Date

7/08/2011

Naoc, Aenr, Nae

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
1
of 9

Pre-Tender HSE Qualification Questionnaire

Naoc, Aenr, Nae

Date
7/08/2011

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
2
of 9

INTRODUCTION
The prime objective of Naoc, Aenr and Nae is to develop a culture and processes to ensure the safety and
health of all employees, contractors, customers and communities associated with our operations in Nigeria.
To reach this objective, we select, as far as practically possible, those contractors that can demonstrate their
capabilities in ensuring the safety and health of their workers and sub-contractors and environment protection.
If you are interested in contract work for Naoc, Aenr and Nae please fill in this questionnaire as
comprehensively as possible and return to us. This will allow for consideration to future contract work.
Figure 1 below shows the elements involved in effective health and safety management and is taken from the
Occupational Health and Safety Assessment Series (OHSAS) and the international management system
standards on environment (ISO 14000) and quality (ISO 9000) management.

Where possible please provide documentation (completed or templates) and photos to support answers
to the following questions:

Date
7/08/2011

Naoc, Aenr, Nae

Doc. N
HSE-DIV-C6-FORM-001

Company Particulars
Company Name:

DAMAGIX NIGERIA LIMITED

Company Address:

19B MAITAMA SULE, S.W. IKOYI, LAGOS

Postal Code:

Company Registration/Licence Number(If applicable)

23401

Locally:

Numbers of Employees:

Page
3
of 9

NIGERIA

RC 215,492

Telephone:
Email:

Contact Person Name:

Contact Person Position:
Contact Numbers:
Mobile:

Country:

Rev.
00

Fax:

Nationally:

Globally:

To finalise your suitability, it may be necessary for our representative to formally assess your logistical,
environment, health and safety systems. We would provide prior notice of such an assessment.
If you have any objection, please indicate below by checking the box and providing your name.

I do not wish a Naoc, Aenr, Nae

representative to assess our safety and
health systems

Name of Objector:

Questions
Questionnaire items
Section 1: Leadership and commitment

Answers/Evidence

Commitment to HSE through

leadership

a)

Are senior managers personally

involved in HSE management?

a) Yes, the senior managers are

personally involved in the HSE
management by setting up departmental
objectives and monitoring them for
compliance.

b)

Is there evidence of commitment at

all levels of the organization?

b) Yes we have evidence of commitments

at all levels of our Organization. See
attached HSE 1 - Minutes of meetings.

c)

Is there a positive culture towards

HSE matters?

c) We promote positive culture towards

HSE matters via meetings, trainings, quiz
and games.

Section 2: Policy and Strategic Policy

HSE policy documents

a)

Does your company have an HSE

policy document? If yes provide a
copy.

A) Yes, Damagix has HSE policy

document. See attached HSE 2 - HSE
Policies

b)

Who has the overall and final

responsibility for HSE in your
organization?

b) The Managing Director has the final

and pverall responsibility for HSE.

Naoc, Aenr, Nae

c)

Availability of policy
statements to employees

Date
7/08/2011

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
4
of 9

Who is the most senior person in the

organization responsible for this
policy being carried out at the
premises and on site where his
employees are working?

c) Silas schodneva is the most senier

person in our organization who oversees
and ensures HSE policy is strictly adhered
to at the premises and site where
employees are working.

Provide name, title and experience.

Silas schodneva, QHSE Manager, Please

see attached HSE 3 Silas schodneva
a) i) Meetings
ii) The Policy is strategically located at
different points in all our offices.
iii) Trainings
iv) Publication on the Notice Board
v) Memos

a)

Itemize the methods by which you

have drawn your policy statement to
the attention of all your employees

b)

What are your arrangements for

advising employees of changes in
the policy?

b) i) Memos are sent to Heads of

Departments
ii) Training is conducted
iii) Meetings are Held to give further
explanations

Section 3: Organization, Resources and Competence

Organization-Commitment
and communication

Competence and Training of

managers/supervisors/senior
site staff/HSE advisers

Competence and general

HSE training

a)

How is management involved in

HSE activities, objective-setting and
monitoring?

a) Each of the heads of Departments sets

their departmental objectives and monitors
them for compliance.

b)

How is your company structured to

manage and communicate HSE
effectively?

b) A HSE Committee is in place

and saddled with the responsibility of
overseeing all HSE Matters.

c)

What provision does your company

make for HSE communication
meetings?
Have the managers and supervisors
at all levels who will plan, monitor,
oversee and carry out the work
received formal HSE training in their
responsibilities with respect to
conducting work to HSE
requirement?

c) HSSE Communication is one of the

core reasons meetings are held daily. See
attached HSSE 4 - HSE Organisation.

If yes, please provide details. When

the training is given in house,
describe content and duration of the
courses.
What arrangements does your
company have to ensure new
employees have knowledge of basic
industrial HSE and to keep this
knowledge up to date?

See attached HSE HSE Training

Certififcates and HSE Training Matrix

b)

What arrangement does your

company have to ensure new
employees also have knowledge of
your HSE policy and practices?

b) Through regular HSE meeting, briefs

and in house training new employees get
to know the companys HSSE Objectives
and Policies

c)

What arrangements does your

company have to ensure new
employees have been instructed and
have received information on any
specific hazards arising out of the
nature of the activities? What training

b)

a)

a)

a) Yes.

a) Daily HSE Meetings are held that avails

new employees an avenue to get to know
the companys HSSE Objectives and
Policies and also through trainings.

Daily HSE Meetings are held that

avails new employees an avenue to
get to know the companys HSSE
Objectives and Policies and also
through trainings.

Naoc, Aenr, Nae

Date
7/08/2011

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
5
of 9

do you provide to ensure that all

employees are aware of company
requirement?
d)

What arrangements does your

company have to ensure existing
staff HSE knowledge is up to date?

d) Via regular in house training and

external training as may be required for
specific work groups.

(If training is provided in house,

please give details of the content).

Specialized training

a)

Have you identified areas of your

companys operations where
specialized training is required to
deal with potential hazards?

a) None at the moment

(If yes , itemize and provide details)

Assessment of suitability of
subcontractors/other
companies

b)

If the specialized work involves

radioactive, asbestos removal,
chemical or other occupational
health hazard, how are the hazards
identified, assessed and controlled?

b) Specialised trainings arise from a

perceived and identified risk.

a)

How do you assess :

HSE competency

HSE record of the

subcontractors and
companies with whom you
place contracts?

a) Questionaires/Audits

b)

Where do you spell out the

standards you require to be met?

b) In our HSSE Manuals.

How do you ensure these are met

and verified?

c) Audits

Questionnaire items

Responses/Evidence

Section 4: Risk assessment and management

Hazards and effects
assessment

Exposure of work force

Handling of chemicals

Personal Protective
Equipment

Waste management

What methods are used within your

company for identification, assessment,
control and recovery of hazards and
effects?
Do you have in place any systems to
monitor the exposure of your workforce to
chemical or physical agents?
How is your workforce advised on the
properties of chemicals encountered in
the course of their work?
What arrangements does your company
have for provision and upkeep of
protective clothing, both standard issue
and that required for specialized
activities?

See attached HSE 5 - Risk Management

Folder.

Does your company have in place

systems for identification, classification

Yes we do, please see attached HSE

7 - Waste Management.

Please see attached HSE 6 - Risk

Management folder.
Please see attached HSE 6 - Risk
Management folder.
To ensure the greatest possible protection
for employees in the workplace is our
priority and we have created a program for
that, please see attached Damagix
Personal Protective Equipment (PPE)
Program

Naoc, Aenr, Nae

Date
7/08/2011

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
6
of 9

and management of waste?

Section 5: Planning ,Standards and procedures

HSE or operation manuals

a)

Do you have a company HSE

manual (or operations manual with
relevant sections on HSE) which
describes in detail your company
approved HSE working practices
relating to your work activities?

a) Yes we have HSE Manual, see

attached

If the answer is yes, please provide a

copy of supporting document.

HSE 8 - HSE Management System

Manual.

How do you ensure that the working

practices and procedures used by
your employees on site are
consistently in accordance with your
HSE policy objectives and
arrangements?

b) By conducting none scheduled

inspection of the site and through Audits..

How do you ensure that plant and

equipment used within your
premises, on site, or at other
locations by your employees are
correctly registered, controlled and
maintained in a safe working
condition?
Where do you spell out the
standards you require to be
respected?

Through Audits and Inspection.

b)

How do you ensure these are

respected and verified?

b) Through Audits and Inspection.

c)

Is there an overall structure for

producing, updating and
disseminating standards?
What arrangements does your
company have for combating road
and vehicle incidents?

c) Please see attached HSE Management

Review.

b)

Equipment control and

maintenance

Directives

Road safety Management

a)

a)

a) HSE Management System Manual.

a) Through regular trainings and emphasis

on the adherence to speed limits, road
signs and use of selt belt at all times. We
also monitor and control this via
observations, feed back from employees,
invesitigations and inspections etc.

Section 6: Implementation and Monitoring

Management and
performance monitoring of
work activities

a)

What arrangements does your

company have for supervision and
monitoring of performance?

a) Audits, Inspection and Incident

Investigations.

b)

What type of performance criteria

are used in your company: give
examples

Observation, Feed Back from employees,

Audits, Inspection etc.

c)

What arrangements does your

company have for passing on any
results and findings of this
supervision and monitoring to your:

Base management

Site employees?

c) We have developed and maintained a

written hazard communication program
that ensures we receive the details
necessary to inform and train our
employees properly and to
design and put in place employee
protection programs. It also provides

Naoc, Aenr, Nae

Date
7/08/2011

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
7
of 9

necessary hazard information to

employees, so they can participate in, and
support, the protective measures in place
at workplaces.
Please see attached Hazard
Communication Program.
HSE performance
achievement awards

Has your company received any awards

for HSE performance achievement?

No.

Has your company suffered any statutory

notifiable incidents in the last five years
(safety, occupational health and
environment)?

No.

Statutory notifiable
incidents/dangerous
occurrences

(answers with details including dates,

most frequent types, causes and follow
up preventative measures taken)

Improvement requirement and

prohibition notices

HSE performance records

Incident investigation and

reporting

Has your company suffered any

improvement requirement or prohibition
notices by the relevant national body,
regulatory body for HSE or other
enforcing authority or been prosecuted
under any HSE legislation in the three
years?
(if your answer is YES please give
details)
a) Have you maintained records of your
incidents and HSE performance for
the last five years?

No.

a) Yes.

(If yes, please give the following

details for each year, number of non
lost time injuries, and number of lost
time injuries, total hours worked by
workforce for each corresponding
year, frequency rates, and your
company definition of lost time
incident).

Please see attached HSE 9- HSE

Statistics

b)

How is health performance

recorded?

b) Through medical check-ups and HSE

Statistics.

c)

How is environmental performance

recorded?

c) Through data obtained from operations

and Statistics gathered during Projects.

d)

How often is HSE performance

reviewed? By whom?

d) Quarterly and by the HSE commitee

a)

Who conducts incident

investigations?

a) Smaller incidents are investigated and

handled by the site teams. Significant
incidents (e.g. lost time or those needing
medical treatment) are investigated by our
own HSE advisors.

b)

How are the findings following an

investigation, or a relevant incident
occurring elsewhere, communicated

b) An incident deemed to be serious

triggers an immediate audit of the process
or operations that led to the incident (root

Naoc, Aenr, Nae

Date
7/08/2011

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
8
of 9

to your employees?

cause analysis will be carried out). The

report of this investigation is
communicated to all staff.

Are near misses reported?

c) Yes. Please see attached HSE Incident,

Investigating and Reporting

a)

Do you have a written policy on HSE

auditing and how does this policy
specify the standards for auditing
(including unsafe act auditing)?

a) Yes we do; please see attached HSE 8

Procedure for Internal Audit

b)

Do your company HSE plans include

schedules for auditing and what
range of auditing is covered?

b) Yes it deos, Internal Audits are done

quarterly, while audits for
suppliers/contractors are carried out
yearly.

c)

How the effectiveness of the auditing

is verified and how does
management report and follow up
audits?

c) We achieve this by conducting

unscheduled audits/investigation.

c)

Section 7: Audit and Review

Auditing

Insurances
Naoc, Aenr, Nae will require its contractors to have the following insurances:
Workers Compensation Insurance
Public Liability Insurance
Motor Vehicle Insurance
Professional Indemnity Insurance
Please supply details for each.

For and on behalf of the Company

Name:
Position:
Date:
End of Formal Questionnaire
I hereby, Mr(s)(Full name). declare that all information
provided in this questionnaire are accurate and can be verified when required by Naoc, Aenr, Nae.

______________________________________________________________________________
This section for Naoc, Aenr, Nae Use Only
Naoc, Aenr, Nae General Manager/Delegate Person
Review Comments:

Naoc, Aenr, Nae

Name:

Date
7/08/2011

Doc. N
HSE-DIV-C6-FORM-001

Rev.
00

Page
9
of 9

Position:

Date:
Naoc, Aenr, Nae HSE Manager
Review Comments:

Does the company Logistical, HSE

assessment by Naoc, Aenr and Nae?
Name:
Position:
Date:

system

require

physical

Yes

No