“COMPANY NAME”
HSE PLAN
Project Title: “PROJECT NAME –LOCATION”
Contract Number: “0120….”
Contract Mode: 1
HSSE Risk: Medium
Version: 1.0
Version Date: February 2017
APPROVALS
| Role | Name | Signature | Date |
| CONTRACT HOLDER | |||
| COMPANY SITE SUPERVISOR | |||
| HSE ADVISER | |||
| CONTRACTOR SUPERVISOR |
PAGE 2
Table of Content Page
- Introduction …………………………………………………………………………….
- Scope of Work …………………………………………………………………………
- Organization and Responsibilities …………………………………………………..
- Key personnel …………………………………………………………………………
- Hazard Identification, Risk Assessment and Control ……………………………
- Key Site Activities ………………………………………………………………………
- Equipment Required …………………………………………………………………
- Permit Required ………………………………………………………………………
- PPE Required …………………………………………………………………………
- Emergency Response Plan …………………………………………………………
- Welfare …………………………………………………………………………………
- General Site HSE Requirements ……………………………………………………
- HSE Performance and Review ………………………………………………………
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