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INTRODUCTION..................................................................................................................................... 1
ACCIDENT PREVENTION POLICY ....................................................................................................... 2
APPENDICES
Health and safety systems for drilling activities require extraordinary precautions to
prevent injury, loss of life or health hazards to employees and the public. This
responsibility transcends all others related to site investigations.
All work will be performed in accordance with applicable local and provincial rules
and regulations, including those of Western Australia, Guinea, Tanzania, Mali,
Congo, Botswana and Zambia.
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ACCIDENT PREVENTION POLICY
It is the desire of Layne Christensen Company to conduct operations with the highest
regard for the safety of its employees, customers and the public. In order to
eliminate accidents and injuries and to reduce all likely hazards in the workplace, we
strive to provide equipment, procedures and working conditions designed to promote
safe and efficient operations.
Safety policies and regulations have been developed and established on the basis of
accidents that occurred in the past. These accidents could have been avoided but
for the failure of people, methods, or equipment to control or eliminate the hazards
involved. Therefore, a thorough understanding and strict observance of the safety
rules by all employees and the continuous reinforcement by supervisors can do
much to prevent similar accidents in the future.
The responsibility for administering safety rules and regulations and instructing
employees in safe use of equipment rests with the supervisors. Employees are
responsible for their own personal safety, for using protective equipment in
accordance with established practices and for operating vehicles in a prudent and
responsible manner that compensates for unsafe situations and reflects obeyance of
traffic laws and company policies.
Planning a job must always be based on the safest procedure to protect workers and
the public. Safety on any job must not be sacrificed for the sole purpose of
expediency, nor will safety be ignored by substituting production or economics when
approaching a task.
The accomplishment of these goals can be attained when each employee follows all
safety practices and constructively cooperates in the Companys accident prevention
effort for their own personal benefit as well as the benefit of others.
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Safety Beliefs
These eight beliefs will be realized when all employees follow every safety procedure
and cooperate fully with our accident prevention effort. Working safely is for your
benefit as well as the benefit of others. Safety is not to be compromised on any job,
nor shall expediency, productivity, or economics be substituted for safety when
approaching a task.
Additional safety policies and procedures will be developed as new hazards are
discovered in our industry and as government agencies mandate. All employees
must fully understand and observe the safety practices and supervisors must
continuously reinforce them to prevent accidents.
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1.0 DUTY OF CARE AND EMPLOYEE RESPONSIBILITIES
Layne Christensen Company does, in fact, have a Duty of Care under legislation to
provide a safe work environment, but it needs the employee=s help and input. Safety
exists in the behavior of the individual. This means that your job is only as safe as
you make it. Remember that you also have a Duty of Care to the Company, as well
as to your work mates and yourself. This duty requires you to carry out your
assigned tasks safely. Management expects you to do your job in the safest
possible manner and never disregard safety for the sole purpose of production.
Value your well being and the safety of others around you. Always control the safety
on a job and never allow the job to control the safety or safety will not exist.
Employee Responsibilities
The Duty of Care contained in legislation provides for certain general responsibilities
to be taken by employers, employees, contractors and suppliers.
Ensure that the Supervisors' Accident Prevention Manual is fully implemented for
their area of responsibility.
Make job site/shop audits to observe safe work practices and to provide
immediate feedback (both positive or constructive) to all personnel.
Corporate Safety Support Staff - Bill Barham, Director of Safety Layne Christensen
Company
The corporate safety support staff, including the Director of Safety, will provide the
leadership necessary to make our safety program the best in our industry.
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Provide executive management with safety performance information necessary to
make timely decisions for corrective action.
@ Be familiar with the health and safety program and see that its requirements are
followed without exception.
@ Upon any visit to a job site conduct a safety inspection, evaluate the safety
performance and make whatever provisions are necessary to see that the job is
completed safely.
@ Ensure that safety is designed into each operation, procedure and project.
@ Ensure Divisions are aware of potential hazards and implement the proper
procedures for handling those hazards, including any health and safety
provisions in this program.
@ Monitor the safety performance of each Division to ensure that mandatory health
and safety procedures are adequate and correct any performances that do not
comply with this health and safety program.
@ Allow for consultation and cooperation on safety matters with the Senior Group
Safety Coordinator and/or other employees.
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@ Abide with all statutory, industry and Company safety standards and define the
safety responsibilities for all levels of the workforce.
@ Develop and implement this safety program with employees under their report.
@ Ensure that budgets reflect the safety program and adequate resources are
available for its implementation.
@ Ensure that all management, supervision and employees have had adequate
training and are thoroughly familiar with their health and safety responsibilities.
@ Ensure all contractors meet the minimum safety standards set forth in this
program.
@ Execute and audit the implementation of this health and safety program.
@ Ensure that the field crews observe the appropriate work practices.
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Safety Representative elected by employees see Appendix I
The functions of the health and safety representative appointed for the workplace
include:
@ Inspect any document, which the employer is required to keep relating to health
and safety and allowing the safety representative to perform their functions.
@ Estimate and plan jobs with accident prevention procedures and employee
safety in mind and the knowledge that precautions for doing a job properly may
alter the time, equipment or manpower necessary to perform it.
@ Enforce the use of proper personal protective equipment and take appropriate
corrective action when proper personal protective equipment is not being used.
@ Understand that proper maintenance of tools and equipment, and general good
housekeeping on the site will promote and enforce safety.
@ Ensure that the entire crew has had adequate training and is thoroughly familiar
with the rig, its controls and capabilities before beginning work.
@ Check and test all safety devices, such as emergency shut-down switches, at
the start of the shift. Work is not to be permitted until all emergency shutdown
and safety warning systems are working correctly. Do not wire around, bypass
or remove safety devices.
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@ Ensure daily, documented inspections of site and equipment are completed
under areas of his or her control.
@ Be well trained and capable of using first-aid kits, fire extinguisher and all other
safety devices and equipment. Be up to date on workplace first-aid training.
@ Ensure a first-aid kit and fire extinguisher are available, and properly maintained
and inspected on the rig and on each additional vehicle.
@ Ensure that all new workers are informed of safe operating practices on and
around the site and observe the new worker's progress toward understanding
safe operating procedures. Provide each new worker with a copy of the
Employee Handbook and when appropriate the rig manufacturer's operations
and maintenance manual. The safety supervisor should assure that each new
employee reads and understands the Employee Handbook.
@ Maintain the Site Emergency Information form and inform crewmembers of its
location.
@ Conduct tool box meetings with their employees at least twice per week and
provide feedback on the Companys safety production performance.
@ Observe the mental, emotional and physical capability of each worker to perform
the assigned work in a proper and safe manner. Remove any worker from the
site whose mental and physical capabilities might cause injury to the worker or
co-workers.
Employees
All personnel engaged in site activities are required to become thoroughly familiar
with and to conform to the provisions of this plan, and any other safety directives as
may be considered appropriate by management. Personnel are encouraged to offer
ideas, suggestions or recommendations regarding any operational condition,
procedure or
practice that may enhance the safety of site personnel or the public. Their primary
responsibilities are to:
@ Follow all safety rules and procedures at all times. This includes working in a
safe manner, taking good care of the plant and equipment, and cooperating with
the Company to improve workplace safety.
@ Familiarize themselves with and understand the health and safety program,
including the proper use of personal protective equipment.
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@ Obey lawful instructions given by supervision in the interests of providing and
maintaining a safe working environment.
@ Attend and participate in tool box safety meetings and other Company
sponsored training programs.
@ Let others know when you think they are working unsafely.
@ Make yourself familiar with all safety requirements and safe work procedures.
@ Ask questions if you are unsure about any aspect of your job.
@ Do not use any equipment on which you have not been trained.
@ Do not rush or take short cuts, many accidents happen this way.
Contractors
Contractors and their employees are required to meet, at a minimum, all aspects of
this health, safety and environmental program. Failure to comply will result in
potential loss of contract.
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2.0 EMERGENCY RESPONSE
Scope
In all work locations under control of the Company, arrangements shall be made to
ensure complete and appropriate procedures exist for the protection of personnel in
the event of an accident or emergency, and an effective system is in place for
alerting personnel and activating emergency procedures.
Definitions
An emergency could include any of the following events;
Legislative Requirement
Most safety legislation requires a set protocol for the reaction to emergency
situations. Proper emergency response also fits into the overall program by reducing
accident or incident severity, meeting Duty of Care requirements and establishing
procedures to promote safe work habits.
Policy
All persons employed by the Group will be trained to respond to emergency
situations involving personnel, equipment or the environment. Personnel will also be
encouraged to utilize their skills to assist anyone in need of assistance i.e., other site
workers or fellow highway travelers.
All Divisions must have a Crisis Management Plan in place for their areas of
operation.
All Company projects will have a Site Emergency Information form (ER100) available
on site and on file at the Group office and headquarters to assist in rapid response to
any emergencies arising on the site.
Responsibility
The general manager of each business unit must ensure that supervisors are trained
and empowered to manage the requirements of this Section, including the
generation of Site Emergency Information forms.
The safety advisor will provide training to personnel administering this section, and
all personnel regarding emergency procedures. The safety advisor will also audit the
job files to ensure Site Emergency Information forms are available for every job site.
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All supervisors must ensure that the documentation and training requirements in this
Section are followed, including the generation of Site Emergency Information forms.
Procedures
To ensure that an immediate response will be available to eliminate or contain an
emergency, the following procedures will be implemented:
Training
To be able to assist in an emergency, it is important that employees know the
location and operation of emergency supplies and communication equipment.
Access to emergency equipment must be kept clear at all times.
Where an employee is injured or becomes ill and local facilities are insufficient for
treatment, the Company will organize a medical evacuation of the employee to an
appropriate treatment facility.
To ensure that any evacuation is provided in a timely and efficient manner, each
region is to produce and maintain its own medical evacuation procedures.
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Emergency evacuation procedures are to be distributed to each work site and should
contain the following, at a minimum:
C Contact details (location, phone, contact names) of the nearest medical facility
and at least one alternate facility. This may include hospitals, doctor's
surgeries, nursing posts or mine medical centers.
C Contact details for mine evacuation providers.
C A company contact list (see accident reporting procedures).
C Details on medical evacuation insurance, if applicable.
C Completed Site Emergency Information form.
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3.0 INCIDENT AND ACCIDENT REPORTING AND INVESTIGATION
Scope
Accidents and incidents at work result from a combination of causes, stemming from
work methods, the work environment, or equipment that is used and management
safety systems. The purpose of an accident/incident investigation is to identify these
causes of the accident/incident, so that action to prevent a recurrence or reduce the
risk of recurrence can be identified and implemented.
Accidents and incidents are reported using the Stanley Mining Services Accident/
Incident Investigation Report Form. This form provides a systematic approach for the
timely completion and recording of accident and incident details. It also allows the
Insurance Company and Workers Compensation and Rehabilitation Commission to
be advised as early as possible for the processing of claims.
Reporting of accidents,
Actions taken when an accident is likely to involve a statutory investigation, and
Follow-up actions after the reporting of an accident or incident.
Definitions
An Accident is an unexpected and unplanned event, which causes death, personal
injury, deleterious health effects or damage to property.
Accident Investigation involves the identification of all factors that may have
contributed to the accident so that action may be taken to prevent a recurrence by
controlling those factors.
Investigation Team is to include the site supervisor or manager, the safety advisor,
employee safety representative and a senior representative of the contracting
company (if applicable).
Most legislation has specific definitions for types of accidents. Consult your local
regulations for specifics. In general the following apply:
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A First Aid Accident - No medical treatment given. Employee may visit doctor to get
checked, but no medical treatment is provided. These do not count toward incident
rate. An example is putting antibiotic and a bandage on a small cut.
A Lost Time Injury occurs when an employee has more than one shift off duty per
doctor or medical practitioner's orders. Travel time not included.
A Near Miss is an unexpected and unplanned event, which has the potential to
cause death, personal injury, deleterious health effects or damage to property.
A Restricted Duty Injury The employees duties are restricted by doctor or medical
practitioner.
Legislative Requirement
Under most safety legislation all accidents causing injury and Anear miss incidents@
must be reported to management. The report must be on the prescribed form and
must be submitted as soon as practicable.
While most legislation stipulates non-disturbance and preservation of the site of any
serious accident, this must not interfere with the tasks of rescuing and treating
injured personnel or actions taken to stabilize the situation and make the area safe.
Policy
It is the policy of the Company that all accidents and incidents, no matter how minor,
are reported immediately and an investigation is carried out to determine the cause.
Preventative measures are initiated immediately to prevent a recurrence of the loss.
The Company will ensure that the accident reporting system is capable of accepting
reports of near miss incidents. Reporting of these near miss incidents is a
fundamental requirement of this section and a basic condition of employment. It
must therefore be encouraged.
The Company will develop and implement a system for the long-term storage of
accident and incident data and will use this data, in conjunction with industry data to
identify trends, prioritize remedial work and encourage pro-active prevention
strategies.
Information on any accident occurring on any site will be reported to all other
business units at least monthly while serious accident information will be passed as
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soon as possible. This information will include a brief description of the accident and
the events leading up to it, the basic causes of the accident and any immediate
measures taken to prevent a recurrence.
Responsibility
It will be the responsibility of every employee to ensure that all accidents and near
miss incidents are reported in the proper manner.
Supervisory personnel have the responsibility to complete the Incident Report form
for all incidents. This completed document must then be forwarded to Division
management. It is also important that management actively encourage the reporting
of all accidents and near miss incidents among their subordinates.
The safety advisor will ensure that all accident reports are received, logged and
distributed, as required.
The Corporate Safety Department will be responsible for the storage, statistical
analysis and distribution of these reports from each business unit.
Procedures
Reporting Procedures
Employees and contractors must report all accidents, incidents and illnesses to their
immediate Supervisor, no matter the severity. Supervisors must familiarize
themselves with the reporting procedure documented in sections:
To ensure accidents are reported and investigations are completed and submitted on
time, the Accident/Incident Investigation Report Form is to be used for reporting of all
accidents, incidents and illnesses.
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Accident/Incident
Reporting and Investigation Procedures
Accident/Incident
Occurrence
Report to Report to
Supervisor Supervisor
The Supervisor:
Conducts Investigation The Supervisor:
Completes Report Notifies Perth,
Sends copy to Kalgoorlie & Police
Kalgoorlie /Perth Makes area safe and
Implement Remedial ensures the scene is not
Actions disturbed
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Reporting the Near-Miss Incident or Damage Accident
The Person Involved
Immediately reports the occurrence to their Supervisor.
The Supervisor
In consultation with the person involved, fills in Part A, Accident Report Details
of the Accident / Incident Investigation Report Form.
Sends a copy of the Part A section to the Safety Advisor within 24 hours.
Conducts an investigation of the incident and completes Part B Accident
Investigation of the report form.
Together with the person involved and any witnesses signs off the report.
Fills in the codes for Immediate Causes, Basic Causes, Inadequate Controls
and Preventative Actions.
Signs off the report as the investigator.
Initiates preventative actions.
Sends the completed form to the Divisional Manager.
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Reporting an Injury
When an injury occurs:
The Supervisor
In consultation with the person involved, fills in Part A, Accident Report Details
of the Accident / Incident Investigation Report Form.
Send a copy of this section to the Safety Advisor within 24 hours.
The Personnel Involved, the Person Giving First Aid, or the Person Discovering the
Accident
The Supervisor
Immediately notifies:
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The Supervisor
Statutory Investigation
Western Australian Acts and Regulations provide for Government investigation of
fatal accidents. Fatal accidents also involve a Stipendiary Magistrates investigation.
These investigations have legal precedence over company investigations, but do
not prevent the company from conducting its own investigation.
Types of accidents that require government notification are stated in the relevant
Acts and Regulations.
Follow Up
The follow up actions listed below are to be taken when the accident or incident
reporting process is complete:
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The Safety Department prepares and records the statistical data, reporting
monthly to the Divisional Manager and Managing Director.
Once every week, the Supervisor reviews the previous weeks incidents and the
progress of the preventive actions.
The Managing Director and the Divisional Manager review on a monthly basis the
statistical data, the outstanding reports and preventative actions to ensure that
they are progressed.
The Safety and Health Representative raises at Tool Box meetings and/or Safety
Meetings any items of interest or concern relating to reported accident
investigations.
Once a month, members of Stanley Mining Services Safety Committee review the
safety performance and accident/ incident statistics.
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4.0 OCCUPATIONAL MEDICINE POLICY
It is the policy of the Company in all our business activities to comply with all laws
related to occupational medical services.
The Company will make adequate provisions for occupational medical services to
encourage employees to achieve and maintain a good health status and adequate
physical and mental health for safe and efficient performance of assigned duties.
This will be a condition of employment.
This policy also requires the maintenance of employee occupational medical records
in a confidential manner.
$ Provide and ensure appropriate first aid and medical treatment for persons
suffering job-related injuries or illnesses related to operations or activities.
$ Encourage employees to achieve and maintain a good health status and assist by
providing appropriate medical information, counsel or referral.
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5.0 INJURY REHABILITATION POLICY
$ If injured employees are to return to the workplace, alternate duties may need to
be developed that are consistent with medical advice.
$ Support will be given to the injured employees and their families throughout the
rehabilitation process.
$ Rehabilitation programs may also be developed for injured employees where their
injury is not work related.
$ The Company will pay all relevant, pre-approved work related rehabilitation
expenses.
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6.0 SUBSTANCE ABUSE POLICY
The inappropriate use of alcohol and drugs can impair an employee=s ability to
maintain safe working practices. All employees and contractors engaged to work on
behalf of, or at the direction of the Company, have a responsibility to present for
work and remain unimpaired by alcohol and/or other drugs.
The Company is cognizant of the risk of injury and ill health from smoking. Passive
smoke is also identified as a health risk. Therefore, in the interests of employee
safety and health smoking is not permitted in any confined or enclosed area, and
smoking is expressly prohibited in work areas including;
$ Offices
$ Vehicles
$ Storage areas
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7.0 ENVIRONMENTAL POLICY
The Company recognizes the need to protect the environment in order to allow
sustained economic development for the long-term benefit of the community. The
Company is committed to ensuring that the environmental responsibility be
incorporated as part of their normal business practice.
It is the duty of all employees to exercise care in their work to ensure this
commitment is achieved. Therefore, all employees and contractors must make
themselves aware of the below listed requirements;
$ Client requests with regard to the treatment of sites and leases must be taken
into account prior to the commencement of operations.
$ While on site, authorized Company vehicles and equipment are only to be driven
on designated roads unless the client has authorized alternate arrangements.
$ All waste goods, food, tires and discarded equipment are to be disposed of at a
designated waste facility. Used oils must be collected and disposed of properly.
$ The use of chemicals, salt water or any other fluids must be controlled in the
correct manner. This particularly applies to immediately cleaning up and
containing any fuel, oil, grease or chemical spills that may contaminate the
ground or surrounding waterways. Whenever possible, biodegradable products
will be used by the Company.
$ It is the crew=s responsibility to report any and all spills to their supervisor.
$ All legislative requirements must be fully complied with and updates or changes
in legislation must be communicated to all employees.
$ On completion of each drilling program the work site should be left as clean and
tidy, and as close as possible to its original condition.
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8.0 SPILL CONTROL AND PREVENTION PLAN
Scope
This section sets out the requirements and procedures for the prevention,
containment, and clean-up response for any spills of chemicals on job sites. This
section will be used in all Company workplaces and is also to be enforced among all
contractors.
Clients may have their own policies, procedures and forms. Where it is a
requirement that client procedures and forms are used, these will be in addition to
the those in this section.
Definitions
An Approved Container is a device meeting accepted legislative requirements or
standards that is used to contain hazardous materials.
A sorbent is a material designed for use in liquid spill control. The sorbent (booms
towels, kitty litter or vermiculite) is an inert substance, which will absorb but not react
with the spilled material.
Legislative Requirement
Under most safety and environmental legislation, procedures must be developed to
prevent chemical spills and employee exposure. Adequate spill prevention
measures and employee training must be followed to keep the possibility of a
chemical spill or exposure to a minimum. In the event of a spill, procedures should
cover the steps to keep employee exposure and environmental damage to a
minimum. The procedures must also outline proper disposal methods for
contaminated materials.
Policy
This program has been developed with the intent of developing a heightened level of
awareness regarding safe work practices when working with or transporting
chemicals which pose a spill release hazard with a potential to damage persons,
property or the environment. These procedures establish an approved course of
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action to be implemented in the event of a spill. These procedures have been made
as specific as possible, however, since the source of all spills cannot be predicated,
specific remedies should be determined based on field conditions.
Responsibility
It will be the responsibility of every employee to ensure that the procedures outlined
in this section are followed and all spills are reported and cleaned up in the proper
manner.
In the event of a spill, it is the responsibility of the Group safety advisor to ensure
that spills are cleaned up to client and/or legislative requirements and that proper
documentation steps are followed.
It is the responsibility of the site supervisor to ensure proper and adequate amounts
of spill control materials, emergency supplies and personal protective equipment are
available for all hazardous materials on site.
Procedures
* The sorbent material (i.e. sorbent booms and/or towels, kitty litter or vermiculite) must be in
sufficient quantity to handle any anticipated spill.
The driver of the vehicle needs to ensure that a bill of lading or waybill has been
properly filled out for all hazardous materials that are being transported. The bill of
lading needs to be kept in a door pocket in the vehicle cab. In addition, employees
need to ensure that all individual containers are properly labeled and Material Safety
Data Sheets (refer to the Division MSDS Register) are available for all hazardous
substances present.
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Emergency Response Procedures for Hazardous Materials Incidents
In the event of any spill notification must be made immediately to the Division Office.
Be aware of the following conditions when gathering information for reporting:
Where in excess of 500 litres of flammable liquids are stored on site, a secondary
means of containment such as bunds, dikes or catchment basins, must be furnished
for the largest single compartment or tank. The secondary containment must be
capable of containing 110% of the largest tank within the containment area. At a
minimum, one of the following preventative systems or its equivalent must be used:
Advance Planning
Prior to operations commencing, an assessment of the site will be made with regard
to containerized material handling and storage. Particular attention will be given to
ensure:
@ All job sites will be equipped with a spill response kit. This kit will include:
- Fire extinguisher.
- First aid kit.
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- Sorbent material (e.g., booms, towels, kitty litter or vermiculite).
- Approved containers for disposed materials and sorbent.
@ All equipment which carries or uses gasoline, diesel fuel, motor oil, hydraulic fluid
or antifreeze will be checked and verified to be free of leaks prior to arriving on
the job site. During this inspection, any fluid lines that are leaking or appear worn
should be replaced.
@ Any material that has leaked from a piece of equipment will be cleaned up
immediately. Spills should be cleaned up in accordance with the ASpill and Leak
Procedures@ section of the Material Safety Data Sheet.
@ In addition, the following items will be included in the Site Emergency Information
form as part of advanced planning:
Training
All site personnel will be provided with training in the following subjects:
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T How to call for help T Spill clean-up procedures
T Emergency equipment use and its location T General chemical safety
In the event a spill results in employee exposure (skin, eyes or inhalation), first aid or
emergency medical treatment may be necessary. At least one person on site should
be trained in workplace first aid, and will be capable of administering these services
during an emergency. Specific first aid procedures for chemical exposures can be
found in the Material Safety Data Sheet.
@ Spills of Solid Material - Shovel excess and place contaminated material into an
approved drum, cover and label.
@ Small Liquid Spills - Absorb with sorbent material, including sand or clean fill.
Place contaminated material into an approved drum, cover and label.
@ Large Liquid Spills - Immediately dike the area surrounding the spill or create
some type of obstruction to prevent the spill migration. Absorb the spill with a
sorbent material, including sand or clean fill. After all free liquid is absorbed,
remove the material and any contaminated soil. Place contaminated material into
an approved drum, cover and label.
All bags, containers, drums, etc. containing contaminated materials must be labeled.
At a minimum, include product name and physical hazards.
Documentation
After a spill, the site supervisor should document the incident. At a minimum, the
following should be included on an Incident Report form:
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T Chronological history of the incident.
T Facts about the incident and when they became available.
T Titles and names of personnel; composition of response teams.
T All actions taken, reasoning and persons involved.
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9.0 WORKER TRAINING PROGRAM
Scope
The Company recognizes that well trained employees are pivotal to the success of
its operations. In support of this, the Company will ensure that all employees and
contractors receive, or have received, an appropriate level of training to enable them
to carry out their designated tasks in a safe and efficient manner. It is also
recognized that many of the skills required in the industry cannot be acquired in a
formal classroom environment, and that they are learned by experience, on-the-job
training and the transmitted skills or more experienced employees. This section
outlines employee training requirements.
Clients may have their own policies, procedures and forms. Where it is a
requirement that client procedures and forms are used, these will be in addition to
those in this section.
Definitions
Certified Instructors are required to teach some courses, such as Workplace First
Aid or MARCSTA classes. These instructors are certified by the agencies governing
the course.
Legislative Requirement
Under all safety legislation, training is a definite requirement to a successful safety
program. New employees must be trained on general safety procedures before
beginning work. All employees should be trained on equipment operations and all
aspects of the safety program. Training programs must be reviewed and modified
for new equipment or procedures. Qualified and/or competent instructors must
conduct all training.
Policy
This program has been developed with the intent of creating a highly skilled and safe
work force. Training is an on-going process that continues throughout employment.
Training programs will be reviewed at least annually, and modified for new
equipment, procedures or identified hazards. Qualified and competent instructors
will conduct all training.
Responsibility
It will be the responsibility of every manager, safety advisor and supervisor to ensure
that the procedures outlined in this section are followed and employees are trained in
the proper manner. New employees must complete required training before
beginning work.
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The Group safety advisor must audit training records and personnel files to ensure
employees are receiving required training. The overall training program must be
audited at least annually to ensure that the training regimen is adequate. New
programs must be developed for any new equipment or processes introduced into
the work place.
It is the duty of drillers to ensure new employees are instructed in safe operating
procedures. They also have the responsibility to notify the supervisor if an employee
is not learning job requirements or exhibits work practices that are not conducive to
safe operations.
Procedures
Employee Training
All personnel working in Australia shall complete the Mining And Resource
Contractors Safety Training Association (MARCSTA) before beginning work. All
employees must attend the MARCSTA refresher course every two years. Selected
professional training providers deliver these courses.
All personnel shall also complete a company administered induction. The induction
will include, but is not limited to, introduction to the Employee Handbook, general
drilling safety procedures and an evaluation of the employee=s vehicle operation
competency. This minimum 4-hour course is delivered by the safety advisor or
designated representative and must be completed before the employee begins work.
On-site managers and supervisors directly responsible for employees will receive 8
hours of specialized supervisor training in the contents of this safety program. This
course will be conducted by members of the Corporate safety staff.
At least one employee on every job site will be trained in workplace first aid
procedures. This 24 hour course (with an 8 hour refresher every three years) will be
conducted by a certified first aid instructor. It is the goal of the Company that all
employees receive 4 hours of first aid/CPR training within the first year of their
employment.
Annual safety training based on experiences throughout the year will be conducted.
Safety and supervisory staff will consider accident and incident experience, client
requests, work practices, new equipment allocation and employee requests to
determine the content of these courses. A total of 8 hours of safety training will be
provided annually. The course must be a minimum of two hours and documented on
the Safety Meeting Attendance form. The courses will be conducted by safety staff,
supervisors or outside instructors, depending on content. Some suggested topics
include:
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Diamond Drilling Procedures Air Drilling Procedures
Ergonomics/Safe Lifting Procedures Electrical Safety
Chemical Safety - Hazard Communication Confined Space Operations
Spill Control Procedures Basic Literacy Skills
Vehicle Operators
Employees operating company vehicles must possess a valid driver=s license and
will be held to competency standards as described above. Upon employment and
during Company induction, the new employee will be evaluated by the Safety
Advisor or designated representative on utility vehicles driving competency by
conducting a test drive. If the employee fails this competency standard, the
employee will be prohibited from driving company vehicles until formal training can
be arranged. After training, the employee must display competency to the Safety
Advisor or designated representative in the form of a driving skills test.
Employees may be qualified to drive heavy rigid trucks (>5,000 kg gvwr). Again, the
employee will be evaluated by the Safety Advisor or designated representative on
heavy rigid truck driving competency by conducting a test drive and must hold a valid
drivers license. If the employee fails this competency standard, the employee will
be prohibited from driving heavy vehicles until formal training can be arranged. After
training, the employee must display competency to the Safety Advisor or designated
representative in the form of a driving skills test.
Please Note:
@ A driver=s license does not take the place of a full competency evaluation.
@ Management may revoke driving privileges at any time based on the employees
failure to demonstrate proper care with company equipment.
33
Monthly Safety Meetings
Formal, documented, safety meetings will be held at least each month to
communicate Safety Alerts, discuss accidents and incidents, safety performance
and/or modified procedures. This meeting should also be used as a forum for
employee suggestions, concerns and comments.
The meeting should take place at each job site or shop location, attain 100%
attendance and be conducted by the supervisor responsible for the area.
Attendance must be documented on a Safety Meeting Attendance Form and must be
turned into the safety advisor for retention.
Where weekly safety meeting are held, the above requirement is exceeded, as long
as the safety advisor receives proper documentation.
34
10.0 JOB HAZARD ANALYSIS
Scope
Many different levels and types of hazards are expected during site operations.
Each activity presents specific occupational hazards that must be addressed. Safety
professionals are trained to recognize, evaluate and control these hazards. The
purpose of this assessment is to identify suspected conditions or activities that may
pose routine occupational hazards of site personnel. This assessment also provides
information for selection and application of personal protective equipment (PPE),
development of safe work procedures and environmental monitoring methods. This
section outlines hazards found in the drilling industry. It does not identify every
hazard that could be encountered on a job site, but does identify those specifically
associated with drill rig operations. This section also outlines the hazard control
methods the Company will utilize to eliminate hazards and prevent incidents in the
workplace.
Definitions
Hazard Control Methods include administrative, engineering and personal protective
equipment. A safety professional will attempt to control hazards by any of these
methods in order to protect employees.
Legislative Requirement
Under most safety legislation, a job hazard analysis is required to identify hazards
employees may be exposed to in the workplace. While it may not always be called a
hazard analysis, it is the tool that legislation requires and safety professionals utilize
to recognize, evaluate and control hazards in the workplace.
Policy
To adequately identify hazards in the workplace, the Company will conduct a job
hazard analysis of all equipment, tasks and procedures. From this hazard analysis it
will be determined where unsafe work practices exist, where new procedures are
required, if personal protective equipment is needed or if equipment needs to be
modified. The hazard analysis will also identify training needs. The hazard analysis
will be conducted at least annually, when management is made aware of a
previously unrecognized hazard, or as new equipment or procedures come into the
35
workplace. The Hazard Communication section in this program is also an important
part of the overall job hazard analysis procedure.
Responsibility
It will be the responsibility of the Group safety advisor to conduct the job hazard
analysis. If modifications are needed to the safety program or other established
procedures, it must be approved by the Corporate Director of Safety and Group
General Manager.
It is the responsibility of every employee to keep a look out for all hazards.
Precautions should be taken for identified hazards and supervisors notified upon the
identification of previously unrecognized hazards.
Procedures
Hazard Analysis
At a minimum:
36
Table 2 - General Hazards Associated With Drilling Operations
Work Phase Hazard Identification Control Method
Ground Stability site preparation, visual clearance
Ground Surface of overhead hazards, engineering
clearance of underground
Site Set- Drill Pad hazards, safe work practices and
up/Survey Dimensions/Clearances procedures, client involvement,
Overhead Hazards crew training and communication,
proper maintenance and
Underground Hazards inspections
barricade or tape immediately
Mud Pit
after completion
Loading/Unloading Rig from
safe work procedure
Transport
proper drill site organization and
Obstacles - equipment,
planning, use spotters,
employees, and others
communication
communication, safe work
Leveling Jacks
practices
Equipment Mast Elevation communication, visual clearance
Movement/Set- Set-Up Water Tanks (D) proper manual handling, PPE
up communication, safe work
Set-Up Cyclone (A)
practices
safe work practices, safe use of
Sample Hose Connection (A)
tools
Other Air/Water Hose safe work practices, safe use of
Connections tools
Rod Stacking (D) proper manual handling, PPE
Drilling Fluid Preparation (D) PPE, safe work practices
communication, safe work
Drill Bit Set-Up
procedure
physical guards, visual hazard
Rod Rotation
identification, training
Other rotating hazards (belts, physical guards, visual hazard
chains, drive lines, etc.) identification, training
Drilling safe work procedure, proper
Running and Pulling Rods
Operations manual handling
High Pressure Hoses whip checks, visual inspection
Breaking Rod Joint safe work procedure
Blow Back/Blow Down Subs
safe work procedure, PPE
(A)
37
Table 2 - General Hazards Associated With Drilling Operations
Work Phase Hazard Identification Control Method
Water Swivel (D) proper maintenance, inspection
Knife Valve (A) safe work procedures, PPE
Down Hole Surveys/Cameras JSAs, PPE, training
Drilling Core Recovery - pulling &
Operations emptying inner tube, & safe work procedures, PPE,
(contd) assembly of inner tube & training
barrel (D)
Changing Overshot Lifting safe work procedures, PPE,
Dogs (D) training
Please Note: The above table lists most common hazards found in the drilling industry. It does not,
for example, identify a train as a hazard when drilling next to railroad tracks. Every site and situation
must be evaluated by the crew, and precautions taken as warranted.
38
Physical Hazards
Physical hazards are, by far, the most common and abundant in the drilling industry.
These includes slips, trips and falls, manual handling, housekeeping, working at
heights, pinch points, rotating hazards and pressure systems, to name a few.
Physical hazards will be controlled by development of safe work procedures,
employee training, safety inspections and personal protective equipment.
Chemical Hazards
Various chemicals brought on site can be hazardous to employees. These include
petroleum products and/or drilling fluid chemicals. Environmental and employee
monitoring, training, safe work procedures, substitution of the least hazardous
chemicals and the use of personal protective equipment will minimize exposure to
potential chemical hazards. Site specific health and safety plans are created to
control exposure to specific site or project chemical hazards. Natural chemical
hazards may also be encountered while drilling into the earth (hydrogen sulfide,
buried chemicals, methane, etc.). Upon recognition of these types of chemical
hazards, employees should stop work and notify a supervisor immediately. More
information on chemical hazards can be found in the Hazard Communication section
of this program.
Biological Hazards
When drilling on a site there is always the possibility that biological waste such as
hospital or laboratory waste may be encountered. The use of personal protective
equipment will minimize exposure to these potential hazards. Indigenous creatures
such as poisonous snakes, ticks, spiders, scorpions or mosquitos may be found
throughout the work site and can be considered hazards. Insect repellant and
caution will help protect workers from natural creatures.
Ergonomic Hazards
Ergonomic hazards mean hazards related to employee work practices. These
include repetitive motion and manual handling injuries. These hazards are quite
common in the drilling industry and are addressed in the above table and in
individual safe work procedures and practices.
@ Overhead and buried utilities should be located, noted and emphasized on all
boring location plans and boring assignment sheets.
@ When overhead electrical lines exist at or near a drilling site or project, consider all
wires to be live and dangerous.
@ Watch for sagging power lines before entering a site or during travel. Do not lift
power lines to gain entrance. Call the utility and ask them to raise the power lines
or turn off the power.
39
@ Before raising the drill rig mast (derrick) on a site in the vicinity of power lines,
walk completely around the drill rig. Determine what the minimum distance from
any point on the drill rig to the nearest power line will be when the mast is raised
or being raised. Do not raise the mast or operate the drill rig if this distance is less
than 10 meters, or if known, the minimum clearance stipulated by regulations.
These hazards can present a significant threat to the health of site personnel.
Monitoring for these hazards is an essential component of this health and safety
program. Results of air monitoring will be used for:
Several areas may be monitored during site operations. On-site use of direct
reading instruments will be for this purpose. Selection and need of monitoring
equipment shall be made by the Safety Coordinator based on hazards and
operational activities. Any equipment used on site will be calibrated and maintained
in accordance with manufacturer=s requirements.
@ Draeger and Sensidyne pumps with colorimetric indicator tubes for most
chemicals
@ Gillian GilAir high/low flow personal sampling pumps with Gilibrator calibration
@ Dupont Model MK-1, MK-2 and MK-3 audio dosimeters
@ Quest sound level meter, Model 215 and Quest CA-12 acoustical calibrator
@ HNu Model 101 PI, ISPI and DL photoionization detectors with 10.2eV or 11.7eV
lamps
@ Foxboro Century 128 GC organic vapor analysis flame ionization detector
@ Biosystems PhD series gas monitors with O2, LEL, CO, SO2 and H2S sensors
@ Model 1000 PPM Handheld Aerosol Monitor
@ Radiation Alert Monitor (RAM4)
@ Ludlum Model 3 survey meter with GM pancake probe and Alpha scintillator
40
Action Levels
Action levels have been established to determine the levels of protection or actions
required in the event hazards are detected. Any action taken will be the decision of
the Site Health and Safety Officer. The following table lists the type of monitoring
equipment, action levels and actions to be taken as a general rule for most sites.
41
Site Access
Access to work areas shall be regulated and limited to authorized persons.
Personnel entering the work zone will meet the personal protective equipment
requirements for the operation being conducted. Barricades and/or barricade tape
may be utilized to control access to, or delineate various work areas. Any visitors to
the site must present proper identification and be authorized for site access. Visitors
must comply with all aspects of the health and safety program.
General site activities shall warrant the use of the following PPE:
Personnel working at heights above 1.8 meters must have the following PPE:
42
11.0 HAZARD COMMUNICATION
Scope
These instructions relate to the purchase, storage and use of all hazardous
materials. They also apply to employee exposure to naturally occurring hazardous
dusts, gases and fumes.
Definitions
Hazardous material means materials which may cause injury to persons, damage
plant or property, or which may react with other materials to cause injury or damage.
They may also, in the course of normal operations, come from dusts, gases, fumes,
vapors, mists or smoke that can cause injury, unless appropriate safeguards are
provided.
C Acute Toxic Effects describes the effects due to short term exposure to
relatively high concentrations of a particular substance, (e.g. exposure to high
concentrations of toluene). This can lead to narcosis, lack of co-ordination and
loss of reaction time, cardiac arrhythmia (variations from normal heart rhythm),
and deterioration of the skin and mucous membranes. Higher concentrations
can cause pulmonary edema (fluid in the lungs.)
C Chronic Toxic Effects describes the effects due to long term exposure to lower
concentrations of a particular substance, (e.g.. exposure to low concentrations
of toluene over a number of years may lead to encephalatrophy, deterioration
or wasting of the brain).
43
Legislative Requirement
In addition to standard Duty of Care requirements, regulations may cover the supply,
use and disposal of hazardous substances in great detail. These will most likely deal
with:
Policy
Whenever materials or substances are purchased for use within Group workplaces,
due consideration shall be given to the hazardous nature as well as the technical
suitability of the product. The material with the lowest total hazard potential, which
satisfies the technical requirements, shall be chosen.
Where it can be demonstrated that no suitable alternatives are available, the Group
safety advisor shall draw up acceptable work practices and protective measures for
the use of the particular product, which must be approved by the Director of Safety,
Layne Christensen Company.
A constant review of less hazardous materials coming onto the market shall continue
until a less hazardous alternative is available. As suitable alternatives become
available, immediate substitution should take place regardless of cost. Use of all
hazardous materials shall be controlled in such a way that risks to health and
property are minimized.
Responsibility
The General Manager of each business unit is responsible for ensuring that no
hazardous material or substance is used at any workplace without the risks to
employees, the community and the environment being assessed.
All supervisors shall assist management to ensure that appropriate procedures are in
place, adequate protective equipment is available for use, and personnel are trained
in the correct use of all hazardous materials.
44
Employees must follow all company procedures dealing with hazardous materials.
Where they have not received training relating to a particular hazardous material,
they should not have contact with that material.
Procedures
Hazard Considerations
The following properties have to be assessed when determining the hazard of
materials:
Control Procedures
To ensure a high standard and consistency of information on hazardous materials is
available to all employees, the Group will follow the Layne Christensen Company
Hazard Communication Program.
It is mandatory the MSDS is available on hazardous substances that are used in any
workplace within the Company. All subcontractors are also required to provide a
MSDS for each chemical and a compiled list of hazardous products, before bringing
those substances into the workplace.
45
If management approves the product, it may then be purchased and used. At this
stage it will also be added to the Hazardous Materials Register (MSDS file).
All personnel must be instructed at induction and reminded periodically that the use
of any hazardous materials not listed on the Register is expressly prohibited and that
failure to comply may lead to disciplinary action.
Employees must also be instructed that use of all hazardous materials must always
be in accordance with the required manufacturers instructions or recommendations,
as shown in the MSDS.
All supervisors will carry out regular inspections to ensure required procedures and
precautions are undertaken. Where the use of chemical or material is incorrect or in
breach of the MSDS, the supervisor should direct the work to cease until all
precautions and procedures are rectified.
Training
Personnel shall be given adequate training in the use of various hazardous materials
they may be expected to use, in a language that they can understand. Care should
be taken to adequately explain health hazards to workers. If this information is not
clearly stated, the wearing of protective equipment or use of mechanical safeguards
may not be allowed.
Workers also have the right to all information pertaining to potential hazards they
may encounter in the course of their employment. The instruction should be in
sufficient depth and of sufficient frequency that personnel:
C Have an understanding of the hazards of the materials that they are using.
C Understand the safe working and handling procedures, including the correct
protective equipment for the particular chemical and the limitations of such
equipment.
C Understand the emergency first aid requirements if harmful contact is
inadvertently made with the materials.
C Understand the storage, transport, spills and disposal requirements of the
materials in use.
46
12.0 SAFETY INSPECTIONS AND AUDITS
Scope
This section details the requirements and checklists for conducting safety
inspections and basic audits for drilling rigs, vehicles, exploration sites and central
base facilities owned or operated by the Company. It covers the inspections, their
frequency, feedback loops and auditing requirements
Definitions
Auditing is the process that enables managers, supervisors and safety personnel to
assess the effectiveness of their systems and develop suitable corrective actions as
required to correct deficiencies or allow continued improvement.
A Safety Audit is a full inspection and report of the status of a site, workplace or
organization and its accompanying safety systems. An experienced safety auditor
conducts it with assistance from other personnel with experience in those work
methods and procedures. Areas covered in a safety audit may include some or all of
the following:
47
C Stimulate other areas of the organization into action.
C Provide material for productive discussion by safety and health committees.
Legislative Requirement
Under most safety legislation, the employer has a duty to provide and maintain
workplaces, plant and systems of work so that employees are not exposed to
hazards. To ensure compliance, inspections and audits must be carried out
periodically.
Policy
All workplaces owned, operated or controlled by the Company shall be subject to
regular inspections and audits on a continuing basis, in order to identify hazards,
reduce risks and improve systems of work. Offsiders, drillers, supervisors, safety
staff and management will conduct various types of audits and inspections.
All contractors engaged by the Company and any subcontractors engaged by its
contractors, will also be required to submit their equipment and operations, on
Company sites, to this inspection and audit requirement.
Responsibilities
Responsibilities for auditing, inspections and follow-up are outlined in the Procedures
section below.
Procedures
Inspections by All Employees
All employees are responsible for conducting informal daily inspections of their
workplaces. While these inspections are not documented, employees must notify
their supervisor immediately of any deficiencies found.
All employees must also remember that it is a direct violation of Company policy to
operate any equipment or vehicle, or work in any area that is deemed to be unsafe.
Any unsafe equipment or workplace must be isolated, tagged out and reported
immediately.
Pre-Shift Inspections
Pre-shift walk through inspections of all drilling equipment and work sites are to be
conducted by the site supervisor. The inspection must be noted on a pre-shift drill
rig and site inspection form or a pre-shift vehicle inspection form or other approved
form. Once complete, the inspection forms are to be forwarded to the Field
Supervisor who will prioritize the deficiencies and arrange for corrective actions to be
completed and documented.
48
Inspections by Management
Management personnel are to conduct an inspection each time they visit a site.
Management personnel must conduct at least one shop or site inspection per
quarter.
The inspection should include a check to ensure that the crew has conducted their
inspections, that the required documentation has been filled out and that corrective
actions have been completed as required. Also take note that safe work procedures
are being followed and the correct personal protective equipment (PPE) is being
utilized.
The safety staff should make contact with a client representative prior to, during, or
immediately after each on-site inspection. This contact is considered important as it
gives the client an opportunity to provide feedback on the crew's performance, as
well as raising the profile of Company safety initiatives.
Where due to its remote location a rig is to be inspected quarterly the safety staff is
to conduct desktop audits. These will be based on the inspection sheets provided by
the drill crew and field supervisor. It should ensure that pre-shift checks have been
carried out and that corrective actions have been completed as required.
Audits by Management
The general or operations manager is to conduct audits to assure that all
requirements of this section have been met. This audit should include the inspection
of a representative number of workplaces and shop, as well as a check to ensure all
inspections has been completed, corrective action taken, and documented as
required. This audit function should be completed at least quarterly and recorded in a
memo to the Group Safety Coordinator.
49
Pre-Mobilization Inspections
Formal rig inspections are to be carried out prior to any drilling equipment
proceeding to a new client or site (or at least annually). They are to be completed on
a Pre-Mobilization report form and must be conducted by qualified maintenance
personnel.
Documentation
All inspection forms and documentation of corrective actions must be retained in the
Division office indefinitely.
50
13.0 EVALUATING AND REWARDING PERFORMANCE
Scope
This section details the requirements for evaluating and rewarding the safety
performance of all employees. It also outlines the disciplinary procedures to follow
for violations of company policy.
Definitions
Written Warning - should constitute a meeting with the employee, supervisor and
another witness. The employee may request another witness or union
representative. Copies of the written warning should be provided to, and signed by
all parties present. A copy should be retained in the employees personnel file.
Verbal Warning - should constitute a short discussion of the violation and corrective
action between the employee and supervisor. The supervisor should note the
discussion in a diary.
Legislative Requirement
Safety award and reward programs, and evaluations are not normally required under
most safety legislation. They have been identified in most successful safety
programs as effective methods of gaining employee involvement and participation in
the safety program. Disciplinary programs provide needed legislative documentation
for cases of employee dismissals or punishments.
Policy
The Company will evaluate the safety performance of all employees. Safety
performance will have a direct bearing on rewards, promotions, merit pay increases
and disciplinary action. Strict, consistent adherence to the disciplinary program is
necessary for the enforcement of all Company policies and procedures.
Responsibility
All safety award and evaluation programs will be administered by the Corporate
safety department, with the assistance of Group offices and headquarters. It is the
responsibility of the Director of Safety and the Group General Manager to ensure the
programs outlined in this section are accomplished.
Procedures
Safety Competition Programs - Individual Safety Award Program
All field employees (including field supervisors, operation managers, and
superintendents) are recognized for their safe work habits through the "Individual
Safety Award Program". The safety department tracks individual accident history
and annually sends out awards based on the number of years of safe work history.
51
Safety Performance Appraisal Supervisory Personnel
At least annually, Group managers must formally review the safety performance of
supervisory personnel under their repot. The review must address the following:
All safety performance appraisals are reviewed by the company President and the
Director of Safety. The Supervisors Safety Performance Appraisal for is available in
Appendix V.
Disciplinary Procedures
Disciplinary procedures throughout the Group must be conducted under a standard
format regardless of the employee's position within the Company. Each Division is
required to create a Code of Conduct and a set of disciplinary procedures that deals
with breaches of safety regulations. This procedure must be approved by the Group
Manager and be on file at the Group office.
C Be factually proven.
C Allow the employee to present a defense to any accusations.
C Be initiated by a supervisor or manager and follow a standard penalty code,
except in cases of willful or gross misconduct or negligence on part of the
employee. This may result in instant dismissal.
C Some regions may be required to have a disciplinary review committee. This
requirement is in addition to the above.
All employees must be aware that they are company representatives and their
behavior at and after work on client sites reflects on the professionalism and
standing of the entire company. Refer to the Division Code of Conduct for details.
All required disciplinary action taken will be recorded in the employee=s personnel
file, which will be open for inspection to that employee. Any disciplinary action
involving dismissal of an employee is to be approved by the General Manager of the
business unit in consultation with the personnel officer. The employee will be stood
down pending the result of all investigations. If the employee is found to be willfully
and directly responsible for the offense, summary dismissal may be considered.
52
APPENDIX I
After Hours
Eric Despain Division President Tel: +1 801 974 1000
Mob: +1
Bill Barham Director of Safety Tel: +1 830 966 4285
Mob: +1 210 287 8097
Jim Wright Safety Manager Tel: +1 913 422 3578
Mob: +1 913 220 9620
After Hours
Larry Krall Vice-President Tel: +1602 524 6145
Steve Alford General Manager Tel: +1602 524 7124
Rob Williams Operations Manager Tel: +1480 895 9336
Paul Halagan Safety Advisor Tel: +1602 625 4401
After Hours
Wayne Clohessy General Manager Tel: +61 0418 934 634
Steven Reid Safety Advisor Tel: +
After Hours
Mal Edmonds General Manager Tel: +255 812 500 868
Peter Forrest Operations Manager Tel: +
William Atteridge Safety Advisor Tel: +255 748 500 323
WEST AFRICA DRILLING SERVICES Tel: +
Bamako, Mali Fax: +
After Hours
Mal Edmonds General Manager Tel: +
Operations Manager Tel: +
Safety Advisor Tel: +
After Hours
H. Gerardo Martinez District Manager Tel: +011 662 256 8842
Leo Wurtz Operations Manager Tel: +011 662 256 4785
Jorge Torres Safety Advisor Tel: +011 662 251 0130
Appendix III
Inspection Forms
Incident Location:
Person Injured/Involved
Name: Date of Birth:
Brief Description of
Training History
Describe Incident (in order of occurrence):
Describe Injuries:
Witness
Supervisor
Description of Investigation
at scene:
at office:
Investigation Team
Name, Title Signature
Led By
Member
Member
Member
Member
Member
Member
Member
Additional Comments:
Instructions for Conducting an Effective Appraisal Prior to the annual session, the employee will review the
years achievements against the safety performance plan
At the beginning of the appraisal period, SEHS, the manager and conduct a safe-appraisal and the managers ratings
and employee jointly define specific safety performance during the appraisal session.
objectives or key safety responsibilities and performance
qualities to be achieved during the next 12 months. The manager, after reviewing rating selected for safety
objectives or responsibilities, performance qualities and the
During the appraisal period, progress is monitored against employees self-appraisal, will assign an overall rating. Using
the performance plan. Both manager and employee should the scale, this rating will reflect the definition that best
conduct periodic feedback sessions to ensure that safety describes the employees overall safety performance during
performance is on track. the appraisal period.
At the end of the appraisal period, the manager will measure During the annual appraisal session, the manager and
the employees safety performance against the plan. employee will formulate a development plan that addresses
Managers will review objectives or key safety responsibilities the employees safety goals.
and assign one of the rating below to each:
At the end of the annual safety appraisal discussion, the form
A Poor 70% will be signed and dated by the employee and the manager,
Results fall short of meeting expectations in safety areas. and then sent on to the Safety and Environmental Health
Sciences department for review by the Director of Safety and
A Fair 70-79% the Division President.
Results produced in safety consistently meet
expectations. This rating applies to a solid performer who
is making a difference in safety performance.
A Outstanding 95-100%
Results produced in the safety area of job responsibilities
far exceeds the expectations.
Page 1 of 4
SAFETY PERFORMANCE APPRAISAL
Fair 70-80%
Outstanding
Poor <70%
Very Good
List safety goals for the period covered by this appraisal. For each safety goal listed, describe
95-100%
80-95%
results achieved. Check (U) appropriate column to the right.
Additional goals for coming year: minimum one assigned by district manager.
Employees Name:
Page 2 of 4
ADDITIONAL SAFETY ACCOMPLISHMENTS
Describe other significant safety accomplishments which are not reflected in the goals listed (Role model, safety meeting, etc.)
Poor 70%
Results fall short of meeting expectations in safety areas. G
Fair 70-79%
Results produced in safety consistently meet expectations. This G
rating applies to a solid performer who is making a difference
in safety performance.
Page 3 of 4
MANAGERS COMMENTS
EMPLOYEES COMMENTS
PRESIDENTS COMMENTS
Page 4 of 4
Appendix VI
Site Name:
Site Lat/Long:
Length: Direction:
Condition:
Sketch Directions to Site (or attach map) Sketch Nearest Airstrip (or attach)