Supplier Self Assessment

Enviromental, Health and Safety

1. General
1.1. Qualificaton Criteria

Outotec has a QEHS (Quality, Environmental, Health and Safety) Management System aligned to the requirements of
ISO 9001, ISO 14001 and OHSAS 18001. In addition, some locations have a certified system according to SCC**
(Safety Certificate Contractors).

Outotec requires all contractors to perform any work or services in a safe, health conscious and environmentally aware
manner.

To ensure our contractors have an effective EHS Management System, Outotec requires all contractors to complete
this EHS Questionnaire, unless they meet the current exemption criteria as detailed in Section 1.2 of this document.

1.2. Exemption to Qualification

If a contractor is externally certified to OHSAS 18001 or a similar standard, e.g. SCC** or SCC*, the contractor is not
required to complete the following EHS Questionnaire. In this case, such contractors are required to

1. Provide Outotec with a copy of the relevant certificate;

2. Complete the information on the certification (below); and,
3. Sign the last page of this document.

Name of Standard: Certificate No.:

1.3. Instruction to Questionaire
All questions shall be answered either "Yes" or "No”.
Questions, which remain unanswered, are rated with zero (0) points.
Each "Yes" answer is rated with one (1) point. Maximum score is 93.

For projects under SCC regulations all questions marked with * must be answered “Yes”, otherwise action shall be
taken by Outotec regarding these issues during project execution.

2. Deliverables
2.1. Risk Assessment and EHS procedures
Please submit with this questionnaire a typical risk assessment for your scope of work
according to applicable legal standards. Submit also a list of your EHS procedures.
2.2. Safety Performance Statistics
Please attach your safety performance statistics for the last three (3) years to this questionnaire, in respect to fatalities,
Lost Time Injury Frequency (accidents requiring absence from work over one day, divided by million working hours),
prosecutions and environmental incidents.

LTIF is: Number of Lost Time Injuries x 1.000.000 / Number of Hours Worked for the Period
2.3. Comments
For additional comments, please use separate pages.
3. Policy, Organization, Management Engagement
3.1. Organization
*Is the company supervised by safety and occupational health specialists?
*Does the company have an EHS Organization?
3.2. Policy Statement
Are all 3 elements (E, H and S) addressed in Policy Statements ?
Is the Policy Statement signed by the Board?
3.3. Is the Policy Statement clear and explicit with regard to the protection of …
… safety and health of your employees?
… safety and health of your subcontractor personal?
… the environment?
… safety and health of the public?

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Enviromental, Health and Safety
3.4. Distribution of Policy Statement
Have individual employees been informed about the EHS policy in a traceable manner?
Is distribution of Policy Statement registered?
3.5. Authorization
Has the EHS Manual been authorized by the appropriate Board?
Do all persons in key positions have a copy of the EHS Manual?
3.6. Contents
Does the EHS Manual cover all relevant EHS hazards, risks, aspects and impacts, as well as
requirements to subcontractors?

3.7. Review
Is the EHS Manual periodically reviewed and updated?
3.8. Engagement of Management
*Are management actively working on EHS issues?
*Does senior management evaluate EHS performance in terms of compliance with SCC compliance
audit and evaluation?
4. Hazard Identification, Risk Assessment and Records
4.1. Hazard Identification, Risk Assessment and Personal Protective Equipment (PPE)
*Does Hazard Identification and Risk Assessment on corporate level take place and has it been
recorded?

*Does a Hazard Identification and Risk Assessment on operational level take place and has it been
recorded?

*Does Last Minute Risk Analysis take place directly before work begins?
*Are all employees provided with Personal Protective Equipment (PPE) by the employerand is the
PPE maintained and if required replaced?

4.2. Procedure(s)
Has your company a procedure for notifying, investigating and reporting incidents, accidents and
hazards?
Are all personnel (own and your subcontractors) aware with the procedure's content?
Is the procedure also valid for reporting and investigation of near misses?
4.3. Application of the Procedures
Can the notification of a hazard/accident and reporting be done by all personnel?
Does the procedure prescribe duties, responsibilities and follow-up actions?
5. Training, Information and Induction
5.1. Qualification
*Do all involved employees (own staff members and free lancers) have the adequate qualification for
their work?
5.2. Identification of Certificates
*Are EHS training certificates of your employees identified and filed?
*Are EHS training certificates of line managers and supervisors identified and filed?
5.3. Special Hazardous Work
*Do employees, executing special hazardous work or been appointed in special hazardous work
areas, have special knowledge, training and training certificates?

5.4. Training conducted

*Did personnel receive EHS training prior to start of work?

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*Is communication with foreign-language workers ensured?
*Did all involved employees participate in these training sessions (incl. your subcontractor
employees)?
*Are job safety instructions, personal protective equipment and reporting unsafe acts and conditions
covered?

*Is training planned systematically and is the perpetuation of the training controlled?
5.5. Checks on Subcontractor Personnel
Is your subcontractor(s) personnel systematically checked for required certificates/training?
(If no Subcontractors are used, tick "Yes".)

5.6. Hand-outs/Documentation
Are relevant handouts/documentation provided?
Is handout/documentation properly tuned for instructed personnel (language and level)?
5.7. Attendance in Instruction/Training
Is attendance of personnel properly documented?
5.8. Training of Supervision/Management
Is there an EHS training program available for supervision/management?
Has all supervision/management received applicable EHS training?
5.9. Organization of Training
Is training executed by safety experts?
5.10. Organization of Training
Is received training documented and registered?
6. Meetings
6.1. Meetings with Employees
Are EHS meetings planned and participants invited?
Did the immediate supervisor attend the meetings?
*Did EHS meetings take place quarterly as a minimum?
Is attendance checked, registered and signed?
6.2. Agenda and Minutes
Is an agenda prepared for the meetings?
Are minutes made and responsibility set for follow-up?
Are minutes available for attendees or internally published?
7. Meetings with Employees
*Is the EHS plan verified by Client?
*Is an EHS responsible person deployed to the project?
*Are the employees inducted in the project specific EHS plan?
*Are the subcontractor employees inducted in the project specific EHS plan?
8.Environment Management
*Are measures in place to protect the environment with focus on environment hazards and waste
reduction and waste disposal?
8.1. Environmental Aspects
Do you have a register that details all site specific environmental aspects?
Have you determined the most significant environmental aspects?
Have you set Site Environmental Objectives and Targets?
Do you have an Environmental Management Plan?

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Have you conducted Environmental Awareness training?
8.2. Hazardous substances
Do you have procedures for safe handling, transport, storage, use and disposal of hazardous
substances?
Are Safety Data Sheets (SDS) available for the personnel?
Have you conducted Hazardous Substances training?
8.3. Waste management
Do you have a Waste Management Plan?
Are all wastes effectively segregated and collected on a regular basis?
Have you conducted Waste Management training?
9. Emergency Management
*Is the company prepared for emergency situations?
Has the company available the relevant emergency management equipment if this is in the scope of
its delivery (i.e. First Aid Kits, Fire Fighting Equipment, and Recovery Equipment)?
Is required emergency management equipment periodically checked?
Have you conducted Emergency Management training for employees with emergency management
responsibilities (e.g. First Aid, Fire Fighting)?
10. Supervision by Line Managers and Supervisors
To maintain a high level of EHS management, Senior Site Management shall periodically inspect the
worksite.

10.1. Inspections
Are there documented guidelines for construction site inspections?
Are there documented guidelines for housekeeping and sanitary facilities?
Are there documented guidelines for observing hazardous acts and conditions?
Are there documented guidelines for inspecting rescue equipment (e. g. first aid, fire fighting)?
10.2. Frequenzy and Planning
Are the inspections conducted periodically?
Are unplanned inspections conducted?
10.3. Reporting
Are Inspection Reports documented, analyzed and corrective actions implemented where identified?
Are corrective actions monitored and reviewed for effectiveness?
Are substandard acts and conditions discussed immediately with the persons involved?
*Are required regular EHS inspections executed and documented by line managers and supervisors?
11. Health Surveillance
*Have the required regular occupational medical checkups been defined by the Hazard Identification
and Risk Assessment?
*Have the medical checkups been offered to all required employees and have they been executed?
12. Equipment and Tools
*Do all tools and equipment comply with (local) legal standards?
*Have critical tools/equipment been inspected and tested periodically?
Is there an Equipment Register?
Are periodic test/inspections in compliance with legal time frames, if existing?
Is tested equipment marked as such?
Are the inspecting/testing organizations certified/accredited?

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13. Procurement of Services
*Are only suppliers used with own workable and evaluated EHS organization?
*Are suppliers systematically evaluated and ordered with regard of their EHS performance?
*Are only service providers used with own workable and evaluated EHS organization?
14. Incident Management
*Is the communication and registration of incidents, accidents, near misses, hazards and unsafe
situations controlled?
*Is the investigation of incidents, accidents, near misses, hazards and unsafe situations controlled?
*Does the company have Incident Statistics and is the Accident Frequency rate below the required
limits?
15. Company Signature
Company Seal:

Location:
Date:
Signature:

Name in Letters:
Title:

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