Document No.

:
LTHE/OHSE/HSE/F/27.1
MODE 1 - CONTRACTOR HSE CAPABILITY
Revision No.:00
ASSESSMENT Date: 10.01.2017

COMPANY NAME - VIBRANT NDT SERVICES ADDRESS FOR COMMUNICATION-Module 107, SIDCO AIEMA TOWER, 1st
PVT LTD Main Road, Ambattur Industrial Estate, Chennai - 600 058.

MAIN CONTACT NAME / DESIGNATION- TELEPHONE NUMBER - 7358383004

Raja

PERSONNEL RESPONSIBLE FOR HSE - Raja

TYPE OF COMPANY / INDUSTRY / FIRM (TICK AS APPROPRIATE)

PUBLIC PRIVATE GOVERNMENT PARTNERSHIP PROPRIETRY CONTRACTORS

OTHERS (SPECIFY)
SERVICE PROFILE (TICK AS APPROPRIATE)

CIVIL MECH.ERECTION PIPING ELECTRICAL INSTRUMENTATION

INSULATION PAINTING STRUCTURAL OTHERS (SPECIFY) - NDT INSPECTION
SCOPE OF APPROVAL

THE SCOPE OF APPROVAL DETERMINES THE NATURE OF YOUR SERVICES YOU INTEND TO PROVIDE TO LTHE

SECTION 1– LEADERSHIP & COMMITMENT

1. Management Commitment

How does the senior management of the company demonstrate their commitment to Health, Safety and Environmental

Parameters Yes/No Response If yes, give evident

Participation of senior management in

Yes
HSE objective Setting
HSE Committment through
Yes
participation at all level
Senior Management HSE Audits Yes
SECTION 2– POLICY & STRATEGIC OBJECTIVES
POLICY & STRATEGIC OBJECTIVES
Does the organization have a written HSE policy which is consistent with Company standards and guidelines and
covers protection of People, environment and assets
Parameters Yes/No Response If yes, give evident

Company HSE Policy. If, yes provide

HSE Policy communication protocal Yes HSE attached
including revision in the policy

Company HSE Objectives Yes

Name of the person having overall

responsibility for Health, Safety
Yes
and/or Environmental protection
matter in the Organization

SECTION 3-ORGANISATION, RESOURCES & COMPETENCE

Does Company have competent personnel responsible for the implementation of HSE objectives clearly identified in an
organisation chart with clearly definded roles and responsibilities

Parameters Yes/No Response If yes, give evident

Existing Organization structure for

Yes
HSE management System
What provision does your Company
make for HSE communication Yes
meetings?
Do your company provide HSE
Yes
Orientation training to all
Do your company provide Specific
No
skilled based HSE training

Is your HSE Management System

certified by for OHSAS: 18001, ISO:
No
14001 etc, If yes, Please attach copies
of certificate

SECTION 4-HAZARD & EFFECT MANAGEMENT

Does Company have a Risk assessment procedure for project activities with significant ranking and using analysis
technique as appropriate considering the HSE equipment’s and PPE required

Parameters Yes/No Response If yes, give evident

Are there techniques used within your

Company for the identification,
no
assessment, control and recovery of
hazards and effects?

Is the workforce advised on the

No chemicals encountered in the
properties of chemicals encountered No
course of NDT work
in the course of their work

Company have for provision of

suitable PPEs for both standard issue,
Yes
and that required for specialized
activities

SECTION 5 – PLANNING , STANDARDS & PROCEDURES

Does Company have in place a HSE Manual with standard HSE procedures which cover Hazardous related to the project
including HSE precaution to be taken

Parameters Yes/No Response If yes, give evident

Do you have a Company HSE manual/

Yes
Standards
Does the company ensure a
Yes
Emergency Response Plan in place.

Does you company ensure complaince

Yes
to Local Rules and Regulations

Does the company have a Incident

reporting and investigation system in
place. How is the learning from the Yes Daily Tool meeting
incidents communicated to
employees?
Does Company have in place a waste
Yes
management System
SECTION 6 – IMPLEMENTATION & MONITORING
Company has a HSE Performance Monitoring System in place to measure progress against set targets and HSE KPI
monitoring including proactive and reactive indicators, HSE Initiative/ Incentive scheme, Achievement of HSE
Milestones

Parameters Yes/No Response If yes, give evident

Does your Company have for process

No
for monitoring of HSE performance?

Is your company / company official

involved in any litigation due to
accident / fire etc. at project sites in
the last three years? Is there any No
court case pending against your
company / company official? Provide
details
Provide the following details (for last 5 years) (incl: your sub-contractors)
Current
EXPOSURE Year -1 Year -2 Year -3 Year -4
Year
Total Manhours worked PTR
Exposure - Driving (km) ATTACH
Exposure - Site Work (hours)
Current
SAFETY Year -1 Year -2 Year -3 Year -4
Year
Fatalities FAT
Lost Time Injury LTI
Restricted Workday Cases RWC
Medical Treatment Cases MTC
First Aid Cases
Total Recordable Cases (sum FAT,LTI,MTC,RWC)
TRC
Near Miss Incidents
Fatal Accident Rate (per 108 hours) FAR
Lost Time Injury Frequency (per 106 hours) LTIF
Total Recordable Case Frequency (per 106 hours)
TRCF
Current
ENVIRONMENT Year -1 Year -2 Year -3 Year -4
Year
Loss of Primary Containment (recordable) LOPC
SECTION 7 – COMPLIANCE ASSURANCE
Company has in place a HSE audit schedule evaluate the compliance to contract HSE requirements
Parameters Yes/No Response If yes, give evident

Does your Company have a written

procedure on HSE auditing and how
NO
does this specify the standards for
auditing ?

SECTION 8 – MANGEMENT REVIEW

Company has in place a Management Review Process for review of HSE Performance at different level of the
organization
Parameters Yes/No Response If yes, give evident

How often is the Company HSE

No
performance reviewed and by whom?
 SECTION 9 – CONTRACTOR MANAGEMENT
Company has in place a sub-contractor management system
Parameters Yes/No Response If yes, give evident

Does the company have is place a sub-

No
contractor assessment procedure.
Does the company monitor
subcontractor performance during No
project execution

I/We declare that to the best of my knowledge the answers submitted in this Pre-Qualification Questionnaire are
correct. I understand that the information will be used in the evaluation process to assess my company’s suitability for
LTHE’s requirements

Date ___30/8/2019_____________

Name: Jayakandan P

Designation: Managing Director

Place: Chennai