RIL-Nagothane-NSM 0031041449 0001 PDF
RIL-Nagothane-NSM 0031041449 0001 PDF
RIL-Nagothane-NSM 0031041449 0001 PDF
______________________________________________________________________________
Amendment to the Total Price as a result of this Revision INR 41914.00
Original/Previous Total Work Order Price : INR 440097.00
Revised Total Work Order Price : INR 482011.00
Revised Value in Words : Rs. Four Lakh Eighty Two Thousand Eleven only
______________________________________________________________________________
ALL OTHER REQUIREMENTS, TERMS AND CONDITIONS SHALL REMAIN SAME AS PER THE
ORIGINAL WORK ORDER AND ANY PREVIOUS CHANGE ORDER REVISION(S).
______________________________________________________________________________
It is important that Contractor signs and returns the Work Change Order Copy within three (3) days of receipt. No other form
of Order acceptance will be accepted. Failure to return the copy does not diminish responsibilities as set forth here in but may
result in a delay to any payments that may be due.
______________________________________________________________________________
FOR RELIANCE INDUSTRIES LIMITED
REGISTERED OFFICE : 3rd Floor, Maker Chambers IV 222, Nariman PointMumbai -400021
WORK CHANGE ORDER W.O.Number NSM/31041449
Revision No : 0001 Dt. 11.08.2011
Page No: 1
___________________________________________________________________________________________________
WORK CHANGE ORDER W.O.Number NSM/31041449
Revision No : 0001 Dt. 11.08.2011
Page No: 2
Various Formats
1. Undertaking Format
2. Declaration Cum Indemnity Bond
3. Invoice Format
Attachments:
Annexure-II : General Conditions of Contract (GCC).
:
Pro-rata payment(s) shall be made Within 30 Days from Invoice Scroll Date
Engineer-In-charge :
Mr. Anant Mitawalkar, Mobile: 0998705110,
Email: [email protected]
___________________________________________________________________________________________________
Note(S): 1. It is essential that the Contractor shall mention ItemNo. & Item code along with corresponding Material/Work Description and W.O.No. as mentioned above, in
the Delivery challan (On-Shore Order), Measurement sheet and invoice for ease of material Inwarding, Certification of work and Bill Processing. Failure to do so may be the
grounds for the rejections(s) or delay in release of payment(s).
Following details are required to be mentioned on all Invoices raised by you:
Consignee: Reliance Industries Limited,
M.G.C.C., Nagothane-402125
ECC No./Registration No./PLA No.: AAACR5055KXM026
VAT TIN NO 27110386481V dt 01.04.2006
CST TIN NO 27110386481C dt 01.04.2006
PAN No. : AAACR5055K
In case, you are supplying consignment as First Stage/Second Stage dealer, then in addition to the above information, the following additional information are also required to be mentioned
in your invoices.
Range : Nagothane - I
Division : Alibaug
Commissionerate : Raigad
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
1. To carryout filtration of Lube oil/Seal units of CG Compressor (10,500 litres); C2R & C3R Compressors
(9,000 litres), Expander Compressors (1,500 litres) Units of Gas Cracker Plant and 30P41 lube oil console
(2,000 litres) of Hyper Compressor Unit of LDPE Plant. Filtration to be done NAS 6 or lower by deploying
sufficient nos. of trained personnel and resources at Owner's site for round the clock working on all days
(Sundays/Holidays) .
2. Contractor shall mobilise at least 2 units of Filtration Systems with all the required material viz; Brass
Pre-Filter with 600 micron stainless Steel cartridge, Tushaco brand Rotary Gear Pump, 0.5HP single phase
220 volts motor 1450rpm, fitted with Complete Electrical Panel, Pressure Gauge, Pressure cut-off switch,
Hour meter, hose (6m/unit) and contamination patch testing kit.
3. To mobilize adequate no. of filters to ensure continuous operation of filtration system.
4. To carryout Oil purity test using patch testing method.
5. To mobilize the filtration unit with all accessories, consumbles from Contractor's warehouse to Owner's
site and back.
6. To arrange mob-demob of crew from Contractor's works to Owner's site and back.
7. To carryout all connections required to establish circulation loop of oil reservoir and filtration unit.
8. To &Fro arrangement for their men & material.
13. All materials, auxiliary equipment and consumable required for doing the job including operation of
auxiliary equipments.
14.Reconciliation of Free Issue Material : Not applicable for this job.
Service Tax applicability will be considered only if a copy of PAN based Service Tax Registration Certificate
indicating Service Tax Registration Number and the Services for which registration was done is submitted
by the Bidder.
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
1.3 Contractor has to provide Service Tax Invoices separately showing the service tax element, if service tax
is applicable.
2.2 Separate Bill Invoice in duplicate as per given format on contractor's original letter-head has to be
submitted for scrolling in F&A Dept. alongwith measurement sheets duly certified by Engineer-in-charge.
2.3 Invoice shall be submitted exactly as per the original work order in line with the line items with actual
quantity executed. Additional quantity (other than WO) shall be claimed only after the issue of amendment
to the work order. Also where the rates are not available but the jobs are executed as per the instructions of
Engineer-in-charge, contractor shall submit the invoice only after the issue of Amendment to original work
order. Accordingly payment shall be released in two phases i.e based on Original WO & based on
Amendment to original WO.
The vendor shall submit the invoice along with certified JMS copy, as per the terms of the contract within 14
days from the date of completion of job directly to the Finance Department for scrolling and release of
payment. While submitting the Invoice the Vendor shall attach a copy of certified joint measurement sheet.
2.6 Payment shall be made within 30 days from date of submission of bill for scrolling and job certification
by EIC after completion of job, through E-Payment only as per the payment methodology given at 2.7
below.
In case any clarification on the electronic payment is required, please contact immediately on e-mail to
[email protected].
2.8 Submission of PF challan copy and WC policy for obtaining "Clearance for Statutory Compliance" from
RIL Contract Labour Cell, shall be attached with Bill Invoice.
4.0 As per statutory requirements, you shall submit the following details:
a) Postal Address to which Cheque should be sent
b) Name & address of the Bank with type of bank account & Account No. (Current/Saving)
c) Permanent Account No. (PAN)
d) Provident Fund A/c. No.
e) PAN based Service Tax Registration No.
f) CST TIN No.
g) M-VAT-TIN NO.
h) Central Excise Duty Registration No.
i) Small Scale Industry Registration No.
j) Any other taxes duties
Note: 1. If any of the above information is not applicable, you should fill as "Not Applicable".
2. Please furnish copies of the said Registration Certificates alongwith your offer.
5.0 You shall be responsible for any losses incurring to the company or its agencies or its employees or its
property by way of negligence of safety/security rules on the part of contractor or its labour or its agency
during the execution of the contract or any damage/non returning of the issued items, covered under RIL
scope of supply, damage of any components while assembling or loss of any part including hardware due to
negligence of contractor, the RIL Engineer-in-charge will decide about recovering the cost of such items at
the prevailing price from the contractual bills.
7.0 GUARANTEE:
Not applicable.
8.1 The Contractor should note that the Contract may be terminated at any period of time during the
Contract tenure with one week's notice in advance at the discretion of RIL without assigning any reason
thereof.
8.2 If contractor is unable to comply with the safety rules & regulations, RIL management has the right to
terminate the subject contract at any stage of work & get the job done with alternate Vendor at contractor's
risk & cost.
Further extension shall be as per the mutual agreement between RIL & the Contractor.
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
To consult the EIC prior to changing supervisory personnel so that continuity of the contractor's supervision
is maintained in order to meet the required safety standards.
To nominate safety representative as a member of concerned plant safety committee and to ensure that
member so nominated takes active participation in regular meetings of these committees.
He is responsible for overall coordination of the safety procedures prescribed herein:
To work closely with concerned field engineer/shift supervisor and area safety officer/manger.
To facilitate RIL Personnel to carry out safety inspections of his site.
To comply with recommendations given by EIC.
To attend regular meetings of safety committee whenever called by EIC.
To get information from EIC on hazards associated with a particular job and to ensure that necessary
precautions are taken during the execution of that job accordingly.
To take action in consultation with EIC to rectify the unsafe conditions in work site prior to start of the work.
When work is in restricted area, to select personnel experienced with the work and will ensure that all safety
requirements are being adhered to.
To review the work area for unsafe practices and conditions and initiate corrective actions as required.
To maintain a constant awareness of fire hazards in their area of work and to take action to eliminate the
fire hazards if possible. Matters beyond his ability to handle shall be reported to EIC.
To know the plant emergency procedures to broaden the leadership base, which may be required to cope
up with serious accidents, personal injuries, fires or evacuation.
To provide all relevant information to incident investigation team for any incident resulting in personal injury,
environmental damage within his limit.
To deliver 5-10 minute safety talk every week to group of contractor personnel under his control. A group
should not be more than 15 people at a time.
*****
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
ANNEXURE-IV(a)
SAFETY REQUIREMENTS
1.0 Failure to comply the safety requirement shall be entail to penalty or terminate the contract at any stage
of work. In this regard the decision of RIL management is final.
2.0 You have to follow the Procedure for Confined Space Entry of RIL & for details contact EIC before
stating the job..
3.0 You have to follow the Procedure for Working at Heights of RIL & for details contact EIC before stating
the job.
4.0 You have to follow the Procedure for Lockout Tagout of RIL & for details contact EIC before stating the
job..
5.0 You have to follow the Procedure for Scaffold Safety of RIL & for details contact EIC before stating the
job..
6.0 You have to follow the Procedure for "Hot Work Permit" of RIL & for details contact EIC before stating
the job..
All the safety equipments should meet the specifications prescribed/approved by HSE&F Dept.
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Sr. Activity/Hazard Recommended PPEs Responsibility Responsibility
No of providing of providing
PPEs Prime PPEs secondary
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01 Non toxic dust Dust mask Contractor RIL on chargeable
nuisance Panoramic goggles Contractor RIL on chargeable
In case returnable PPEs are not received back/ received in damage condition beyond normal wear & tear,
cost of PPE shall be deducted from the bills of contractor concerned. Any situation, which is specific in
above annexure decision of Engineer-in-charge in consultation with HSE&F Dept. will be final.
Safety Goggles: Toughened/ Polycarbonate scratch resistant lense with side shield, Optically correct zero
power, impact resistant. Approved by BIS specification no. IS: 7524 Part-I
Safety Harness with double lifeline : Waist belt with shoulder strap (full body harness), 6mm thick coated
friction buckle& joint less D-ring, 44 mm wide nylon webbing, padded back, nylon stitched along with copper
rivets for additional safety, "quick fit" spring loaded hook. Approved by BIS specification no. IS:3521.
Safety Shoes: High ankle shoes, made from fine quality plain black leather, padded collar, full below
attached tongue, with steel toe cap as per IS 5852 with direct injection PVC Nitrile heel sole resistant to
acid, alkali, oil. (All the safety equipments should meet the specifications prescribed/approved by HSE & F
Dept.)
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Sr. Activity Penalty for Penalty for Penalty for third
First Time second Time. Time onwards
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1 Supervisor found at site without Rs.50/- Per ON HOLIDAY SUSPENSION
having undergone safety Employee FOR 5 DAYS
induction training
*****
ANNEXURE-IV(b)
SECURITY/SAFETY/TRAFFIC NORMS/PENALTIES FOR THE CONTRACTORS
WORKING AT RIL-NMD IN PLANT AND TOWNSHIP :
A) Breach of Security:Contractor's personnel shall not breach the security requirements described in
Table below failing which contractors shall be liable for imposition of the Penalty/Recovery/Black listing as
per the Table given below.
B) Breach of Safety : Contractor's personnel shall not violate the security requirements described in Table
below failing which contractors shall be liable for imposition of the Penalty/Recovery/Black Listing as per the
Table given below.
C) Breach of Traffic norms : Contractor's personnel shall not violate the Road Safety Management
System requirements described in Table below failing which contractors shall be liable for imposition of the
Penalty/Recovery/Black Listing as per the Table given below.
A) BREACH OF SECURITY
B) BREACH OF SAFETY
Sr.No Nature of Violation Proposed penal action
01 Carrying Objectionable Articles -Such as bidi,
matchbox, lighters, inflammable material etc . Rs.2000/-
causing hazards for liquid/gas handled inside the
plant Battery Limit.
Recurrence of above violation will invite double penalty and may lead to interruption in the contract as per
the management's decision.
*****
ANNEXURE-IV (c)
BREACH OF TRAFFIC NORMS
S.No Nature of Violation Proposed penal action
Recurrence of above violation will invite double penalty and may lead to interruption in the contract as per
the management's decision
NOTE:
1. Recurrence of above violation will invite double penalty and may lead to interruption in the contract
as per the management's decision.
2. This document shall be the part of RFQ and the work order.
3. The waving of penalty against anything above will be with the core committee's decision.
4. The procedure is also applicable in Township
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
5. For traffic rules, the standard RTO rules are to be used as guidelines.
*****
ANNEXURE-IV(d)
SPECIFIC SAFETY REQUIREMENTS
AA: PPE requirements for contractors are:
EIC shall validate quality of PPE on Job, assess compliance and enforce it's compliance on job. In case of
noncompliance, EIC shall impose penalty as devised by CMG.
EIC shall validate quality & Quantity of resources on Job, shall impose penalty for noncompliance as
devised by CMG.
House keeping shall be required on every day basis and shall be completed before contractor leaves the
workplace every day.
HSEF shall Impart training to new entrants , Refresher safety training for old staff and validate before
renewal date. The topics for training shall be Use of Mandatory PPEs, Special PPEs in contractopr's scope
and PPEs in RIL NMD's scope, Knowledge of occupational health for contract workmen on similar lines as
given for RIL -NMD employees, fire fighting training certification & drills for contractor and on many subjects
which are related with the safety of the contractor.
1. More safety roles and responsibilities clauses to contracts shall be included time and again to upgrade
safety requirements and all contractor supervisory and/or management personnel and their safety officers
shall be responsible and accountable for compliance.
2. Safety Training shall be imparted by HSEF/RIL Faculty to contractor's personnel and Training faculty
shall Conduct Examinations after every safety orientation session and safety training course and validate
trainee's performance. Those attendees who fail the exam shall repeat the safety orientation session or
training course and appear for the exam again. This will decide workman's eligibility for gate pass.
3. RIL Audit Team Members shall regularly walk-through and conduct field audits of contractor safety
performance
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
4. RIL Audit Team Members shall compile the results of the observations from field audits, analyze for
trends and (unsafe situations) corrected. Contractor supervisors shall be accountable for the corrections
and continuous improvement of safety.
5. EIC/Audit Team Member/Any RIL NMD Representative shall give recognition "On-the-spot" for
demonstrating excellent safety performance which should be a round the year activity. Contractor
themselves also shall use recognition methodology for their workers to motivate workers to prevent
incidents.
a. Workers engaging in work activities that cause imminent threat of injury shall be
stopped and resuming the work shall proceed after the supervisor and/or manager has
corrected all unsafe acts and unsafe conditions.
b. Repeated failure to correct unsafe acts and unsafe conditions could result in dismissal
of supervisory and/or management staff.
c. Continuous improvement of safety performance over the duration of the work is
expected and will be confirmed through frequent audits of the contractor's activities.
d. To perform regular audits on their own.
8: Small description on or definition of a near miss to the general safety clauses should be incorporated as
awareness and contractors should be vigilant to liquidate near miss conditions. Also reporting of near
misses and minor injury incidents by contractor workers to EIC should be emphasized strongly with reward
scheme to motivate near miss reporting.
9 : Incident Investigation of the contractor incidents shall be conducted by the contractor, whether alone or
jointly with RIL. Contractor supervisor shall be responsible to determine the root causes of the incident and
correct the causes expediently. Accountability for implementing recommendations for corrective or
preventive actions in a timely manner should be emphasized.
10: Contractors to organize and convene their own separate safety meetings without RIL in attendance (or
one RIL representative, maximum). Minutes of these contractor safety meetings should be sent to the RIL
"EIC" (line organization) for review and comment.
Contractor shall ;
a. Conduct Self Audits
b. Conduct Tool Box Talk every day and cover various topics.
c. Provide Electrical equipment as per area classification
d. Not Use mobile without authorization by RIL
e. undergo Training for truck, tanker, fork lift drivers & shall maintain its records
f. take Safety precautions as per MSDS for the materials in RIL scope .
g. take Safety precautions as per MSDS for the materials in contractor scope .
11: Work permits should be signed by contractor's responsible for the job. They should sign the
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
associated risk assessment documents like RA, TBRA etc also. The permit and risk assessment should
document the communication and agreement between RIL and the contractor.
13: At the "close out" evaluation, RIL shall inform the decision of whether or not the contractor will remain
on the approved vendors list , based on the performance of the contractor on Safety and Technical rating.
1: Contractor shall inform if they are planning to engage the subcontractor. In that case, contractor to
confirm that responsibility and accountability of compliance with the Statutory regulations, Safety
Compliance and Technical competency of the sub contractor shall be responsibility of the Prime contractor.
3: Contractor to submit list of certificates and licenses for contractor employees who will perform the work.
Document Nos. related with job specific and/or unique safety requirements separately.
4: Contractor shall prepare a written safety action plan for complying with both the general and special
requirements of the work and shall be discussed.
*****
ANNEXURE-IV(e)
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
25. All workmen of the contractor shall be properly dressed (work uniform with company name) and nobody
shall wear loose clothing, which may cause injury/damage while working with rotating machinery.
26. Contractor shall ensure that authorised & trained electrician shall carry out all electrical work.
27. Negligence or carelessness of any contractor or his employee(s) against the interest of RIL-NMD shall
be viewed seriously.
28. No contractor or his employee shall refuse to perform assigned work and disregard intentionally or
disobey the instructions.
29. It will be the prime responsibility of the supervisor or the Engineer-in-charge of the contractor to see and
ensure that all the Safety Rules are strictly complied and followed without any excuse whatsoever and shall
demonstrate competency and ability to do the work, which had been agreed upon while awarding the job.
In addition to all above General Safety Rules, each contractor shall ensure that all his workmen undergo
induction and regular safety training as and when it is arranged by Plant / Dept. Engineer I/C / Safety
Department.
*****
ANNEXURE-IV(f)
FUNCTIONS OF CONTRACTOR'S SAFETY REPRESENTATIVE AFTER AWARDING
CONTRACT
Applicability :
i.Contractor deploying No. of workmen more than 20 at site shall deploy
independent Contractor Safety Representative.
ii.Contractor deploying workmen less than 20 at site shall themselves function as
Contractor Safety Representative.
1. To ensure that Qualified, Trained & Experienced Technical Personnel are mobilised and are fully
conversant with Safety requirements of the job.
2. To ensure Safety and Statutory requirements are complied for tools & tackles used by the contractor's
workmen. To ensure that they are in good condition, safe to use, certified for use, certified by RIL-NMD
Engineer in case of Electrical machinery.
3. To ensure that Mandatory PPEs & Job Specific PPEs are used by Contractor's workmen whenever in the
field.
4. To ensure that General and Job specific Roles, Responsibilities and accountabilities of contractor's
Workers, Supervisor, Safety Representative are complied.
5. To ensure that Road Safety Management System is complied.
6. To ensure that all Safety requirements are complied by the Sub Contractors workmen.
7. To ensure that Safety Programme/Safety action plan for the job execution finalised in the pre-bid opening
meeting is reviewed and followed.
8. To ensure that safety inspection is carried out continuously to avoid any injury and incase of any injury,
record is maintained.
9. To study General, Special and/or unique safety requirements/ procedures applicable to Job thoroughly
and ensure that environmental harm, property damage, and business losses by contracted activities are
totally prevented .
10. To ensure that Safety roles and responsibilities clauses amended during the contractual period are
followed by all your employees.
11. To ensure that House keeping is completed before workmen leave the workplace every day.
12. Always keep available all Supporting Documents, for Mandatory requirements for all resources like
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
He shall:
a. Organize Monthly safety meeting with their staff with or without RIL representative, prepare and send
MOM to EIC for review. EIC shall advice for improvements and shall liquidate EIC's recommendations.
b. Conduct Self safety audits every day and keep record on improvements.
c. Conduct Tool Box Talk every day , cover various topics and keep record of subjects covered.
d. Train contractor's workmen on Electrical equipment area classification and shall ensure that all
equipments are provided as per electrical area classification.
e. Ensure contractor's workmen do not carry items like mobile phone , match box, cigarette or any ignition
source in battery limit area. In case found carrying, his gate pass shall be cancelled permanently and
Contractor Safety Representative shall be penalised.
f. Ensure that truck, tanker, fork lift drivers are trained and always carry driving license.
g. Train contractor workmen on Safety precautions required as per MSDS for the materials handled by
workman.
h. Ensure that Work permits associated with risk assessment documents like RA, TBRA etc are discussed
with EIC are understood fully before starting the job and sign the document.
i. Ensure that near misses and minor injury incidents by contractor workmen are reported to EIC and
recommendation of EIC are liquidated within time given by EIC. Concept of near miss shall be explained in
the Training Programme.
j. Ensure that Contractor Safety Representative may be involved in conducting Incident Investigation of the
contractor's incidents, with RIL to determine the root cause of the incident. Contractor's Safety
Representative shall liquidate recommendations within time given by EIC.Concept of Incident Investigation
shall be explained in the Training Programme.
k. Give accurate and quick head count of contractor workers when involved in Safety drills conducted by
plant HOD..
a. RIL Audit Team Members alongwith contractor safety representative shall conduct field audit on all
aspects of safety during contractual period on contractor safety performance. They shall compile results of
observations; analyze trends of unsafe situations and corrections. Contractor Safety Representative shall
demonstrate continuous improvement of safety performance.
*****
ROLE,RESPONSIBILITY FOR ENGINEER IN CHARGE
2.0 Use of job specific PPEs other than Basic PPEs in contractor's scope.& Use of job specific PPEs other
than Basic PPEs in RIL NMD's scope e.g. SCBA, canister masks
8.0 Contractor Accepts safety norms but do not dwelt with it.
Record and report to the CMG
9.0 Safety related procedures and standards like RSMS, scaffodlings, Vehicle entry procedures, excavation
, etc not informed to contractors in advance
Indicate SOP- Nos and Check sheet No.
To create awareness/encourage.
13. Conduct Tool Box Talk every day and cover various topics: Monitoring the performance
16.Training for truck, tanker, fork lift drivers training & its records : Ensures compliance
17. Safety precautions as per MSDS for the materials in RIL scope: Ensures compliance.
18. Safety precautions as per MSDS for the materials in contractor scope: Ensures compliance
*****
ANNEXURE-IV(g)
SPECIFICATIONS FOR ALL PPE'S
-------------------------------------------------------------------------------------------------------------------------------------------S.noD
Descriptoion Specifiction Requirement Vendor's Vendor's Vendor E_mail
Code Name Address
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1 UNIFORM Full sleeve Dangree. Mandatory
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2 EAR PLUGS Orange colour ear plug Mandatory 215115 3M India Raheja
(2000046725) with cord*conforming to Ltd Paramo-
ANSI Approval S3-1 NT, 138,
Residency Rd.
BANGALORE-
560025 E-MAIL-
[email protected]
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3 GOGGLES, TYPE:CHEMICAL SPLASH Mandatory 101489 P N SAFET E-001 [email protected]
ECH PVT Sanpada
CHEMICAL MATERIAL LENS:CLEAR LTD Rly Stn.,
splash POLY CARBONATE FRAME: Complex
2001374716 SOFT PVC HEAD BAND: NAVI MUMBAI
ELASTIC FABRIC DESIGN 400705
STD:EN:166, 167,168 & 170
VISION:180 DEGREE FIELD
OF VISION FOR DISTORTION
FREE PERIPHERAL VISION.
LENS COATING:HARD COATED,
SCRATCH RESISTANT
(MARKING K) AND UV RESIST
ANT OPTICAL CLASS:CLASS-1
MECHANICAL STRENGTH:LOW
ENERGY IMPACT (MARKING F)
VENTILATION:INDIRECT
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
VENTILATION TO COMPLY
WITH SPLASH RESISTANCE TEST
ANTI FOG PROPERTY RESISTANCE
TO FOGGING (MARKING-N AS PER EN)
MARKING :AS PER EN166 OTHER
INFORMATION:SUITABLE TO WEAR
OVER THE REGULAR SIZE PRESCR
IPTION GLASSES.
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4. SAFETY 1MATERIAL:LENS LEAR POLY Mandatory 101489 P N SAFET E-001 [email protected]
SPECTACLES CARBONATE 2. DESIGN STD ECH PVT Sanpada
2001391558 EN: 166, 167,168 & 170 LTD Rly Stn.,
3. VISION 180 DEGREE FILED Complex
OF VISION FOR DISTORTION NAVI MUMBAI
FREE PERIPHERAL VISION 400705
4. LENS COATING:HARD COATED
AND UV RESISTANT 5. LENS
QUALITY:OPTICAL CLASS-1
6.MECHANICAL STRENGTH:LOW
ENERGY IMPACT (MARKING F & ABOVE)
7. MARKING AS PER EN166 8. SPECIAL
FEATURES:CURVED LENS
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5 HELMET FOR COMFORT AT THE Mandatory 104453 Joseph Leslico House,
HEAD BAND FOREHEAD AND RATCHET Leslie & 3rd Floor
INTERNAL TYPE ARRANGEMENT WITH co Prof V S Agashe Road,
2000901720 CHIN STRAP FOR EASY Dadar(west),
FITTING TO THE HELMET Off 87 C Bhawani
APPROVED BY BIS (SPEC. Shankar Road,
NO:2925-1984).TEST Mumbai 400028
CERTIFICATE OF
DEPARTMENT OF
CHEMICAL LABORATORY E-mail:[email protected]
SHALL BE PRODUCED.
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6 SAFETY TYPE:GENERAL PURPOSE Mandatory 104453 Joseph Leslico House,
HELMET HELMET WEIGHT:400 Leslie & 3rd Floor
2001374673 GMS ( + or - 20 GMS) co Prof V S Agashe Road,
DESIGN STD:IS 2925:1984 Dadar(west),
CERTIFICATION Off 87 C Bhawani
AUTHORITY:BIS / DGMS / Shankar Road,
CLI SHELL DIMENSION: Mumbai 400028
BETWEEN 43 TO 63CM
COLOUR (AS PER THE
REQUIREMENT): WHITE E-mail:[email protected]
/YELLOW/BLUE/RED HEAD BAND MATERIAL:
NYLON WEBBING, 4-8 SLOT ADJUSTABLE BAND CHIN STRAP MATERIAL:
LDPE/NYLON SWEAT BAND: HIGH ABSORPTION AND WASHABLE EG. WASHABLE
COTTON WITH FOAM RATCHET (CIRCUMFERENCE INSIDE HEAD BAND):ADJUSTMENT
OF 43 TO 63CM. PERFORMANCE REQUIREMENTS: SHALL BE TESTED FOR SHOCK ABSORPTION
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
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7 DUST MOC:POLYPROPYLENE, Mandatory 215115 3M INDIA RAHEJA PARAMOUNT
RESPIRATORS ON POLYISOPRENE RUBBER ltd 138, RESIDENCY
ROAD
2001140242 TESTING STANDARD:IS 9473-1980 BANGALORE 560025
W.R.T BREATHING RESISTANCE E.MAIL:[email protected]
AND FILTERING EFFICIENCY Other Features : Construction: It should have a Superior flat
fold design which can be folded and kept in pocket after use. Triple layer non-woven micro-fiber filter
material. The construction should incorporate an aluminum nose clip Filter Media: The filter media should
be the whole respirator surface & additionally should also have Electro-statically charged filter media
capable of filtering up to 0.3 micron. Head Bands: Should have Latex/Non irritant head bands having very
good elastic retention properties. The Band should also provide constant tension to the wearer through out
the usage life for good face seal Fit and should also not cause irritation to the wearer. Nose Clip: The nose
clip should be made of strengthened aluminum. The nose clip should be soft and pliable and confirm to the
nasal contours of the wearer to provide comfort, secure face seal and reduce the potential for eyewear
fogging. Filtering efficiency: Filtering efficiency of the product should be tested at a minimum flow rate of 95
Litres per minute & should be minimum 80% as per IS 9478; 1980 The breathing resistance for inhalation at
30 L/M should be .6 mbar.
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8 Safety Shoes 1. Type: Safety Shoes low ankle Mandatory
2001112494 Size-04 2. MOC: PU, Direct Injection, Single density (Sole tested at FDDI as
(4 NO SIZE), per DIN standard for abrasion resistance, antiskid) Toe Steel-EN- 345 marked and rust
2000844273 proof coated, with cushion liner to prevent the damage to leather, Imported steel toe,
(5 NO), (tested by FDDI & CLI) EVA pedding on seat,Polyester stitching thread,
2000844274 Cotton lace. 3. Approval/Testing standard Operative Standard IS 15298:2002
(6NO), Part I &II & EN 345, AS/NZS 2210.2:2002 Design B (4.2 of IS 15298 part 1),
2000844275 Test certificates to be submitted - Footwear Design and Development Institute (FDDI),
(7 NO), Central Labor Institute (CLI) and PFI Germany 4. Description:- Upper Leather -
2000844276 Grain leather (thickness: 1.8 to 2.20 mm) with tear strength of 120 N and flexibility -
(8 NO), thick non-woven Tongue leather - 1.0 to 1.20 mm thick non-woven Seat - Cloth black
2000844277 with 3mm EVA padding Stitching Thread - Nylon or polyester (No - 20, 40 & 60) Eyelet
(9 NO), for lace - No. ¿ 600 Lace - Cotton 80 cm, round, with breaking strength of 50-60 Kg
2000844288 Weight - 800 gm +/- 10% (size 8) Color - Black, Marking - Brand at sole along
(10 NO), with EN & Month/Year/Date of manufacturing at tongue Finishing - Liquid spray and
2000844289 elegant looking Size - 4 to 14 (English), 39 to 46 (French Packing - One pair shoe
(11 NO), box and further 12 such boxes in a corrugated carton, 5.
2000844290 Marking:- Month Year Mfg. Name Size 6. Disposable method:- As per EMS/ Vendor
(12 NO), recommendations
20011311282
(13 NO),
2001376127
(14 NO)
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
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9 LIFE LINE SAFETY BELT FULL Mandatory 101310 UNICARE EMERGENCY Leslico House,
SAFETY BODY HARNESS MFR : EQUIPMENT PVT LTD , 3rd Floor,
BELT 30' UNICARE EMERGENCY Prof V S
2001033681 EQUIPMENT PVT. LTD Agashe
MODEL NO : UEE 284 Road,
ATTACHED WITH MODEL Dadar(west)
UEE 403 WITH 30FT. LIFE LINE Description FULL BODY HARNESS ANCHOR POINT :
Two Chest Attachement - D-ring and a doorsal attachment D-ring, ERGONOMICS : Adjustable shoulder
and thigh strap SIZE : MEDIUM / LARGE COMPLIANCE : confirms to EN-361 ATTACHED TO MODEL
UEE-403 WITH ONE SIDE LOOP & THIMBLE AND OTHER SIDE UEE-302 KARABINER
E-mail : [email protected]
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10 Double Line 1) Abbreviated. Description 101489 P N SAFETECH E-001 Sanpada Rly
Safety Belt Full body safety harness with PVT LTD Stn Complex,
2001383293 double lanyards 2) Textile components SANPADA,
(harness) Webbing material : NAVI MUMBAI
Polyester Width : 400705
43 mm Breaking strength :
Min 19.6 Kn Thickness of E-mail :[email protected]
strap:-3mm Stitching thread: Polyamide (white colour or different colour of harness). Number of stitches
shall be not less than 3 per cm 3) Metal Components(harness) Material : Alloy steel Plating: Electro
deposited Zinc or chromium plating, powder coating. The min thick. Shall be 8 micron as per IS 4171 & IS
101(Part 3/Sec 2) Finish : Free of sharp edges 4) Compliance IS-3521 ¿ 1999(Reaffirmed 2002) 5) Physical
parameters(harness) ¿ One dorsal D ring for fall arrest ¿ Two chest front D ring for fall arrest ¿ Adjustable
shoulder thigh straps and waist belt 6) Double lanyards Twin rope lanyard with shock/energy absorber.
Allow fast and east important moves while working at a height Made of 12 mm Dia , 3 strands polyamide
ropes Length: 1.8m Material: Nylon/Polyester Polyamide 7 Marking on the Harness Date of
Manufacturing; Certification Manufacturer Batch number Identify of the fiber used as MOC 8 Packaging
Each harness shall be supplied by wrapping in moisture proof material 9) Disposable method As per EMS
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11 BLANKET, MATERIAL:CERAMIC & Mandatory forposiible 364604 Joseph Leslico House
FIRE/WELDER, VERMICULATE the jobs where Leslie & co 3rd Floor
CERAMIC& COATED SUITABLE electrical shocks are Prof V S
VERMICULATE FOR :ANY SPARK Agashe Road
2001374732 PRODUCING JOB Dadar(west)
& HOT JOB Bhawani Shankar
APPROVALS/TEST Road, Mumbai
CERTIFICATES:IS-11871,
BITRA NON IRRITANT TO SKIN:
YES WEIGHT:1.5KG/SQM
SIZE:STD. SIZE 1M X 2M e-MAIL :[email protected]
CONTINUOUS TEMPERATURE
RESISTANT:1000*C USE TEMPERATURE LIMIT:1260*C MELTING POINT:1760*C DISPOSAL
METHOD:INCINERATION/ LAND FILLING AS PER EMS DISPOSAL METHOD:INCINERATION/ LAND
FILLING AS PER EMS COLOUR:BROWNISH THICKNESS WITH COATING:+3.0MM WIRE
TYPE(SS):SS-304 WIRE GAUGE:42G % OF FIBER GLASS:10-12% BY VOLUME SHELF
LIFE:INDEFINITE STORAGE(AFTER USE):NON FOLDABLE ONLY ROLL OR KEEP STRAIGHT/FLAT
MSDS AVAILABLE:YES BEEDING OF EDGES ( ALL SIDES ):EDGES DOUBLE FOLDED WITH
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
E-MAIL:[email protected]
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15 LEATHER 1.MATERIAL CHROME Mandatory for areas 364604 Accent Industries
GLOVES TANNED SPLIT LEATHER where rough sharp Limited
2000438293 2.SUITABLE FOR ABRASION & hot objects
/CUT RESISTANT 3.DESIGN are handled
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
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22 FACE Acrylic Plastic face Mandatory 104453 Joseph Leslie & co
SHIELD shield with adjustable for protect Leslico House, 3rd Floor,
(2000566792) ratchet type head gear, to chemical Prof V S Agashe Road,
sweat band, with chin splash. Dadar(west), Off 87 C
guard. Suitable for prot- Bhawani Shankar Road,
ection against chemical Mumbai 400028
splash, flying particles etc.
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
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26 Kevlar 1.MATERIAL 100% KEVLAR RIL NMD's scope 364604 Accent Industries Limited
HAND PARA-AMIDE FIBER on returnable basis. 430/B,
GLOVES-14 (ONLY AT PALM), Kewal Industrial Estate,
2001374743 REST PART IS MADE OF Senapati Bapat Marg,
SUPERIOR SOFT & FLEXIBLE Lower Parel,
SPILT LEATHER STITCHED Mumbai 400013
FROM KEVLAR THREAD
AND WITH INTERNAL E-MAIL:[email protected]
BETTER QUALITY WOOLEN
LINING (PREFERABLE) /
COTTON FLOCK LINING
2.SUITABLE FOR :-HIGH
TEMP. APPLICATION
3.APPROVALS/TEST CERTIFICATES:- STD EN:407 & EN420 4. NON IRRITANT TO
SKIN:-YES 5.HEAT RESISTANCE:-APPROXIMATE 350DEG.C 6.SIZE (LENGTH):-14 INCHES 7.SPECIAL
FEATURES:-COMFORT TIGHT FIT LEATHER THICKNESS:-1.2 TO 1.5MM 8.OTHER SPECIFICATION
EN:407 CERTIFICATE FOR KEVLAR CLOTH PERFORMANCE LEVEL 3& ABOVE 9.MARKING:- MONTH
YEAR MFG. NAME:tempex protective equipment 10.PACKING REQUIREMENT:- TO BE PACKED IN
RE-SEALABLE POLY ETHYLENE BAG.
------------------------------------------------------------------------------------------------------------------------------------------ 27.
SUIT,THREE TYPE:CHEMICAL RIL NMD's scope 104453 Joseph Leslie & co
PIECE PROTECTIVE SUIT on returnable basis. Leslico House,
MIDEUM, THREE PIECE COAT 3rd Floor,
MOC:TYVEK PANT ,HOOD. MOC: Prof V S Agashe Road,
2001374722(M) TYVEK, DESCRIPTION: Dadar(west),
2001374723(L) DESIGN OF HOOD: Off 87 C Bhawani
THE HOOD SHOULD Shankar Road,
BE DESIGNED TO COVER Mumbai 400028
THE HEAD & SHOULDER
AREA,THE HOOD SHOULD
BE PROVIDED BY ACRYLIC E-MAIL:[email protected]
VISOR,ALL SEAMS TO
BE UTRASONICALLY WELDED
DESIGN OF COAT:COAT
SHOULD BE DESIGNED WITH OVERLAPPING ZIP ARRANGEMENT FOR COMPLETE CHEMICAL
PROTECTION,ALL SEAMS TO BE UTRASONICALLY WELDED,THE SLEEVES SHOULD BE PROVIDED
WITH DOUBLE CUFF DESIGN TO ENABLE LIQUID TIGHT PROTECTION ALONG WITH CHEMICAL
GLOVES,THE COAT SHOULD BE PROVIDED WITH ELATIC WAIST FOR BETTER FITTING. DESIGN
OF PANT:- THE PANT SHOULD BE PROVIDED WITH ELATIC WAIST FOR BETTER FITTING WITH
POCKET,ALL SEAMS TO BE UTRASONICALLY WELDED THE SUIT SHOULD BE ANTI STATIC,
MARKING ON THE SUIT:MONTH,YEAR,MFG.NAME, DISPOSABLE METHOD:AS PER EMS/ VENDOR
RECOMMENDATIONS
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28 BARRICADE ¿RED & WHITE TUBULAR RIL NMD's scope 365233 WELDAID SAFETY
TAPE COLOUR ¿MATERIAL: on returnable basis.
2001382844 LDPE-NON TOXIC AND
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
ODORLESS ¿DESCRIPTION:
TUBULAR TYPE,SEAMLESS
TUBE,PREVENT ACCIDENTIAL
TEARING. ¿RED AND WHITE E-MAIL:[email protected]
CROSS STRIPS AT 45 DEG
ANGLE, RED STRIP 4 INCHES
WITH RIL LOGO IN WHITE
COLOUR AT CENTRE &
WHITE STRIP 6 INCHES
WITH WORD "STOP"
PRINTED IN CAPITAL LETTER AT CENTRE. PRINTING SHOULD AT BOTH SIDES OF THE TAPE.
PRINTING SHALL NOT BE CLEARED OFF UPON RUBBING. ROLL LENGTH (1 ROLL=200 MTR.)
¿APPLICATION:BARRICADING ¿WIDTH SIZE: 3 INCHES ¿THICKNESS:-100 GAUGE, +/-5% (1-MILL)
¿MARKING:MONTH/YEAR/MFR.NAME
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29 Heat 1 Abbreviated Description RIL NMD's scope 131420 ARC-LIGHT TRADING
Resistance Heat Resistance Kevlar on returnable basis. CORPORATION
Kevlar Apron 2 Type Without Sleeve 21-A, KHADILKAR ROAD,
Apron 3 Material 100% Kevlar CP TANK,
2001026039 Para-amide fiber. MUMBAI-400004
4 Suitable for Heat /
abrasion /cut resistant
5 Tightening Straps With e-mail :[email protected]
Velcro arrangement at neck
and waist 6 Approvals/Test certificates Std EN:407 7 Non irritant to skin Yes 5 Heat Resistance
>350Deg.C 8 Size 24 inches x 36 inch 9 Colour Yellow 10 Weaving Stitched from Kevlar thread 11
Disposable method As per EMS/ Vendor recommendation 12 Marking Month Year Mfg. Name 13
Packing Requirement To be packed in Re-sealable polyethylene bag. 12 Other Specification Inner lining-
cotton flannel.
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30 GLOVES, 1.MATERIAL 100% Mandatory 364604 Accent Industries Limited
KEVLAR, KEVLAR PARA-AMIDE
HEAT RESIST, FIBER (ONLY AT PALM),
SIZE: 16" REST PART IS MADE OF
2001374744 SUPERIOR SOFT & E-mail :[email protected]
FLEXIBLE SPILT
LEATHER STITCHED
FROM KEVLAR THREAD
AND WITH INTERNAL BETTER
QUALITY WOOLEN LINING
(PREFERABLE) / COTTON FLOCK LINING 2.SUITABLE FOR :-HIGH TEMP. APPLICATION
3.APPROVALS/TEST CERTIFICATES:- STD EN:407 & EN420 4. NON IRRITANT TO SKIN:-YES 5.HEAT
RESISTANCE:-APPROXIMATE 350DEG.C 6.SIZE (LENGTH):-16 INCHES 7.SPECIAL
FEATURES:-COMFORT TIGHT FIT LEATHER THICKNESS:-1.2 TO 1.5MM 8.OTHER SPECIFICATION
EN:407 CERTIFICATE FOR KEVLAR CLOTH PERFORMANCE LEVEL 3& ABOVE 9.MARKING:- MONTH
YEAR MFG. NAME:tempex protective equipment 10.PACKING REQUIREMENT:- TO BE PACKED IN
RE-SEALABLE POLY ETHYLENE BAG.
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31. GLOVES 1 Material 100% Kevlar Mandatory 131420 ARC-LIGHT TRADING
KEVLAR, Para-amide fiber. CORPORATION
HEAT RESIST, 2 Suitable for Heat / 21-A, KHADILKAR ROAD,
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
******
ANNEXURE-IV(h)
REFERENCE LIST FOR PPE SUPPLIERS
SR NO VENDOR PRODUCTS
1 M/s. Joseph Leslie Safety Helmet, Ear Muff, Ear Plug, Kevlar gloves, Dust & Mist Respirator
We, M/s ____________________ have been awarded contract work order no. ___________ dtd.
__.__._____ by M/s Reliance Industries Ltd. (RIL). We hereby undertake as follows:
1. That we have understood the details of the work to be executed with reference to the aforesaid work
order and the requirements of manpower, equipment, tools/tackles, safety equipment and other resources
necessary to execute the work thereof.
2. That we have got competent supervisors and workers with required qualification, relevant experience /
WORK ORDER
RELIANCE INDUSTRIES LIMITED Number : NSM/31041449
Taluka Roha,, Nagothane Revision No : 0001
DIST. Raigad-402125, MAHARASHTRA, INDIA Date 11.08.2011
Telephone : 0091-2194 -668059
Fax : 0091-2194 -668969
EMAIL: [email protected]
skills and trained for safe execution of the work. Our supervisors are well aware of the work hazards and
have got adequate knowledge and familiarity about the safe work practices / safe work methods, necessary
safety measures and precautions to be taken to avoid accidents during execution of the work.
3. That we have read and understood the General and Special Conditions & all safety annexures of the
contract work order under reference and agree to abide by the same.
4. That we have familiarized ourselves with the working conditions, understood all necessary requirements
for safe execution of the work, including safety policy and procedures of RIL and obtained all clarifications
regarding the job.
5. That we undertake to ensure and strictly comply with safety codes and safe practices/ methods relevant
to the work for safety of our employees and property of the company (RIL) and provide required personal
protective equipment to all our employees, as necessary for safety & to prevent probable injuries to our
workers and as per the safety requirements of the Company (RIL). We further undertake to carry out the
work in accordance with the safety policy and procedures of RIL
6. That we shall also comply with all applicable regulations with respect to environmental protection.
7. That we undertake to deploy competent and trained personnel for the job identified who will possess
requisite skill, certificate/ license.
8. That we shall ensure use of right type of tools, tackles & equipment, maintained in good working
condition, suitable to the nature of the job under execution.
9. That we shall be responsible for safety of our employees and other persons at site/ property of the
company and accountable for any accident due to negligence/ fault of our employees or our company and
shall be ready to accept the responsibilities for any legal consequences.
10. If we are unable to comply with the safety rules & regulations, RIL management has the right to
terminate the subject contract at any stage of work done & get the job done with alternate Vendor at our risk
& cost.
Sign :
Date :
(Authorised Signatory)
Rubber Stamp of Firm/Company
Name :
Designation :
in presence of
Witness
Name & Address of Witness Signature
1. __________________________
2. ___________________________
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7. STATUTORY REQUIREMENTS:
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Labor Licence PF No. PAN No. CST/MST VAT Regn. No. Service Tax Regn. No. Category of Service
No. No.
----------------------------------------------------------------
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Write NA wherever it is not applicable
8.SCHEDULE OF RATES
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Sr.No Line Item No Service Code Service Description Qty. Unit Unit Rate Total Amount
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----------------------------------------------------------------
(If there is Service Tax element kindly show service tax amount and education cess separately)
4. Others if any.
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