Customer Feedback Form HSE Dept

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Performance of Project Team in mitigating Risks at various stages of project. CUSTOMER FEEDBACK FORM FOR HSE PERFORMANCE Availabilty of HSE personnel at site. Effectiveness of Project team in involving all employees adhering to HSE norms Effectiveness of Project team in promoting safety culture. Timeliness of handling HSE issues during execution and other HSE related requests Implementation of HSE plan and procedures. ‘Adequacy of document generated from HSE activities as required by you Performance of Project team in terms of ensuring adequacy & quality of the PPE issued. ‘Adequacy of HSE training / awareness provided during the project execution. Performance of Project team in managing emergency situations Performance of Project team in managing client issues related to Observations NCRS / Environment protecti Responsiveness of the Project team to your queries / requirements related to HSE. Timely & adequacy of information shared by Project Team about accidents / incidents and lesson learned & Emergency preparedness. ‘Overall skill level (Knowledge, skil, development and handling abil personnel, ity) of HSE (Overall effectiveness of Project team as a service provider being cooperative, collaborative, effectively resolving your HSE requirements. Performance of Project team in identifying innovative ideas to achieve HSE objectives. Rating:1to5 (1:Poor 2: Below Expectation 3: Meets Expectation 4: Exceeds Expectation 5: Far Exceeds Expectation) Comments section : On the basis of the overall HSE performance, Kindly provided your comments on 2 things that company should: Start doing. 1 .__ ee Continue doing | 1 =p 2 Stop doing 1 2 Company / Organization doing this rating: Name of the person doing this rating: Position / Designation in the company/ organization: /AFC/OHSEMS/F/07_

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