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    F05.1 Leader Self Assessment

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    Aastha Alumina
    1) The document is a self-assessment form for an office/site/functional head to evaluate their leadership and commitment to environmental, health, and safety standards on a monthly basis. 2) It contains 28 questions across various categories like personal commitment, response based safety, EHS culture, objectives, resources, training, and more. 3) The head is asked to provide a self-rating of 0 (no) or 1 (yes) on a monthly basis to indicate their compliance with each standard. Areas of improvement can then be identified based on low scores.

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    F05.1 Leader Self Assessment

    Uploaded by

    Aastha Alumina
    10 views4 pages
    1) The document is a self-assessment form for an office/site/functional head to evaluate their leadership and commitment to environmental, health, and safety standards on a monthly basis. 2) It contains 28 questions across various categories like personal commitment, response based safety, EHS culture, objectives, resources, training, and more. 3) The head is asked to provide a self-rating of 0 (no) or 1 (yes) on a monthly basis to indicate their compliance with each standard. Areas of improvement can then be identified based on low scores.

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    1) The document is a self-assessment form for an office/site/functional head to evaluate their leadership and commitment to environmental, health, and safety standards on a monthly basis. 2) It contains 28 questions across various categories like personal commitment, response based safety, EHS culture, objectives, resources, training, and more. 3) The head is asked to provide a self-rating of 0 (no) or 1 (yes) on a monthly basis to indicate their compliance with each standard. Areas of improvement can then be identified based on low scores.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    10 views4 pages

    F05.1 Leader Self Assessment

    Uploaded by

    Aastha Alumina
    1) The document is a self-assessment form for an office/site/functional head to evaluate their leadership and commitment to environmental, health, and safety standards on a monthly basis. 2) It contains 28 questions across various categories like personal commitment, response based safety, EHS culture, objectives, resources, training, and more. 3) The head is asked to provide a self-rating of 0 (no) or 1 (yes) on a monthly basis to indicate their compliance with each standard. Areas of improvement can then be identified based on low scores.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    Self Assessment for Leadership (Office/ Site/ Functional H

    Office/ Function/ Site:


    Name of Office/ Function/ Site Head:
    Note: Self assessment sheet shall be submitted by Head to respective EHS SPOC/ Coord. on monthly basis. Its is strongly recommende
    Self
    Leadership & Commitment
    S. No. Apr-20 May-20 Jun-20
    Score (More score- Desirable) 1 1 0
    Personal commitment
    I have read, understood and communicate the EHS Policy, EHS
    MIS, Key Lead and Lag Indicators and MS's requirement to team.
    1 (I have read the EHS MS doc. in last 6 months) 1 1

    Response Based Safety (RBS): PACCC


    I am part of this project and driving the same.
    Steps to follow when I need to give EHS suggestions/observation:
    1. Positive response (Greet/Appreciation to person).
    2. Ask :
    2.1 what's activity and
    2.2 What's are the hazards/ risk associated ?
    2.3 What will be the consequences of exposure even once in million chances.
    3. Communicate: the requirement of EHS MS.
    4. Check: Whether aligned with though/ requirement of EHS MS or not.
    2 5. Closure:
    5.1 If not agree, then recommend for training/ mentoring.
    5.2 If person agree, Give Thanks and may recommend for mentoring/ training.

    I have read, understood and communicate the EHS Belief, Principle


    and Cardinal rule to team.
    3

    I have reviewed EHS MS awareness matrix for workmen and staff


    for each procedures/ standards.
    I reviewed and ensured that all the team members (all staff,
    contractor's staff and workmen) go through the applicable EHS MS's
    training session.
    4 I taken action for those have not attended/ participated in applicable
    EHS MS training and checked- those have failed in post training test.

    EHS Culture:
    1. Taking overall responsibility and accountability for the prevention of work-
    related injury and ill health, as well as the provision of safe and healthy
    workplaces and activities.
    2. I have taken ownership for any repeated Non compliance in my areas/
    activity under control.
    I am driving EHS MS system and taking initiatives to ensure non conformity
    shall not occur and repeat.
    3. I will ask for status of compliance from respective area/ activity in charge
    5 e.g. I will ask for compliance for housekeeping/ safety net cleaning/ PPE
    compliance etc. to tower in charge. Office related safety compliance- ask from
    Admin (nominated).
    4. I am driving area wise/ activity wise ownership for EHS.

    Keep EHS on first priority on day to day work- in case of any


    6 deviation needed from EHS MS- then take approval from EHS Head.
    7 Demonstration leadership- walk the talk
    Actions
    Define and communicate role, EHS responsibility and authority
    8
    Thoroughly review and compliance of EHS MS Planner (yrly and
    9 monthly) and provide input for its improvement on continuous basis

    Constitute EHS Committee Meeting:


    10 > Office- Admin- Monthly. 0
    > Site- PH: Monthly
    EHS Meeting:
    > Functional / dept. level: Monthly/ weekly
    > Office- Admin- Monthly.
    > Site- PH: Monthly
    11 Regularly conduct EHS meeting and review MOM
    Inviting opinion, remove participation barrier, Taking consultation.

    Establish, document and review EHS objectives based on


    12 consultation and high risk/ env. impact

    Ensuring integration of the EHS into the organization‘s business


    13 processes
    EHS issues discussion in daily project execution meeting (Applicable
    14 for site/ office)
    15 Conduct EHS audit/ inspection of other sites
    16 Participate in incident investigation
    17 Participate in self assessment audit
    18 Review and provision of resources
    Promote STOP WORK AUTHORITY for unsafe act/ condition
    among all staff/ contractor's staff and workmen
    19

    20 Review ROR quarterly or as required


    21 Review EPRP annually or as required
    Review Training and mock drill/ table top plan quarterly or as
    22 required
    23 Monthly thoroughly review EHS MIS
    Participate in EHS campaign, reward, recognition, EHS committee
    24 meeting
    Ensure relevant staff/ workmen participate in EHS training
    25
    26 Report incident to top mgt on time
    Take consequence action against violator and especially repeated
    27 violator.
    Communicate and explain EHS KPI to staff and contractor
    28
    ip (Office/ Site/ Functional Head) TRIL/CORP/EHS/F/5.1/2020/00

    Date of review:

    asis. Its is strongly recommended to implement the same with other employee too.
    Self Assessment (Rating 0- No, 1-Yes)
    Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21
    0 0 0 0 0 0 0 0 0

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