ehs

E R WP SE EHSUnrestricted

To follow up on non-conformance identified in this inspection checklist, the responsible Operation Management shall utilize the action tracker (page 10), to track: implementation of corrective & preventive actions, to establish deadlines and to assign responsibility. The completed action tracker shall be forwarded to the regional Head of EHS for monitoring and follow up with in 30 days after receiving the inspection checklist for review.

Wind farm EHS InspectionOperation and Maintenance

Country: Site: Date:

Site Manager:Operation Manager: Driss El Aichaoui

Inspector:

INS 07.10 Appendix 3 / ver. 7

MoroccoHaouma

Philippe Chavaren23 - 25/4 2014

T14.04-3 Siemens AG, 2008 All Right ReservedINS 10-07_App. 3 _en Ver. 6 Ref: DOC 14.33 E R Wind Power

IMS Management SystemPage 1 of 10

E R WP SE EHSFor Internal Use Only

Basic EHS requirements

No. Yes No N/A Exemption / Comments

1 1 Not able to collect all documentation from Project2 "As built documentation" uploaded at the site specific workspace 1 Available documentation uploaded3 14 15 16 17 18 19 110 1

11 112 1 Need update with GWO rules for training13 114 1 Equipment tracking record used are not fully operational.

15 116 ERP uploaded in EHS plan appendix 4 on site specific workspace 117 118 Schedule for periodic test of ERP (Minimum annually) 119 120 121 1

22 123 1 Site Lead24 1 Site Lead not trained according to GWO rules25 1 Site Lead26 127 1 Site Lead28 129 130 1

31 1Due to country specific rules, it is not possible to hire site manager for more than 3 months = Level 7 technician

32 Site employees KRIMA Reporter trained 1

33 134 1

35 1

36 137 138 1

39 140 141 1

42 143 1

44 1

45 1 Repeater waiting for installation46 147 148 149 1 By radio/cell phone50 1 Emergency unit stand by on site 24/7

51 133 14 4

TOTAL 70%

This topic is N/A 70% N/A

Welfare facilities DOC 14.33 & EU Council Directive 92/57/EEC (Adopted as E S SR WP Global flight height):

Site management familiar with and able to use "Online MSDS"

"As built documentation" available at site.

Essential emergency contact information posted

Hazardous materials (HAZMAT) ref. DOC 14.35 and "Basic Safety Rules of Working in a Siemens WTG":MSDS available

Medical & fitness test. Offshore medical certificateSea survival

Lift, or Climb assist, certificates and equipment historical documents accessible

EHS plan ref DOC 14.33 & INS 07.10:Detailed hazards remaining from Project addressed satisfactory (If not state in comments)

Mandatory Safety training ref. PRO 05.17 ap. 2:

Emergency response DOC 14.33 & DOC 14.39:

Site Lead attended OLC 300 ("Site Managers Training" / this training is mandatory ast required acc. to PRO 09.12 !)

Site specific EHS plan prepared?Site specific EHS plan uploaded on the Site workspace?

Fire awareness

EHS plan appendix 1-5 on workspaceEHS plan appendixes 3 and 5 used as administrative records in workspace

Crane certificate and crane historical documents accessibleHoist certificate and hoist historical documents accessibleAnchor bolts certificates and anchor bolt historical documents accessibleFall arrest certificate and fall arrest historical documents accessibleEvacuation equipment certificate and evacuation equipment historical documents accessible

First aid

ERP easy accessible in hard copy

Site specific Emergency and Response plan (ERP) (Normally under responsibility of the Employer)

All staff fully aware of the accident reporting procedure (Based on interview)All staff fully aware of the Emergency Procedures (Based on interview)

Electrical awarenessWorking at heights (Basic harness / climb & rescue)

Site Office have connection/coverage to external Emergency Response Unit In case of answer "no" to any of the questions in this page, has site a "Safe System of Work" implemented (Describe in comments)

Site has full cell phone coverage between WTG & Site OfficeSite has full cell phone coverage between WTG & WTGWTG have connection/coverage to external Emergency Response Unit

Waste ref. DOC 14.35, DOC 14.39 and "Basic Safety Rules of Working in a Siemens WTG":Waste handled under contracts with approved waste operators (Normally under the Employers responsibility)

Site equipped with appropriate and sufficient vehicles matching site conditions

Site Welfare facilities in compliance with the EU Council Directive 92/57/EECSite Storage facilities in compliance with the EU Council Directive 92/57/EEC

Communication on site ref. DOC 14.33 &"Basic Safety Rules of Working in a Siemens WTG":

Site winter preparedness plan (Binoculars available for WTG ice inspection, road safety, vehicle safety, gangways and stairs) (N/A if site is unaffected by adverse winter conditions)

Manual handling

Topic

Wind farm EHS Inspection section 1

Safety related issues from Project snagging list completed (If not state in comments)

Handover from Project DOC 14.33 & INS 10.27:

Certificates for all inspected PFPE in place and accessible from site

50 % of site staff Advanced Rescue trained

Site has full radio coverage between WTG & WTGSite has full radio coverage between WTG & Site Office

Personal Protection Equipment and logistics ref. DOC 14.33, DOC 14.34 and PRO 14.34:

Logistics ref. DOC 14.33 and "Basic Safety Rules of Working in a Siemens WTG":

Site Office facilities in compliance with the EU Council Directive 92/57/EEC

Site staff have access to all standard PPE? (Based on interview & including potential contractors))

Site have Internet connection and access to SWP Intranet

Site staff have access to all standard PFPE? (Based on interview)

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01Basic EHS requirements E R Wind Power



Document Accessibility & Implementation


1 1 Very Old Version2 13 14 1 Not yet5 16 17 18 19 1

10 111 112 1 Not trained13 1

7 3 3TOTAL 70%


Employers Site Safety Rules posted Employers Liability Insurance certificate present (UK posted) ISO 9001, 14001& OHSAS 18001 certificates posted

Wind farm HSE Inspection section 2

Topic

E S SR WP Environmental, Health & Safety policy posted (DOC 17.07)Mandatory documentation ref. ISO, OHSAS, DOC 14.33 & INS 07.10 app. 1/2:

Health & Safety Information Board present

Access to Service Manuals (Global workspace)

Site Management capable of locating relevant IMS documents in Document HouseSite management able to access Safety Alerts, Safety Awareness and Stop Work

Access to Work Instructions (Global workspace)

Access to Risk Assessments ( For both Service manual & work Instructions) (Global workspace)Site Management capable to access and navigate in E S SR WP workspace

Site Management able to locate "Basic Safety Rules" (Service Manual chapter 1)Access to site relevant Approved Written Procedures/AWP (UK & AM applicable)

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01Documentation E R Wind Power



Records


1 12 13 14 15 16 1 Ongoing7 1 Ongoing8 19 1

10 111 112 113 1

14 115 1 Need to stored in file system

16 117 118 119 1

20 1 Ongoing21 122 1 Ongoing23 1 Ongoing

24 1

25 126 127 128 129 130 131 132 133 134 135 1 Not known36 137 138 1

19 7 12TOTAL 73%

This audit is N/A 73% N/A

Subcontractors PFPE record accessible

Certificates for lifting equipment & appliances accessible

Climb assist / Site record

Lifting Appliances DOC 14.33, DOC 14.38 & INS 07.10 app 1 or 2::Slings, Shackles, cables, chains / Site record

Subcontractors PFPE certificates accessible

PPE & PFPE (E.g. but not limited to: Harness, lanyards, gliders, life vests & immersion suites) ref. DOC 14.34, PRO 14.34 & INS 07.10 app. 1 or 2:

Service Lift / Site record

Lifting Equipment ref. DOC 14.33, DOC 14.38, INS 07.10 and local legislation & requirements:Service Crane / Site record

Site staff PFPE certificates accessible

Electrical hoist / Site record

Site staff PFPE records

Spec Pak / Site record

Anchor Bolt / Site record

Milan A-020 Evacuation equipment / Site record

Tower ladders / Site record

Milan Hub A-024 Rescue device / Site record

Basket stretcher / Site record

Siemens Rescue kit / Site record


TopicTurbine Mounted Safety Equipment (TMSE) ref. DOC 14.33 & INS 07.10 app. 1 or 2. as well as local requirements & legislation:Fall Arrest System(s) / Site record

Hook on points / Site record

Medical certification register

Fire extinguisher / Site recordFire blanket / Site record

Eye wash / Site record

Safety Talk register

Portable ladder register (only UK & AM applicable)

Site Safety "Walk down" register (Incl. Record of corrective & preventive actions)

Site Visitor in Turbine register Waste Transfer notes register (Can be employer administrated)

Site specific Task Risk assessment register

Site staff competences ( Level training, safety training, additional/specialized training)

Site Vehicle register

Site Safety Meeting register

Site Induction register Site Visitor register

Permit to Work register

Register established ?

Calibrated Electrical and Hydraulic Tools DOC 14.33 & INS 07.10 app 1 or 2:

Emergency Preparedness Equipment ref. DOC 14.33 & INS 07.10 app 1 or 2:

Portable Appliance Tests register (only UK applicable) Additional Registers to be established & updated DOC 14.33 & INS 07.10 app 1 or 2 as well as local legislation.

First Aid Equipment / Site record

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01Records E R Wind Power



Site safety & security conditionsNo. Yes No N/A Exemption / Comments

1 1 Guard 24/72 1 Employer3 14 1 Employer5 16 17 18 19 110 111 1

12 1 Need one extra set

13 1 At station of work

14 1

15 1

16 117 118 119 1

20 121 122 123 1 Should be in all working areas incl. Kitchen24 125 126 127 128 1 Should be in all working areas incl. Kitchen29 130 131 132 1 Should be in all working areas incl. Kitchen33 134 1

35 136 137 138 1 Need to be stored outside, due to fumes from waste oil.

39 140 141 142 143 144 145 146 147 1 No warning signs at warehouse door48 149 150 1

40 8 2TOTAL 83%


SWP Rescue Kit and Milan A-024 with in inspection and seal intact (Applies to other stretchers as well)

Emergency response equipment ref. ISO OHSAS, DOC 14.33, PRO 05.17 & "Basic Safety rules of working in a Siemens WTG":

SWP Rescue Kit and Milan A-024 inspected by a competent person (Applies to other stretchers as well)

All inspected PFPE suitable and within inspection period.All lifting appliances suitable and within inspection period.

SWP Rescue Kit and Milan A-024 inspection marked on the equipment (Applies to other stretchers as well)Milan A-024 inspection stickers filled in as required by the vendor.

Fire Extinguishers within inspection period

Eye Wash bottles within validation period

First aid kit inclusive AED (One per work team / "Siemens belt bag version")

Fire Extinguishers visible (Both extinguisher & signage)

Eye Wash bottles/ device placed visible (Both device and signage)

Fire Extinguishers present

Vehicles equipped with fire extinguisher & first aid kit

Eye Wash bottles / device placed in appropriate locations (Where risk of eye injury is eminent)

Fire Extinguishers placed in appropriate locations (and appropriate size & content)

First Aid kits within validation period

Eye Wash bottles present

First Aid kits placed in appropriate locations

First Aid kits present

First Aid kits placed visible (Both kit & signage)

First Aid kits complete

SWP Rescue Kit and Milan A-024 deployed at locations fulfilling the 30 min response requirement of PRO 05.17.

Sufficient amount of SWP Rescue Kit and Milan A-024 in relation to number of work teams according to the requirements of PRO 05.17

Signage in place to ensure safe navigation on site

Site facilities equipped with fire / smoke detectors (In general Employer responsibility)Housekeeping appropriate regarding free and not blocked emergency exitsHousekeeping appropriate regarding free and not blocked emergency response equipment

Road conditions satisfactory to ensure safe access to the WTG during all seasons Building layout plans incl. indication of escape routes & safety equipment postedSite layout plan posted

Waste sorting according to E S SR WP requirements or more restrictive local legislation

Hazardous materials/substances & MSDS ref. DOC 14.33, DOC 14.35,"Basic Safety rules of working in a Siemens WTG"& Site specific EHS plan:

Wind farm HSE Inspection section 4Topic

Site access appropriately secured (Evaluation of the inspector)Site safety & security. DOC 14.33, PRO 05.17 "Basic Safety rules of working in a Siemens WTG" & EU Council Directive 92/57/EEC :

Housekeeping appropriate regarding slip / trip hazards & and electrical installations.

Site has an appropriate quarantine area for equipment taken out of operation Housekeeping appropriate regarding fire hazards and hazardous substances.

MSDS in hard copy at/near storage location (In a fixed location or bracket)MSDS file organized to be easy accessibleMSDS file updated according to physical content of storage

Waste ref. DOC 14.33, DOC 14.39, "Basic Safety rules of working in a Siemens WTG"& Site specific EHS plan:

Storage equipped with sufficient volume of spill containment

Storage equipped with sufficient spill collection

Waste storage area appropriate for the purpose.

Waste sorting in minimum four categories: combustibles, House hold garbage, Hazardous & specialWaste sorting in appropriate containers marked for contents

Hazardous materials stored according to local legislation and E S R WP requirements

Storage equipped with adequate design of spill containment

Storage equipped with appropriate type and volume of spill collection

Mandatory warning signs posted according to local legislation and E S SR WP requirementsStorage equipped with appropriate storage facility for highly flammable substances

Pressurized bottles stored according to MSDS specifications Pressurized bottles secured from falling over

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01Site safety conditions E R Wind Power



WTG Inspection


1 12 1

3 1 Sign for Sll Glider missing4 1 Employer5 1 Need frontcover with Turbine info6 17 1

8 19 1

101

11 1

121 SWP TMSE

13 114 115 116 117 1

18 119 1

201

21 1

22 123 1

24 125 1

26 1

271

28 1

291

30 131 132 133 134 135 136 1

37 138 139 140 141 142 143 144 145 1 Nacelle kit out of date (June 2013) WTG 2046 147 148 1 Not in Nacelle (WTG 20)49 150 151 152 153 154 1

551

41 4 10TOTAL 91%


All inspected lifting appliances in good condition and marked as required

Eye Wash bottles within validation period

Fire Extinguishers present at ground floor & nacelle

First Aid kits within validation period

Eye Wash bottles present at ground floor & nacelle

Evacuation kits within inspections period

Evacuation hatch accessible and possible to openFirst Aid kit present at ground floor & nacelle

Emergency response equipment ref. DOC 14.33, Vendor requirements, TMSE checklists & local legislation:

Fire Extinguishers visible (signage)

Turbine Safety Card Booklet (Mllebog) present in bracket in nacelleTurbine Safety Card Booklet reflect the actual physical conditions at the WTG

Evacuation kit annual inspection performed and marked as required by vendor

First Aid kits placed visibleContent of First Aid kits complete

Eye Wash bottles placed visible

Fire Extinguishers within inspection period

Evacuation kits in place Evacuation kit seals intact

Has the annual inspection/service been performed by a competent person (verify according to annual service checklist and register of competences)User manual present in a bracket in the lift

Annual crane inspection performed by a competent person (Verify according to annual service checklist and register of competences)

Annual hoist inspection performed by a competent person (Verify according to annual service checklist and register of competences)

Crane, Hoist & lifting appliances ref. DOC 14.33, 14.38, Vendor requirements, TMSE checklists , WTG CE marking & local legislation:

Chain Hoist been performed

Performed inspection visibly indicated on the equipmentAnnual inspection/service been performed by a competent person (verify according to annual service checklist and register of competences)User manual present in a bracket in the liftClimb Assist: (if not installed mark N/A) ref. DOC 14.33, 14.38, Vendor requirements, TMSE checklists & local legislation:Inspections of the Climb Assist performed Performed inspection visibly indicated on the equipment

Certification Plate for the Fall Arrest system correctly filled in (According to vendor specification)Performed inspection visibly indicated on the equipment

Has the annual inspection/service been performed by a competent person (Verify according to annual service checklist and register of competences)

Service Lift: ( if not installed mark N/A) ref. DOC 14.33, 14.38, Vendor requirements, TMSE checklists & local legislation:Inspections of the Service Lift performed

Inspection of the turbine ladders performed

Fall Arrest System, anchor bolts and hook on points: ref. DOC14.33, DOC 14.34 Vendor requirements, TMSE checklists, Assembly Manual & local legislation:Required inspections of the Fall Arrest system performedCertification Plate for the Fall Arrest system present (According to vendor specification)

Anchor bolts and hook on points have yellow inspection sticker

WTG visibly marked with turbine numberTurbine Logbook present at ground floor and in useTurbine Safety Card Booklet (Mllebog) present in bracket at ground level

Ladder inspection visibly indicated (Can be in combination with fall arrest system)Anchor bolts have unique reference All personnel Anchor points / Hook on points marked yellow

State of Housekeeping inside/outside the WTG satisfactory Safety signage in WTG ref. "Basic Safety rules of working in a Siemens WTG", Site specific EHS plan, WTG CE marking & Assembly Manual:

Mandatory safety & warning signage according to requirements

Turbine Safety Card Booklet reflect the actual physical conditions at the WTG

Performed inspection visibly indicated on the crane

All inspected lifting appliances within inspection periodSWL marked on crane hook and relevant parts

Crane & hoist User manuals present at the equipment in the bracketThird party inspections (periodic) documented in the Service manual as required by the vendor

Performed inspection visibly indicated on the hoist

Fire Extinguishers appropriate placed at locations ( In appropriate size & content) In case of answer "no" to any question on this page: Is "Safe System of Work" implemented ? Explain how in comments.


Topic

Periodic inspections of the Crane

Access to WTG ref. DOC 14.33, "Basic Safety rules of working in a Siemens WTG", Site specific EHS plan & Service Agreement:Access conditions to the WTG adequate for the scope of work to be performed (Size and condition of Hardstand / size of gravel/ height of stairs/ railing/ vegetation etc.)

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01WTG inspection E R Wind Power



Offshore section


12

3456789101112

13

14151618192021222324

252627282930313233

340 0 0

TOTAL 0%


NOK Form. Register (Can be handled by Employer) Access/egress between quay and vessel safe

Vessel "safety briefing" adequate

Vessel:Vessel approved for operation by Siemens Operation Management


TopicBasic requirements:

Vessel equipped with crew finder Appropriate means of communicationAccess to an appropriate weather forecast system Vessel equipped with SWP Rescue kit and Rescue equipment

Vessel in general appropriate for the purposeAppropriate restroom facilitiesAppropriate storage facilitiesAppropriate seating during transport

Access/Egress area sufficiently illuminated Vessel equipped with a craneHousekeeping on the vessel satisfactory to ensure safe transportation

Rescue equipment within inspection period (Inspection / markings ref. Site Safety conditions previous page)

Vessel provide indoor facility to transport a potential horizontal casualty placed on stretcherVessel have periodic schedule for "MOB" exercises incl. test of crew finderVessel offers safe access to Access/Egress between vessel and TP

TP Fall Arrest System (Yo-Yo) in placePeriodic inspection of the Fall Arrest System performed TP means of access cleared of any additional hazards ? (alga - acorn barnacle - guano)

Transition Piece (TP): ref. DOC 14.33, "Basic Safety rules of working in a Siemens WTG", DOC 14.38, Vendor requirements,

Deckhand fully aware of the access/egress procedure (based on interview)Deckhand fully aware of the hoisting procedure (based on interview)Technicians fully aware of the access/egress procedure (based on interview)Technicians fully aware of the hoisting procedure (based on interview)

WTG has an emergency "Stay over package" "Stay over package" within validation period

Documentation for periodic inspection of the Helo-platform Helicopter Platform: (if not installed mark N/A)

TP railing intact TP platform intact & clear of trip/slip/fall hazardsPeriodic inspection of the "David Crane" performed Performed inspection visibly indicated on the crane

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01Offshore E R Wind Power



Wind farm HSE inspection: T0TAL SCORE (excl. Offshore)

1 2 3 4 5 6

Basi

c EH

S re

quire

men

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Docu

men

t Acc

essi

bilit

y &

Impl

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tatio

n

Reco

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Site

saf

ety

& s

ecur

ity

cond

ition

s

WTG

Insp

ectio

n

Offs

hore

FIN

AL S

COR

E (e

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ffsho

re)

70% 70% 73% 83% 91% N/A 78%

Location:

78%Philippe Chavaren Inspector: 1/0/00Haouma

Date: 23 - 25/4 2014Date: 23 - 25/4 2014 Site Manager:

Haouma

70% 70%73%

83%

91%

0%0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Site Inspection results

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01ScoreCard E R Wind Power


T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver. 1 Ref: INS 16.01ScoreCard E R Wind Power



Score Percentage ExplanationExcellent 100% - 95% High degree of safety awareness. Working independently.Very good 94% - 80% Very good degree of safety awareness. Very good procedures in place.Good 79% - 70% Good degree of safety awareness. Procedures are in place, minor changes needed.Acceptable 69% - 60% A certain degree of safety awareness. Some procedures needs to be updated or made.Below acceptable 59% - 40% A very low degree of safety awareness is present. A major part of the procedures needs to be updated or made. Actionplan to be consideredNot acceptable 39% - 0% A minimal safety awareness is present. Procedures needs to be updated or made. Imminent danger of a LTC to happen. Actionplan required.

T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver . 1 Ref: INS 16.01Score instrument E R Wind Power


T14.04-3 Siemens AG, 2008 All Right ReservedFORM 10.107_en Ver . 1 Ref: INS 16.01Score instrument E R Wind Power


ehs

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