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Annan Agam

6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

Health Safety Environmental and Quality File

Contents
Health Safety Environmental and Quality File ............................................................................................ 1
1. Objective ............................................................................................................................................... 2
2. Scope ..................................................................................................................................................... 2
3. References ............................................................................................................................................ 2
4. Health Safety Environmental and Quality File Index ............................................................................ 3
1. Company Documents ........................................................................................................................ 3
2. Legal Appointments .......................................................................................................................... 4
3. Personnel .......................................................................................................................................... 7
4. Plans, Policies and Procedures .......................................................................................................... 8
5. Risk Management ............................................................................................................................. 9
6. Incidents/Accidents......................................................................................................................... 10
7. Hazardous Chemicals ...................................................................................................................... 11
8. Tools and Equipment ...................................................................................................................... 12
9. Reports ............................................................................................................................................ 13
10. Toolbox Talks .............................................................................................................................. 14
11. Quality Management .................................................................................................................. 15
12. Copies of Acts and Regulations available on Site........................................................................ 16
13. Audit Report ................................................................................................................................ 20
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1. Objective
The purpose of this document is to ensure that all contractors working for or under Annan Agam is making use of a
standardized file.
This file covers legal compliance with the Occupational Health and Safety Act, 85 of 1993 and related Regulations.

2. Scope
This document is applicable to all Annan Agam employees and Contractors.

3. References
No Document number Document name
01 Quality Management ISO 9001;2015
02 Environmental Management ISO 14001;2015
03 Health and Safety Management ISO 45001;2018
04 Occupational Health and Safety Act Act 85 of 1993
05 Construction Regulations CR 2014
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

4. Health Safety Environmental and Quality File Index


1st Auditor 2nd Auditor 3rd Auditor
Applicable Approved
Legal Responsible Audit Initials Audit Initials Audit Initials
Item. Document 0-Not Compliant 0-Not Compliant 0-Not Compliant
Ref. Person
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
1. Company Documents
1. Scope of Work

2. Permit to Work

3. Site Organogram

4. Emergency Contact Details

5. Mandatory Agreements S 37(2)

6. Health and Safety CR 5(1)


Specification

7. Basic Health and Safety


Rules Agreement

8. Rules for Contractors on


Site

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
2. Legal Appointments
1. CEO Resolution Statement S 16(1)

2. Assistant CEO Appointment S 16(2)

3. HSE Representative S 17(1) &


Appointment GAR 6 and
7

4. HSE Committee Member S 19(3)


Appointment

5. Chairperson HSE Committee S 19(3)


Appointment

6. Construction Manager CR 8(1)


Appointment

7. Construction Site Health and CR 8(5)


Safety Officer Appointment

8. Risk Assessor Appointment CR 9(1)


Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

9. Fall Protection Officer CR


Appointment 10(1)(a)

10. Construction Vehicle Mobile CR 23(1)


Plant Inspector Appointment

11. Construction Vehicle Mobile CR


Plant Operator Appointment 23(1)(k)

12. Stacking and Storage CR 28(a)


Supervisor Appointment and GSR 8

13. Fire Fighting Equipment CR 29(h)


Inspector Appointment

14. Fire Extinguishing Equipment CR 29(i)


User Appointment

15. First Aider Appointment GSR 3(1)


and (4)

16. Confined Space Inspector GSR 5


Appointment

17. Stacking Inspector GSR 8


Appointment
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

18. Incident Investigator GAR 9(2)


Appointment

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
3. Personnel
1. Employee List

2. Site Specific Induction

3. PPE Issue Sheet

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
4. Plans, Policies and Procedures
1. Company Health, Safety and S 7(1)
Environmental, Policy

2. Health and Safety CR 7(1)


Management Plan

3. Fall Protection Plan CR 10(1)

4. Environmental Management
Plan

5. Waste Management Plan

6. Emergency Preparedness and


Response Plan

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
5. Risk Management
1. Company Baseline Risk CR 9(1)(b)
Assessment and 9(2)
and 9(1)(c)

2. Task Specific Risk CR 9(1)(b)


Assessments and 9(2)
and 9(1)(c)

3. Daily (Continues) Risk CR 9(1)(b)


Assessment and 9(2)
and 9(1)(c)

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
6. Incidents/Accidents
1. Incident and Accident S 24
Reporting Procedure

2. Employers Accident Reporting COID


Form (WCL 2) 6(a)13

3. Incident/Accident Reporting GAR


Form(s) Annexure
1

4. Flash Report

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
7. Hazardous Chemicals
1. List of Chemicals to be Used HCS

2. Training Record HCS

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
8. Tools and Equipment
1. List of Tools and Equipment

2. Tools and Equipment


Inspections

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
9. Reports
1. Monthly SHE Report

2. Site Inspections

3. Audit Checklists

4. Audit Reports

5. Non-Conformance Reports

6. Daily Attendance Register

7. SHE Rep Report

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
10. Toolbox Talks
1. Toolbox Talk Program

2. Toolbox Talks

3. Toolbox Talk Attendance


Register

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
11. Quality Management
1. Quality Assurance Policy

2. Quality Control Plan (QCP)

3. Drawing Register and Issue


Sheet

4. Inspection Test Plan (ITP)

5. Quality Checklists as Per ITP

Section Score
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

1st Auditor 2nd Auditor 3rd Auditor


Applicable Approved
Audit Initials Audit Initials Audit Initials
Item. Document Legal Ref. 0-Not Compliant 0-Not Compliant 0-Not Compliant
Yes/No/NA Yes/No/NA
1-Compliant 1-Compliant 1-Compliant
12. Copies of Acts and Regulations available on Site
1. Occupational Health and
Safety, Act 85 of 1993

2. General Administrative
Regulations, 2003

3. General Safety Regulations

4. Major Hazard Installations

5. Regulations for Hazardous


Biological Agents

6. Explosives Regulations

7. Construction Regulations,
2014

8. Regulations on Hazardous
Work by Children in South
Africa
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

9. Health and Safety of Children


at Work Regulations

10. BCEA Regulations on


Hazardous Work by Children

11. Asbestos Regulations

12. Diving Regulations, 2009

13. Environmental Regulations


for Workplaces

14. Facilities Regulations, 2004

15. Hazardous Chemical


Substance Regulations

16. Lead Regulations, 2001

17. Noise-Induced Hearing Loss


Regulations

18. Driven Machinery


Regulations, 2015

19. General Machinery


Regulations
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

20. Lift, Escalator and Passenger


Conveyor Regulations, 2009

21. Regulations Concerning the


Certificate of Competency

22. Pressure Equipment


Regulations, 2009

23. Electrical Installation


Regulations

24. Electrical Machinery


Regulations, 2011

Section Score

Total Score

85% is needed to pass


85-75% Continue but Fix within 5 working Days
Below 75% Stop and fix
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

Audit Score

1st Audit 2nd Audit 3rd Audit 4th Audit 5th Audit 6th Audit

Auditor Initials and Surname

Contractor Manger

Contractor Safety Officer/Rep

Date of Audit

Pass or Fail

7th Audit 8th Audit 9th Audit 10th Audit 11th Audit 12th Audit

Auditor Initials and Surname

Contractor Manger

Contractor Safety Officer/Rep

Date of Audit

Pass or Fail
Annan Agam
6161 Section R
Mamelodi West
Gauteng
0122
Email: annan.agam.trading@gmail.com Cell: +27 82 060 3525

CEO – HPJ Mplia COO – S Mashele

13. Audit Report


Audit Inspector and
Non-Conformance Corrective Action Due Date Responsible Person Pass/Fail
Number Date Inspected

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