Selection Interview of Contractor HSE Professional1.General Information (completed by the contractor)
Candidate Name:
Nationality:
Age:
Mob No.
Photo
Name of the Contracting Company :
Contract Title:
From:
Total Manpower:
To:
Is the candidate already approved by ADNOC Onshore for another contract
(If Yes, provide copy of the approval)
Yes

No
Y
e
I, the undersigned Contractor Sr. Manager, representing the above contracting company hereby confirm that the above mentioned information and the attached CV
are verified and found true.
s
Name:
Title:
Signature:___________________
Date:_______________
2. Interview Details (ADNOC Onshore use only)
Date of
Interview:___________
Educational
Qualification:
Interview
Method:
Degree
Face to Face:
Diploma
Telephone:
Others(Specify
)
Video Conference:
Professional/Technical:
Specify: ___________________
_______________________
HSE Work Experience(Years):
Total:______
Oil &Gas:______
Oil & Gas Construction/ Commissioning Experience: Yes
Skills & Competencies
(Examine relevant items)
HSE Plan
Risk
Assessment
Job Related:__________
No
PTW/Gas
Testing
SubContractor
Management
H2S & BA
Road Safety
HSE
Inspections
HSE
Orientation/Induction
Remarks: _______________________________________________________________________________________________________________________
3. Recommendation (Accepted candidate MUST complete PTW (Pre requisite and Certification) H2S & TRA training prior to deployment at work site.)
Acceptable
Not Acceptable
Conditions (If any):_____________________________________________________
Title
Name
Signature
CHSE Representative
P&C HSE Representative
ADNOC Onshore CA
Representative (P&C)
Verified by:TL HSE (P&C):
___________________
Approved by: HSEM (CHSE):_______________________________
4. Probation Assessment (if applicable)
Accepted
Not Accepted
TL HSE (P&C):________________
Remarks:_____________________________________________________
Contract Administrator (P&C):________________