Supervisor HSE Responsibilities

Form 000.653.F0145 Supervisor HSE Responsibilities

Project Name Project Location Project No./Contract No.

Supervisor (print) Employer Date

As a supervisor you are required to:

 Possess a comprehensive knowledge of incident prevention processes and project HSE requirements.  Accept responsibility for the implementation of incident prevention processes and safe work practices at the project/site.  Ensure that each employee has received an initial HSE orientation and a copy of the P2S Craft Employee Handbook and Health, Safety, and Environmental Requirements (Form S1), or for contractor personnel, the Contractor/Subcontractor Health, Safety, and Environmental Requirements (Form S19) and has signed an acknowledgment of the receipt of such handbook.  Explain applicable rules, requirements, and procedures to employees under your direct supervision and ensure each employee understands the rules, requirements, and procedures.  Consistently enforce HSE rules, requirements, and procedures.  Maintain a zero tolerance for unsafe acts.  Supervise the instruction and training of new employees.  Monitor employees’ performance to ensure the use of safe work practices.  Be responsible for the use, and maintain personal protective devices, equipment, and safeguards.  Notify direct supervisors and/or the HSE Representative concerning work areas where unique HSE hazards exist and/or special assistance is required.  Perform routine and organized HSE inspections in your work areas.  Attend and participate in supervisor HSE meetings.  Conduct “toolbox” incident prevention meetings for employees under your supervision as required by project procedures.  Immediately report all incidents that have, or could have, resulted in personal injury or property damage.  Assist in incident investigations and submit a report promptly on required forms.  Analyze work in detail for the purpose of issuing safety task assignments (STAs) and for the establishment of safe work practices.  Participate in the preparation of departmental or project HSE rules.  Correct HSE hazards on the spot.  Maintain a consistent use of the STA process.

Field supervisors, foremen, and general foremen are to read and sign this form acknowledging receipt and understanding of their HSE responsibilities as defined above.

Name:

Social Security/ID No.:

Supervisor Position/Craft:

By signing below, I acknowledge that I have read and understand my HSE responsibilities.

Signature:

Note: This form is referenced in Practices 000.653.0020 and 000.653.1001.