Exhibit 8 - SHES Instructions Part 3

Classification: Internal Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

LTC/C/NFP/5129/20

VOLUME 2- EXHIBIT 8

SAFETY HEALTH ENVIRONMENT & SECURITY (SHES) INSTRUCTIONS PART 3 – HEALTH MANAGEMENT

CONFIDENTIAL Page 1 of 27

Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

LTC/C/NFP/5129/20

TABLE OF CONTENTS

1.0

INTRODUCTION … 3

1.1

Health Objectives … 3

2.0

REFERENCES … 3

2.1 2.2 2.3

QATARGAS References … 4 Ras Laffan Industrial City (Qatar Petroleum) References … 4 Other References … 4

3.0

ABBREVIATIONS & DEFINITIONS … 5

3.1 3.2

Acronyms and Abbreviations … 5 Terms and Definitions … 6

4.0

HEALTH MANAGEMENT PROGRAM … 6

4.1 Medical Organization & Facilities … 7 First Response Organization … 10 4.2 4.3 Medical Service Agreement (Onshore RLC) … 10 First Aid … 11 4.4 Fitness to Work (FTW) … 11 4.5 Infectious & Communicable Diseases Program … 12 4.6 Absence Management … 14 4.7 Case Management … 14 4.8 Alcohol and Drugs … 15 4.9

5.0

INDUSTRIAL HYGIENE AND OCCUPATIONAL HEALTH … 17

Personal & Area Monitoring … 18 5.1 Heat Stress Management … 18 5.2 Sanitation … 19 5.3 Potable Water … 20 5.4 5.5 Worker Wellness Program … 21 Fatigue Management … 22 5.6 Food Safety … 23 5.7 Legionella Management … 23 5.8 Noise Control & Hearing Conservation … 23 5.9 5.10 Respiratory Protection Program … 23 5.11 Hazardous Material Management … 24 5.12 Ergonomics and Manual Handling … 24

6.0

7.0

REPORTING & RECORDING … 24

ATTACHMENTS … 27

Attachment 1: List of Tables & Figures … 27

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

LTC/C/NFP/5129/20

1.0

INTRODUCTION

COMPANY is committed to maintaining the highest levels of health standards for persons involved in the WORK, through the implementation of a systematic Health Management program. In order to achieve this standard, Management strives to provide a safe, healthy, and productive WORK environment for the workforce, to protect the public, to protect COMPANY assets, and to promote onsite WORK efficiency.

CONTRACTOR shall ensure that the requirements of Health Management is implemented, well understood, together with full compliance to all regulatory and legal requirements. To help achieve these goals, CONTRACTOR shall develop a Project Health Management Plan within ninety (90) days of EFFECTIVE DATE for COMPANY APPROVAL.

The Project Health Management Plan and its associated documents will define requirements for the Project’s health management program. These Project Instructions will be used by CONTRACTOR as a basis for understanding Project health threats, developing, implementing, and maintaining health management related facilities, equipment materials, consumables, manuals, procedures and resources.

All the scope, instructions and requirements defined in this part of Exhibit 8 form part of the LUMP SUM PRICE.

1.1 Health Objectives

In order to ensure the Project health policy is effective CONTRACTOR will maintain these documented Project Health Objectives:

• Promote health and well-being of all Project employees

• Promote and proactively pursue the goal of zero occupational health incidents

• Undertake timely and systematic identification of potential health hazards across

all disciplines and areas of exposure

• Conduct risk assessment for every identified health hazard and establish adequate

risk control measures

• Ensure full compliance with all health APPLICABLE LAWS and regulations

• Record, track and document all actions to mitigate identified health hazards across

all phases of the Project

• Conduct regular management reviews and audits of the effectiveness of the health management system in fulfilling policy, objectives, and performance criteria

2.0

REFERENCES

The following are a list of key references related to Health Management. Notwithstanding the list provided herewith, CONTRACTOR shall ensure compliance to all relevant procedures, APPLICABLE LAWS that apply to the SITE and/or WORKSITE(s) where activities are performed to ensure that health objectives are met.

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LTC/C/NFP/5129/20

2.1 QATARGAS References

Table 1: QG References

Document # PRT-HLT-POL-002 PRT-HLT-PRC-001 PRT-HLT-PRC-002 PRT-HLT-PRC-004 PRT-HLT-PRC-005 PRT-HLT-PRC-006 PRT-HLT-PRC-007 PRT-HLT-PRC-011 PRT-HLT-PRC-015 PRT-HLT-PRC-018 PRT-HLT-PRC-019 PRT-HLT-PRC-022 PRT-HLT-PRC-023 PRT-HLT-PRC-024 PRT-HLT-PRC-025 PRT-HLT-PRC-027 PRT-PSF-PRC-012 MED-000-PRC-001 MED-000-PRC-002 MED-000-PRC-003 MED-000-PRC-004 MED-000-SI-001

PGO-OPS-OVR-002

Document Title Occupational Health Protection Fitness To Work Procedure Heat Stress Management Procedure Noise Control and Hearing Conservation Program Respiratory Protection Program Standards for Contractor Camps’ Living Conditions Corporate Standard for Food Services Office Ergonomics and Manual handling Guidelines Legionella Management plan Health Risk Assessment Methodology Fatigue Risk Management Procedure Potable Water Sampling Hazardous Material Management Procedure Industrial Hygiene and Occupational Health Programs Management Communicable Disease Outbreak Management Plan Radiation Protection Management Personal Protective Equipment Scope Of Medical Practice Infection Control Procedure Medical Fatigue Management Covid-19 Suspected Case Procedure PPE Requirements for COVID-19 Pandemic Offshore Operations Interim Measures in Response to COVID-19 Pandemic

2.2 Ras Laffan Industrial City (Qatar Petroleum) References

Table 2: RLC References

Document #

2.3 Other References

Document # IOGP 343-1 IOGP – Report Law No.14 ANSI/API 755

IOGP 392 OSHA 3990-03 2020

CONFIDENTIAL

Document Title Not applicable (met by following QG Procedures)

Document Title Managing Health for field operations in O&G activities Health Assessment of fitness to work in the E&P industry Qatar Labour Law Fatigue Risk Management System in the Refining and Petroleum Industries Fatigue Management in the Workplace Guidance on Preparing Workplaces for COV-19

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3.0

ABBREVIATIONS & DEFINITIONS

3.1 Acronyms and Abbreviations

 ACGIH

Hygienists

 ANSI

 CBC

 CV

 ECG

 FTW

 HRA



ILS

ITLS

ITR

 MAC

 MCM

 MME

 MoPH

 OEL

 OSHA

 POB

 PPE

 QG

 QP

 RLC

 SDS

 SMO

 SUV

 WBGT

 WHO

American Conference of Governmental

Industrial

American National Standards Institute

Complete Blood Count

Curriculum vitae

Electrocardiography

Fitness to Work

Health & Hygiene Risk Assessment

Immediate Life Support

International Trauma Life Support

Instrument Technical Room

Medical Aid Centre

Medical Case Manager

Ministry of Municipality and Environment

Ministry of Public Health

Occupational Exposure Limit

Occupational Safety & Health Administration

Personnel On Board

Personal Protective Equipment

Qatargas Operating Company Ltd. (QATARGAS)

Qatar Petroleum

Ras Laffan Industrial City

Safety Data Sheet

Senior Medical Officer

Small Utility Vehicle

Wet bulb globe temperature

World Health Organization

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3.2 Terms and Definitions

Table 3: Terms and Definitions

Term

Critical work

Heat Index

Wet-bulb globe temperature

Definition Those activities that if delayed or stopped may adversely affect Safety, Environment, Facility integrity or incur significant material and/ or financial loss of major production, maintenance or construction activities.

A type of apparent temperature, combining the air temperatures and relative humidity.

A type of apparent temperature used to estimate the effect of temperature, humidity, wind speed (wind chill), and visible infrared radiation (usually sunlight) on humans.

4.0

HEALTH MANAGEMENT PROGRAM

CONTRACTOR shall conduct a Health & Hygiene Risk Assessment (HRA) for covering all SITE(s) and WORKSITE(s) and selected Task to identify and create an inventory of SITE and WORKSITE(s) Health & Hygiene Hazards. CONTRACTOR shall be conducted the HRA within sixty (60) days of EFFECTIVE DATE for COMPANY APPROVAL. The HRA will then be updated a minimum of every 6 months.

From the findings of the HRA CONTRACTOR shall then develop a Project Health Management Plan based on the HRA and shall submit for COMPANY APPROVAL within ninety (90) days of EFFECTIVE DATE as required by section 1 above.

The HRA shall also consider relevant personnel and resources required to implement the Health Management Plan including the mitigation of relevant health risks for COMPANY APPROVAL by QG Medical Department.

As a minimum, the Health Management Plan shall include, but not limited to, the following:

 Medical organization and facilities

 Medical service agreements

 First aid

 Fitness to work



Infection and communicable disease control

 Absence management

 Case management

 Heat stress management

 Alcohol and drugs

 Sanitation

 Potable water

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 Worker wellness

4.1 Medical Organization & Facilities

CONTRACTOR shall establish a Medical Aid Centre (MAC) in line with relevant regulatory requirements and in line with QG Medical department standards. CONTRACTOR shall provide the medical service at all SITE(s) and WORKSITES (with dedicated MAC’s) sufficient for use by COMPANY, CONTRACTOR and Subcontractor(s). CONTRACTOR shall not permit or require Subcontractor(s) to establish their own MAC’s.

CONTRACTOR shall have a dedicated vehicle for MAC dedicated use, including a vehicle at SITE and a vehicle at camp for the WORK in Qatar. The vehicle shall be at least a Small Utility Vehicle (SUV) type, able to accommodate a driver, medical person and patient together with necessary tools and equipment. Contractor shall ensure that the driver and medic must be licensed and meet all the requirements dictated by Ras Laffan Industrial City (RLIC), Ministry of Public Health (MoPH) or any other relevant regulatory authority in country.

CONTRACTOR shall determine effective health clinic provisions to comply with all APPLICABLE LAWS and satisfy in country legal requirements and QG Medical department standards for 24- hour emergency medevac and non-emergency medical screening and other treatment for all personnel. The provision of a Hamad Medical card and/or contractual arrangements with licensed clinics for all personnel in the State of Qatar and contractual arrangements with licensed clinics in the immediate environment of each SITE and WORKSITE should be considered important long-lead requirements.

The size of the MAC and the number of staff required, shall be based on the HRA, however CONTRACTOR shall provide the following minimum medical staff / area in the facilities:

Table 4: Medical staff & facility requirements Onshore

No. of personnel MAC minimum floor area (m2)

Medical staff per shift (worksite)

Medical staff per shift (camp)*

100-500

500-1000

1000-3000

100

3000-5000

150

5000

200

1 x Nurse

2 x Nurse

1 x Doctor

2 x Nurse

1 x Doctor

4 x Nurse

2 x Doctor

4 x Nurse

2 x Doctor

1 x Nurse

1 x Doctor

2 x Nurse

1 x Doctor

4 x Nurse

2 x Doctor

4 x Nurse

2 x Doctor

Note* - Medical staff required during hours of occupation.

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The MAC staff levels & numbers, type and number of facilities required within a highly populated SITE and WORKSITE area will depend on the HRA, but the above minimum staff / area requirements shall be followed. CONTRACTOR shall comply to the Labour law and all relevant regulations in this domain at all times

Table 4a: Medical staff & facility requirements offshore

No. of personnel

Clinic minimum floor area (m2)

Medical (worksite)

staff per

shift

1-100

101-500

TBA

1 x Doctor (Day Shift)

1 x Nurse (Night Shift)

1 x Doctor (Day Shift)

1 x Nurse (Night Shift)

CONTRACTOR shall ensure that the following requirements are met in terms of medical staff qualification and certification:

 For medical staff working onshore in Qatar or areas covered by QG permit to work, prior APPROVAL by QG Medical Department upon review of the candidates’ Curriculum vitae (CV). Other medical staff working in other geographical locations require COMPANY APPROVAL by the SHES department;

 Acceptance of QG Medical department representative attending the pre-recruitment

interview;

 Medical Staff providing services at medical aid centers shall be licensed;

 All nurses and doctors offered employment by CONTRACTOR shall be registered with the Ministry of Public Health of each country where the WORK is performed including the Ministry of Public Health of the State of Qatar within one (1) month of assuming the position. Proof of that registration shall be supplied to COMPANY and QG Medical department for records and a copy displayed in the relevant first aid station (MAC);

 The registration form to set up and operate a First Aid Centre/Clinic shall detail the level of staffing and their qualifications/certification to ensure the facilities capabilities adequately meet the needs of the SITE and WORKSITE(s) and in line with QG Medical department standards. Staff involved with the rendering of treatment shall possess first aid and nursing / medical qualifications that are officially recognized by the State of Qatar MoPH for the part of the WORK performed in the State of Qatar and the Ministry of Public Health of other countries where WORK is performed;

 Medical/ nursing staff shall have training, certification and experience in Occupational

Health that must be acceptable by QG Medical department;

 Any medical/nursing staff used by a CONTRACTOR in an MAC shall comply with the

following:

CV shall be submitted to COMPANY for APPROVAL after which QG Medical final APPROVAL and verification of qualifications shall be done;

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ii. Nurse(s) shall possess 4-year Bachelor’s Degree

in Nursing or equivalent qualification. Doctors and Nurses shall be currently registered and licensed within the country of origin;

iii. Doctors and nurses shall have post registration work experience of not less than 5-years. This shall include emergency care and industrial working experience;

iv.

Evidence shall be provided of the ability of the nurse to work unsupervised. Copies of work experience, personnel references, certification, registration and licensing shall be provided as evidence;

v. Medical Staffs shall attend the ILS (Immediate Life Support) and ITLS (International Trauma Life Support) within 3 months of assuming position /prior travelling offshore;

vi.

It is the sole responsibility of CONTRACTOR to ensure nurse and doctor obtain their license and maintain their professional licenses (from country of the relevant part of the WORK and Qatar License, as applicable) up to date at all times.

CONTRACTOR shall nominate one doctor as the Senior Medical Officer (SMO) who will be responsible for the Health Management Program.

The SMO shall be responsible for:

 Co-ordination of all Nurses, Responders and First Aid Providers

 Ensure proper management of the Fitness to Work (FTW) program

 Perform health audits and inspections at SITE(s) and WORKSITE(s)

 Attend health review meetings with Project Management as required

 Ensure the proper management of daily consultations, work related injuries and

illnesses as well as emergency response

 Submit the available data about any suspected work or non-work-related injury or

illness to QG Medical department within 24 hours

 To cooperate with QG Medical in providing all the required clinical, or non-clinical information for the purpose of management a classification of work-related accidents or injuries

 Ensure that CONTRACTOR is compliant with Project and local government health

requirements and with the APPLICABLE LAWS

 Liaise with local Health Officials

 Report to QG medical as per COMPANY medical requirements

 Manage the Health Education program in line with QG Medical Department standards

 Develop and maintain the Infection Control Program for the Project along with

medical waste disposal in line with QG Medical Department standards

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Patient information shall be kept and maintained un-disclosed. Information shall not be spread amongst non-medical personnel not directly related to patient care or treatment. If a medical case report is required in the State of Qatar, it shall be obtained by applying through the QP medical Centre (for onshore RLIC) to which the patient was referred. The report shall be given to the patient who will submit a copy to his MAC.

CONTRACTOR shall issue a medical organization chart for COMPANY APPROVAL and endorsement of QG Medical department.

CONTRACTOR organization shall include as a minimum the following personnel:

 SMO

 Doctors

 Nurses / Nurse Assistant

 Medical Case Manager (MCM)

 Administration staff

4.2 First Response Organization

CONTRACTOR shall establish First Response Organization at SITE(s) and WORKSITE(s). Consideration shall be made for hours of WORK including day and night shift.

The First Response team shall be located close to WORK areas and be equipped with appropriate medical equipment for first aid provision.

The First Response team shall have, as a minimum:

 MoPH Licensed Paramedic x one (1);

 MoPH Licensed Nurse x one (1);

 SUV response vehicle x one (1).

In case the night shift personnel (direct manpower) are above 1000, the same resources as day shift shall be provided during night shift for First Response team. CONTRACTOR first responders shall be familiar with the SITE and/or WORKSITE and the WORK activities conducted there.

Daily patrols of WORK areas shall be carried out to familiarize themselves with access routes. Daily participation at SITE and WORKSITE meetings, permit coordination meeting, area leadership meetings are also required, to ensure the first responders are aware of the WORK activities being conducted.

4.3 Medical Service Agreement (Onshore RLC)

CONTRACTOR shall establish a medical service agreement with QP, prior to SITE mobilization, including cover for:

 Primary health care

 Dental care

 Emergency medical services

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The service agreement shall cover all CONTRACTOR and Subcontractor personnel working on SITE.

4.4 First Aid

CONTRACTOR shall ensure suitable provision of First Aid for all SITE(s) and WORKSITE(s) personnel and organizations. First Aid resources will including trained first aiders, first aid kits, eye wash stations, etc.

CONTRACTOR shall ensure that a minimum of one (1) First Aider is present at any SITE(s) and/or WORKSITE(s) for every fifty (50) persons including COMPANY, CONTRACTOR and Subcontractor organizations. First aid training and certification shall be arranged by CONTRACTOR in line with MoPH requirements.

CONTRACTOR shall ensure that First Aiders are clearly identified in the field by a visible means such as hard-hat stickers, as well as office areas (through pictures).

CONTRACTOR shall maintain an up-to-date database of trained first aiders, including certification, ensuring the 1:50 ratio is met for all SITE(s) and WORKSITE(s) organizations and WORK areas. CONTRACTOR shall implement a regular inspection program for first aid kits (minimum of monthly inspection), and ensure consumables are replenished.

CONTRACTOR shall provide fully functional Automatic External Defibrillators units (AED’s). The AED units shall be located in all SITE(s) and WORKSITE(s) and with the First Response team. CONTRACTOR shall ensure a suitable number of trained users for AED’s, including posters with names and numbers of competent persons posted next to AED’s. Such equipment shall undergo regular inspection, with monthly recorded inspections as a minimum. CONTRACTOR shall be responsible for calibration of AEDs when required and provision of replacements during periods of maintenance or calibration.

4.5 Fitness to Work (FTW)

CONTRACTOR shall develop a Fitness to Work (FTW) Plan within ninety (90) days of EFFECTIVE DATE for COMPANY APPROVAL.

CONTRACTOR will ensure that all CONTRACTOR & Subcontractor personnel assigned to the WORK, complete a Fitness to Work (FTW) examination prior to start WORK, in line with COMPANY FTW requirements and QG Medical department standards. COMPANY personnel may participate in CONTRACTOR FTW program at COMPANY discretion.

Fitness to Work shall include a set of examinations and tests designed to determine that the persons reasonably, legally and reliably meet the minimum health requirements of their intended position to be fit to perform their duties assigned by the employer as per job description and in line with QG Medical department standards.

CONTRACTOR shall ensure that persons undergoing the medical exams, do so at MoPH recognized medical facilities prior to mobilization.

For Access Offshore, CONTRACTOR shall obtain QP “Offshore Pass”, and obtain QP “Medical Fitness Card”. CONTRACTOR Schedule shall take account of the period of time (typically) two (2) to three (3) working days) required to process the applications and issue the Offshore Pass and Offshore Medical Fitness Card. Refer QP Offshore Medical Requirements

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Decision of fitness to work is based on the following:

Assessment of occupational hazards the employee will be exposed to. It is risk

based and is done through health risk assessment

Medical tests and examinations designed to match the requirements of the position, with the reasonable health and capacity requirements for an employee in that position working in specified location on the WORK

The fitness medical examination involves (refer to QG FTW procedure/ forms):

 Vaccination history

 Hospitalization history

 Medical history

 Medication history

 Smoking history

 Family medical history

 Physical examination

 Laboratory tests for glucose, Complete Blood Count (CBC), renal and liver function

test, lipid profile

 Urinalysis

 Electrocardiogram (ECG)

 Lung function test

 Audiometry test

The SMO shall also determine any potential regular follow up required such as those persons with chronic medical illness(s).

The SMO may at any time suspend FTW if he feels that a person(s) health is at risk due to his/her personal health condition or any deficient follow up in regard to chronic illness management, absence records etc.

4.6

Infectious & Communicable Diseases Program

CONTRACTOR shall develop an Infectious and Communicable Disease Control Program within ninety (90) days of Effective Date for COMPANY APPROVAL and a separate Pandemic Management Plan within sixty (60) days of Effective Date for COMPANY APPROVAL.

In the Pandemic Plan, CONTRACTOR shall describe how containment and isolation processes are applied in the event of the continuation of the current COVID-19 pandemic. The plan shall include detailed section on management of Pandemic diseases at SITE(s) and WORKSITE(s). Offshore pandemic management shall be established comprehensively with the scope of work like installation, Hook-up, Commissioning and start-up including Survey vessel, Marine Warranty Surveyor (MWS) scope, diving vessels, Hook-up and commissioning vessels. The plan shall include minimum below:

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 Legal and External Requirements compliance (Social distancing, avoid gatherings, PPE

etc.) that includes MoPH, QG, QP and RLC

 Task Force established for management of the Pandemic

 Risk Assessment and Management Requirements

 Education And Monitoring Requirements

 SITE and WORKSITE Protection Requirements

 Camp and Offshore Accommodation Management Requirements

 Bus / Vessel Transportation Requirements

 Covid-19 Suspected and Confirmed Case Reporting

 Contractor Employee Quarantine/ Isolation Requirements

 Phased Return to work Requirements

 Daily Covid-19 dashboard report with numbers and status

Suitable and sufficient facilities shall be established to manage isolation of persons with possible communicable and/or infectious diseases at SITE(s) and WORKSITES(s). The isolation requirements will be determined by the relevant Doctor, which may include Hamad Medical Corporation, RLC, QG or other specialists in country where WORK is conducted.

CONTRACTOR shall provide isolation facilities with capacity for at least 3% of its population residing in all onshore camps including RLIC and 1% of the Personnel on Board (POB) for Offshore vessels. CONTRACTOR shall define requirements for the facility which shall include consideration for:

 Clear identification of the facility

 No access to general population

 Welfare facilities to enable ill persons to stay away from general camp population, i.e.

TV, Games, reading material etc.

 Food provision in isolation facility

 Dedicated access control

 Toilette and washing facilities

 Separate laundry facility / service for ill persons

 Separate waste management

 Dedicated PPE and cleaning material

Typical examples of illnesses CONTRACTOR shall consider that may require isolation includes, but not limited to, the following:

 Epidemic/ Pandemic (i.e. COVID-19)

 Gastrointestinal infections;

 Measles

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 Chicken pox

 Shingles

 Mumps

 Hepatitis A

CONTRACTOR shall ensure that all relevant regulatory reporting for infectious and communicable diseases are carried out in consultation with COMPANY. Typically, vector control is not required, however CONTRACTOR shall implement a vector control program if the need arises or if otherwise determined through the HRA.

CONTRACTOR shall also carry out a disinfection program for the room and laundry of persons with communicable disease, as well as close contact screening. Particular attention is required in terms of incubation periods of certain communicable diseases.

CONTRACTOR shall be fully responsible for screening tests and / or vaccinations that may be required during any pandemic or outbreak.

4.7 Absence Management

CONTRACTOR shall implement an Absence Management Program as part of the Health Management Plan required at Section 1, whereby absence from duty due to medical reason is monitored and tracked. CONTRACTOR shall maintain an absence register, with details of illness types resulting in time/days away from WORK.

CONTRACTOR shall also ensure that individuals are monitored to proactively treat health concerns which may only be identified through longer-term monitoring of patterns, and to also monitor the possible abuse of illness/absence from WORK.

Contractor shall implement a program to ensure mental and psychological wellbeing in line with QG Medical department standards.

Stress related illness is not uncommon within the construction industry. Cases of stress can result in a range of conditions including hypertension and tiredness due to lack of sleep. In some situations, the affected person may take unapproved time off WORK (absenteeism) or become more vulnerable to workplace incidents. In severe cases of stress, the affected person may attempt to take his own life (suicide).

CONTRACTOR shall implement a system whereby any sick person must notify his/her supervisor and/or manager of time away from WORK due to illness (sick-leave forms).

4.8 Case Management

CONTRACTOR shall develop a Medical Case Management program for COMPANY APPROVAL within sixty (60) days of EFFECTIVE DATE. Medical Case Management refers to the planning and coordination of health care services appropriate to achieve the goal of medical rehabilitation.

The Medical Case Management program shall include:

 Roles and responsibilities

 Case management process

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 Recordkeeping and follow up

Medical case management may include, but is not limited to, care assessment including personal interview with the sick or injured party and assistance in coordinating proper medical care with health care providers. Medical case management requires the evaluation of a medical condition, developing and implementing a plan of care, coordinating medical resources, communicated healthcare needs to the individual and monitor an individual’s progress throughout the continuum of care with the ultimate objective of the best health care for the individual. All practices must be aligned with QG Scope of Medical practice and QG Medical standards.

Confidentiality of medical records must be maintained at all times and never shared with non- medical personnel without written patients’ approval.

Work related injuries and illnesses will be reported to COMPANY who will then report to QATARGAS Medical department as required. Reporting of injuries and illnesses to COMPANY will be immediate notification with a follow up report within 24 hours of reception of the injured person, including the provisional classification of the injury. Final classification of work-related injury/illnesses will be done by COMPANY in consultation with the QATARGAS Medical Team.

CONTRACTOR shall appoint Medical Case Managers (MCM) to carry out Case Management. The MCM main duties shall include:

 To accompany, visit and follow up all patients in a timely manner

 To strictly follow the SMO directions for patient referral

 To report progress and changes, whenever possible in real time, to relevant COMPANY

and CONTRACTOR personnel

 To record and maintain accurate medical documentation for all patients requiring

medical case management

 Ensures patient confidentiality at all times and keeps confidential files secured from unauthorized access. Only medical staff from CONTRACTOR and COMPANY will have access to medical in confidence information

 To ensure patient compliance with follow up visits by their responsible representatives

 Aware of and follows all established medical, health, safety policies and procedures

 Provides clinical support to in-patients and their relatives in tertiary and isolation

facilities

 Obtains information from external health service providers through submittal of

external information request forms

4.9 Alcohol and Drugs

CONTRACTOR shall develop an Alcohol and Drug monitoring program as part of the FTW program for COMPANY APPROVAL.

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The use of/being under the influence of drugs and/or alcohol while at SITE(s) and/or includes using, possessing, distributing, WORKSITE(s) manufacturing, being under the influence of, or otherwise being involved in illegal drugs and the abusive use of chemicals or controlled substances while on SITE(s), and/or WORKSITE(s).

is strictly prohibited. This

CONTRACTOR shall ensure that any person failing to follow this policy receive disciplinary action, up to and including possible removal from the Project and/or report to regulatory bodies.

CONTRACTOR Medical personnel shall carry out alcohol & drug testing at SITE and WORKSITE locations. On arrival aboard vessels, the respective medical personnel shall screen the inbound crew.

CONTRACTOR shall provide suitable number of breathalyser units / drug swabs for this purpose.

The type of alcohol testing includes:

 Pre-employment/access as part of the FTW program

 Random and for-cause testing

 Testing after each vehicle accident and/or high potential incident at SITE and/or

WORKSITE

 For-cause testing when required due to reasonable suspicion of persons under the

influence of alcohol on SITE and/or WORKSITE

All personnel who use breathalyser machines shall be suitably trained and competent to carry out breathalyser testing including random-as well as for-cause testing. All breathalyser machines shall be calibrated, and disposable mouthpieces shall be used prior to each test. CONTRACTOR may delegate this responsibility to Subcontractor organizations but must ensure that oversight is made on monitoring programs. CONTRACTOR shall ensure that a suitable number of breathalyser machines are made available, so they do not delay arrival of personnel to SITE(s) and/or WORKSITE(s).

CONTRACTOR shall ensure that all Project drivers and equipment operators are tested daily prior to starting WORK. CONTRACTOR shall ensure that drivers are tested prior to undertaking their trip, i.e. prior to departure not on arrival at SITE(s) and/or WORKSITE(s). CONTRACTOR shall issue drivers and equipment operators with daily alcohol testing cards, which shall be stamped or signed by the person conducting the alcohol test. The cards shall be randomly checked at SITE(s) and/or WORKSITE(s) either during entry (for drivers) at SITE(s) and/or WORKSITE(s) for all others (drivers and operators) after incidents.

CONTRACTOR shall also implement a random alcohol screening program for all Project personnel, including COMPANY, CONTRACTOR and Subcontractor. The number of random screenings conducted shall be updated regularly with the objective to act as a deterrent and a reasonable means to verify compliance to Project alcohol and drug screening. No person shall be exempt or receive special treatment in terms of alcohol and drug testing.

CONTRACTOR might be subject to audit by COMPANY without prior notice.

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

LTC/C/NFP/5129/20

5.0

INDUSTRIAL HYGIENE AND OCCUPATIONAL HEALTH

CONTRACTOR shall develop an Industrial Hygiene (IH) and Occupational Health Program as outlined in this section within ninety (90) days of EFFECTIVE DATE for COMPANY APPROVAL. The Industrial Hygiene program aims to protect all Project personnel from unacceptable exposures to occupational hazards (i.e. physical; chemical; biological). The Industrial Hygiene (IH) Program shall cover:

 Surveys and Monitoring Requirements



IH Requirements, Controls and Management programs

 Responsibilities and interfaces between CONTRACTOR & COMPANY Industrial

Hygiene (IH) sections

 Systems for communicating, training and documenting exposure assessment

findings and health hazard control recommendations

CONTRACTOR shall appoint a full time Industrial Hygiene Coordinator to manage and implement CONTRACTOR Industrial Hygiene and Occupational Health Programs.

CONTRACTOR shall ensure that the HRA identifies all industrial hygiene hazards.

All activities, material and environmental conditions associated with the WORK will be examined to identify potential health hazards by appropriate means (i.e. HAZID workshops observation, sampling, inspection, measurement, interviews with people involved in the WORK, etc.).

The Potential occupational health hazards to be identified include but not limited to the following:

 Chemicals



Ionizing Radiation & Non-Ionizing Radiation

 Heat/Cold Stress

 Noise

 Vibration

 Biological

 Ergonomic

 Psychosocial

CONTRACTOR shall also characterize chemicals and hazardous material health effects, including:

 Composition and physical properties

 Toxicity

 Occupational Exposure Limits (OEL)

 Regulatory (labelling and classifications)

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

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5.1 Personal & Area Monitoring

CONTRACTOR shall carry out an assessment and determine what type of monitoring and the frequency required based on the health risks identified in the HRA. Potential occupational illness shall be considered as part of this evaluation, based on the scope of CONTRACTOR WORK.

As part of the Industrial Hygiene program CONTRACTOR shall develop a monitoring and analysis table based on WORK activities which shall include:

 Hazard type (physical; biological; chemical)

 Measurement parameters

 Reference standard (i.e. OSHA, ACGIH, ANSI)

 Frequency of monitoring

 Location of monitoring

 Monitoring equipment

CONTRACTOR shall ensure that relevant monitoring equipment is made available for testing purposes (including personal and area monitoring), such as:

 Sound meters

 Light meters

 Heat index monitors

 Vibration meters

 Radiation meters

 Gas testers

CONTRACTOR shall ensure that Subcontractor provide the same/ similar equipment to comply with CONTRACTOR Industrial Hygiene Program.

CONTRACTOR shall consider the requirement for intrinsically safe equipment for areas where hydrocarbons will be introduced/ are present, in planning the relevant industrial hygiene monitoring equipment.

5.2 Heat Stress Management

The summer climate in Qatar is very hot and humid, with summer temperatures ranging from

30 to 50 °C and average relative humidity of 25 to 75%. The climate creates a potentially dangerous situation for personnel exposed to these extremes of heat and humidity. The heat stress period shall run from 1 April to 30 September unless otherwise advised by COMPANY and/ or RLC.

CONTRACTOR shall consider similar Heat Stress seasons in any locations where WORKs are carried out and enforce similar requirements.

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

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COMPANY is committed to protecting workers’ health while accomplishing COMPANY goals. The approach to providing a safe working environment in high heat is the same as the approach for exposure to other hazards:



Identify the hazard (recognition)

 Assess the risk from the hazard (evaluation)

 Reduce or mitigate the risk to a level as low as reasonably practicable

Supervisors play a critical role in controlling heat stress among workers who are exposed to conditions that could promote heat-related illness. Upon identifying heat stress conditions, supervisors must implement controls to protect workers and ensure these controls are properly assigned and carried out. Workers shall be trained to recognize heat stress signs and symptoms, as well as environmental conditions, to protect themselves and others.

CONTRACTOR shall develop a Heat Stress Management program within one hundred and twenty (120) days of EFFECTIVE DATE for COMPANY APPROVAL.

The Heat Stress Management program shall meet the requirements of Company Procedure PRT-HLT-PRC-002 ‘Heat Stress Prevention Management’

5.3 Sanitation

CONTRACTOR shall ensure that adequate sanitation facilities are provided including toilets; urinals; washing facilities. CONTRACTOR shall ensure that the facilities are maintained and in clean hygienic conditions.

Urination or defecation in non-designated areas will be cause for immediate dismissal.

Where men and women are working together in offices, canteens, workshops, etc., separate washrooms and toilets will be furnished, and washrooms and toilets will be kept in a tidy, clean, and hygienic condition. Sanitary water will be treated or disposed in accordance with APPLICABLE LAWS and COMPANY requirements.

CONTRACTOR shall provide the toilets at all SITE(s) and WORKSITE(s) and shall have a dedicated maintenance and cleaning team to ensure that sanitation levels are maintained at acceptable levels. Toilet facilities shall be cleaned daily with monitoring and log sheets used to allow verification that cleaning has been conducted.

CONTRACTOR shall provide toilets, urinals and washbasins complying with the following minimum ratios (see Table 5 & 6) at SITE(s) and WORKSITE(s).

CONTRACTOR shall follow the relevant camp reference standards for toilets at camp areas. Each toilet shall be equipped with toilets and washbasins, and for men only urinals shall be added.

Table 5: Number of toilets and washbasin for mixed use (or woman only)

Number of persons Number of toilets

1-5

6-25

Number of Washbasins 1

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Classification: Confidential

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26-50

51-75

76-100

100

1:20

Table 6: Number of toilets (for men only)

Number of men at work 1-15

Number of toilettes 1

Number of Urinals

16-30

31-45

46-60

61-75

76-90

91-100

100

1:25

CONTRACTOR shall install hand dryers and sufficient hand wash dispensers with soap to aid in personal hygiene.

5.4 Potable Water

CONTRACTOR shall develop and implement Potable Water Control Program within one hundred and twenty (120) days of EFFECTIVE DATE for COMPANY APPROVAL. The Potable Water Program shall include all potable water provided to the SITE(s) and WORKSITE(s).

Water stations shall be periodically sampled and analysis by an authorized laboratory. Analytical results shall be REVIEWED and a summary shall be reported to COMPANY monthly. The quality of potable water shall satisfy the local APPLICABLE LAWS (Kahramaa in Qatar) and COMPANY Potable Water Sampling procedure.

As part of the Potable Water Control CONTRACTOR shall provide details of:

 Water source(s)

 Transportation and distribution

 Cleaning guidelines



Ice storage and distribution

CONTRACTOR shall ensure that persons who handle water and/or ice, will have a valid Food Handler certificate.

Water tankers used for distribution of Potable Water shall be clearly marked and will only be used for Potable Water. CONTRACTOR shall ensure that each tanker has a third-party certificate confirming that the tanker is clean and in a hygienic condition.

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

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CONTRACTOR shall implement the latest drinking water quality standards in line with the World Health Organisation (WHO) requirements.

5.5 Worker Wellness Program

CONTRACTOR shall implement a worker wellness program as part of its Health Management Plan which shall also consider stress awareness and prevention.

The objectives of the program are:

 Provide workers with a quality of life that is conducive to maintaining a healthy and

productive workforce

 Provide workers with Leisure and recreational facilities including indoor & outdoor game provisions, access to television program, internet facility, Music etc. Same applies to offshore accommodations

 Provide a mechanism to assure that workers health conditions do not present an

unnecessary risk to others



Implement a health assessment program that is simple to administer and can process hundreds of workers per week

 Provide a mechanism where workers can follow up on identified areas of health

concern

CONTRACTOR shall establish a Worker Wellness and Welfare committee in the camp which will comprise of camp residence and management representatives. The committee shall meet on a regular basis to review and discuss:

 Welfare issues and concerns

 Events / celebrations in the camp

 Food issues and concerns

 Communication with family

 Any other relevant subject

The results of the meeting shall be shared in the monthly SHES meeting or in a dedicated monthly Camp Committee meeting.

An effective Worker Wellness Program addresses all aspects of a worker’s life including WORK, in camp housing and at home. A Worker Wellness Program will lead to the improvement and maintenance at a high level of the overall health status of employees, which in the WORK environment may be assessed by indices of absenteeism and employee turnover. The program shall comply with the requirements in COMPANY Standards for CONTRACTOR Camps’ Living Conditions procedure.

The SITE and/or WORKSITE shall provide rest areas and hydration points, especially for high heat stress situations. Control measures are to be in place for controlling dust, noise and other environmental nuisances as measures to reduce workplace stress.

CONTRACTOR will provide suitable and sufficient transportation to and from the SITE(s) and/or WORKSITE(s) and transport to the larger cities where applicable for occasional

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

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shopping to assist in reducing stress.

CONTRACTOR shall provide workers with health education material and health improvement programs to help workers make correct decisions on issues affecting their health such as nutrition, exercise and lifestyle.

CONTRACTOR shall disseminate such material as a minimum in the following areas:

 Personal Hygiene

 Parasite Elimination

 Sexually Transmitted Diseases

 Heat Stress

 Food and Water Handling

 Drugs and Alcohol Awareness

 Smoking Cessation

 Nutrition and Exercis.

Work related stress is one of the most common illnesses at work and can lead to more serious issues. CONTRACTOR shall ensure that suitable mitigation measures are in place to deal with mental health issues.

CONTRACTOR shall ensure counselling services, including professional psychologist are available when required for personnel suffering from mental health issues. This should be achieved through the appointment of councillors as part of the workforce as well as remote psychological helplines.

CONTRACTOR shall implement the following control measures as part of its Health Management Plan:

 Stress education and awareness training for all workers

 Notification within 24 hours if a person is absent from work



Identification of at-risk workers

 Health monitoring

 Counselling for those persons suffering from stress

 Camp Boss to liaise with workers

 Buddy system for those persons suffering from stress.

5.6 Fatigue Management

CONTRACTOR shall develop a Fatigue Management Program within one hundred and twenty (120) days of EFFECTIVE DATE for COMPANY APPROVAL. This shall comply with requirements stated in Company Procedure PRT-HLT-PRC-019 ‘Fatigue Risk Management Plan’.

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

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CONTRACTOR shall ensure Fatigue Risk Management mitigations are considered in the design of staffing levels, rosters, work facilities, processes, and education to give personnel an opportunity to take adequate rest to perform their roles in a safe manner.

CONTRACTOR shall reinforce during the site orientation/induction that personnel have a personal responsibility to confirm that they acquire sufficient rest and adequate nutrition and that they be capable of performing all the functions associated with their role.

5.7 Food Safety

CONTRACTOR shall develop a Food Safety Program within one hundred and twenty (120) days of EFFECTIVE DATE for COMPANY APPROVAL. This shall meet the requirements stated in Company Procedure PRT-HLT-PRC-007 ‘Corporate Standards for Food Services’ together with relevant APPLICABLE LAWS.

COMPANY requirements for food service shall apply to all SITE(s) and WORKSITE(s).

COMPANY reserves the right to monitor CONTRACTOR’s food service at any time through unannounced inspections for monitoring compliance with COMPANY’s requirements. In the event of the discovery of any non-conformance or violation of contractual requirements, CONTRACTOR shall take immediate steps to correct the non-conformance or violation.

5.8 Legionella Management

CONTRACTOR shall identify areas associated with water systems which have the potential to harbour Legionella bacteria or suitable conditions for the bacteria to proliferate. This shall be considered as part of the Health Risk Assessment (HRA) and control measures, processes, etc., shall be included in the CONTRACTOR Health Management Plan.

CONTRACTOR controls, processes, etc., shall meet the requirements stated in Company Procedure PRT-HLT-PRC-015 ‘Legionella Management Plan’.

5.9 Noise Control & Hearing Conservation

CONTRACTOR shall comply with the requirements stated in Company Procedure ‘PRT-HLT- PRC-004 ‘Noise Control & Hearing Conservation Program’.

CONTRACTOR shall apply engineering or administrative controls to prevent employees from exposure to unacceptable noise levels. Engineering or administrative controls shall be applied to reduce noise to an acceptable level, hearing protection shall be provided to prevent employees from potential Noise Induced Hearing Loss (NIHL).

CONTRACTOR control measures, process, etc., shall be included within the CONTRACTOR Industrial Hygiene (IH) and Occupational Health Program.

5.10 Respiratory Protection Program

CONTRACTORS shall develop within one hundred and twenty (120) days of EFFECTIVE DATE a Respiratory Protection program for COMPANY APPROVAL. This shall meet the requirements of Company Procedure PRT-HLT-PRC-005 ‘Respiratory Protection Program’.

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

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CONTRACTOR shall ensure personnel shall not be assigned to tasks requiring the use of respirators for emergency or routine use unless it has been determined by CONTRACTOR Medical Support Physician that they are physically able to perform under such conditions.

CONTRACTOR shall maintain all documentation of face-fit testing, medical fitness and training records.

5.11 Hazardous Material Management

CONTRACTOR shall comply with the requirements stated in Company Procedure ‘PRT-HLT- PRC-023 ‘Hazardous Materials Management’.

CONTRACTOR shall provide a list of all hazardous materials to be transported and brought SITE(s) and WORKSITE(s) Locations. These hazardous materials shall be accompanied by an SDS and approved by the Hazardous Material Reviewers.

CONTRACTOR shall maintain a hazardous materials inventory identifying the type of hazardous material, location of storage and quantity at the SITE(s) and/or WORKSITE(s). A copy shall be held in the CONTRACTOR offices to allow checks during audit/inspection activities and a copy shall be held in the main entrance security hut to be provided to emergency services in the event they are called to site.

CONTRACTOR shall train its employees in the protective measures required and the potential hazards associated with the job.

CONTRACTOR shall ensure employees are provided with appropriate Personal Protective Equipment for the hazardous materials that are handled.

5.12 Ergonomics and Manual Handling

CONTRACTOR shall develop an ergonomic and manual handling program within one hundred and twenty (120) days of EFFECTIVE DATE for COMPANY APPROVAL. This shall meet the requirements stated in Company Procedure PRT-HLT-PRC-011 ‘Office Ergonomics and Manual Handling’.

A practical approach to ergonomics considers the match between the person, the equipment they use, the work processes and the work environment. A person’s capabilities, physical attributes and work habits should be recognized to improve ergonomic factors in the workplace.

The program shall include the basic ergonomic and manual handling definitions, principles, guidelines, and controls needed to create an awareness of the benefit of applying ergonomics in the office and workplace.

CONTRACTOR shall provide employees with appropriate ergonomic training.

CONTRACTOR shall ensure procurement of furniture and office equipment meets ergonomic standards and guidelines.

6.0

REPORTING & RECORDING

CONTRACTOR shall have an efficient computerized system, for recording all clinical management and activities. This will include records for each patient episode accessible by all

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Classification: Confidential

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relevant health professionals. At all times the confidentiality of the patient shall be maintained (medical in confidence).

CONTRACTOR shall have documents to support its capability as a minimum on the following subjects:

a) Infection due to blood-borne pathogens

b) Medical Staff Immunization

c) Disposal of medical wastes

d) Infectious Communicable diseases

e) Sharps and needles

f) Assist with accident and incident investigation as appropriate

g) Emergency response management plan

h) Case management

The following reporting shall be made to QG Medical Team for all non-medical in confidence information. This shall be reported by CONTRACTOR through COMPANY (for medical in confidence direct communication is required from CONTRACTOR medical team to QG medical team).

a) Monthly report including all MAC statistics of activities (daily consultations, medical

screening progress, communicable diseases etc.)

b) Daily e-mail to QG medical team with information of all work-related injuries received

c) Daily report for any hospital admissions

The following documents shall be maintained in the MAC, kept in a secure location, be confidential and maintained for a minimum of 3 years or as required by APPLICABLE LAWS:

 Patient Register/Logbook which shall contain:

i. Date of attendance of patient

ii.

iii.

iv.

vi.

vii.

viii.

Time, In and Out

Full name of patient

Employment Badge Number or ID Number

Brief history of complaint as verbalized by patient

Any Medical history

Patient vital signs

Assessment information

ix. Work related or non-work-related injury/illness

Treatment carried out and any medication administered

xi. Disposal information

 Daily Emergency Equipment Checklist

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Classification: Confidential

NFPS OFFSHORE RISER PLATFROM & INTRAFIELD PIPELINES PROJECT COMP 3 STATE OF QATAR

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 Copies of Audit reports, checklists and notifications

 Emergency Response Bag Checklist

 MAC Staff suitability Memos

 License and support documents

 Waste disposal documents

 Monthly statistical reports, confidential

 Chronic disease register

 Medical manuals (ILS, ITLS books etc.)

 Any other medically related documents relevant to the operation of the MAC and its

staff

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Classification: Confidential

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7.0

ATTACHMENTS

Attachment 1: List of Tables & Figures

Table # 1 2 3 4 4a

Description QG References RLC References Terms and Definitions Medical staff & facility requirements onshore Medical staff & facility requirements offshore Number of toilets and washbasins for mixed use (or woman only) Number of toilets (for men only)

Page # 3-4 4-5 6 7 7

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Project: Q-32705 - Saipem COMP3 Folder: HSE

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