Section 1: Leadership and Commitment

(i) Commitment to HSSE through leadership

a) How are senior managers personally involved in HSSE management?

Comments:Ref APEX Safety Management Manual, CH 12.1 Internal Audit /Ship Visits by Top
Managements of Managed Vessels.
b) Provide evidence of commitment at all levels of the management?
Comments: Attached Master Review Report, Reviewed by Shore organisation.
c) How do you promote a positive culture towards HSSE matters?
Comments: By regular feedback monitoring system, through motivation of crew by regular
Training tools and computer based training.

Section 2: Policy and Strategic Objectives

(i) HSSE policy documents
a) Does your company have an HSSE policy document? If the answer is YES please attach a
copy.
Comments:Yes, Attached
b) Who has overall and final responsibility for HSSE in your organization?
Comments:Director. Ref O& E Manual, Ch 2.4.7.
c) Who is the most senior person in the organization responsible for this policy being carried
out at the premises and on site where his employees are working? Provide name, title and
experience.
Comments:Director. Ref O& E Manual, Ch 2.4.7.
(ii) Availability of policy statement to employees
a) Itemize the methods by which you have drawn your policy statement to the attention of all
your employees?
Comments: Pre joining Briefing, Placard system.
b) What are your arrangements for advising employees of changes in the policy?
Comments: Either Common notices serve to every person to read or tool box briefing or by
seminar.We conduct management review meetings on weekly basis, and discuss the changes
brought forward by the senior management.

Section 3; Organization, Responsibilities, Resources, Standards and Documents

(i) Organization commitment and communication
a) How are management involved in HSSE activities, objective setting and monitoring?
Comments: By organising third party audits, internal audits, Customer feedback evaluations,
Management Review Meetings.
How is your company structured to manage and communicate HSSE effectively?
Comments: By organising third party audits, internal audits, Customer feedback evaluations.
b) What provision dose your company makes for HSSE communication meetings?
Comments:Group discussion on related topics, further it is guided / Corrected by top
management. At closing meeting again feedback is collected for the purpose of review.
(ii) Competence and training of managers / supervisors / senior site staff / HSSE advisors
Have the managers and supervisors at all levels who will plan, monitor, oversee and carry out the
work received formal HSSE training in their responsibilities with respect to conducting work to
HSSE requirements? If YES please give details. Where the training is given in house, please
describe the content and duration of courses.

Comments: We provide training to all our staff with regards to safety and ISM code and the
training are conducted by recognised Classification Societies for duration of 2-3 days.

(iii) Competence and general HSSE training.

a) What arrangements dose your company have to ensure new employees have knowledge of
basic industrial HSSE, and to keep this knowledge up to date?
Comments:As per their rank and responsibility, new employees have been given training
either in house or class accreditations courses, further their work have been reviewed by top
management.
b) What arrangement does your company have to ensure new employees also have knowledge
of your HSSE policies and practices?
Comments: As per their rank and responsibility, new employees have been given in house
training of Company Apex Safety Management Manual & Operation Manual, further their
works have been reviewed by top management.
c) What arrangements dose your company have to ensure new employees have been
instructed and have received information on any specific hazard arising out of the nature of
the activities? What training do you provide to ensure that all employees are aware of
company equipments?
Comments: As per their rank and responsibility, new employees have been given in house
training of Company Apex Safety Management Manual & Operation Manual, further their
works have been reviewed by top management.
d) What arrangements dose your company has to ensure existing staff HSSE knowledge is up to
date? (If training is provided I-house please give details of content.)
Comments: New Circulars / Amendments have been distributed, workshop arranged and
closing feedback to be collected for reviewed by top management.
e) What arrangements doses your company have to ensure new sub contractor have
knowledge of industry HSSE and the client HSSE policy and procedure?
Comments:New sub-contractor have appointed as per our HSSE standard, prior contract
approval they have been audited by our approved auditor and we evaluate the report. Prior
to our secondary audit, we provide training workshop for them, only if it is required to
achieve our HSSE standard.

(iv) Specialized training

a) How have you identified areas of your companys operations where specialized training is
required to deal with potential hazards? (Please itemize and provide details of training
given.)
Comments:Attached.
b) If the specialized work involves radioactive, asbestos removal, chemical or other
occupational health hazards, how are the hazards identified, assessed and controlled?
Comments: Any specialized works have been supplemented by Check list System to identify
involved risks. Further Risk Assessments to be carry out to mitigate the risk ALAP and risk
assessment is reviewed by managementto approve it.
 (v) HSSE qualified staff additional training
a) Does your company employ any staffs who possess HSSE qualifications that aim to provide
trainingin more than the basic requirements?
Comments: Not Applicable.

(vi) Assessment of suitability of sub contractors/ other companies

a) How do you assess:
i) HSSE competence
Comments: By interview of Personnel, Ex experiences, By Completing CBT.
ii) HSSE record of the subcontractors and companies with whom you have
contract?Comments: By periodical Audit.
iii) Does your company make provision (e.g. specialized staff or procedures) for obtaining
approvals, permits and licenses as may be required for any work to be
undertaken?Comments: Yes.

b) Where do you spell out the standards you require contractors/ subcontractors to meet?
Comments:Ref O& E Manual, D FORM 40
c) How do you ensure these standards are met and verified?
Comments:Through Internal Audits
d) Do you audit your sub-contractors before, during engagement?
Comments: Yes.

(vii) Standards
a) Where do you spell out the HSSE performance standards you require to meet?
Comments: Safety Management System of the company.
b) How do you ensure these are met and verified?
Comments:Through Internal / External Audits, Periodic Review of SMS
c) How do you identify new industry or regulatory standards that may be applicable to your
activities?
Comments :Follow Guidelines set out by IMO, ILO,MLC and ISO
d) Is there an overall structure for producing, updating and disseminating standards
Comments :Yes

Section 4: Hazards and Effects Management

(i) Hazard and effect assessment
a) What techniques are used within your company for the identification, assessment, control and
mitigation of hazard and effects?
Comments: We have Permit to Work System which already identified the job related hazards and
their effects. Further, we have risk assessment system which brings job related hazards ALAP
b) Does your company have a detailed procedure for hazard identification and risk assessment for
the work you undertake? If YES attach a copy.
Comments :Yes, Attached
c) What proactive approach does your company undertake to the control of hazard and risk such as
Behavioural Based Safety observations or for example STOP cards?
d) Comments :Safety Stickers and Policy to be placed onboard and ashore and key person onboard
and ashore also given workshops of behaviour based safety observer training.

(ii) Exposure of the workforce

What systems are in place to monitor the exposure of your workforce to chemical or
physical agents?
Comments: Permit to work system.
(iii) Handling of chemicals
How is your workforce advised on potential hazards (chemicals, noise, radiation, etc.)
encountered in the course of their work?
Comments: Personnel being involved are given specialised training and safety gears to
combat such situation.
(iv) Personal protective equipment
a) What arrangements dose your company has for provision and upkeep of protective
equipment and clothing, both standards, issue, and that required for specialized activities.
Comments:We maintain Safety gears approved as per ISO 9001 standards.
b) Does your company maintain a contingency (spare) stock of PPE?
Comments:Yes.

(v) Environment Protection and Waste Management

a) What systems are in place for identification, classification, minimization and management of
waste?
Comments:Crew are given continuously training of effective implementation of Garbage
Management Planforidentification, classification, minimization and management of waste.
Every month waste generation quantities are recorded in environmental performance
summery and reviewed.
b) Does your company implementing ISO 14001 as the environmental management system? (If
yes, please give a narration highlighting to what extent its being used)
Comments:The Environmental Management means a development of a corporate activity
that is to incorporate environmental policy to business management and to make a plan in
accordance with its policy and to put this plan into practice.
The purpose of the Environmental Management is to reduce an environmental load by a
harmful corporate activity and to pass a beautiful environment to the next generation.

c) Does your company records its environmental performance? (If yes, attach copy)
Comments:Attached.

(vi) Drugs and alcohol

Do you have a drugs and alcohol policy in your organization? If yes, does it include the pre-
employment and random testing? (Attach copy)
Comments: Yes, We have drugs and alcohol policy in our organization. Copy attached of pre
employment and random testing.
(vii) Occupational health
a) What system does your company have to manage, control and monitor the occupational
health issues?
Comments: We follow ILO, MLC and ITF guidance on Health and Safety. Our company is awarded
with OHSAS18001 certificates.
b) Are your company employees required to undertake fitness to work checks?
Comments: Yes, pre joining medical fitness test is being done as per ILO and STCW compliance.
c) Are any of your company employees required to undertake specialized medicals for the work
they will undertake?
Comments:Not.
d) Does your company have a risk register listing all occupational risk? (If, YES, please attach a
copy)
Comments: Yes, Copy Attached
Section 5: Planning and Procedures

(i) HSSE or operations manuals

a) Do you have a company HSSE manual (or operations Manual with relevant sections on HSSE)
that describes in details your company approved HSSE working practices relating to your
work activities? If the answer is YES please attach a copy of supporting documentations.
Comments: Yes
b) How do you ensure that the working practices and procedures used by your employees on
site are consistently in accordance with your HSSE policy objectives and arrangements?
Comments: (a) By Audits of Job order. (b) Pictorial documentation proof.

(ii) Equipment control and maintenance

How do you ensure that plant and equipment used within your premises, on site, or at other
locations by your employees are correctly registered, controlled and maintained in a safe working
condition?

Comments: Planned maintenance system of all equipments provided onboard and report is
reviewed by shore management.
(iii) Road safety management.
a) What arrangements dose your company have for combating road and vehicle incidents?
Comments: Through regular training and emphasis on adhere to speed limit, road signs , use
of seat belts at all times& use of maintained vehicles having more safety features . We also
monitorand control via observation, feedback from employees, inspections and
investigations etc.
b) What sort of aspects does your company have for road safety management?
Comments: Zero Accidents, Efficient Personnel & Reduce Premium cost.
c) What criteria does your company have for drivers before they can start work?
Comments: (1) Knowledge of traffic rules which includes road signs etc,(2) Familiarization of
vehicles behaviour while driving example driving experience different between a liquid
carrier and a solid carrier etc.(3) Knowledge of basic first aid.
d) What safety equipments does your company have or provide safety in its vehicles? (e.g. Seat
belts roll over cages, first aid kits, etc.)
Comments: (1)Seat belts roll over cages (2) first aid kits (3) Air bags (4) ABS with EBD
e) What system does your company have to maintain its vehicles at a high roadworthy
standard?
Comments: We follow manufacturers PMS for high roadworthy. Motor Vehicles Act
(1988) set out by Government of India

(iv) Emergency planning

a) Outline your Companys arrangements for responding to emergency situations?
Comments:Ref APEX Safety Management Manual, Ch 08.
Ref O& E Manual, Ch 21 and 21A.
b) Does your company have a generic or specific emergency response plan for the work they
will undertake? If YES provide a copy.
Comments:Yes, Generic - Ref APEX Safety Management Manual, Ch 08. , Ref O& E Manual, Ch 21
and 21A. Copy Attached.
 c) Does your company have emergency exercise program/ training and a medical evacuation
plan? ( if YES, please attach a copy)
Comments: Copy Attached

Section 6: Implementation and Performance Monitoring

(i) Management and performance monitoring of work activities

a) What arrangement dose your company have for supervision and monitoring of
performance?
Comment: We achieve this by carry out Audits, Inspection and Incident Investigations
coupled with HSE meetings and review. (1) Internal audits by top management (2)
Management review meetings (3) Monthly HSE meetings.
b) What type of performance criteria are used in your company; give examples
Comments:Our performance is measured against yearly set goal, which ensures zero
Incidents and 100% HSE compliance w.r.t. LTI etc.
c) What arrangements dose your company have for passing on any results and findings of this
supervision and monitoring to your:
(i) Base management
(ii) Site employees
Comments: Through - Emails, Observation Reports, Internal audit Reports, HSE committee &
HSE briefs and meetings.

(ii) HSSE performance achievement awards

Has your company received any awards for HSSE performance achievement?
Comments: No.

(iii) Statutory notifiable incidents/ dangerous occurrences

Has your company suffered any statutory notifiable incidents in the last five years (safety,
occupational health and environmental)? (Answers with details including dates, country, most
frequent type, causes and follow up, preventative measures taken.)

Comments: No.
(iv) Improvement requirements and prohibition notices
Has your company suffered any improvements requirements or prohibition notices by the
relevant national body, regulatory body for HSSE or other enforcing authority or been prosecuted
under any HSSE legislations in the last five years? (If answer is YES please give details.)

Comments: No.
(v) HSSE performance reports
a) Have you maintained records of your incidents and HSSE performance for the last five years?
(If YES, please provide the following: number of fatalities, lost time injuries, lost workday
cases, medical treatment cases and restricted workday cases, also include the fatal incident
rate, lost time injury frequency and total recordable incident rate for each year. (NOTE:
please include your company definitions of the above mentioned terms for clarification
refer to the OGP safety performance incidents data report)
Comments: Yes, we maintained our incidents and HSSE performance.
 b) How is health performance recorded?
Comments: By medical check up.
c) How is environmental performance recorded?
Comments: By Environmental performance summery record.
d) How often is HSSE performance reviewed and by whom?
Comments:Quarterly by HSE committee.
e) What leading KPIs do you use to measure your performance?
Comments:(1) Environmental Performance: Ballast Water Management Violations,
Environmental deficiencies, (2) HSE Performance: Flawless Port State Control Inspection,
Health and Safety deficiencies, (3) HR Management Performance: Office retention rate, Crew
Planning, (4) Operational Performance: Vetting Deficiencies, Port State Control Detention,
Cargo related Incidents, (5) Technical Performance: Condition of Class, Failure of Critical
equipment and system.
(vi) Incident investigation and reporting
a) Who conduct incident investigations?
Comments: Qualified and competent Personal appointed by HSE committee for incident
investigation.
b) How are the findings following an investigation, or a relevant incident occurring elsewhere,
communicated to your employees?
Comments: Intermediate audits carried out for root cause analysis if catastrophic incident is
involved directly or any operation leads such situation and further root cause analysis is
communicated to all staffs.
c) Are near miss safety learning reported?
Comments: Yes, All reported near misses reviewed by HSE Committee.

Section 7: Auditing and Review

(i) Auditing
a) Do you have a written policy on HSSE auditing?
Comments: Yes, Ref APEX Safety Management Manual, Ch 07.
Ref O& E Manual, Ch 17
b) How does this policy specify the standards for auditing (including unsafe act auditing) and
the qualifications of auditors?
Comments:We follow instructions from IMO, ILO, MLC and ISO. The auditors training
certificate is verified for its authentication.
c) Do your company HSSE plans include schedules for auditing and range of auditing is covered?
Comments: Yes, Ref O& E Manual, Ch 17
d) How the effectiveness of auditing is verified and how does management report and follow-
up audits?
Comments: Management Review is conducted on monthly basis wherein the effectiveness
of auditing is discussed by the senior management and necessary actions, corrective actions
and preventive actions by taking into consideration the remarks raised in auditing report.

Section 8: HSSE Management Additional Features

(i) Memberships of associations
Describe the nature and extent of your company participation in relevant industry/ trade, and
governmental organization?

Comments: NIL
(ii) Additional features of your HSSE management
Dose your company have any other HSSE features or arrangements not described else where in
your response to the questionnaire? NIL
Section 9: Company Specific Information
Documents that should be attached with the questionnaire

Attached
(Y/N)
Questionnaire Documentation/Information
reference
2(i) a Copy of your Companys HSSE Policy Statement(s) Y

4 (vi) Copy of your Companys drug and alcohol Policy Y

1 (i) a Overview of your Companys HSSE Management System Y

Copies of any key procedures covering

4(i) b HSSE Risk management

HSSE Audit
7(i) a Accident Reporting and Investigation Y
HSSE Training
6 (vi) Emergency Response

5 (iv) c

7 (i) c Copy of your most recent Company HSSE Action Plan and Audit Plan N

-------- Copy job descriptions for key personnel for this project Y

2 (i) b, c Copy of the job description for senior management with HSSE Y
responsibilities

2 (i) b, c Copy of your organisation chart Y

6 (v) Copy of your accident statistics for the past two years N

--------- Copy of your latest internal HSSE audit report or HSSE report Y

--------- Copy of recent contractor HSSE audit report Y

4 (v) c, 4 (vii) d Copy of the company risk register

---------- Any other information you feel may support your proposal