Element Sub Element Section

4 4.5 Working at Heights A 1.1

2.1

2.2

2.3

2.4
2.5

2.6

2.7

2.8
2.9
3.1

B 2.1

4 4.7 Lifting Operation 1.1

2.1

2.2

Internal
 2.3
2.4
2.5

3.1

B 1.1

2.1

4 4.9 PPE A 1.1

2.1

2.2

2.3

2.4
2.5
2.6
3.1
B 1.1

2.1
3.1

4 4.11 Aviation safety A 1.1

A 2.1

2.2
2.3
2.4
2.5

Internal
 3.1

B 1.1
2.1

2.2
2.3
2.4

2.5

3.1

5 5.1 Process Safety InformA 1.1

2.1
2.2
2.3
2.4
2.5
2.6
3.1

6 6.1 MOC A 1.1

2.1

2.2

2.3

2.4

Internal
 2.5
3.1

B 1.1

2.1

7 7.1 Shift Manning A 1.1

2.1

B 1.1

2.1

3.1

7.2 Shift Hand Over A 1.1

2.1

3.1

B 1.1

8.1 Contractor HSE Man A 1.1

B 1.1

Internal
 2.1

2.2

2.3
2.4
2.5

2.6
2.7
2.8
2.9

2.1

2.11
2.12
3.1

10 10.1 Incident Investigatio A 1.1

2.1

2.2

2.3

2.4

2.5
3.1

B 1.1
2.1

2.2

Internal
 2.3

2.4

2.5

2.6

2.7

2.8

3.1

10.3 Emergency PreparedA 1.1

2.1

2.2

2.3
2.4

2.5
2.6
2.7

2.8
2.9

2.1
2.11

3.1

B 1.1

Internal
 2.1

2.2

2.3
2.4

2.7

2.8
2.9

2.1
3.1

11 11.1 HSE Management S A 1.1

2.1

5.1-5.4

6.1-6.4

Internal
 7.1-7.3

Internal
Required Evidences
Contractor's document on working at height
1)Training and competency Assessment records
2)CCC & Certificates
1)PTW records and WAH Certificate
2)Stop work records,if any
3)Inspection and maintenance records
1) PTW, WAH form and JHA/JMS
2)Emergency and Rescuse Plan
1)Records of communication of associated hazards to personnel working at height
1) Evidences based on observation and interview
2)PTW,WAH certificate and JHA/JMS
3)Inspection and maintenance records
4)PPE
1)Emergency Rescuse Plan
2)List of Emergency/Rescue Equipment
3)Equipment in good condition
1)Evidences
2)PTW,WAH certificate and JHA/JMS
3)Emergency and Rescue Plan
Evidences
Evidences
1)Proj HSE Plan
2)Implementation Records
1)Wells Annual HSE Plan
2)Records of integrated Tier-1 HSE Assurance Checklist:Section A
3)Records of implementation and closure of assurance action item

Contractor's document on Lifting Operations

1)Training and competency Assessment records ( In-Test)
2)Contractor Competency Card(CCC)
1)Evidences based on observations and interview.
2)PTW,Job Method Statement & Job Hazard Analysis records
3)Lifting Form
4)Inspection,testing,tagging & maintenance records
5)Control use of chain block and web sling
6)Proper storage of chain block and web sling

Internal
7)Colour coding
8)Certificate of fitness/permit for lifting equipment
9)Site Specific Lifting Plan
10)Pre-lift inspection for crane and hoist records
Evidences base on observation and interview.
Lifting equipment and appliances register.
1)Inspection Records
2)Certificate of fitness/permit for lifting equipment
1)Project HSE Plan
2)Records of implementation and closure of assurance action items.
PTS 18.52.06 Lifting
PTS 18.51.01 Permit to Work
PTS 18.51.02 Job Hazard Analysis(JHA)
PCSB Docs
Petronas Carigali Lifting Equipment Guideline
PCML permit to work procedure
PCML Job Hazard Analysis
1)Wells Annual HSE Plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of Implementation and closure of assurance action items

Contractor's Doc on PPE

1)Record of PPE selection for chemical handling through risk assessment
2)Records of field trial and fit testing,if any
1)Training matrix
2)Training records specific for PPE
1)Records of fitness to wear respirator
2)Medical and fitness to work declaration for confined space.
Records of RPE fit test
Records of issuance, inspection, maintenance, replacement, storage and disposal of PPE
Evidences base on observation and inerview.
Project HSE pland and Records of implementation and closure of assurance action items
Refereance Governance Docs for PPE,Permit to Work,Hearing Conservation Programme & Chemical Management
PCSB Docs
Records of issuance, inspection, maintenance, replacement, storage and disposal of PPE
1)Wells Annual HSE Plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of Implementation and closure of assurance action items
Contractor's document on aviation safety
1)Helideck, helipad inspection report
2)DCA helideck certificate
Records of completed quarerly helideck inspection checklist
Records of completed monthly helipad inspection checklist
Training records for HLO and RO,eg: Contractor Competency Card (CCC)
Emergency Response Plan

Internal
1)Project HSE Plan
2)Records of implementation and closure of assurance
Reference Gov Docs
1)Appointment letter for aviation operation supervisor.
2)Training and competency assessment records
Aviation HSE MS Assurance and Technical Inspection Report
Records of Aircraft Service Provider compliance status with regulatory requirement
1)Aviation safety Management System
2)Aviation HSEMS Assurance Report
1)Endorsement for aircraft technical inspection report
2)List of approved airfields, helipads,helidecks,offshore installation
3)DCA helideck certificate
4)Aircraft Operator HSE Plan
1)Wells Annual HSE Plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of Implementation and closure of assurance action items

Contractor's docs on process safety information.

Process safety information/Document Register
Updated Process Safety Information/Document to reflect permanent changes
Process safety information/Document Owner/Sustodian to update PSI
Process Safety Information/Document Custodian/Document Controller
Document Management Procedure
PSI KPI monitoring tracking and reporting
Records of implementation and closure of assurance action items

Contractor's Doc on MOC

Evidences based on observation and interview
MOC coordinator/personnel with clear roles & responsobilities
Training Matrix
Records of MOC briefing/communication
MOC log/register
MOC with risk assessment records
MOC form
MOC log/register
Records of closed and active MOC with a copy of Risk assessment
Evidences base on observation and interview

Internal
Requirements for MOC KPI monitoring tracking and reporting
Project HSE plan
Records of Implementation and closure of assurance action items
Reference Governance Documents ,PTS
PCSB Document
1)Wells Annula HSE plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A

Contractor's Doc on Shift Manning

Duty Roster vs. POB/Attendance List(Manning Log)
ERT structure
Project Duty Roster
Cotingency manning plan
Project HSE Plan
Records of implementation and closure of assurance action items
Reference Governance Doc
1)PTG Fatigue Management at Workplace
2)PTS Group Prodecure Organizational Management of Change
3)UHSE GU 0010 Upstream HSE organizational Mangement of Change OMOC Guideline
4)Petronas Carigali Safe Shift Operations Guideline
1)Records of shift manning review conducted
2)OMOC Register
3)Upstream OMOC Screening Checklist for changes to shift manning requirements, and approved OMOC for
1)Wells Annula HSE plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of implementation and closure of assurance action items.
Contractor's Doc on Shift hand over
1)Records of Shift/crew change handover notes . Reviewed and discussed
2)Records of shift handover Attendance List
3)Records of shift handover notes that clearly describe information other than routine
1)Project HSE Plan
2)Records of implementation and closure of assurance action items
PCSB document
1)Wells Annula HSE plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of implementation and closure of assurance action items.

Contractor's documents on Sub-contractor HSE Management

Site HSE Induction attendance list for contractor and sub-contractor personnel
Approved Project HSE Plan/Work Pack
1)Project HSE Plan
2)Records of implementattion and closure of assurance action items
PTS Governance Doc

Internal
PCSB Document
1)Appointment letter of Contractor Owner/Holder
2)Updated Contractor Owner/Holder Register
3)Records of Contract Owner/Holder training and competency
Risk Accessment Report
Approved SRF
1)Approved Contract Doc
Approved Technical Evaluation Report which includes HSE screening criteria
1)Approved Contract procurement process for engaging sub-contractor, governed by equivalent
2)Approved Technical Evaluation report done by contractor for their sub-contractor
Approved Technical Evaluation Report endorsed by Technical committee.
Kick-off meeting MOM
Approved Contractor's HSE plan & HSE KPI
1)Approved HER
2)Approved Contractor's work procedures/instructions
3)Approved screening & assessment record of resources(personnel,equipment,tools etc)
4)Rig acceptance report
5)Pre-mob briefing records
6) FTW record for contractor personnel
1)Contractor Performance Evaluation Report
2)HSE Award System and Consequence management issued to contractor on any HSE non-compliance
3)Record of engagement with contractor management
4)Records of contractor's senior management visit to worksite.
Lesson learnt database is in place
Approved close-out report including HSE performance and lessons learned
1)Wells Annula HSE plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of implementation and closure of assurance action items.

Contractor's documents on incident investigation and Reporting

1)Completed incident notification forms
2)List of recipient contact information for notification
1)Draft HSE alert
2)Records of communication
1)Draft HSE lessons learnt
2)Records of communication
1)Incident Investigation Report complete with preventive and corrective actions, wth assigned action parties
2)Records of preventive and corrective action closure.
Records of tracking and monitoring of action item until complete closure
Project HSE plan
Records of implementation and closure of assurance action items.
Reference Governance Document
1)Completed incident notification forms
2)List of recipient contact information for notification
1)Completed incident notification forms

Internal
2)List of recipient contact information for notification
1)HSE Alert
2)Records of communication
1)Training matrix
2)Incident investigation Report
1)HSE lessons learnt
2)Records od communication
1)Incident Investigation Report complete with preventive and corrective actions, wth assigned action parties
2)Records of preventive and corrective action closure.
1)HSE performance report - incident trending & analysis
2)Management Review Minutes of Meeting
1)Records of tracking & monitoring of action items
2)Records of major incidents action item status submission to Upstream HSE
1)Wells Annula HSE plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of implementation and closure of assurance action items.
Contractor's documents on Emergency Preparedness and Response
1) Evidences based on observation
2)Approved and updated ERP/OSRP/other contingency plans
3)Releavant team organization structure
4)Identified credible scenarios in ERP
5)Response equipment maintenance records
6)Training matrix
7)Emergency resoruce matrix/list
8)Medical emergency response plan
1)ERP/Drill Plan
2)Emergency drill & exercise records,including post mortem report
Credible emergency scenarios in ERP
1)Latest approved layout drawing
2)Duty Roster & Emergency Contact Registry
3)Emergency Response Equipment Inventory & its maintenance records
Emergency drill & exercise records, including post mortem report
Records of fitness to work assessment for all ERT members
1)Training records based on training matrix/PTS/country requirements
2)Drill/Exercise attendance records
3)Emergency team members & On Scene Commander are trained as per the training matrix
Records of notification issued by On Scene Commander
1) Activiation protocol established in the approved ERP
2) Records of notification issued
Records of notification issued by On Scene Commander
1)Post mortem report
2)Records of tracking and reporting of action items to site supervisor
1) Project HSE file
2)Records of implementation and closure of assurance action items
Reference Governance Document . Petronas oontingency Planning Standard

Internal
1)Approved and updated Project Blow out Contingency Plan
2)Relevant team organization structure
3)Roles and responsibilities in TOR
4)Training matrix
5)Training of competency requirements
6)Emergency resource matrix have been established
7)Medical Emergency Response Plan has been developed
1) Well control exercise plan
2)Exercise records,including post mortem report.
1)Credible emergency scenarios in BOCP
1) Training records based on training matrix/PTS/country requirements
2)Exercise attendance records
1)Activation protocol established in the approved BOCP
2)Records of notification issued
1)Records of notification issued
1)Post mortem report
2)Records of tracking and reporting of action items to WellsLT
records of MOM from HSE MS Management Review
1)Wells Annula HSE plan
2)Records of Integrated Tier-1 HSE Assurance Checklist: Section A
3)Records of implementation and closure of assurance action items.

Visibility H310
Proactive in Target Setting
Informed Involvement
Manage HSE Risks
Drive HSE Culture
1)Records of HSE meetings
2)HSE Plan & Budget
3)Reports on HSE activities
4)MCF Gaps Closure Plan
5)Job Descriptiion Reflecting HSE responsibilites
6)HSE KPIs in appraisal doc
7)Records of safety behavior program implementation
8)Records of updated legal compialnce
9)Records of consequence management implementation
10)HSE training
11)Records of HSE rewards/recognition
1)Latest HSE policy display
2)HSE plan aligned to Upstream HSE Strategic Objectives
3)Records of dissemination of HSE policy,strategic objectives,targets and plans
1)Site HSE Plan
2)Records of cascading new HSE Standards,Guidelines,Procedures
3)Records of site HSE plan communication
1)Records of HSE plan status

Internal
2)Site HSE performance report
3)Records of action items tracking
1)Site Annual HSE plan
2)Records of tracking and monitoring of actions items
3)Records of lessons

Internal
Findings [Comply Yes/No] Observations
Yes [Available in STO files]
Yes [Available in STO files]

Yes All clear for using and installing snap on scaffold, no green tag required.

Yes Yes, have been created.

Yes when near edge crew will use lifevest and

Yes As per TBRA,any false ZM require to have life line

Yes

Yes

Yes
Yes
Yes

Yes
Yes
Yes

Yes
Yes E learning.

Yes
Yes
Yes
Yes
Yes
Yes

Internal
 Yes Yellow.
Yes
Yes
Yes
Yes
Yes
Yes
No

Yes
Yes
Yes
Yes

Yes
Yes
Yes
Yes
Yes
Yes

Yes Synergi
Yes Synergi
Yes Synergi
Yes Synergi
Yes Synergi
Yes Synergi
Yes Synergi
Yes Synergi
Yes Synergi
Yes Synergi

cal Management

Yes
Yes Available in RO office
Yes Available in RO office
Yes Available in RO office
Yes Available in RO office
Yes Available at STO office
Yes As per SeaDrill Policy

Internal
Yes Tracked and Updated
Yes Tracked and Updated
Yes Files available in RO files
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A

Yes SeaDrill has own docs

Yes All in Synergy SeaDrill System

Yes OIM/Synergy
Yes STO/OIM
Yes

Yes
Yes MOC form keep at DSV office
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Internal
Yes
Yes
Yes
Yes
Yes
Yes

Yes
Yes Radio Operator
Yes SeaDrill
Yes Radio Operator
Yes
Yes
Yes

Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Yes
Yes
Yes
Yes
Yes
Yes

Internal
Yes
Yes
Yes
Yes

Yes
Yes
Yes
Yes
Yes

Yes
Yes
Yes
Yes
Yes

Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Yes STO office/DSVO office

Yes SeaDrill/Petronas
Yes
No HSE alert from office
Yes Record keep in DSV office
Yes Conducted SSD
Yes
Yes SeaDrill/Petronas
Yes
Yes STO office/DSV office/
Yes
Yes
Yes
Yes
Yes
No

Internal
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes Report Send to Town
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes STO Office / DSV office
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
No
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes SeaDrill/Petronas
Yes STO Seadrill
Yes STO/MEDIC
Yes STO/DSV office
Yes STO/DSV office
Yes SeaDrill
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Internal
Yes OIM office
Yes STO Office
Yes
Yes
Yes STO
Yes
Yes
Yes Posted/SeaDrill
Yes
Yes OIM office
Yes STO Office
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Yes
Yes
Yes Weekly Rig Hazard Hunt/Joining Platform hazard hunt
Yes
Yes
Yes
Yes
Yes
Yes Meeting
Yes
Yes Weekly Safety Meeting (Best 3 Star Card)
Yes
Yes Posted on the Rig.
Yes
Yes
Yes
Yes
Yes

Internal
Yes Any Incidents; Report send to town
Yes
Yes
Yes
Yes

Internal