Demobilisation Assurance Checklist
Demobilisation Assurance Checklist
Demobilisation Assurance Checklist
Legend:
Y – YES
N – NO
NA – Not Applicable
Emergency response
Site restoration
Waste management and
disposal
Verification/monitoring
activities
3 Deliverables have been Document Y
handover to the Contract submitted as per
PSI.
Owner. This may include the
following:
Internal
CHECK ITEM FINDINGS Y / N / NA REQUIRED ACTION CLASSIFICATION
4 Contractor Performance N/A
Evaluation assessment has been
completed.
5 Closed out report has been Refer HSE CLOSE Y Please refer
developed and should OUT REPORT attachment :
Appendix 15 PGB-
incorporate the following: EPM-CORIO-PM-
HCR-2001 Rev 0
Assess the effectiveness of
the contractor’s HSE Plan
Identify those areas not
anticipated in the plan, how
they were resolved and the
future approach to be taken
Highlight successful positive
aspects that should be
adopted for future
contracts
Provide a concise analysis of
the contractor’s HSE
performance for discussion
with the contractor’s
management as a means of
improvement. The
performance should include
the following:
a. Actual HSE performance
vs agreed targets e.g. LTI,
MTC, FAR, spills, etc.
b. Non-compliance to the
agreed HSE plan e.g. HSE
manpower, HSE inspection
and assurances, equipment
reliability, etc.
Provide information on the
contractor for owner
bidders’ list to identify
actions needed in
assessments for future
tenders.
Internal
CHECK ITEM FINDINGS Y / N / NA REQUIRED ACTION CLASSIFICATION
DE-MOBILISATION PHASE (SITE COMPLIANCE ASSESSMENT)
6 Inspection & acceptance of Y
work site have been completed.
Signature:
Name: NAZRIN AMREE BIN SHOKERI Signature: Name:
Designation: SAFETY AND HEALTH OFFICER Designation:
Internal