asse gcc hse awards 2012

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    SgdDMSQ@MSRVHKKADQDPTHQDCSN9Answer 12 Key Performance Questions PART I - (ORGANIZATION PROFILE), PART- II (LAGGINGINDICATORS) and PART III - (Declaration of Award Entry)

    1.

    .

    Evaluation of your HSE performance shall be done based on

    the following Key Performance Questions (KPQs). Please

    provide a brief description of the activities carried out under

    the each KPQ with supporting documents.

    2.1.1HSE Policy

    2.1.2Senior and Middle Management participation in HSE

    2.1.3Individual responsibility in HSE

    2.1.4Integration of HSE into business planning process

    2.1.5HSE committee and representatives

    2.1.6Regulation, codes and standard compliance

    2.2.1Employee HSE orientation / induction Program

    2.2.2Internal communication ( HSE information within the

    company)

    2.2.3External communication ( HSE issues to community and

    external agencies)

    2.3.1Training need analysis

    2.3.2Knowledge and skill training

    2.3.3Workers HSE Training

    2.3.4Training evaluation and record keeping

    2.4.1Periodic health monitoring of workers and record keeping

    2.4.2Health hazard identification and control

    2.4.3Hygiene of the work place and camps

    2.5.1Reporting & Investigation of Accidents / Incidents

    2.5.2Behaviour Based Safety process in place

    2.5.3Near miss reporting

    2.5.4Hazard identification and reporting

    2.5.5Implementation of recommendations

    2.5.6Communication of lesson leant from

    accidents/incidents/near miss

    2.5.7Record keeping

    2.6.1Emergency roles and responsibilities identified

    2.6.2Emergency drill

    2.6.3Emergency communication

    2.6.4Lesson leant system from emergency drill

    2.7.1Individual award and recognition

    2.7.2Group award and recognition

    2.7.3Housekeeping promotion

    2.7.4Off the job safety promotion

    2.8.1Pre employment evaluation of employees2.8.2Sub contractors selection process based on HSE credential

    2.8.3Management of sub contractors

    2.9.1OHSAS 18001 or ISO 14001 certification

    2.9.2Inclusion on clients preferred contractor list

    2.9.3Results from proprietary external audit scheme

    2.9.4Any other recognized award winner

    2.10.1 Internal audits

    2.10.2 External audits

    2.10.3 Planned inspections

    2.10.4 Proactive and preventive measures to control loss

    2.10.5 Follow up for audit and inspection report

    2.11.1 Effluent, Air Emissions & Waste Management

    2.11.2 Any initiative to improve environment

    PART I

    Organisation Profile

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    [email protected]

    Fatalities:Fatal Cases are those work related injuries / illness that result in death.Number of days lost for each Fatal Case shall be 180 days.

    LWC Injuries:If an Employee is unable to work on his next scheduled shift because

    of a work related injury / illness, Precedence at the site does notconstitute work.

    Restricted work day cases (RWDC):

    RWDCs are injuries which are severe enough to prevent a person

    from performing normal duties, but not so severe that lighter duties

    cannot be performed.

    Medical Treatment Only Case (MTOC):

    All MTOC is a work related case for which Medical treatment is give,but that does not result in a RWC or LWC.

    Loss Damage Incidents:

    Loss Damage incidents which result a loss amounting more thanUS $ 10,000/-

    Motor Vehicle Incidents (MVI):An undesired occurrence of event involving a motor vehicle that resultin Loss Damage of Vehicle, property amounting over US$ 1000/- orand, resulting in Fatality / LWC injury.

    MVI Covers A motor vehicle owned. Leased or rental that isassigned to its company Employee.

    Guidelines for Registration:

    Application Packets must contain:1. Each entry application covers organizations individual site or Business unit.2. Answer all Key Performance Questions and Incident data for preceding three years.3. Submission shall be secured with completed entry form, KPQ answers and supporting documents,

    all into one rigid A4 box folder.4. Registration Fee payment, drawn in favor of Kuwait Society of Engineers Account No. 0600077532001,

    Payable at Al-Ahli Bank of Kuwait, Head Office, Kuwait

    Application Packet along with attachments must be submitted to:

    American Society of Safety Engineers - Kuwait Chapter

    Kuwait Society of Engineers Complex, Bneid Alghar, Near Safir International HotelP.O. Box 4047, Safat-13041, Kuwait

    +965 22445588 Ext 311, Mob: +965 66846040+965 22428148

    [email protected]

    o The identity of each applicant is kept confidential. Onlyaward recipients will be recognized and publicized.

    o Submittals must be written in English.

    o During the process of evaluation, if there is any change in

    the addresses or any other details of communication,please provide the updated information to the contactdetails to [email protected]

    o This Award program does not bear the responsibility fornon-receipt/late receipt of any material sent.

    o Keep a copy of your submittal for your reference.Submittals, once received will not be returned.

    o Wherever it is required necessary supporting documentsare to be attached along with the Submittals.

    o References to supporting evidence shall be clearly made inthe narrative text.

    o Define all the abbreviations.

    Points of Reference

    Total Motor Vehicle incident

    Total Kilometers DrivenX 1,000,000

    Total recordable Incidents(Fatal + LWC + RWDC + MTOC)

    Total man-hours worked by all employeesX 200000

    Total number of (Fatal + LWC) injury

    Total man-hours worked by all employeesX 200000

    Total days away from work (Fatal + LWC)

    Total man-hours worked by all employeesX 200000

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    Accident/Incidents HistoryFor your organisation give the number of each of the following. If not applicable insert 0 or NIL DO NOT LEAVE BLANK.

    Data provided is subject to verification if need be.Section 2.1

    Fatalities

    Lost Work Case injuries (LWC)

    Restricted Work Day Cases (RWDC)

    Medical Treatment Only Case (MTOC)

    Loss Damage Incidents

    Total recordable incident rate (TRIR)

    Motor Vehicle Incidents ( MVI)

    Total man hours worked

    Section 2.2

    Section 2.3

    Section 2.4

    Motor Vehicle Incident Frequency Rate ( MVIFR)

    Conditions:

    o By submitting an application to this award, applicant agreesfor publication of the results.

    o Applicants may be asked at any time during the reviewprocess to substantiate the claims made in the submission.

    o If submission requirements are not met or the informationis found to be incomplete, untrue or misleading, thesubmittal will be removed from the review process.

    o The Evaluation Panel has the sole right and discretion toreject entries that do not meet the submissionrequirements.

    o The decision of the adjudication panel shall be final and

    binding.o All applications require full payment of the appropriate

    entry fee, as shown. Non-payment of the relevant entry feewill invalidate the application.

    Accident Frequency Rate

    Accident Severity Rate

    PART II

    Lagging Indicators

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    Application Form (Declaration)Please provide Organization/Company InformationOrganization/Company Name

    Award Category Applied for( Tick the relevant column)

    ENGINEERING & CONSTRUCTION

    MANUFACTURING

    OIL & GAS FACILITY & MAINTENANCE

    SECTORPostal Address

    Postal/Zip Code

    City

    State/Province

    Country

    Contact Person Name

    Job Title

    e-mail

    Phone with country code

    Cell Phone

    Fax with country code

    The following signatures attest to the completeness and accuracy of this entry, which is submitted to theASSE - Kuwait Chapter for ASSE GCC HSE Excellence Award 2012 in good faith.

    Managing Director (or equivalent)Name: Job Title:

    Signature: Date:

    Health Safety & Environment Head

    Name: Job Title:

    Signature: Date:

    Applications along with attachments must be submitted to:

    American Society of Safety Engineers - Kuwait Chapter

    Kuwait Society of Engineers Complex, Bneid Alghar,Near Safir International HotelP.O. Box 4047, Safat-13041, Kuwait

    +965 22445588 Ext 311, Mob: +965 66846040

    +965 22428148

    Registration FeeRegistration fee of US $ 300 orequivalent in Kuwaiti Dinars ( KD100/) shall accompany the awardapplication. This registration fees isnon refundable. The Registration feesshould be in the form of

    Cheque / Cash / Bank Transfer

    In case of cheque or bank transfer please

    draw in favor of Kuwait Society ofEngineers Account No. 0600077532001,

    IBAN # kw86abkk 0000 0000 0060 0077

    5320 01, Payable at Al-Ahli Bank of

    Kuwait, Head Office, Kuwait

    PART - III Application. No

    Last day of registrationfor the application