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Staff - HSE Competency Assessment

This document summarizes a staff member's HSE competency assessment. It records their personal and technical attributes, including attitude, motivation, English proficiency, leadership, computer skills, and technical knowledge in various HSE areas like planning, hazard identification, risk management, policies and procedures, emergency response, and trade-specific procedures. Scores are given in different categories on a scale of 1 to 4. An overall grade is calculated based on the scores. Strengths and areas for development are also identified. The assessment is signed by the person who conducted it and their supervisor.

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Jai Kumar
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451 views

Staff - HSE Competency Assessment

This document summarizes a staff member's HSE competency assessment. It records their personal and technical attributes, including attitude, motivation, English proficiency, leadership, computer skills, and technical knowledge in various HSE areas like planning, hazard identification, risk management, policies and procedures, emergency response, and trade-specific procedures. Scores are given in different categories on a scale of 1 to 4. An overall grade is calculated based on the scores. Strengths and areas for development are also identified. The assessment is signed by the person who conducted it and their supervisor.

Uploaded by

Jai Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Staff - HSE Competency Assessment

Name : PP / PF No.:
Designation: Country / Site:
Total Years of Exp: Exp with Trade specific:
Educational Qualification Technical Qualification:
PERSONAL ATTRIBUTES
ATTITUDE 4 ENGLISH PROFICIENCY 4 LEADERSHIP

MOTIVATION 4 COMPUTER SKILLS 4

TECHNICAL EVALUATION
SL. NO. CATEGORY AREA OF ASSESSMENT Score
1 Scope of Work 4
2 Planning and Organization
Project / Scope
3 Competence and allocating duties
Understanding
4 Awareness on Method Statement and JSA 4
5 List out 2 site specific HSE requirements 4
6 Hazard identification tools used at site 3
7 Risk Awareness on Risk Mitigations associated with his discipline. 4
8 Management Understanding on Pre-start execution process 3
9 Does he able to to demonstrate RESET moment? 4
10 HSE Policy and Procedure familarization 3
11 Policy and Understanding on PTW System 4
12 Procedure Emergency Response 4
13 Awareness on Accident / Incident Reporting protocol 4
14 Demonstrate Roles and Responsibilities
Demonstrate knowledge in Scaffold Standards used and equivalent
15
international specifications
16 Trade Specific Knowledge in client scaffolding procedure
Procedures
17 Interpretation of design drawing
18 Technical knowledge in scaffold components
19 Interpretation of Statutory Scaffold Inspections
Whether the message intend to deliver is clear enough in his
21 4
Communication toolbox talks?
22 Participation in HSE / committee meetings 4
Overall Score
Grade
Grade Guidelines :
Score: 4 = Excellent , 3 = Good, 2 = Satisfactory, 21= Needs improvement
Grade: Grade A = 86 to 100, Grade B = 76 to 85, Grade C = 61 to 75, Grade D = Less than or equal to 60
STRENGTHS:

DEVELOPMENT AREAS:

CONDUCTED BY:
NAME POSITION DATE SIGN

REVIEWED BY:
NAME POSITION DATE SIGN

1 of 1 CMS F R3 QA 9b Issue 1

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