PROJECT NAME: Main Stormwater Connection from the Free Zone – Al Falah to the Mainline on E11
Contract No: DMT-CR-066-2025
EMPLOYER NAME:
EMPLOYEE NAME:
DESIGNATION:
DATE:
STATUS: Staff Sub-Contractor
Worker Visitor
TOPICS COVERED
1 HSE Policy ✔ 19 No Smoking Policy ✔
2 Project Information ✔ 20 Ladders ✔
3 First Aid Procedure ✔ 21 Cranes /Hoist ✔
4 Fire Protection ✔ 22 Excavation ✔
5 Site Specific Hazards ✔ 23 Dewatering ✔
6 Emergency Preparedness ✔ 24 Openings ✔
7 Personal Protective Equipment ✔ 25 Overhead / Underground Services ✔
8 Public Safety ✔ 26 Electrical Safety ✔
9 Substance Hazardous to Health ✔ 27 Air Driven Equipment / Tools ✔
10 Health & Welfare Facilities ✔ 28 Hand Tools ✔
11 Housekeeping/Tidiness ✔ 29 Cutting Tools& Abrasive Wheels ✔
12 Storage ✔ 30 Welding Equipment ✔
13 Manual Handling ✔ 31 Compressed Cylinders ✔
14 Confined Space Safety ✔ 32 Site Fencing / Security ✔
15 Safety Signs ✔ 33 Supervision/HSE Officer ✔
16 Barriers ✔ 34 Environment Safety ✔
17 Scaffolding / Working Platforms ✔ 35 Covid-19 Controls ✔
18 Notice Boards ✔ 36 Others:
Note: Topics in bold are mandatory to be given; select other topics relevant to the project stage.
By signing below, I confirm that I have received Safety "HSE" Induction and I will be abiding by the
Declaration: site safety "HSE" rules and regulation at all times.
ACKNOWLEDGEMENT OF TRAINING
Employee ID. Number:
Employee IND. Number:
Employee CONT. Number:
Employee’s Signature:
Instructor’s Name:
Instructor’s Position:
Instructor’s Signature
HSE RULES AND RESPONSIBILITIES
HSE ENGINEER
HSE Engineer will be assigned to all phases of the project. The HSE Engineer will create a
safe and environmentally responsible workplace, ensuring that the organization not only
meets regulatory requirements but also strives for continuous improvement in health, safety,
and environmental practices and accomplish the HSE goals and objective contained in this
HSE plan.
His Duties and Responsibilities are:
Risk Assessment: Identify and evaluate workplace hazards; develop and implement
risk mitigation strategies.
Compliance: Ensure adherence to local, national, and international HSE regulations;
maintain documentation for audits.
Training: Develop and conduct safety and environmental training programs; promote
a safety culture.
Incident Investigation: Lead investigations into accidents and near-misses; document
findings and corrective actions.
Environmental Management: Monitor and manage environmental impact; oversee
waste management practices.
Health and Safety Programs: Create and implement health and safety programs;
review and update regularly.
Emergency Preparedness: Develop and maintain emergency response plans; conduct
drills and training.
Safety Equipment: Ensure availability and maintenance of safety equipment; update
safety procedures.
Collaboration: Work with other departments and external agencies on HSE issues;
communicate policies effectively.
Performance Monitoring: Track HSE performance metrics; recommend and
implement improvements.
Audits and Inspections: Conduct regular HSE audits and inspections; address and
rectify issues identified.
NAME -----------------------------------------------------------------------------------------------
INDUCTION NUMBER ---------------------------------------------------------------------------
SIGNATURE ----------------------------------------------------------------------------------------
Date ----------/----------/-----------
