be as low
as possible. Inside confined spaces, electrical equipment must be below ~24 Volts. If not,
JSA (Job Safety Analysis) must be countersigned by Qatargas Electrical Section.
Date ………………
01.15.10.10Rev01a.doc--05/10/2010
PPE CHECKLIST
The contractor is required to check all his employees PPE (including all subcontractors)
and replace PPE if it does not meet the following standard. This checklist must be
returned to your QG Host
PPE Equipment PPE Required Standard Results of

PPE
inspection
 Replace when unserviceable due to
damage or fair wear and tear
 Nomex Delta C Coveralls Yellow in color
 Nomex Delta C Cold weather jacket  Replace when unserviceable due to

Yellow in color damage or fair wear and tear
 Wet weather gear as per BS 4170  Replace when unserviceable due to

 Safety Helmet with chin strap or  Replace three years from the date of
tightening ratchet issue or if Deformed, crushed, struck
 ANSI Z89.1 by a force, dropped from height,
painted written on with a permanent
marker or the inside webbing is
stretched
 Helmet shade brim or neck flap –  Replace when unserviceable due to
optional damage or fair wear and tear
 Safety Footwear as per BS 1870  Replace when unserviceable due to

 Replace if the heel area is smooth
 Safety Glasses both dark and clear as  Replace when unserviceable, lost or
per BS 5240 damaged
 Ear plugs & Muffs as per BS 6344  Replace when unserviceable due to
 Working Gloves as per BS 5240  Replace when unserviceable due to
 Any Other ( See # 01.15.02.01 for
further details)
Date ………………
correctly completed..……………………………………………………
01.15.10.10Rev01a.doc--05/10/2010
SUBSTANCE REVIEW & CONTROL SHEET

DATE:
NOTE: A copy of this control sheet must accompany your initial checklist to your QG Host
accompanied by a copy of your Spill Containment Procedure
TRADE PRINCIPAL HAZARDOUS Volume on MSDS

NAME USE YES / NO site at any Supplied
one time
Date ………………
correctly completed ………………………………….…………………
01.15.10.10Rev01a.doc--05/10/2010
Contractor Passenger Vehicle Checklist

This Checklist should determine the suitability for a Passenger Vehicle to be allowed to enter Process Areas, as long as
it is covered by an Authorized Vehicle Entry Permit.
This Checklist should be retained by the Maintenance Services Inspector for Follow-Up Inspection of Equipment.
Date of Inspection: _____ / _________________ /200___ Time of Inspection: ________ hours
VEHICLE MANUFACTURER: REGISTRATION:

Make: __________________________________ Number: _______________________
Model: __________________________________ Expiry Date _______________________
INSPECTOR TO COMPLETE THIS SECTION* Tick  the appropriate box YES

1. Is the documentation for the Passenger Vehicle correct? (Current Qatar Traffic registration and Insurance.)
2. Is an audible back-up (reversing) warning device fitted to the Vehicle? (If the rear window is obscured)
3. Is an exhaust flashback arrestor fitted to the static diesel engine?
4. Are crankcase doors fitted, with flame arrestors, to the static diesel engine?
5. Is an induction shut-off valve fitted to the static diesel engine?
6. Is an over-speed trip fitted to the static diesel engine?
7. Are fuel lines of the braided steel type?
8. Are there any fuel leaks?
9. Are there any coolant leaks?
10. Are there any pneumatic leaks?
11. Are there any oil leaks?
12. Are all engine hoses in good condition?
13. Are the engine radiator‟s fins clear and not blocked?
14. Are alternator fan belts of the spark resistant type?
15. Is the battery in good condition and terminals clean?
16. Is electrical system well insulated and with no exposed terminals.
17. Are tyres in good condition? (Tread depth should be 2 mm. minimum.)
18. Are vehicle‟s brakes effective?
19. Is a full and in-date fire extinguisher fitted in the passenger area?
20. Are all internal and external lights, horn and indicators working correctly?
21. Are emergency lights fitted to the vehicle, or is torch carried in the glove compartment?
22. Are passenger seat belts fitted?
23. Confirm there is no home made or damaged equipment fitted.
24. Are the general housekeeping conditions of the Vehicle satisfactory?
25.
26.
27.
28.
29.
* This is non exhaustive checklist. The inspector must add extra items, if applicable, as per his professional judgement.
Failure to comply with any of above requirements will restrict entry into Plant Areas.
Date ………………
correctly completed ………………………………………………….…
01.15.10.10Rev01a.doc--05/10/2010
Contractor Forklift Truck Checklist

This Checklist should determine the suitability for a Fork Truck to be allowed to enter Process Areas, as long as it is
covered by an Authorized Vehicle Entry Permit.

Make: __________________________________ Number: _______________________
Model: _________________________________ Expiry Date _______________________
1. Is the documentation for Fork Truck correct? (Current Qatar Traffic registration and Insurance.)
2. Is equipment in good condition and within its valid Load Test date?
3. Is the rated SWL(s) of the Fork Truck clearly legible?
4. Is an audible back-up (reversing) warning device fitted?
01.15.10.10Rev01a.doc--05/10/2010
Contractors Checklist for Generators/Compressors& Welding

Machines
This Checklist should determine the suitability for a Generator/Compressor/Welding Machine to be allowed to enter
Process Areas, as long as it is covered by an Authorized Vehicle Entry Permit.

Make: __________________________________ Number: _______________________

1. Is the static part of the vehicle ICE diesel powered?

7. Are guards fitted to moving parts?
16. Is electrical system well insulated and with no exposed terminals?
17. Are control and power cables in good physical condition?
18. Are circuit breakers and protection devices in good physical condition?
19. Are wire terminations tight properly?
20. Are the tyres in good condition? (Tread depth should be 2 mm. minimum.)
21. Are the brakes effective if fitted on a towing trailer?
22. Is a full and In-date fire extinguisher fitted to the equipment?
23. Confirm there is no home made or damaged equipment fitted?
24. Is the general house keeping conditions of the Vehicle/Machine satisfactory?
25.
26.
27.
28.
29.
30.
Date ………………
01.15.10.10Rev01a.doc--05/10/2010
Hazardous Material Transport Vehicle

This Checklist should determine the suitability for a Hazardous Material Transporting Vehicle to be allowed to enter
Process Areas, as long as it is covered by an Authorized Vehicle Entry Permit.

Make: __________________________________ Number: _______________________

1. Is the documentation for the Transporting Vehicle correct? (Traffic Regn., Insur., MSDS, Emergency Proc.)
3. Is an audible back-up (reversing) warning device fitted?
4. Are crankcase doors fitted, with flame arresters, to the static diesel engine?
8. Are guards fitted to moving parts?
17. Is electrical system well insulated and with no exposed terminals.
18. Are tyres in good condition? (Tread depth should be 2 mm. minimum.)
19. Are vehicle brakes effective?
20. Is a full and in-date fire extinguisher fitted in the Driver‟s Cab?
22. Are emergency lights fitted, or a torch carried in the Driver‟s Cab?
23. Does the vehicle have Product Signs displayed on both sides and back of vehicle?
24. Does the vehicle have Warning Signs displayed on both sides and back of vehicle?
25. Does the vehicle have Emergency Communication details on both sides and back of vehicle?
26. Does the vehicle carry portable warning signs and barrier tape?
27. Confirm there is no home made or damaged equipment fitted?
28. Is the general house keeping conditions of the Vehicle/Machine satisfactory?
29.
30.
31.

01.15.10.10Rev01a.doc--05/10/2010
Contractors Work Platforms- Man-riding

This Checklist should determine the suitability for a Mobile Manriding Platform to be allowed to enter Process Areas, as
long as it is covered by an Authorized Vehicle Entry Permit.

Make: __________________________________ Number: _______________________
INSPECTOR TO COMPLETE THIS SECTION* YES

Tick  the appropriate box
Is the documentation for the Mobile Manriding Platform correct? (Current Qatar Traffic registration,
1.
Insurance, Third Party Load Test Certificate and Inspection Certificate.)
3. Is the rated SWL of the platform clearly legible from the ground?
4. Is equipment in good condition and within its valid Load Test date?
5. Is an audible warning device fitted to the vehicle with a power travelling mechanism?
6. Can the person on the platform control the platform movements?
7. Is an inclinometer fitted?
8. Is the equipment marked as „Certified for Manriding‟?
24. Are tyres in good condition and a tyre pressure plate fitted? (Tread depth should be 2 mm. minimum.)
25. Is a full and in-dated fire extinguisher fitted on the Platform and in the Driver‟s Cab?
27. Are emergency lights fitted, or a torch carried on the Platform and in the Driver‟s Cab?
29. Are Platform safety belts in good condition?
30. Are the general housekeeping conditions of the Vehicle/Machine satisfactory?
31.
32.

01.15.10.10Rev01a.doc--05/10/2010
Contractor Mobile Crane Checklist

This Checklist should determine the suitability for a Mobile Crane to be allowed to enter Process Areas, as long as it is
covered by an Authorized Vehicle Entry Permit.

Make: _________________________________ Number: _______________________
Model: ________________________________ Expiry Date _______________________

1. Is the documentation for the Mobile Crane correct? (Traffic Regn., Insurance, Third Party Certificates for
load test, repair, associated lifting devices including Load Radius Indicator and Safe Load Indicator)
3. Is the rated SWL indicator fitted and working?
4. Is/are the rated SWL(s) of the crane block(s) clearly legible from the ground?
5. Is an audible warning device fitted to a mobile crane with a power travelling mechanism?
6. Is/are crane hooks fitted with safety latches?
7. Is/are crane blocks conspicuously marked (bright colour)?
13. Are guards flitted to moving parts?
23. Are tyres in good condition?
25. Is a full and in-date fire extinguisher fitted on the Power House and the Operator‟s Cab?
27. Are emergency lights fitted, or a torch carried in the Operator‟s Cab?
28. Is ancillary lifting equipment in good condition and within its test date?
30. Are the general housekeeping conditions of the Vehicle/Machine satisfactory?
31.
32.

01.15.10.10Rev01a.doc--05/10/2010
Contractors Pick-Up Vehicle Checklist

This Checklist should determine the suitability for a Pick-up and Delivery vehicle to be allowed to enter Process
Areas, as long as it is covered by an Authorized Vehicle Entry Permit.

Make: __________________________________ Number: _______________________

1. Is the documentation for the Pick-up and Delivery Vehicle correct? (Traffic registration & Insurance.)
2. Is an audible back-up (reversing) warning device fitted to the vehicle?
17. Are the tyres in good condition? (Tread depth should be 2 mm. minimum.)
18. Are the vehicle brakes effective?
19. Is a full and In-date fire extinguisher fitted in the passenger area?
21. Are emergency lights fitted to the vehicle or is torch carried in the glove compartment?
23. Are passenger seats belt fitted?
24. Is the general house keeping condition of the Vehicle satisfactory?
25.
26.
27.
28.
29.
30.

01.15.10.10Rev01a.doc--05/10/2010
Contractors Fall Arresting Harness Checklist

TAG Number: Owner (Section): Received By:
Harness Type: Date of Manufacture: Date Received:
PASS FAIL COMMENTS

General Condition
Webbing
Sewing/Stitching
Dorsal D-ring
Hardware
Buckles &
Adjusters
RECOMMENDATION:

01.15.10.10Rev01a.doc--05/10/2010
Contractors Lanyard Checklist

Lanyard Type: Rope ( ) Web Date of Manufacture: Date Received:
( ) W/Rope ( )
PASS FAIL COMMENTS

General Condition
Webbing/Rope/
Wire
Thimbles
Snap hooks
Energy Absorber
RECOMMENDATION:

01.15.10.10Rev01a.doc--05/10/2010
Contractors Retractable Lanyard Checklist

Retractor Type: Web ( ) Date of Manufacture: Date Received:
Wire Rope ( )
PASS FAIL COMMENTS

General Condition
Housing
Anchor Hole
Webbing / Wire
Rope
Sewing/Stitching
Thimbles
Snap hooks
RECOMMENDATION:

01.15.10.10Rev01a.doc--05/10/2010
5.5 NOTIFICATION FOR NEW OR REPLACED EQUIPMENT
SEE ATTACHED NEXT
5.6 NOTIFICATION FOR NEW OR REPLACED PERSONNEL

SEE ATTACHED NEXT
Appendices 5.5 & 5.6: Notifications for New or Procedure 01.15.10.10

Replaced Equipment and Personnel Issue Date 2007/09/16
Appendix Page IV Valid Until See front page
Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
New or Replaced Equipment Notification Form
Contract Number:………………………………… Contract Name: ……………………………………

QG Host Name : ………………………….…QG Host Section & Dept: ………………………………
The following equipment had been replaced:
Equipment:……………………………………………………………………………………………………
 Replaced with:
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
 Please explain why:

………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
Equipment:……………………………………………………………………………………………………
 Replaced with:
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
Equipment:……………………………………………………………………………………………………
 Replaced with:
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
Equipment:……………………………………………………………………………………………………
 Replaced with:
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
I undertake that I have taken initiative to get the new/replaced equipment to be checked by
Qatargas for fitness as per CSMS before allowing them to be used.
Completed and authorized by Contractor Host (Name): …………………………………………
Signature: ………………………………. … Date:……………………
01.15.10.10Rev01a.doc--05/10/2010
New or Replaced Personnel Notification Form
Contract Number:………………………………… Contract Name: ……………………………………

QG Host Name : ………………………….…QG Host Section & Dept: ………………………………
The following Personnel have been replaced:
Name in Full Reason for replacement
The following Personnel are the new ones:

Name in Full 2 Professional Comments
Photos Certificate
supplied supplied
(Y/N) (Y/N)
I undertake that I have taken initiative to get the new personnel undergo mandatory Qatargas
training as per CSMS before allowing them to work on Qatargas premises.
Completed and authorized by Contractor Host (Name): …………………………………………
Signature: ………………………………. … Date:……………………
01.15.10.10Rev01a.doc--05/10/2010
5.7 ANNUAL SAFETY CHECKLIST SPREADSHEET
PLEASE SEE NEXT PAGE FOR FULL-SIZED SPREAD SHEET
Appendix 5.7: Annual Safety Checklist Effective 2007/05/29
Spreadsheet Issue Date 2007/09/16
Appendix Page V Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
ANNUAL SAFETY CHECKLIST SPREADSHEET (CSMS)
Name of Contracting Co: …………………………… Contract Title………….…….………………..Starting Date ………………….. Appointed Contractor Host …………………….…………… Appointed Qatargas Host …………………
BLUE *: Required annually.* RED +: Only required initially +. Pink=: Required when changes= are made on the job. Green #: Required for monthly # Checklists. Black@: Required for weekly@ Checklists
Location Workplace: Contracting Company: Year:
WH&S Program Frequency Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
No.
Activities Annually Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual
OH&S Third Party Annually*

Audit has been
1 provided (against
ISO 18001 or as
accepted)
Have all Annually*
Qatargas
Mandatory Safety
2 Courses been STOP
completed Training
including STOP Once Only
training?
+
Contractor has Initially
pre-checked all Only
equipment &
returned
checklists to QG
Host including
3
Names of
employees,
photos, Lifting
Certificates & all
relevant licenses
(Step 3)
+
QG Maintenance Initially
to check+ Only
contractors
equipment upon
first arrival at QG
using the
contractor
completed
4 checklists
(Step 4) including
hand tools and all
PPE.
Industrial
Hygienist to
check Contractor
camps initially+.
QG Host to be Only
informed of any Required
5 new or change= when/if
of people or changes=
equip. (Step 4) are made
SEQ-CL-026/ # 01.15.10.10 (CSMS) Two Pages Jan 2005

ANNUAL SAFETY CHECKLIST SPREADSHEET (CSMS)
Location Workplace: Contracting Company: Year:

WH&S Program Frequency Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
No.
Activities Annually Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual Target Actual
Current Health &
Safety Worksite Audit
Checklist:
Short Term: 1 to 5 Not Required
6 working days
Medium term: 6 working Monthly #
days to 3 months
Long Term: Longer then Monthly #
3 months
Health & Safety Risk

Assessment to identify
People and Plant
Potential Hazards:
7 working days
days to 3 months
3 months
Nine High Risk

activity Checklists
working days
8
days to 3 months
3 months
Contractors
monthly Safety
meetings
9 working days
days to 3 months
3 months
Inspection of
Contractor camps by
Industrial Hygienist.
10 working days
days to 3 months
3 months
Weekly Tool Box Weekly@

11
Talks (TBT)
This signed Annual Spreadsheet has to be filed by the Qatargas Host in his contract-related file on annual basis and produced to Head of Safety or his representative when requested.
Qatargas Host (Name):
Signature:
Date:
SEQ-CL-026/ # 01.15.10.10 (CSMS) Two Pages Jan 2005

5.7.1 Current Health & Safety Worksite Condition Checklists
PLEASE SEE THE ATTACHMENT NEXT.

Appendix 5.7.1: Current Health & Safety Effective 2007/05/29
Worksite Conditions Checklists Issue Date 2007/09/16
Appendix Page VI Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
Contractor Worksite Audit

(Current Health & Safety Worksite Condition Checklists)
Some of the following checklist areas might not be applicable to your worksite. Please complete all
relevant areas and return this worksite audit monthly to your QG host. Though effort has been made to
cover as many points as possible, these are non-exhaustive checklists. Use your own professional
judgement additionally to add to safety. In unlikely case of any mismatch, QG procedures shall be final.
General Health and Safety Worksite Audit

Contracting Company: ……………………………………….. QG Host:…………………………………..
Reporting Period: From …………..…To ……………… Contractor Host: …………………………
Worksite Location/s: ……………………………………………………………..……………………………..
Contractor’s Authorized Persons Completing Inspection: ………………………………………………

Indicate in the following manner:
A = Acceptable X = Not Acceptable N/A = Not Applicable
A - X – N/A Comments
1. Health and Safety Systems
1.1 OH&S Policy displayed
1.2 Accident, incident, first aid report book filled in and up to
date
1.3 Induction records available
1.4 Rehabilitation policy available
1.5 Workplace inspection records available
1.6 Emergency Procedures available
1.7 Training Records available
1.8 Documented safe work procedures available
1.9 Protective clothing & equipment records available
1.10 MSDS available
1.11 Health & safety systems manual available
1.12 H&S representatives appointed
1.13 Management Safety Representative appointed.
1.14 Contract risk assessments available
1.15 Contract health & safety plan available
2. Housekeeping
2.1 Work areas free from rubbish & Obstructions
2.2 Working and walking surfaces unobstructed and suitable
2.3 Work area free from slip/trip hazards
2.4 Floor openings covered with hard barriers
2.5 Stock/material stored safely
2.6 Unobstructed and clearly defined Lay down Area
2.7 Adequate lighting for both day and night
2.8 Vision at corners not hindered
2.9 Walkways Wide enough
3. Electrical (See QG P&P # 01.20.41.00 & 01.20.43.00)
3.1 No broken plugs, sockets, switches
SEQ-CL-027/ # 01.15.10.10 (CSMS) Six Pages Jan 2005

3.2 No frayed or defective leads

3.3 Power tools in good condition-no cracks on covers.
3.4 No work near exposed live electrical equipment
3.5 Tools and leads inspected and tagged
3.6 No strained leads
3.7 No cable-trip hazards
3.8 Switches/circuits identified & labeled
3.9 Lock-Out & Tag-Out procedures/danger tags and locks in
place
3.10 Residual Current Devices (RCD‟s) used
3.11 Start/stop switches clearly identified

3.12 Switchboards secured
3.13 Appropriate fire fighting equipment is available
4. Mobile Plant and Equipment (See QG P&P#01.15.02.27)
4.1 Plant and equipment in good condition
4.2 Daily safety inspection procedures/checklists
4.3 Fault reporting/rectification system used
4.4 Operators trained and licensed
4.5 Warning and instructions displayed
4.6 Warning lights operational
4.7 Reversing alarms operational
4.8 Operating practices follow all ticketing and/or licensing
rules and or practices
4.9 Fire extinguisher checked as required
4.10 Tyres in good serviceable condition
4.11 SWL of lifting or carrying equipment displayed
5. Machinery and Workbenches
5.1 Adequate work space
5.2 Clean and tidy
5.3 Free from excess oil and grease
5.4 Adequately guarded
5.5 Warnings and instructions displayed
5.6 Emergency stops appropriately placed and clearly
identifiable
5.7 Operated safely and correctly
Workbenches
5.8 Clear of rubbish
5.9 Tools in proper place
5.10 Duckboards or floor mats provided
6. Hazardous Substances
6.1 Stored appropriately as per MSDS requirements
6.2 Containers labeled correctly as per MSDS
6.3 Adequate ventilation / exhaust systems as per MSDS
6.4 Protective clothing / equipment available / used as per
MSDS

6.5 Personal hygiene – dermatitis control as per MSDS

6.6 Waste disposal procedures as per MSDS
6.7 Material safety data sheets available at all key chemical
use and storage locations
6.8 Chemical handling procedures followed as per MSDS
6.9 Chemical register developed as per chemicals used on site
and updated monthly
6.10 Appropriate emergency / first aid equipment – shower,
eye bath, extinguishers
6.11 HAZCHEM signing displayed as per MSDS
7. Welding
7.1 Gas bottles securely fixed to trolley

7.2 Welding fumes well ventilated
7.3 Fire extinguisher near work area
7.4 Only flint guns used to light torch
7.5 Flash back spark arresters fitted
7.6 Vision screens used for electric welding
7.7 LPG bottles within 10 year stamp
7.8 PPE provided and worn correctly
7.9 Hot work permit system used
8. Excavations (See QG P&P # 01.15.02.40)
8.1 Shoring in place and in sound condition
8.2 Excavation well secured
8.3 Signage displayed
8.4 Banks battered correctly and spoil away from edge
8.5 Clear and safe access around excavation
8.6 Separate access and egress points from excavation
8.7 Safe work procedure in place for working and emergency
evacuation of excavation/s
9. Prevention of Falls (See QG P&P # 01.15.02.32)
9.1 All work platforms have secure handrails, toe boards and a
green Scaftag correctly authorized. See QG P&P#01.15.10.11
9.2 Harness and lanyard or belts are displaying a current
inspection tag ( needs to have been inspected within the last 6
months). See QG P&P # 01.15.02.33
9.3 All floor penetrations covered or barricaded with solid
barriers
9.4 Unsafe areas sign posted and fenced with solid barriers
9.5 Job Safety Analysis in place and being used at the start of
every job, every day
10. Stairs, steps and landings
10.1 No worn or broken steps
10.2 Handrails in good repair
10.3 Clear of obstructions
10.4 Adequate lighting day and night
10.5 Emergency lighting
10.6 Non-slip treatments/treads in good condition

10.7 Kick plates where required

10.8 Clear of debris and spills
10.9 Used correctly
11. Ladders
11.1 Ladders in good condition
11.2 Ladders not used to support planks for working platforms
11.3 Correct angle to structure 1:4
11.4 Extended 1.0 mere above top landing
11.5 Straight or extension ladders securely fixed at top
11.6 Metal ladders not used near live exposed electrical
equipment
11.7 Only one person on a ladder at any one time
12. Personal Protection (See QG P&P # 01.15.02.01)
12.1 Employees provided with PPE
12.2 PPE being worn by employees correctly
12.3 Sun cream and sunglasses provided as well as clear
glasses for shade and night work
12.4 Safety footwear is checked every 3 months and replaced
as required
13. Manual Handling
13.1 Mechanical aids provided and used
13.2 Safe work procedures in place
13.3 Manual handling Job Safety Analysis performed
13.4 Workers understand the six basic principles of manual
handling
13.5 Manual handling controls implemented
14. Workplace
14.1 Workstation and seating design acceptable
14.2 Ergonomic factors considered in work layout and task
design
14.3 Use of excessive force and repetitive movements
minimized
14.4 Appropriate training provided
15. Material Storage
15.1 Stacks stable
15.2 Heights Correct and is no wider then twice its ground
width
15.3 Sufficient space for moving stock
15.4 Material stored in racks/bins
15.5 Shelves free of rubbish
15.6 Floors around stacks and racks clear
15.7 Storage drums, boxes and containers do not have sharp
edges or nip points
15.8 Pallets in good repair with bunded pallets for all
Hazardous chemicals and Dangerous goods
15.9 Heavier items stored low
15.10 No danger of falling objects

15.11 No sharp edges

15.12 Safe means of accessing high shelves
15.13 Racks clear of light / sprinklers
16. Confined Spaces (See QG P&P # 01.15.02.18)
16.1 Risk/Job Safety Analysis completed and approved by QG
16.2 Communication and rescue plan in place, tested and a
rescue drill has been conducted
16.3 All relevant miscellaneous safety equipment in good
working condition like torches, chinstraps on Hardhats, clear
glasses not scratched
16.4 Suitable training provided to employees to enter confined
spaces and to the Hole Watch

16.5 Confined space permit issued, signed off by QG and the
area operator has been informed that the work is in progress
17. Lasers
17.1 Operator has laser Operator license
17.2 Signage displayed
17.3 Laser not used in a manner to endanger other persons
18. Demolition
18.1 Risk Job Safety Analysis completed
18.2 Access prevented to demolition area
18.3 Overhead protection in place
18.4 Protection of all third parties personnel and equipment
18.5 Safe work procedure in place and approved by QG
19. Protection of all Third Parties
19.1 Appropriate barricades and /or fencing is in place for the
following but not limited to this list: all lifts, working at height,
trenching operations, areas where floor panels have been
removed or any job that presents danger to any third party.
19.2 Signage in place
19.3 Suitable lighting for access during day and night
19.4 Walk paths clean and free from debris
19.5 Dust and noise controls in place.
19.6 Site access controlled
19.7 Traffic control procedures in place.
19.8 Third party complaints actioned.
20. Amenities
20.1 Washrooms clean
20.2 Toilets clean
20.3 Lockers clean
20.4 Meal rooms clean, tidy and cool
20.5 Rubbish bins available – covered and removed to prevent
rubbish overflow
21. First Aid
21.1 Cabinets and contents clean, orderly and within expiry
date. Aware of Water Wash/Eye Wash stations.
21.2 Stocks meet requirements according to the risks of the

job
21.3 First Aiders names displayed
21.4 First Aiders location and phone numbers
21.5 Qualified first Aider/s
21.6 Record of treatment and of supplies dispensed
22. Lighting
22.1 Adequate and free from glare
22.2 Lighting clean and efficient
22.3 Windows clean
22.4 No flickering or inoperable lights
22.5 Emergency lighting system is provided

23. Fire Control & Emergency Readiness
23.1 Extinguishers in place
23.2 Fire fighting equipment serviced/tagged
23.3 Appropriate signing for extinguishers
23.5 Emergency exit signage
23.6 Exit doors easily opened from inside
23.7 Exit path ways clear of obstruction
23.8 Alarm/communication system – adequate
23.9 Smoking/naked flame restrictions observed
23.10 Minimum quantities of flammables at workstation
23.11 Flammable storage procedures approved by QG
23.12 Emergency personnel identified and trained ( Area or
Fire wardens)
23.13 Emergency procedures documented – issued,
understood and practiced
23.14 Emergency telephone numbers displayed
23.15 Alarms tested
23.16 Trial evacuations conducted
23.17 Personnel trained in use of fire fighting equipment
completed
23.18 Awareness of Plant Access Procedure # 01.44.50.05
Print Name of person carrying out this check:…………………………………..
Sign….………………………….……..… Date …………..……………
Print name of relevant Supervisor to ensure the above checklist has been
correctly completed …………………… .…Sign……..…………Date……….
Problem areas with this report (item no/s)

5.7.2 HSE Risk Assessment Identifying Potential Hazards
Please see the pages attached next. Though effort has been made to cover as
many points as possible, these are non-exhaustive checklists. Not all items may be
applicable to you. Use your own professional judgement additionally to add to
safety.
Appendix 5.7.2: HSE Risk Assessment Effective 2007/05/29
Identifying Potential Hazards Issue Date 2007/09/16
Appendix Page VII Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
What is in Workplace Risk Assessment

this
checklist? The attached checklist sets out a range of useful risk-associated questions to be asked in the workplace. Answers to
these questions will assist contractors and others in the workplace to identify many of the hazards arising from the
items of plant and associated systems of work. This will also help in preparing JSAs or identifying the need to attach
support certificates/documents to the PTW.
Note: This checklist provides a good starting point. Add or delete questions if required to make the checklist more
directly relevant to your particular items of plant and associated systems of work.
How to Step 1: Use a clean copy of this checklist for each item of plant and ask the questions listed.
use the
checklist Step 2: Check your answers and where you answer is 'yes' to a particular question, note the plant, parts of plant and
the situation associated with the hazard in the Hazard Summary Table on the far right-hand-side column.
The information you include in the Hazard Summary Table Column should be descriptive enough to clearly identify
the nature of the hazard. For example, it may be that:
" Fingers may get caught in an unprotected machine"
"The boom of the mobile crane may touch the overhead power lines"
"People may trip over the electric power lead of a bench grinder".
Step 3: On completion of the checklist, the contractor must assess the risks arising from the hazards identified in the
Hazard Summary Table Column and take appropriate and timely action to control the hazard/s.
Page 1/6
01.15.10.10Rev01a.doc--05/10/2010
Plant Hazard Identification Checklist

Yes Hazard Action
Hazard Risk
or Summary Taken/ Time
No? column & Date
Entanglement Can anyone's:

 Hair, clothing, gloves, necktie, jeweler, cleaning brushes, rags
or other materials become entangled with moving parts of any
plant, equipment, or materials in motion?
Crushing Can anyone be crushed due to:

 Material falling?
 Uncontrolled or unexpected movement of the plant or its
load?
 Lack of capacity for the plant or equipment to be slowed,
stopped or immobilized?
 The plant or equipment tipping or rolling over?
 Parts of the plant or equipment collapsing?
 Coming in contact with moving parts of plant or equipment
during testing, inspection, use, maintenance, cleaning or
repair
 Being thrown off or under any plant or equipment?
 Being trapped between plant or equipment and materials or
fixed structures?
 Other factors? Like vehicles backing up without reversing
beeper Page 2/6
01.15.10.10Rev01a.doc--05/10/2010
Cutting, Stabbing Can anyone be cut, stabbed or punctured due to:

and Puncturing
 Coming in contact with sharp or flying objects?

 Coming in contact with moving parts of the plant or equipment
during testing, inspection, operation, maintenance, cleaning
or repairs?
 Parts of the plant or work pieces disintegrating?
 Work pieces being ejected?
 Uncontrolled or unexpected movement of the plant or
equipment?
 Other factors?
Shearing Can anyone's body parts be:

 Sheared between two or more parts of the plant, or between a
part of the plant and a work piece or structure?
Friction Can anyone be burnt, gain abrasions etc due to:

 Contact with moving parts or surfaces of the plant, or material
handled by the plant?
Striking Can anyone be struck by moving objects due to:

 Uncontrolled or unexpected movement of the plant or material
handled by the plant?
 Plant, parts of the plant or work pieces disintegrating?
 Work pieces being ejected?
 Other factors?
Page 3/6
01.15.10.10Rev01a.doc--05/10/2010
High pressure Can anyone come into contact with:

fluid
 Fluids under high pressure in normal use, in the instance of

plant failure?
Electrical Can anyone be injured by electrical shock or burnt due to:

 The plant contacting live electrical conductors?
 Plant working close to electrical conductors?
 Overload of electrical circuits?
 Damaged or poorly maintained electrical leads or cables?
 Damaged electrical switches?
 Water near electrical equipment?
 Lack of isolation procedures?
 Other factors?
Explosion Can anyone be injured by explosion of:

 Gases, vapors, liquids, dusts or other substances triggered by
the operation of the plant or by materials handled by the
plant?
Slipping, tripping Can anyone using the plant, or in the vicinity of the plant, slip,
and falling trip or fall due to:
 Uneven or slippery work surfaces?
 Poor housekeeping, such as shavings in the vicinity of the
plant, spillage not cleaned up?
 Obstacles being placed in the vicinity of the plant?
 Other factors? Page 4/6
01.15.10.10Rev01a.doc--05/10/2010
Slipping, tripping Can anyone fall from a height due to:

and falling (cont.)
 Lack of a proper work platform?

 Lack of proper stairs or ladders?
 Lack of guardrails or other suitable edge protection?
 Unprotected holes, penetrations or gaps?
 Poor floor or walking surfaces, such as a lack of a slip-
resistant surface?
 Steep walking surfaces?
 Collapse of the supporting structure?
 Other factors?
High temperature Can anyone:

 Come into contact with objects at high temperature?
 Be injured by fire?
Temperature and Can anyone suffer ill-health due to:

thermal comfort  Exposure to high or low temperatures?
 Failure of air conditioning equipment?
Suffocation Can anyone be suffocated due to:

 Lack of oxygen, or atmospheric contamination?
Ergonomics Can anyone be injured due to:

 Poorly designed seating?
 Repetitive body movements?
 Constrained body posture or the need for excessive effort?
Page 5/6
 Design deficiency causing physical or personal stress?
 Inadequate or poorly placed lighting?
01.15.10.10Rev01a.doc--05/10/2010
 Lack of consideration given to human error or human

behavior?
 Mismatch of the plant with human traits and natural

limitations?
 Other factors?
Other hazards Can anyone be injured or suffer ill-health from exposure to:
 Chemicals?
 Toxic gases or vapors?
 Fumes?
 Dust?
 Noise?
 Vibration?
 Radiation?
 Other factors?
Names Position Signature
Names and position of those involved in

the identification of this people & plant
risk Questionnaire
Date (Day – Month – Year)
Page 6/6
01.15.10.10Rev01a.doc--05/10/2010
5.7.3 Nine High Risk Activity Checklists
Please see the pages attached next. Though effort has been made to cover as many points
as possible, these are non-exhaustive checklists. They are for your guidance. Not all items
may be applicable to you. Use your own professional judgement additionally to add to safety.
In unlikely event of any mismatch between an item shown here and Qatargas Procedure on
the subject, Qatargas Procedure shall be considered binding.
Appendix 5.7.3: Nine High Risk Activity Effective 2007/05/29
Checklists Issue Date 2007/09/16
Appendix Page VIII Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
Qatar liquefied Gas Company Limited Safety Checklist

Hazard Communication – 1 of 9
Item Description Y N N/A

Material Safety Data Sheets (MSDS‟s) are available on the site for all hazardous materials,
1
which are present.
2 Workers know where to find MSDSs and how to understand them.
PTW is ready with attached JSA and has been explained through a safety toolbox talk by
3
Supervisor.
4 All product containers are properly labeled & stored in bundled areas.
5 No sources of ignition are present where flammable paints or solvents are in use or drying.
Ventilation is sufficient to prevent dangerous concentrations of flammable vapors and

6
dangerous exposure to toxic fumes and vapors.
Flammable liquids stored outdoors are at least 50 feet from the property line and 10 feet
7
from any public way.
If necessary, personal protective equipment (PPE) is provided by the contract company and
8
worn by workers. The types used are appropriate for the work and give adequate protection.
9 Appropriate cleanup materials are available for leaks or spills.

10 Impermeable gloves of the correct type are worn to prevent skin contact with chemicals.
Workers use chemical goggles (or equivalent eye and face protection) where there is risk of
11
splashing or spraying into eyes.
12 Chemicals are stored in approved containers and areas.
Fire extinguishers of the proper type are readily available wherever flammable liquids are
13
stored, transported, or used.
Emergency showers and eye wash stations are available on the site and there location is
14
known by all?
15 Any other
Date ………………
Write Name of person carrying out this check ………….……….……
correctly completed ………………………………..…………………
01.15.10.10Rev01a.doc--05/10/2010

Confined Space Entry – 2 of 9

1 Has JSA been completed?
2 Has a Work Permit been raised?
3 Has a Confined Space Entry Permit been raised?

4 Has Safety Tool Box Talk been carried out by the supervisor to the workforce explaining PTW and JSA
requirements?
5 Is an Inert Gas Entry procedure required?
6 Is the Personal Protective Equipment appropriate for the job?
7 Has the Confined Space been positively isolated: Process, Utilities, Mechanically, Electrically,
Radiography
8 Has a Spading List been attached to the Permit to Work?
9 Has the area been Gas Tested & Certified Gas Free by the Safety Officer?
10 Are Warning Signs and originals of Permits conspicuously displayed?
11 Is ventilation adequate for the space?
12 Is electrical equipment classified for the area?
13 Is surrounding area free from hazardous contamination eg. Painting, grit blasting, ICE engine exhaust, etc.
14 Is fume extraction equipment required in the confined space?
15 Are pneumatic tools correctly coupled to a clean air supply?
16 Is Self Contained Breathing Apparatus or Airline BA required?
17 Are Warning Signs and originals of Permits conspicuously displayed?
18 Have continuous gas monitors been placed.
19 Have all potential sources of ignition been removed from the vicinity.
20 Is Standby man stood by?
21 Has a safe access route been identified?
22 Is rescue equipment available and in place.
23 Is a register required for logging personnel IN and OUT?
24 Has a prearranged communication system been agreed upon?
25 Are all personnel required to enter the space competent and trained in vessel entry and the use of BA.
26 Have personnel been briefed on action in case of GA or Gas Alarm.
27 Has Maintenance Supervisor reminded all personnel of previous On the Job Training (OJT).
28 Any other (for further details, refer to P&P #01.15.02.18)
Date ………………
correctly completed ………………………………………..……………
01.15.10.10Rev01a.doc--05/10/2010

Hand Tools – Complete this checklist by randomly sampling 10% of the hand tools you
have on site – 3 of 9

1 The right tool is used for the job.
Come-along‟s and extensions on wrenches, jacks, and hoists are designed for the
2
equipment they are used with.
Workers use only tools with which they have experience, or on which they have been
3
trained.
4 Workers using tools stand on a clean, dry surface to prevent slipping.
5 Hard hammers are not used to strike hardened tools.
Spark resistant tools are used where sources of ignition are prohibited due to the presence
6
of flammable materials.
7 Tools are not left on ladders, scaffolds, or overhead workspaces.
8 Tool belts are used, especially when workers are on ladders.
Tools are stored in pouches or other appropriate containers when they are not being used.
9
Sharp edged or pointed tools (knives, etc.) are kept in sheaths, not in workers‟ pockets.
Tools are protected from contact with water, oil, hot surfaces, and chemicals that might
10
damage them.
11 Tools are kept clean.
12 No home made or modified tools are used
Weight of tool belts is reduced as much as possible to prevent back and hip strain. Only
13
essential tools are carried on the belt.
14 Any Other
Date ………………
Write Name of person carrying out this check ……………………….…
01.15.10.10Rev01a.doc--05/10/2010

Housekeeping – A new checklist is to be used for each of your working areas 4 of 9

1 Debris is kept cleared from work surfaces, passages, and stairs.
2 All walking and working surfaces are reasonably dry and free from grease or oil.
3 Sufficient waste or trash containers are provided, used and emptied when appropriate.
4 All walking and working surfaces are free of protruding nails.
5 Flammable material is always stored in closed containers.
Incompatible chemical products (which may cause a hazardous reaction if they come in
6
contact) are not stored together.
Flammable liquids are not stored near sources of ignition (sparks, electricity, flames, or hot
7
objects).
Appropriate cleanup materials are available for leaks or spills of flammables or other
8
hazardous materials.
Toilets and washing facilities are clean and sanitary. Toilets are designed to ensure user
9
privacy, and are supplied with toilet paper.
10 Adequate supplies of potable water are available.

Drinking water is stored and dispensed in clearly marked containers hat are not used for any
11
other purpose.
Housekeeping occurs constantly on the job, not just once a week or at the end of the
12
project.
Everyone does housekeeping, not just labourers. Workers pick up anything they see lying
13
around that can trip a person or fall on them.
Extension cords, lines, welding leads, hoses, etc. are coiled up when not in use. Tools are
14
returned to the gang box or tool room.
15 Any other
Date ………………
Write Name of person carrying out this check ……………..…………
correctly completed ……………………………………….…………
01.15.10.10Rev01a.doc--05/10/2010

Power Tools – This check to be carried out for all power tools – 5 of 9
1 Proper guards are in place and not altered.

2 Are tools free of any obvious physical damage?
3 Inspected tools for frayed or damaged cords?

4 Are tools and cords properly grounded (ground pins are in good condition)?
5 Are double insulated tools in use and in good condition?
6 Are the handles on all tools in good condition (not bent, splintered or broken)?
7 Are all hoses on air or hydraulic tools in good condition?
8 Are all shields and guards in place on the tools and in good condition?
9 Electrical cords are protected from damage by vehicles.
Electrical tools are not used in wet areas, or in areas where flammable vapors may be
10
present, unless specifically designed for that purpose.
11 Electrical tools are not hoisted or lowered by their cords.

Compressed air over 10 psi is never used to blow dirt, chips, or dust from clothing while it
12
is being worn.
Air hose connections are checked to make sure they are secured properly & have the
13
purpose safety pins in place, not wire?
14 Excessively worn grinding disks are discarded and replaced.
Air hoses and electric cables used in elevated locations are securely fastened to a
15 substantial anchorage at or near the working level. They are fastened no more than 15
feet from the working end.
16 Fire extinguishers of the correct type are available.

PTW is ready with attached JSA and has been explained through a safety toolbox talk by
17
Forman to Workforce.
18 Any other (see Electrical Safety Rules # 01.20.41.00 for further details)
Date ………………
Write Name of person carrying out this check …………………………
correctly completed ………………….………….……………………
01.15.10.10Rev01a.doc--05/10/2010

Personal Protective Equipment – All PPE must be checked – 6 of 9

Personal protective equipment used on the site meets the requirements of Qatargas safety
1
standards.
2 All hazards requiring personal protective equipment have been identified.
Has Safety Footwear been inspected in the last three months to identify footwear that needs
3
replacing?
4 Helmet suspensions and liners are in good condition.
Employees confine their hair where there‟s a risk of injury from entanglement in moving
5
parts, or a risk of contamination by combustible or toxic substances.
Employees are protected from falling objects by guardrails, toe boards, and other safety
6
equipment and practices.
Workers who are at risk of eye injury due to flying particles, hazardous substances,
7
projections, or injurious light rays are provided and use suitable eye and/or face protection
Impact resistant safety glasses with side shields, or impact resistant goggles, are used for
8 chipping, grinding, sawing, drilling, and other operations where there is a danger of flying
fragments, chips, or other particles.
Only splash resistant goggles are used when working with acids and other hazardous liquid
9
chemicals. (Splash resistant goggles are either unventilated, or have indirect ventilation.)
Employees doing welding use welding goggles with filter lenses or plates to screen out
10 harmful light and ultraviolet rays. Goggles used are appropriate for the specific type of
welding.
When work involves potential risk of cuts, burns, harmful physical or chemical agents, or
11
radioactive material, workers are provided and use appropriate hand protection.
Gloves used with vibrating power tools (jackhammers, chain saws, etc.) have vibration-
12 damping material in palms and fingers. They fit properly and don‟t increase the grip force
required to control the tool.
13 Workers using jackhammers wear steel covering over the whole foot, not just the toes.
14 Rubber boots with steel caps are to be worn when working with concrete or in water.
Employees wear clothing appropriate for the work being done. (Nomex Delta C Orange for
15
Qatargas and Yellow for Contractors.)
Each employee must have a set of clear and dark glasses and a case to be able to carry the
16
pair he is not using.
Workers wear bright orange warning garments (shirts, vests, jackets) when they work on
17
foot near vehicular traffic hazards.
18 Any other (See P&P # 01.15.02.01 for further details)
Date ………………
Write Name of person carrying out this check …………………………
01.15.10.10Rev01a.doc--05/10/2010

Safety Harnesses Checklist – To be carried out for all harnesses 7 of 9
1 Does equipment meet relevant standard (e.g. ANSI Z359.1 - 1999 or EN

standards)
Is harness correct design for intended work?
2 - Fall arrest only (i.e. usually has rear 'Dee' ring attachment only) All fall arrest must
have a shock absorber incorporated in the lanyard
- Work positioning (i.e. has front and side attachment hardware)
Age – Do not expect more than five (5) year working lifespan. Heavy usage will
3
Shorten lifespan.
Visual inspection - look for;
- Anchor points ('Dee' rings, metal links exhibiting corrosion, structural cracking
and/or deformity)
4
- Buckles (Distortion or other physical damage - e.g. cracks)
- Stitching (broken, cut or worn threads)
- Webbing (Cuts, tears or abrasion damage exceeding 10% cross-sectional thickness)
5 Has harness arrested a fall greater than 0.6m? If severe fall, check with manufacturer
Fit – Does harness fit properly?
At least 75mm of webbing material must protrude beyond the buckles.
6
Waist belt must sit comfortably above hips. Adjust all buckles according to
Manufacturer‟s instructions.
Accept OR Reject harness

7
Rejected harnesses must be cut up and disposed of immediately.
8 Any Other ( See P&P # 01.15.02.32 and # 01.15.02.33 for further details)
Date ………………
Write Name of person carrying out this check ………..………………
correctly completed ………………………………….………………
01.15.10.10Rev01a.doc--05/10/2010

Scaffolding – All scaffolding to be checked – 8 of 9
1 Are foundation/deck/soleplates satisfactory?

2
Check scafftag reference no., status and date.

3 Check that scafftag is clearly displayed at point of entry onto scaffold
4 Lift heights @ 2000 mm generally, bays 1220 mm max. Centres.
5 Check Transom centres – generally 1220 mm maximum centres
6 Check that face bracing is installed full height of scaffold (every 30 m minimum).
7 Check scaffold boards, condition, tied down securely. No splits or notches. Check
gaps
8 Check ties and Joints (couplers) properly secured.
9 Check guardrails and toe boards are secure. No gaps.
10 Check ladder access, securely tied, caged in for safety if required. Ladders must
project at least 3 rungs above level to be reached.
11 Joints in upright and ledger tubes must be staggered.
12 Check that no loose materials are left on scaffold.
13 Any other ( See P&P # 01.15.10.11 for further details)
Date ………………
correctly completed ……………………………………………………………
01.15.10.10Rev01a.doc--05/10/2010

Welding – All welding jobs to be checked – 9 of 9

Are only authorized and trained personnel permitted to use welding, cutting, or brazing
1
equipment?
Are fire watch assigned when welding or cutting is performed? The Fire watch must be
2
trained.
PTW is ready with attached JSA and has been explained through a safety tool box talk by
3
the Supervisor.
Are compressed gas cylinders regularly examined for signs of defect, deep rusting, or
4
leakage?
5 Flashback arrestors at the regulators and reverse flow check valves at the torch
ends.
6 Only approved manufacturer‟s hose fittings (no Jubilee clips).
7 Are non-combustible enclosures, (screens/shields) provided and used when

welding?
8 Welding and ground cables in good condition?
9 Is a check made for adequate ventilation where welding or cutting is performed?
Before hot work begins, are drums, barrels, tanks, and other containers so thoroughly
10 cleaned and tested that no substances remain that could explode, ignite, or produce toxic
vapors?
When employees work in confined spaces, is the atmosphere monitored and are means
11
provided for quick removal of welders in case of an emergency?
Flame resistant clothing (Nomex Delta C), Gauntlet gloves, Leather apron, Eye and face
12 protection from radiation & particles are provided for welder as personal protective
equipment?
Do not operate welding machine in enclosed area unless the exhaust gases are piped to the
13
outside.
14 Acetylene cylinder secured and stored in upright position.
15 Any other
Date ………………
correctly completed ……………………………………………………………
01.15.10.10Rev01a.doc--05/10/2010
5.7.4 Tool Box Talks Notification Form
This Form is to be forwarded to your Qatargas Host on a weekly basis. A sample
of this Form is included at the end of the Procedure # 01.15.02.10 “Effective
Presentation of Tool Box Talks” (See Section 5.7.4.1 below). TBTs are to be held
on a daily basis or more frequent as required but not less then daily. Please also
follow Permit to Work Procedure (# 01.15.02.10).
5.7.4.1 Effective Presentation of Tool Box Talks
Extract of the Qatargas Procedure# 01.15.02.10 is enclosed as a sample for you

reference and use. Please refer to Qatargas Intranet for current and full signed
version (pdf format).
Appendix 5.7.4: Tool Box Talks Effective 2007/05/29
Notification Form Issue Date 2007/09/16
Appendix Page IX Revision 01a
01.15.10.10Rev01a.doc--05/10/2010
“Effective Presentation of Tool Box” (#01.15.03.04)
PURPOSE
To ensure that an effective and consistent message is delivered to all Qatargas
employees and contractors covering all possible risks which personnel might
encounter in a particular task or tasks.
To ensure that (i) high risks are adequately addressed, historical lessons are
learned and conveyed, (ii) the present working environment is systematically
assessed for risk and (iii) all these aspects are effectively and adequately covered
with all concerned before work is permitted by the task supervisor to commence.
SCOPE
This procedure is valid to all Qatargas employees, contractors, sub contractors and
visitors at all Qatargas facilities both on and off shore at all times. Though it is
primarily meant for personnel doing industrial or potentially hazardous work, those
working in office environment can also benefit from it.
PROCEDURE
What Is Tool Box Talk?
Tool Box Talk (TBT) is a set of instructions given by a task supervisor to his team
to achieve the purpose as above. TBT is also sometimes termed as Job Briefing,
Safety Briefing, and Field Work Instructions etc. TBT is work-oriented and should
not be confused with SEQ training provided in the training center.
Who conducts tool box talk?
Any person who leads/supervises his team on a task/job. For example, a Permit
Receiver under Permit-to-Work System conducts TBT to prepare his team mentally
and physically to do the work. Even higher-level personnel such as Section Heads
and Managers may conduct or coordinate Tool Box Talks for their teams during the
regular departmental gatherings for educational purposes to improve the work-
performance of their teams.
When to conduct tool box talk?
TBT is generally delivered on two occasions:
Pre-job Schedules
TBT must be conducted before a job is to begin so that the performing party is
mentally and physically prepared to do the job and is aware of all EHS
(Environmental, Health and Safety) and technical aspects. This is mandatory for all
jobs involving EHS risks, whether under Permit to Work (PTW) System or not. Job
performers must follow the specific instructions on PTW / Job Safety Analysis while
conducting TBT. TBT may be either brief or comprehensive depending upon
nature of job. This may cover both routine and non-routine jobs.
Departmental schedules
This is optional. Some of the Departmental /Sectional meetings can be used for
imparting general knowledge on EHS and technical matters. This may normally
cover routine jobs but may include some special expert talks.
Page 1/5
Extract from # 01.15.03.04 01.15.10.10Rev01a.doc--10/5/2010

Conducting Tool Box Talks

Once a person or party is requested/ required to conduct a Tool Box Talk on any
health, safety or environmental subject / task or tasks, the typical formats as
indicated in the following Sections must be followed as a minimum. The location of
TBT presentation may be office area or even the job site depending upon the
nature and timing of the talk.
The pre-job Tool Box Talk must document “the title of talk”, “delivered by”, “date
and time” on the duly signed “Attendance Sheet”, and cover suggested aspects as
in Sections below.
These documents must then be filed by the presenting Department/Section for

auditing purposes for one year and then archived for no less then two years.
Administrative Checklists and Forms
The typical administrative Checklists are shown for your use in the Appendices as
follows:
Appendix (Pre Tool Box Talk Checklist),
Appendix (Attendance Sheet)
Essential Contents of the talk
 Identify working environment hazards (EHS aspects) and ways to

minimize/eliminate them.
 Correlate technical aspects of the job with these EHS hazards
 Check accessibility and emergency egress. Need to eliminate/minimize
obstructions.
 Ensure that the team understands the technical aspects of job well.
 Assign Responsibilities.
 Allocate Manpower.
 Source Tools/Equipment/Material.
 How to respond during an emergency.
 How to render your working equipment safe during emergency.
 Refer to the related Safety and Trade (discipline) Procedures.
 Check that crew-members/team members have attended all mandatory SEQ
courses.
 Check that crew-members/team members are technically qualified and
experienced to do the job.
General Guidelines
 Aim to cover one subject only.

 Have introduction of the subject and outline a maximum of about 5 main points
 Explain main points:
 Give examples where feasible.
 Summarize the importance of points.
 Provide recommendations where necessary.
 Limit Talk to about 15 - 20 minutes and keep it simple.
 Make it as informal as possible.
 Encourage the group to participate with “Frequently Asked Questions &
Answers”.
 Follow-up on any difficult questions
Page 2/5

Post Toolbox Talk:

 Has the attendance sheet been signed by all attendees
 All handouts been distributed
Ask the following questions
 Do I need to get back to anyone for any reason

 Did I encourage participation
 Did I encourage questions

Did I involve the attendees enough

 Did I use humour enough when applicable
 Did I display interest in the topic and audience
 Did I listen to what the attendees had to say
 Did I treat the attendees with respect
 Did the Tool Box Talk go too long or too short
 Can I improve the next presentation
 Do I need to do any follow up
Audit by SEQ Department

 The Tool Box Talk documentation is to stay on file for one year and then be
archived for no less then two years.
 SEQD department shall carry out audit on this on need basis.
 SEQ Department shall provide necessary assistance if it receives feedback or
finds during the audit that certain line-management/supervision is facing genuine
difficulty or is unable to organize/conduct Tool Box Talk
APPENDICES
(See Next)
Page 3/5

PRE Toolbox Talk Checklist

Description Yes No N/A
1. Subject to be presented is confirmed?
2. Will anyone be co-presenting with you?
3. Will an expert be doing this presentation?
4. Which language will be used for the presentation? (Tick applicable one)
 English/Hindi/ Urdu/ Arabic
 Other
5. Obtained information for the subject from: (Tick applicable one)
 Qatargas Intranet /Qatargas Safety Section

 Newspapers / Published material/ Television/ Radio/ Internet

 International Standards
 Personal experience
6. Historic lessons to be learned are included in the presentation?
7. Handouts are organized?
8. Risks identified in relevant Job Safety Analysis are presented
9. Working environment is analysed to identify risk/ problem areas?
10. Do you know the subject well enough?
11. Will you be using?
 Videos
 Power Point presentation
 Slides
 Overheads
 Photos
 Pamphlets/ Handouts/ Flyers
 Posters
12. Will you be doing any physical demonstration?
 Do you have all the props you need?
 Do you have a sample of what you will talk about?
13. Presentation equipment required
 Screen
 Projector
 Flip Chart
 Electronic Whiteboard
 Overhead projector
 TV/ Video recorder
 Video conferencing/ Telephone conference call
14. Miscellaneous presentation items
 Whiteboard markers
 Writing pads for attendees
15. Is there enough seating capacity for audience
16. Does the presentation location have a safe exit during an emergency?
17. Is the attendance Sheet ready?
Page 4/5

ATTENDEES’ SHEET
Date: …………………………………
Tool Box Topic(s): Presenter(s)
1.
2.
3.
4.
Names of Attendees Company Name Signature
Page 5/5

5.8 CONTRACTOR EXIT INTERVIEW
PLEASE SEE ATTACHMENT NEXT
5.9 CONTRACTOR SAFETY PERFORMANCE & RATING REPORT
PLEASE SEE ATTACHMENT NEXT

Appendix 5.8: Contractor Exit Interview. Procedure 01.15.10.10

Appendix 5.9: Contractor Safety Performance & Issue Date 2007/09/16
Rating Report Valid Until See front page
Appendix Page X Revision 01a
01.15.10.10Rev01a.doc-05/10/2010
CONTRACTOR EXIT INTERVIEW

The purpose of this exit interview is to ensure that the contractor in question had completed
his contractual duties, removed from site all his people equipment rubbish and hazardous
waste.
Contracting Company: …………………………………………….. Date: ………………
Contract Ref. Number……………………………..Contract Title:……………………………..
QG Host‟s Name: ………………………………. Interviewee Name ………………………..
Have the following Qatargas Company items been returned, submitted and /or
removed from site:
Yes No N/A
Keys
Security passes
Electronic gate passes
Communication equipment
Vehicles of any type
RLIC Passes
Tools
Equipment
Fire Equipment
Relevant Reports
Monies
Rubbish Removed
Hazardous waste Removed
Lay down area/s inspected
All relevant Work area/s inspected
Feedback Comments from contractor side: ………………………………………………

General Comments from QG side: ………………………………………………
Signed QG Host ………………… Signed Contractor Host ……………………………...
Date: Date:
01.15.10.10Rev01a.doc--05/10/2010
CONTRACTOR SAFETY PERFORMANCE & RATING REPORT

The intent of this form is to fairly rate the contractor on his safety performance throughout his
time with Qatargas. This rating needs great consideration because it will determine the
amount of work Qatargas will offer this contractor in the future if any.
Contracting Company: …………………………………………….. Date: ………………
Contract Ref. Number……………………………..Contract Title:……………………………..
QG Host‟s Name: ……………………………….
 In Step 3, when the contractor was required to complete a number of checklists and
return them, was the contractor efficient, accurate and timely with this task?
Poor Excellent
1 2 3 4 5 6 7 8 9 10
 When this contractor arrived on site and you checked their equipment, was it an accurate
reflection of the checklist they completed and supplied you with?
Poor Excellent
1 2 3 4 5 6 7 8 9 10
 During the contractors work on site, did they in a professional and timely fashion
complete the relevant safety checklists and audits supplied to them from this document?
Poor Excellent
1 2 3 4 5 6 7 8 9 10
 When the contractor finished his job and left site, did he meet all his obligations including
the removal of hazardous waste?
Poor Excellent
1 2 3 4 5 6 7 8 9 10
 How would you rate the overall performance of your contractor?
Poor Excellent
1 2 3 4 5 6 7 8 9 10
 Did any incident, accident or near miss take place due to negligence of contractor? (if
yes, details)……………………………………………………………………………………
 General comments: …………………………………………………………………………
 How do you rate your contractor?
Competent to be placed on the Active list for future work:

Not as yet competent only to be placed on the Hold List:
Signed QG Host ………………… ………………...

Date:
01.15.10.10Rev01a.doc--05/10/2010

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Procedure 01.15.10.

Revn Issue Date Amendment Description Date Effective Revalidated

full picture of Qatargas vs. contractor interface

1. INTERNAL CONTROLS ............................................................................................. 1

1.2 EMPLOYEE RESPONSIBILITIES

Position Signature Here Date

Chief SE&Q Officer

Chief Operating Officer - Operations

Chief Operating Officer - Eng. & Ven.

Chief Operating Officer - Administration

Signed: _________________________________ Date: ______________

4.2 CONTRACTOR HOST

4.3 SHORT TERM CONTRACT:

4.4 MEDIUM TERM CONTRACT:

4.5 LONG TERM CONTRACT:

Contract work identified

Contractor to submit a Third Party Certification/Audit

Contractor appoints a Contractor

4.7 PROCEDURE - DETAILED STEPS

4.7.1 Step 1 (Pre-Qualifying the Contractor)

documents to confirm Contractor‟s Safety Pre-Qualification. Safety Section is also

4.7.2 Step 2 (Appointment of QG Host)

It is the Qatargas Host‟s responsibility to:

4.7.3 Step 3 (QG Host to Supply Additional Information to Contractor)

licenses/professional qualifications of contractor employees and copies of these

4.7.4 Step 4 (Inspection of Contractor Equipment/Facilities)

4.7.5 Step 5 (Contract Supervision by QG Host)

 Nine High Risk Activity Checklist (Appendix 5.7.3)

4.7.6 Step 6 (Contract Completion Documentation)

4.7.7 Step 7 (Contractor Safety Performance Reporting)

4.7.8 Step 8 (Archiving Documentation)

4.9 TRACKING & MONITORING

5.1.1 Qatargas Reference Documents 01a

POLICY & MANAGEMENT (Section 1)

Vehicle Access, Safe Driving & Rev02c;

VACANT SLOT (Section 6)

HAZARD /RISK ANALYSIS (Section 7)

Emergency Evacuation Procedures

INCIDENT INVESTIGATION (Section 9)

Terminal Safety Manual - Sulfur Rev 00a;

REVIEWS (Section 11)

PERFORMANCE MEASUREMENT (Section 12)

VACANT SLOT (Section 13)

FIRE & RESCUE (Section 14)

SAMPLE ONLY AS ON 16 SEPTEMBER 2007. SEE LATEST LIST ON QG INTRANET.

PLEASE SEE THE FULL-SIZED LETTER ATTACHED NEXT.

5.3 LETTER FROM QG HOST TO THE CONTRACTOR

PLEASE SEE THE FULL-SIZED LETTER ATTACHED NEXT.

Appendix 5.2: QG Host Appointment Letter Procedure 01.15.10.10

Qatargas Host Appointment Letter

Contractor – Company Name: ………………………………………………………………..…………

It is the Qatargas Host’s responsibility to:

I accept this appointment:

Qatargas Host Letter to Contractor Host

PLEASE PROVIDE A LIST OF ALL YOUR PEOPLE RELEVANT PROFESSIONAL

License/Certificate Issued To (Name in Full) Valid Till/ Date

Write name of relevant Supervisor to ensure the above information is

JSA Title and Number Date JSA Composed Comments

PNEUMATIC POWERED TOOLS

POINTS TO BE INSPECTED CHECKED COMMENTS

Signed: ___________________ Date: