ARCHIRODON GROUP NV Integrated Management System

Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F11 Serial No. Page 1 of 5 Yes No

FORM Camp Inspection Checklist

0.0

S/N 1.0 1. 1 1. 2 1. 3 1. 4 1. 5 1. 6 1. 7 1. 8 1. 9 2.0 2. 1 2. 2 2. 3 2. 4 2. 5 3.0 3. 1 3. 2 3. 3 3. 4 3. 5 3. 6 3. 7 4.0 4.1 4.2 5.0 5. 1 5. 2 5. 3 5. 4 5. 5 5. 6 5. 7 5. 8

Particulars Site 1 location: Camp . 1 Capacity 1 . Number 2 of ARCO members on the premises Site Condition: well drained Weeds controlled Free from refuse and litter Not in flood plane No livestock around 100 meters No noise pollution or industrial emission within the vicinity Waste disposal Approved sewage disposal contractor used Sewage disposal - daily basis / satisfactory General waste skips provided and away from living space Waste bins provided in each room Waste containers leak-proof, non-absorbent, corrosion resistant Water supply Water supply provided to camp for drinking, cooking, bathing & laundry, WC and approved by health authority. Adequate supply @ 35 gallons/person/day Drinking coolers provided @ 1 / 100 persons Water Sampling - Bacteriological sample (coliform, monthly) Water Sampling - Chemical sample (nitrates & nitrites, monthly) Adequate pressure to all fixtures / No Leakages Drinking Water filter change register available Housing Exclusive for human habitation Separate dorms for Males / Females Certification / records 5 Electrical works certification valid . Municipality permit 1 Civil defence approval Camp Inspection Record - internal system available Municipality inspection record Drinking water tank cleaning record Fire extinguishers inspection records available Fire extinguisher third party certificates available

Remarks

ARCHIRODON GROUP NV Integrated Management System

Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F11 Serial No. Page 2 of 5 Yes No

FORM Camp Inspection Checklist

0.0

S/N 5. 9 5. 10 6.0 6.1 6.2 6.3 6.4 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 7.13 7.14 7.15 8.0 8.1 8.2 8.3 8.4 8.5 8.6 8.9 8.10 8.11 8.12 8.13

Particulars First aid kit properly stocked and inspected & First Aider names displayed Waste disposal records available Electricity Source of supply - reliable, tested and approved Conduit to cables and electrical fittings are housed safe and no naked cables / fittings to cause fire or electrical shock Circuit breakers / RCD provided & tested by qualified electrical monthly basis No outlets on floor surface General occupancy - exterior & interior Wardrobe / personal locker provided to each person Wooden structures are made of fire retardant material Exterior walls sound and weather-proof Roof sound and water-tight Gutters and downspouts in good repair Chimney in good repair All doors, windows, and vents weather-tight and in good repair Screens provided for all openings in insect season All porches, rails, stairs, and walkways in good repair Fire exits @ 2 exits for each floor Fire escape (1m landing with safety rails, construction of metal, fire-retardant or pressure treated wood) Rooms well-ventilated, air-conditioned, well-lit Corridors/pavement well-lit and unobstructed Window size = 10% floor area 45% of window openable or ventilation fan provided Food service - communal or private kitchens Food supply - Raw & Cooked food supply, hygienic handling and temperature monitoring? Meals - menu meets different cultural demand Stove with 2 burners per each 10 persons Food preparation area - neat and clean Food and utensil storage area adequate & maintained well Refrigerator/freezer - inspected daily Sinks with hot & cold running water Adequate seating Adequate lighting and ventilation Floor, ceiling, walls easily cleanable and non-absorbent Fire blanket in kitchen

Remarks

ARCHIRODON GROUP NV Integrated Management System

Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F11 Serial No. Page 3 of 5 Yes No

FORM Camp Inspection Checklist

0.0

S/N 8.14 Fire extinguisher (CO2) inspected

Particulars

Remarks

9.0 9.1 9.2 9.3 9.4 9.5 9.6 9.7 10.0 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 11.0 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 11.10 12.0 12.1 12.2 12.3

Sleeping rooms Number of people in one room Each occupant provided with bed, mattress, pillow & cover with bed - sheets & blankets Single beds - 12" from floor; 36" apart Double-deck bunks - 48" apart, minimum clearance between lower and upper bunk shall be 27" No triple bunks One electrical outlet/person/private room All bedding and mattresses kept clean [who's doing cleaning?] Toilet facilities Adequate number for camp capacity Hand wash basin convenient to toilets Water closet/privy seat @ 1 / 15 persons with a minimum of 2 units in shared facilities Urinals @ 1 / 25 men with provision of water flush to each Located within 25 meters from the door of sleeping rooms Adequate supply of toilet paper located in Toilet areas as required Lighting adequate all times 6 square feet in area of openable window or ventilation fan Toilets cleaned daily, good sanitary condition Laundry, hand washing, bathing facilities Who provides laundry service to workforce? One shower head per 10 persons Shower room walls and partitions waterproof Hot and cold running water under pressure Facility for drying clothes provided Water heater facility provided for bathing and laundry purposes General maintenance and cleaning undertaken Laundry equipment clean and in good repair Floors non-slip, easily cleanable Floor drain provided Fire prevention & first aid Fire Exits unobstructed / unlocked with push bars to open on the outside Fire extinguishers - all must be charged and inspected Fire extinguishers deployed are suitable to occupancy

ARCHIRODON GROUP NV Integrated Management System

Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F11 Serial No. Page 4 of 5 Yes No

FORM Camp Inspection Checklist

0.0

S/N 12.4 12.5 12.6 12.7 12.8 12.9 12.10 12.11 12.12 12.13 13.0 13.1 13.2 13.3 13.4 13.5 13.6 13.7 13.8 13.9 13.10 13.11 14.0 14.1 14.2 14.3 14.4 14.5 14.6 14.7 14.8 15.0 15.1 15.2 15.3 15.4

Particulars One fire extinguisher for every 100 m. & each floor plus basement Minimum 1 smoke detector between sleeping rooms and exit Stove and heater flow pipes insulated at all pass-throughs Pressure relief valve on hot water heater No unvented flame heaters Fuel / LPG cylinders kept outside, secured and with outside shut off Fuel / LPG cylinders are not near fire escape or outside stairs LP gas pipes & manifolds were inspected, on date? Records Maintained First aid facilities are, adequate for emergency treatment of injured persons First aid trained persons are available at camp Health, hygiene & welfare Toxic/Hazardous chemicals not stored in housing area No flies, no mosquitoes, no cockroaches anywhere in living area Rodent control measures monitored by Pest Control "No Smoking" enforced in the rooms & toilets, designated smoking areas available No alcohol/drugs' policy enforced strictly in the camp System in place for reporting communicable diseases, food poisoning...etc. Workers' recreation facilities available e.g. Television Phone & internet Newspaper / magazines / library Sporting facilities available i.e. Gym, Basket Ball, Football field...etc Security & transport Access control system - electronic or manual ID system in place Perimeter fencing with gate & security guards posted Surveillance camera (CCTV) used for security Visitors entry procedures logged & satisfactory No traffic in camp residential area Vehicles are parked outside the residential area Parking area designated Personnel check-out/check-in register maintained Communication Camp orientation programme Camp supervision / camp boss posted Instructions are displayed / translated in workers' understandable languages i.e. Hindi, English, Arabic etc. List of important telephone numbers displayed

Remarks

ARCHIRODON GROUP NV Integrated Management System

Health, Safety & Environment (HSE) Rev. Issued For General Use Reference No. HSE-PRO-05-F11 Serial No. Page 5 of 5 Yes No

FORM Camp Inspection Checklist

0.0

S/N 15.5 15.6 Emergency Response Plan in place

Particulars

Remarks

Emergency Contact Centre established

Completed by Job Position Name Surname Signature Date

Approved by Job Position Name Surname Signature Date Job Position

Distribution List Name Surname