CONTRACTOR VETTING AUDIT SHEET - NOK/OHS/090
AUDIT DETAILS
CONTRACTOR DETAILS
Auditor (Name and Surname):
Company Name:
Start Date of Audit:
Company CEO/MD (Name and
Surname):
Audit number
(1st attempt will be rev 0):
Company H&S Specialist (Name
and Surname):
H&S Management System & H&S Implementation
Assessment Criteria
Company specific documents:
Sect 1
1
2
3
4
5
6
Max
Score
%
Proof of Company Registration
1
1
100%
Valid Letter of Good Standing (Nature of Business - (Generally in line with Telecoms / Construction SOW)
1
1
100%
Valid Public Liability Insurance (R10 Million min.)
1
1
100%
1
1
100%
1
1
100%
1
1
100%
Company profile - (Company capabilities, SOW that can be performed, Reference to previous projects,
Testimonials)
A legal compliance audit has been conducted and the company has a legal register available (Legal
compliance audit report and Legal Register) (Vodacom Project Requirement)
Company Organisational Chart (Detailing management / supervision hierarchy; Full names and Legal
Appointment title)
Score - Assessment Criteria
6
6
N/A
100%
6
N/A
Recommendation / Comments
6
Assessment Criteria
Company H&S Management System
Sect 2
1
2
3
4
a
b
c
d
e
f
g
h
i
j
k
l
m
n
o
5
a
b
c
d
e
f
g
h
i
j
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
Hazard Identification and Risk Assessment
1
1
100%
Roles and Responsibilities (Management and Supervisors)
1
1
100%
Training
1
1
100%
Personal Protective Equipment and Clothing
1
1
100%
Incident / Emergency Response & Management
1
1
100%
Incident Investigation and Reporting
1
1
100%
Waste Management
1
1
100%
Driving / Transportation / Driver Safety
1
1
100%
Work at Height / Work from Fall Risk positions
1
1
100%
Street Works / Traffic Management
1
1
100%
Excavation works
1
1
100%
Electrical work / Electrical Lock-out
1
1
100%
Work in confined spaces / rescue from confined spaces
1
1
100%
Lifting work / Use of truck mounted crane / Hoisting & Rigging
1
1
100%
Consequence Management / Disciplinary Process
1
1
100%
Vehicle and trailer pre-use checklist
1
1
100%
First Aid equipment checklist
1
1
100%
Fire fighting equipment checklist
1
1
100%
PPE / PPC checklist
1
1
100%
Portable Electrical Equipment checklist
1
1
100%
Grinder checklist
1
1
100%
Petrol Driven Machinery checklist (Compactors / Whackers, Rollers etc.)
1
1
100%
Portable Generators
1
1
100%
Hand Tools (Picks, hammers, chisels etc.)
1
1
100%
Daily Risk Assessment / Daily Safe Task Instruction (DSTI) template
1
1
100%
Company H&S Policy (Includes protection of H&S of workers, Review arrangements, Description of
company activities & Signed off by CEO)
(Ref. OHS Act Sect 7)
Training Matrix of company employees (Identifies Person, Role/position of person and training
requirements - To be signed off by CEO/GM)
H&S Plan (Detailing how contractor will manage H&S compliance during projects for NOKIA & signed off
by CEO)
General H&S Management Procedures relevant to SOW and High Risk Activities (All procedures
signed off by CEO)
Recommendation / Comments
Planned Maintenance & Inspection Registers & Checklists (General) (PDF Templates)
NOKIA Contractor Vetting Audit Sheet - NOK/OHS/090
Page 1 of 7
REV 02
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CONTRACTOR VETTING AUDIT SHEET - NOK/OHS/090
k
l
m
Visitors Register
AUDITtemplate
DETAILS
CONTRACTOR DETAILS
1
1
100%
Site Diary template
1
1
100%
H&S Site Inspection / site audit template
1
1
100%
31
31
Score - Assessment Criteria
100%
31
N/A
31
Assessment Criteria:
H&S Implementation
Sect 3
1
***
2
3
***
4
5
6
7
8
9
10
11
12
13
14
15
16
Max
Score
%
Does the company have a system in place to conduct regular internal audits? (Completed H&S Audit
reports for the last 3-6 months)
1
1
100%
Do Monthly Internal audits identify short falls / non conformances and are corrective actions identified?
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
18
18
Are audits conducted by a competent auditor? (Identify auditor and provide his/her competencies Minimum Requirement SAMTRAC or equivalent)
Does the company have a system in place to conduct regular H&S site inspections (Completed H&S Site
Inspection reports for the last 3-6 months)
Do site H&S Inspection reports identify deviations / non-conformances and are corrective actions
identified?
Does the company identify H&S Non-Conformances internally, identify corrective actions and take steps to
implement corrections? (Completed NCR's and Corrective Action reports for the past 3-6 months.)
Does the company have a system in place to monitor the condition/ roadworthiness of vehicles? (Provide
a vehicle register/ dashboard listing all vehicles and samples of completed vehicle / trailer checklists for
the past 3-6 months per vehicle)
Does the company keep record of Incidents, including First Aid and Near Miss incidents? (Incident
Recording Register and Investigation Reports of previous incidents)
Does the company keep record of Incident Statistics? (HSE stats for the last 6 Months to include hours
worked, Average number of workers, Fatalities, Medical treatments, LTI's, Near miss, H&S and
Environmental incidents) - (Requirement on VODACOM projects)
Are there any fines or pending investigations outstanding from a relevant authority (DOL, Dept. Water
Affairs, Local Municipalities) - (Provide detail of investigation and outcome - If none provide a declaration
signed by CEO) - (Vodacom Project Requirement)
Does the company ensure workers on its projects are medically fit to perform their duties? (Copies of
Medical Certificates / Annexure 3's per worker)
Does the company ensure all workers are informed of the Hazards and Risks related to their work?
(Signed attendance registers of all workers trained on Company's Risk Assessment)
Does the company ensure all workers are given H&S Induction training (Signed attendance registers of
annual induction)
Does the company have an approved Induction Training Syllabus that is used for Induction training?
(Provide inductions Syllabus/ booklet)
Do appointed Site Supervisors conduct daily Risk Assessments / DSTI's with workers on site? (Samples
of completed & signed DSTI's for the last 3-6 months)
Does the company ensure workers on site have access to First Aid Treatment? (Name List of qualified
First Aiders on all teams with Training Certificates per First Aider)
Does the company ensure all site teams have a trained Fire Fighter? (Name list of designated Fire
Fighters on all teams with Training Certificates per Fire Fighter)
Does the company ensure all supervisors and workers are trained on the SOP's/ SWP / SWI's and own
Procedures for High Risk activities? (Signed training attendance registers)
Score - Assessment Criteria
100%
18
N/A
Recommendation / Comments
18
Assessment Criteria:
Hazard Identification and Risk Assessment
Sect 4
1
***
***
***
***
***
2
3
4
Max
Score
%
Company has conducted its own Baseline Risk Assessment (Baseline HIRA signed off by Risk Assessor,
HIRA team and CEO)
1
1
100%
Baseline HIRA identifies all the tasks that workers perform in line with SOW selection?
1
1
100%
Baseline HIRA identifies all the Hazards related to the work/tasks?
1
1
100%
Baseline HIRA identifies all the risks related to the Hazards?
1
1
100%
Baseline HIRA includes a Probability rating, Severity rating and Risk rating?
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
11
11
Max
Water usage: (Monitoring / Usage reports from 3 to 12 months)
Fuel usage: (Monitoring / Usage reports from 3 to 12 months)
Baseline HIRA identifies Controls, Safe Methods of Work, Training, Action Plans & PPE to address the
Risk?
Monitoring & Review Plan: Does the contractor monitor and periodically review the effectiveness of the
risk controls? (Provide previous revisions of Baseline HIRA and signed attendance registers of Monitoring
and Review meetings)
Environmental Impact and Aspect Register - (Provide Impact and Aspect Register) - (Vodacom Project
Requirement)
Health Risk Assessment - (Provide separate Health Risk Assessment) - (Vodacom Project
Requirement)
Recommendation / Comments
Project / Site Specific Risk Assessments
5
6
Does the contractor conduct site/project specific Risk Assessments as required? (Provide a sampling of 34 recent site/project specific Risk Assessments.)
Are Risk Assessments conducted by competent person(s)? (Appointment, ID copy, Training certificate of
designated Risk Assessor(s))
Score - Assessment Criteria
100%
11
Score
%
N/A
1
1
100%
1
1
100%
11
Assessment Criteria
Resource Monitoring - (Vodacom Project Requirement)
Sect 5
1
2
NOKIA Contractor Vetting Audit Sheet - NOK/OHS/090
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Recommendation / Comments
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CONTRACTOR VETTING AUDIT SHEET - NOK/OHS/090
3
4
5
6
7
8
Electricity AUDIT
usage: (Monitoring
DETAILS / Usage reports from 3 to 12 months)
CONTRACTOR DETAILS
1
1
100%
Fire Suppressants: (Monitoring / Usage reports from 3 to 12 months)
1
1
100%
Refrigerants: (Monitoring / Usage reports from 3 to 12 months)
1
1
100%
Paper usage: (Monitoring / Usage reports from 3 to 12 months)
1
1
100%
Waste generation: (Provide identification of waste streams and detail of waste disposed in weight)
1
1
100%
Hazardous waste: (Provide proof of disposal records and appointment of approved waste disposal
contractor)
1
1
100%
Score - Assessment Criteria
8
8
100%
8
N/A
8
Assessment Criteria:
Health & Safety Accountability
Sect 6
1
Max
Score
%
1
1
100%
Sect 16(2) Appointee #1
1
1
100%
Sect 16(2) Appointee #2
1
1
100%
Sect 16(2) Appointee #3
1
1
100%
Sect 16(2) Appointee #4
1
1
100%
Sect 16(2) Appointee #5
1
1
100%
CR 8(1) Appointee #1
1
1
100%
CR 8(1) Appointee #2
1
1
100%
CR 8(1) Appointee #3
1
1
100%
CR 8(1) Appointee #4
1
1
100%
CR 8(1) Appointee #5
1
1
100%
CR 8(7) Appointee #1
1
1
100%
CR 8(7) Appointee #2
1
1
100%
CR 8(7) Appointee #3
1
1
100%
CR 8(7) Appointee #4
1
1
100%
CR 8(7) Appointee #5
1
1
100%
CR 8(7) Appointee #6
1
1
100%
CR 8(7) Appointee #7
1
1
100%
CR 8(7) Appointee #8
1
1
100%
CR 8(7) Appointee #9
1
1
100%
CR 8(7) Appointee #10
1
1
100%
CR 8(8) Appointee #1
1
1
100%
CR 8(8) Appointee #2
1
1
100%
CR 8(8) Appointee #3
1
1
100%
CR 8(8) Appointee #4
1
1
100%
CR 8(8) Appointee #5
1
1
100%
CR 8(8) Appointee #6
1
1
100%
CR 8(8) Appointee #7
1
1
100%
CR 8(8) Appointee #8
1
1
100%
CR 8(8) Appointee #9
1
1
100%
CR 8(8) Appointee #10
1
1
100%
CEO identified
2
3
4
5
6
Recommendation / Comments
CEO - (Resolution or Acceptance Letter, ID copy, Copies of H&S Training certificates if relevant)
Sect 16(2) Appointees (Signed Appointment Letter, ID copy, Proof of Legal Liability & OHS Act
training if relevant)
CR 8(1) Construction Manager Appointees (If part of management structure)
Appointment Letter, ID copy, Proof of Legal Liability & OHS Act training)
(Signed
CR 8(7) Construction Site Supervisor Appointees / or Sect 8(2)(i) Supervisor Appointees (Signed
Appointment Letter, ID copy & Proof of training: Legal Liability; OHS Act & Construction
Regulations for Supervisors and HIRA)
CR 8(8) Asst Construction Site Supervisor Appointees (Signed Appointment Letter, ID copy &
Proof of training: Legal Liability; OHS Act & Construction Regulations for Supervisors and HIRA)
CR 8(5) Construction Safety Officer Appointees / H&S Manager(s) of Company (Signed
Appointment, ID copy and Qualifications - SAMTRAC or equivalent, HIRA, Incident Investigation)
NOKIA Contractor Vetting Audit Sheet - NOK/OHS/090
Page 3 of 7
REV 02
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CONTRACTOR VETTING AUDIT SHEET - NOK/OHS/090
CR 8(5) Appointee
AUDIT DETAILS
#1
CONTRACTOR DETAILS
1
1
100%
CR 8(5) Appointee #2
1
1
100%
CR 8(5) Appointee #3
1
1
100%
CR 8(5) Appointee #4
1
1
100%
CR 8(5) Appointee #5
1
1
100%
36
36
Max
NOKIA Life Saving Rules Declaration (Signed by CEO)
Proof that employees have been trained on NOKIA Life Saving Rules (Signed attendance registers)
Score - Assessment Criteria
100%
36
Score
%
N/A
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
36
Assessment Criteria:
Commitment to comply with NOKIA and Client H&S Specifications and Standards
Sect 7
1
2
3
4
5
6
7
8
Proof that company has communicated to; or provided training to all Supervisors and provided them with
copies of the NOKIA H&S Specification, Driver Safety Procedure, Consequence Management Procedure,
Avoidance of Underground Asset Strikes Document, (Signed attendance register / or Action Plan detailing
how this will be done prior to site deployment)
Vodacom Absolute Rules: 12 Month Communication Plan to reinforce Absolute Rules over this period (Provide copy of action plan for the communication of Absolute Rules) - (Vodacom Project Requirement)
CEO / GM / MD acknowledgement of NOKIA H&S requirements. (Eg. Driver safety Procedure,
Consequence Management Procedure, H&S Specifications.) (Signed Transmittal Receipt)
CEO / GM / MD acknowledgement of Client H&S requirements (VODACOM): (Eg. Vodacom Absolute
Rules Undertaking & VC Standards) (Signed Transmittal Receipt)
CEO / GM / MD acknowledgement of Client H&S requirements (TELKOM): (Eg. Pole work, Pole testing,
Ladder work procedures) (Signed Transmittal Receipt)
CEO / GM / MD acknowledgement of Client H&S requirements (EDGE Telecoms): (Eg. H&S
Specification) (Signed Transmittal Receipt)
Score - Assessment Criteria
8
8
100%
8
Recommendation / Comments
8
SOW Specific - (OSP - Civils and Street Works & Last Mile Fibre (fibre into the home); ISP - Civil, Equipment installation, Electrical work)
Assessment Criteria:
Excavation Works: (Manual & Mechanical Trenching, Surface cutting, Micro Slotting)
Sect 8
***
1
2
3
Max
Score
%
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
1
1
100%
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
1
1
100%
Does the contractor have scanning equipment to locate underground services? (Scanning Equipment
identified and proof of calibration if required / as per manufacturer requirement - User manual included)
1
1
100%
Does the contractor have competent persons to operate scanning equipment? (Name list and detail of
competency/ experience / training)
1
1
100%
Score - Assessment Criteria
4
4
N/A
100%
4
N/A
Recommendation / Comments
4
Assessment Criteria:
Confined Space Entry (Work in Manholes - Construction / Upgrades / Splicing)
Sect 9
***
1
2
3
4
Max
Score
%
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
1
1
100%
Does the contractor have a SWP / SOP /SWI / Procedure (Including Rescue)? (Provide relevant
SWP/SOP/SWI and checklists)
1
1
100%
Has the contractor identified all safety equipment required to perform Confined Space Entry and Rescue?
(Provide register of equipment and rescue equipment - Manhole cages, Harnesses, gas testers etc.)
(Calibration certificates of gas testers as required by manufacturer including user manuals)
1
1
100%
1
1
100%
1
1
100%
Does the contractor have workers trained to understand the risks of confined space entry work and
rescue? (Provide name list and detail of training/ experience/ qualifications)
Does the contractor have persons qualified to use gas testing equipment? (Provide name list and detail of
training/ experience/ qualifications)
Score - Assessment Criteria
5
5
100%
5
N/A
Recommendation / Comments
5
Assessment Criteria:
Works affecting Public Safety (Street Works, Works on Pavement / Pedestrian
Walkways - Fibre Hauling, Manholes, Splicing, Excavations etc.)
Sect 10
***
1
2
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the contractor have workers qualified to do Traffic management/ Control? (Provide Name list and
detail of training/ experience/ qualifications)
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
3
3
100%
3
%
N/A
Recommendation / Comments
3
Assessment Criteria:
Sect 11
Use of Compressed Air Equipment (Compressors, Pneumatic Breakers, DIT's, Fibre
Floating)
NOKIA Contractor Vetting Audit Sheet - NOK/OHS/090
Page 4 of 7
REV 02
Max
Score
Recommendation / Comments
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CONTRACTOR VETTING AUDIT SHEET - NOK/OHS/090
***
1
2
Hazards and
AUDIT
RisksDETAILS
Identified in Risk Assessment (Reference relevant section of HIRA)
CONTRACTOR DETAILS
1
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the contractor have service records and 3 yearly performance test records of compressors (Submit
records or proof of purchase if new equipment is used)
Score - Assessment Criteria
1
100%
1
1
100%
1
1
100%
3
3
100%
3
N/A
3
Assessment Criteria:
Use of Portable Electrical Equipment and Tools (Mobile/Portable Generators,
Extensions, Drills, Grinders etc.)
Sect 12
***
1
2
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the contractor have a Statutory Appointment template [CR 24(e)] to designate responsibility to
inspect Portable Electrical tools and supervise the use thereof? (Provide appointment template)
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
3
3
100%
3
N/A
Recommendation / Comments
3
Assessment Criteria:
Horizontal Directional Drilling (HDD)
Sect 13
***
1
2
3
4
5
6
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the company have a competent drill rig operator? (Medical, ID copy, CR 23 Appointment, HDD
Training qualifications)
Does the company have a competent truck driver to transport drill rig? (Medical, ID, Driver Licence, PDP &
CR 23 Appointment)
Does the HDD team have a GPR scanner to identify presence of underground services? (Identify
scanning equipment)
Does the company plan drilling works (Samples of Signed off Drill Plans / Diagrams for the past 3-6
months)
Are all HDD team members medically fit? (Name list of workers and Valid Annexure 3 per worker)
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
7
7
100%
7
N/A
Recommendation / Comments
7
Assessment Criteria:
Ladder Work (Aerial Fibre Routes, Pole work, Installation of equipment and Bosal
pipe on side of structures & ISP Equipment installation; Work inside ceilings)
Sect 14
***
1
2
3
4
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the company identify all safety equipment required to perform Ladder Work? (Register of Work
positioning belts / Fall prevention equipment)
Can the company designate the responsibility to inspect and supervise the safe use of ladders? (GSR
13(1)A Appointment Template) - [ ref. GSR 13(1)(a) & (b) ]
Does the company ensure that Ladders and Fall Prevention Equipment are inspected and deviations
noted? (Samples of completed Ladder and Fall Prevention Equipment inspections for the past 3-6
months)
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
5
5
100%
5
N/A
Recommendation / Comments
5
Assessment Criteria:
Use of Scaffolding
Sect 15
***
1
2
3
4
5
6
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the company have competent scaffold erectors, team leaders and inspectors? (Provide name list
with competencies, ID's and valid Annexure 3's per person)
Has the company designated responsibility to supervise all scaffold work (Name list of all Scaffold
Supervisors with ID's, Medicals, Training Certificates and CR 16(1) Appointments per person)
Did the company appoint a competent Fall Protection Plan Developer? (ID, Medical, Competencies and
CR 10(1)(a) Appointment)
Does the company implement site specific Fall Protection Plans? [ Ref. CR10(2) ] (Provide copies of three
recent site specific Fall Protection Plans)
Does the company ensure fall prevention and rescue equipment is serviceable and regularly inspected?
(Provide samples of completed gear inspection checklists for the past 3-6 months)
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
7
7
100%
7
N/A
Recommendation / Comments
7
Assessment Criteria:
Rope Access, Rigging and Roof work
Sect 16
***
1
2
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the company have competent persons to supervise Rope Access work (Name list of Rope Access
Supervisors with ID, Medical, Competencies and CR 18(1) Appointment per person)
NOKIA Contractor Vetting Audit Sheet - NOK/OHS/090
Page 5 of 7
REV 02
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
Recommendation / Comments
Document Owner - Nokia Solutions Networks © Nokia Solutions Networks - All Rights Reserved
CONTRACTOR VETTING AUDIT SHEET - NOK/OHS/090
3
AUDIT DETAILS
DETAILS
Does the company
ensure fall prevention, arrest and rescue equipment is serviceable CONTRACTOR
and regularly
1
inspected? (Provide samples of completed gear inspection checklists for the past 3-6 months)
1
100%
1
1
100%
1
1
100%
Rigging: Does the company ensure that all lifting chains, ropes, hooks, sheaves, brakes of lifting
machines and lifting tackle are inspected by competent persons at such intervals as required? (Inspection
/ Load test reports and records) [ Ref. DMR 18]
1
1
100%
7
Rigging: Are there competent riggers in the company (ID, Medical, Relevant WAH Qualifications, Rigger
Competencies per person)
1
1
100%
8
Rigging: Does the company implement site specific Lifting and Rigging Plans? (Samples of previous /
recent plans)
1
1
100%
4
5
6
Did the company appoint a competent Fall Protection Plan Developer? (ID, Medical, Competencies and
CR 10(1)(a) Appointment)
Does the company implement site specific Fall Protection Plans? [ Ref. CR10(2) ] (Provide copies of three
recent site specific Fall Protection Plans)
Score - Assessment Criteria
9
9
100%
9
N/A
9
Assessment Criteria:
Mobile Elevated Work Platforms
Sect 17
***
1
2
3
4
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the contractor have an competent MEWP operator(s) trained on the specific MEWP? (ID, Medical,
Training Certificate(s) and DMR 18(11) Appointment)
Does the contractor Identify the Fall Prevention Equipment to be used by workers in the man cage of the
machine (Register of Fall Prevention Equipment and recent inspection records)
Does the contractor ensure the MEWP is serviceable and safe to use (Valid Performance test records of
MEWP)
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
5
5
100%
5
N/A
Recommendation / Comments
5
Assessment Criteria:
Electrical Installation works
Sect 18
***
1
2
3
4
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Is the Organization registered with the Department of Labour as an Electrical Contractor? (Valid DOL
Registration letter)
Lock-Out / Tag-Out procedure available and proof workers are trained on procedure? (Copy of Electrical
Lock Out Procedure and attendance register of employees trained on procedure)
Does the contractor have a qualified Installation Electrician? (ID copy, Valid Medical, Installation
Electrician Licence, DOL Registration Letter ito EIR 6(1) / EIR 6(4) - And Designation / appointment
template for Installation Electrician ito EIR 6(4))
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
5
5
100%
5
N/A
Recommendation / Comments
5
Assessment Criteria:
Use of Truck Mounted Cranes (Delivery of materials)
Sect 19
***
1
2
3
4
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
Does the company ensure the truck mounted crane operator is competent (ID, Valid Medical, Training
Certificate / Licence and DMR 18 Appointment)
Does the company ensure the crane and all lifting equipment is inspected and serviceable? (Valid Load
Test Certificates/reports of crane and lifting equipment)
Does the truck mounted crane operator perform pre-use inspections? (Samples of completed inspections
for the last 3-6 months
Score - Assessment Criteria
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
5
5
100%
5
N/A
Recommendation / Comments
5
Assessment Criteria:
Contractor Management - Use of Sub-Contractors
Sect 20
1
2
3
4
5
6
7
8
Max
Score
%
1
1
100%
1
1
100%
1
1
100%
Does the company have an approved Contractor Management Procedure (Provide Procedure)
1
1
100%
Does the company have an approved Consequence Management Procedure? (Provide Procedure)
1
1
100%
1
1
100%
1
1
100%
1
1
100%
Does the company perform vetting of sub-contractors? (List of Subcontractors and Completed Vetting
Audit reports per sub-contractor)
Does the company perform monthly compliance audits on all sub-contractors (Completed monthly audit
reports on each contractor for the last 3-6 months)
Does the company perform site inspections on all sub-contractor work sites (Completed site inspection
reports on all contractors - Samples of the last 3-6 months)
Is the Consequence management procedure communicated to all sub-contractors? (Provide document
proof)
Does the company have a system in place or an Action Plan to ensure all sub-contractors will be
compliant with NOKIA H&S requirements? (Provide Action Plan / Document proof)
Does the company have Valid Sect 37(2) Agreements and CR 7(1)(c )(v) Contractor Appointments in
place? (Provide copies for each contractor)
Score - Assessment Criteria
NOKIA Contractor Vetting Audit Sheet - NOK/OHS/090
Page 6 of 7
REV 02
8
8
100%
8
Recommendation / Comments
8
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CONTRACTOR VETTING AUDIT SHEET - NOK/OHS/090
AUDIT DETAILS
Assessment Criteria:
CONTRACTOR DETAILS
Driving, Worker and Material transportation.
Sect 21
***
1
2
3
4
Max
Score
%
Hazards and Risks Identified in Risk Assessment (Reference relevant section of HIRA)
1
1
100%
Does the contractor have a SWP / SOP /SWI / Procedure? (Provide relevant SWP/SOP/SWI and
checklists)
1
1
100%
Are all vehicle operators trained on the company Driver Safety Procedure? (Signed Attendance Registers)
1
1
100%
Have all vehicle operators been trained on the NOKIA Driver Safety Procedure and Consequence
Management Procedure? (Signed attendance register or Action Plan signed off by CEO)
1
1
100%
Vehicle Operator #1
1
1
100%
Vehicle Operator #2
1
1
100%
Vehicle Operator #3
1
1
100%
Vehicle Operator #4
1
1
100%
Vehicle Operator #5
1
1
100%
Vehicle Operator #6
1
1
100%
Vehicle Operator #7
1
1
100%
Vehicle Operator #8
1
1
100%
Vehicle Operator #9
1
1
100%
Vehicle Operator #10
1
1
100%
Vehicle Operator #11
1
1
100%
Vehicle Operator #12
1
1
100%
Vehicle Operator #13
1
1
100%
Vehicle Operator #14
1
1
100%
Vehicle Operator #15
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
1
1
100%
25
25
N/A
Recommendation / Comments
Vehicle Operators: ID copy, Valid Annexure 3 Medical Certificate of Fitness, Valid Driver Licence
and Defensive Driver Certificate per person. (*4x4 Training where required.)
Vehicles:
5
***
6
7
8
9
Dashboard or Register of Vehicles: (List of vehicles specifying Type, Make, Registration Number, Seating
Capacity, Licence disk expiry date, Tracking fitted: Yes or NO; IVMS/ Driver Behaviour Tracking: Yes or
No; Hands free kits: Yes or No; and Name of driver.)
Does the company have a dedicated vehicle / or vehicles suitable for the purpose of worker
transportation? (Provide Detail of vehicle on Vehicle dashboard - Folder 20.5)
Are vehicles fitted with devices that monitor driver behaviour such as harsh breaking, acceleration,
speeding, idling and cornering? (Provide tracking/ driver behaviour reports)
Are Vehicles fitted with normal vehicle tracking systems? (If IVMS/ Driver Behaviour systems are fitted this
is not required and will be scored N/A / Superfluous) (Please provide proof of Tracking system installation
per vehicle if required)
Does the company have a system in place for Journey Management Plan approval for trips over 150 km or
longer than 10 hours total working time? (Copy of JMP Template - And samples completed JMP's if
available)
Does the company record driver transgressions and take disciplinary actions if drivers commit offences?
(Document proof - Written warnings etc. or driver behaviour scorecards) (Requirement on VODACOM
projects)
Score - Assessment Criteria
100%
25
25
D: AUDIT RESULT
D1
TOTAL POSSIBLE AUDIT POINTS (Non-N/A's)
D2
TOTAL COUNT OF CONFORMANCES (SCORE POINTS)
D3
PERCENTAGE OF CONFORMANCES
212
212
100%
E: COMMENTS / RECOMMENDATIONS / CORRECTIVE ACTIONS / SOW COMPLIANCE APPROVAL
Contractor / Vendor
NOKIA
Company Name
:
0
Designation:
CEO:
0
Signature :
Signature :
Date :
Date :
Auditor name :
NOKIA Contractor Vetting Audit Sheet - NOK/OHS/090
0
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