Safety and Health Award Recognition for Projects 2017

Guidelines and Application Form

Please refer to Application Guidelines on how to apply for this Award. The WSH Council will not process the application if Parts 1 and 2 are not completed and/or the required documents or materials are not submitted in a

WORKPLACE SAFETY & HEALTH PERFORMANCE AWARDS

Safety and Health Award Recognition for Projects (SHARP)

The Safety and Health Award Recognition for Projects (SHARP) is part of the Workplace Safety & Health Performance Awards (WSHPA). This is an annual award presented by the Workplace Safety and Health Council (WSHC), in collaboration with the Ministry of Manpower (MOM), to give recognition to companies or organisations that have performed well in safety and health through the implementation of sound safety and health management systems.

On a project level, the SHARP Award recognises projects or worksites that have good safety and health performance and workplace safety and health management systems. This includes large-scale projects that mobilise significant manpower and have shown their ability to manage WSH on a project-level. Examples of winners of this award would be shipyards’ projects, construction worksites and large workplaces within an organisation.

Application for WSHPA covers the whole organisation, i.e. all the projects, worksites, etc whilst application for SHARP covers a single project, worksite, etc, managed by the organisation.

An organisation can apply for WSHPA covering all its projects or worksites and also for SHARP for a particular project. The project, worksite or workplace submitted for this award must not be a combination of various projects, worksites or workplaces of an organisation. (Please check under “Explanation of Terms used” for “project”).

Explanation of Terms used in this application

reportable accident : any unintended event that causes bodily injury to a person resulting in death, the person was granted more than 3 consecutive days of sick

leave by a registered medical practitioner for that injury, the person was admitted in a hospital for at least 24 hours for

observation or treatment, or,

does not include any bodily injury sustained by a person in the course of commuting to or from his or her workplace using a mode of transport provided by the employer.

*Please take note of the ‘Accumulative MC days’ method as follows:

– Example: 2 days of MC + 9 Days of light duties, after an interval revisit to the doctor and granted another 2 days of MC (for the same injury).

– In the case above, the total number of MC days will be considered as 2+2 days= 4days of MC, which constitute as a reportable accident.

employees : includes office or administrative staff and unless specified, includes employees of subcontractors working within the workplace; for SHARP, employees are those working within the boundary of the project (the workplace) only and does not include employees working in headquarters, nearby workshops, etc.

injury rate : number of injuries caused by accidents in the workplace per 100,000 employees per year;

formula is given by:

(Number of injuries caused by accidents X 100,000) / (Number of Employees for Year 2016)

lost time injury : lost time due to an accident at the workplace

man-hours worked without any accident: man-hours worked covering the longest period of days without accident between two accidents.

new occupational disease: any new confirmed case of a disease specified in the Third Schedule of the Workplace Safety and Health Act, i.e. aniline poisoning, anthrax, arsenical poisoning, asbestosis, barotrauma, beryllium poisoning, byssinosis, cadmium poisoning, carbamate poisoning, carbon bisulphide poisoning, chrome ulceration, chronic benzene poisoning, compressed air illness, cyanide poisoning, epitheliomatous ulceration (due to tar, pitch, bitumen, mineral oil or paraffin or any compound, product or residue of any such substance), hydrogen sulphide poisoning, occupational skin diseases, lead poisoning, liver angiosarcoma, manganese poisoning, mercurial poisoning, mesothelioma, noise-induced deafness, occupational asthma, organophosphate poisoning, phosphorous poisoning, poisoning from halogen derivatives of hydrocarbon compounds, repetitive strain disorder of the upper limb, silicosis, toxic anaemia and toxic hepatitis.

project : shipyard project, construction worksite or workplace belonging to an organisation; if the workplace has an unique Accounting and Corporate Regulatory Authority (ACRA) Registration Number on its own and different from the organisation owning it, it should apply under WSH Performance Award and not SHARP.

Workshops and term contracts do not qualify as a large project and therefore encouraged to go for a company-level Performance award.

workplace : may refer to company, organization, project or worksite including those that are not required to be registered under the Workplace Safety and Health Act

Criteria for Awards

Applicants will be assessed on their lagging and leading indicators.

Entry Criteria

The project has to complete at least 400,000 man hours worked in 2016 to be eligible for the application of SHARP Awards.

Projects with fewer than 400,000 man hours worked can consider applying for the Performance awards or the Risk Management awards at the company level.

Lagging indicators

Applications will be evaluated only if the workplace:

did not have any accident (including occupational disease) that had caused death or permanent disablement, or that is classified as Dangerous Occurrence, in 2015/ 2016 and

did not receive any stop work order in 2016/ 2017, and

did not have records in the Business Under Surveillance Programme in 2016/2017

did not have receive more than 2 compound fines and

Project attains injury rate equal or below of its project injury rate in table 1*

Organisation attains injury rate equal or below of its organisational industry injury rate injury rate in table 1*

did not have any reportable accident during its operation for the whole year of 2016 (workplaces applying for WSHPA or SHARP, must be in operation for the full year in 2016 to be eligible for this criteria),

OR, the workplace have attained at least 1,500,000 man-hours worked without any accident in 2015 and 2016, with at least 750,000 man-hours attained in 2016 (this criteria is also applicable to any workplaces that ended its operation within 2016),

OR, the workplace began its operation within 2016 and achieved 1,500,000 man-hours worked without any accident in 2016 (man-hours worked without any accident in 2017 will not be taken into account).

*Please note that the injury rates will be available in February 2017

The verification check on the reportable accident will be done from the information submitted in this application form against the MOM ireport system which will be taken as correct and no changes can be made, following the close of the application on 4 April 2017. Companies are required to make the correct report and amendments before 4 April 2017.

Bonus Criteria

Project’s track records of loss time injury will be taken into consideration as bonus criteria.

Leading indicators

The workplace must approach an organisation providing auditing services (list of organisations given in Part 7). The appointed auditor is required to perform scoring for 2 Checklists;

1) ConSASS/OSHMS Checklist:

To eligible for the Awards submission, it must achieve a Band III score in at least 70% of all elements in the checklist. Should a company intend to indicate ‘not-applicable” in certain items within the checklist, evidence must be provided to prove that the item is indeed “not applicable” for the company.

Please note that achieving a Band III score in at least 70% of all elements in the checklist is the minimum criteria, in the process of evaluation, the organiser will review all the scores from Band I to Band IV. Therefore, companies must audit the full checklist.

Please note that the latest version of ConSASS checklist is to be used, previous version of ConSASS checklist will not accepted. The latest version of ConSASS checklist can be downloaded here.

2) X Factor checklist, CultureSAFE Perception Survey and Evidence Based Assessment

This is a checklist with a diagnostic assessment on the WSH culture building initiatives from the company. The auditor is to perform the scoring based on the supported evidence produced.

Applicants are to conduct both the CultureSAFE perception survey and evidence based assessment (Step 1a and 1b of CultureSAFE cycle). The CultureSAFE Perception Survey will be used as application criteria and the results from step 1b will be used as an evaluation criteria.

Please refer to the various scenarios below for the eligibility:

Scenarios Actions in 2016 Required Actions in 2017

1 Did Step 1a and 1b in 2016 Do not require to perform Step 1a and 1b again. However, applicant may choose to perform the survey again if they wish.2 Did Step 1a in 2015 and Step 1b in

2016

3 Did Step 1a in 2014/2015 but did not apply for WSH Awards 2016. Require to perform Step 1a and 1b.

The minimum entry criteria for CultureSAFE index is 1.6 and above, if you did not attain the required index, you may wish to improve before applying for WSH Awards 2017.

Please refer to Annex A for detailed application procedures.

Evidence Based Assessment

Please contact one of the organisations which provide auditing services to perform the evidence based assessment. A list of approved organisations is also provided in Part 7. Please contact the organisation early.

Special note on auditing organisation

Please note that the same auditing organisation can only provide audit service for a company up to 2 consecutive years. Another auditing organization must be appointed for the 3rd year. This will commence from WSH Awards 2010, i.e. companies will need to re-appoint a new auditing organisation from 2012.Multiple projects within an organisation

For multiple projects within an organisation, scores for the documentation element can be the same but physical compliance and interview with staff should not have the same scores as factors such as number of staffs varied across projects.

Each auditor is only allowed to audit up to 3 projects from the same organisation.

If a company has multiple projects (e.g. 9 projects), it can engage 3 auditors from the same auditing organisation to process all the 9 projects.

Disqualification before announcement of results

The application may be disqualified if the following occurred in the workplace within 2016/2017 before the announcement of results:

Any accident (include occupational diseases) that has caused death or permanent disablement.

Any stop work order Any investigation, conviction or prosecution (including pending) of the workplace

with regards to matters concerning the workplace under the Workplace Safety and Health Act or Workmen’s Compensation Act.

Submission of falsified information to meet the Awards criteria

Other factors of evaluation and Workplace visit for verification purposes

The following violations will also be taken into consideration:

Reporting violations Demerit points Ongoing investigations for any WSH-related matters Any report of high profile accidents involving the company (seen in mass media in

2016/2017 till time of award) that would cast doubts on the company’s WSH performance

All applications will be thoroughly assessed and verified by the organiser. This may also include a visit to the workplaces.

Terms and Conditions

Application form must be correctly filled and signed. All supporting materials must be provided in a CD. Late entries will not be accepted.

All applicants are expected to ensure that all submitted documents are correct at the point of submission.

To ensure fairness of Awards, amendments after submission will not be accepted. Application with inaccurate information will be disqualified.

All winners are expected to work with the organiser to share their achievements with the industries following the announcement of the results.

The organiser is not responsible for any loss or damage to entries or supporting material.

The organiser will not return any entries or supporting material to the entrant. The organiser reserves the right to decline any entry by an applicant or

organisation who is being investigated for possible breach of Workplace Safety and Health Act or Work Injury Compensation Act (whether or not prosecution will be initiated) or any other governmental regulations, or where the acceptance of the entry may be detrimental to the objectives of the Workplace Safety & Health Awards 2017.

The decision of the judges and/or organiser is final. The organiser will not accept any appeal.

Notes for approved auditor

1. The organisation is to pay you for your services.

2. Please note that for multiple projects within an organisation, scores for the documentation element can be the same but physical compliance and interview with staff should not have the same scores as factors such as number of staffs varied across projects.

3. You are only allowed to audit up to 3 projects from the same organisation.

4. Please note that the same auditing organization can only provide audit service for a company up to 2 consecutive years. Another auditing organization must be appointed for the 3rd year. This will commence from WSH Awards 2010, i.e. companies will need to re-appoint a new auditing organisation from 2012.

5. The organisation will provide you with:

a. Hard copies of Parts 1, 2, 5a and 5b. Part 1 must be signed by the applicant. Part 5a, 5b and 6 must be completed.

b. CD containing Parts 1 to 6 and all documentary evidences.

6. Please check whether the workplace should apply for WSHPA or SHARP before starting.

You are to evaluate Part 3 and part 4 and then visit the workplace in person. You must complete both parts and sign Part 5. Part 3 and 4 may be printed either by you or the organisation engaging your services.

7. Complete the columns labeled “Results” and “Auditor’s Remark” and the space for “Auditor’s comments” in the printed copy of Part 3. You must fill and sign Part 6 before submitting your scores to WSHC.

8. Please keep a photocopy of your entries for reference. You may give a copy of your scoring to the organization that engages you for the services.

9. Please ensure that scores are correctly tabulated and all supporting evidence is submitted in CD, re-submission is not allowed.

10. The following are to be submitted to WSHC by 4 April 2017:

a. Parts 1 to 6 (completed)b. CD which contains Parts 1 – 6 and the supporting documentary evidences.

How to apply for SHARP Award – using Occupational Safety and Health Management System (OSHMS) Audit Checklist

1. Decide if your workplace should apply for WSHPA Award.

Download the checklist here.

You may use the checklist on page 11 to check if your workplace can meet the eligibility criteria. If it meets the eligibility criteria, you can do a self-score using the checklist.

If self-score is less than 70% of all elements within Band III, you may wish to improve before applying for WSH Awards 2017.

If the workplace attains a score of 70% or more from your self-scoring of Part 3, you can consider contacting one of the organisations which provide auditing services to evaluate your application. A list of approved organisations is also provided in Part 7. Please contact the organisation early.

2. Your organisation is to pay the auditing organisation for their services. 3. You need to submit the following to the auditor:

a. Hardcopies of: Part 1 (completed and signed) Part 2 (completed) Part 5a and 5b (completed)

b. CD containing: Part 1 Part 2 Part 3 and 4 all documentary evidences required under Part 3 and 4 Part 5a and 5b

Please ensure accurate numbering of pages, use of hyperlinks and bookmarks in your application to help the auditor find the evidences easily. Any information that is wrongly referenced will be assumed to be not available. No score will be awarded if the information could not be traced in the CD. Incomplete application will not be processed.

Either you or your auditor may print Part 3. Do not print the supporting evidences.

4. Please indicate your organisation’s name on the CD.

5 The name of the auditor visiting the workplace must be in the list of auditors given in Part 7.

5. The closing date is on 4 April 2017. The auditor must submit the completed Parts 1 to 5 (hard copies) and the CD to the Workplace Safety and Health Council (WSHC) by the stipulated date.

How to apply for SHARP Award – using ConSASS results

1. Construction companies or worksites need not engage an organisation providing auditing services if they wish to use their ConSASS results (from Oct 2016 onwards) from the latest ConSASS checklist. They must pass Band III of all the elements (i.e. scored at least 70% of all elements within Band III). Organisations using ConSASS results need not complete Part 3.

2. You need to submit the following to WSH Council:a. Hardcopies of:

Parts 1, 2, 4, 5a and 5b. Part 1 must be signed. Do not print the documentary evidences. Part 5a and 5b must be completed.

Photo copy of the ConSASS score card as given by the auditor

b. CD containing: Part 1 Part 2 Part 4, 5a and 5b Safety and Health Management System manual of your organisation ConSASS audit checklist scored by your auditor with Score card. all documentary evidences as required for the ConSASS audit

Please ensure accurate numbering of pages and bookmarks in your application to help the WSHC evaluator find the evidences easily. Any information that is wrongly referenced will be assumed to be not available. Incomplete application will not be processed.

3. Please indicate your organisation’s name on the CD.

4. The closing date is on 4 April 2017.

Annex A

How to apply for SHARP Awards– Completion of CultureSAFE Perception survey, Evidence-based assessment and X factor checklist.

CultureSAFE Perception survey

1. The CultureSAFE programme requires participating organizations to perform a diagnostic assessment of their WSH culture through a CultureSAFE Perception Survey (Step 1a of the CultureSAFE cycle).

The survey comprises of questionnaires that will require the organisation’s employees to give feedback on current WSH practices at their workplaces.

2. Company can perform the CultureSAFE perception survey using their own resources or engage the CultureSAFE Consultant or Assessor for assistance.

3. To participate or find out more about the CultureSAFE Perception Survey, Please go to www.wshc.sg and navigate for ‘CultureSAFE’ under the Programme tab, then refer to the ‘How to apply’ section at the bottom of the page.

4. Please complete the declaration form in Part 5(a) for the CultureSAFE Perception Survey.

Evidence-based assessment

1. Upon completion of the CultureSAFE Perception survey, please engage a CultureSAFE Consultant or Assessor in part 7 to perform the Evidence-based assessment.

2. Please note that Evidence-based assessment MUST be done by CultureSAFE Consultant or Assessor.

Revised X factor checklist

1. Download the checklist here.

2. Contact the auditing organization listed in part 7 to perform the audit on the checklist. Please ensure all supporting evidence is present during the audit.

3. Your organisation is to pay the auditing organisation for their services.

4. Please ensure accurate numbering of pages, use of hyperlinks and bookmarks in your application to help the auditor find the evidences easily. Any information that is wrongly referenced will be assumed to be not available. No score will be awarded if the information could not be traced in the CD.

5. Incomplete application will not be processed.

6. Please note that there is no minimum score for this checklist in terms of application

Where to submit

Please submit the application in an envelope to:

WSH SHARP Awards 2017 Workplace Safety and Health Council 1500 Bendemeer Road, #04-01 Ministry of Manpower Services Centre, Singapore 339946

The application must reach us by 4 April 2017. Do not submit the application on Saturdays or Sundays.

Please make an appointment with Jayson Quek at jayson_quek@wshc.gov.sg or 6692 4999 prior to submission.

Please contact jayson_quek@wshc.gov.sg if you have any queries.

Checklist to help you decide if your workplace should submit the application

  Item Yes/ No Remarks

1 Achieved 400,000 man hours worked in 2016 for the project.       If “No”, do not apply.

2Self-Score at least 70% of all elements within Band III in the OSHMS Audit checklist or in ConSASS?

      If “No”, consider improving instead;

3 Fatal accident in 2016 or 2017       If “Yes”, do not apply.

4 Permanent disability case in 2016 or 2017       If “Yes”, do not apply.

5 Dangerous Occurrence case in 2016 or 2017       If “Yes”, do not apply.

6 Stop work order in 2016 or 2017       If “Yes”, do not apply.

7 More than 2 compound fines       If “Yes”, do not apply.

8a

If there is/are accident(s) in 2016,

i. confirm more than 1,500,000 man-hours worked without any accident in 2015 and 2016 with at least 750,000 manhours in 2016 (includes project that ended operation in 2016), or

ii. if project started operation in 2016, confirm more than 1,500,000 man-hours worked without any accident within 2016.

      If cannot meet either i. or ii., do not apply.

b

If there is no accident in 2016, confirm

i. Project functioned for full year of 2016, or

ii. Project functioned for at least 8 months in 2016.

      If cannot meet either i. or ii., do not apply.

9 Project’s injury rate below 25% of Industry rate (WSHPA or SHARP)       If “No”, do not apply.

10 For SHARP, confirm organisation's injury rate below Industry figure       If “No”, do not apply.

11 Part 1 to Part 6 are to be completed, Part 1 is signed      

12 Parts 1 to 6 are in CD and all referencing correct      

13 Name of the auditor visiting the workplace is in the list given in Part 7.      

Part 1(to be printed on A4 sized paper and signed; also to be in the CD)

Part 1. General information of Organisation/ ProjectPlease fill in Part 1 before printing on A4 sized paper. This page must be signed. The copy in the CD need not have electronic signatures.

Application for SHARP must include a layout plan of the organisation with the boundary of the project or workplace marked (drawing to be in the CD). Application for a project that is not within the organisation’s premises (eg. construction worksite) need not submit a layout plan.

Particulars of Project Name of Project (as it would appear on the award, use Title Case; do not use UPPERCASE)

     

Address of Workplace      Mailing Address      Tel No. / Fax No.      Email address      Accounting and Corporate Regulatory Authority Registration No: (required, Please refer Annex A below for reference)

     

Factory No: (As in factory registration certificate, if any, Please refer Annex A below for reference)

     

SME*/Non SME      

Number of employees (excluding sub contractors)      

Workplace No: (required, Please refer Annex A below for reference)

     

*SSIC Code:      Nature of work: (Name the main product made and/or service provided)

     

Name of organisation submitting for SHARP:

     

Is the organisation submitting for SHARP a main contractor/ Occupier?

If not, please state the name of main contractor/ Occupier

     

Name of Developer / Project Owner: (if applicable)

     

*Definition of SME:

a. At Least 30% local shareholding ANDb. One of the following:

I. A group employment size of not more than 200 employees (including part-timers)

II. A group annual sales turnover of not more than $100 million

* More information about SSIC code can be found here: http://www.singstat.gov.sg/methodologies-standards/statistical-standards-and-classifications/SSIC

Standard Factory Number:1 alphabet + 5 digits + 1 alphabet + 3 digitsExample: F12345X123

Standard ACRA Number (Also known as UEN)9 digits or 10 digits + a alphabet123456789D or1234567890D

Standard Workplace Number

UEN + 4 digit123456789D1234 or1234567890D1234

Particulars of Person Submitting the Application

Name      Designation      Tel No./HP No./ Fax No.      Email address      

Particulars of an alternate contact personName      

Designation      

Tel No./Hp No./ Fax No.      

Email address      

I hereby certify that the particulars given in this application including the documents in the CD are true and correct to the best of my knowledge. I am aware that legal action may be taken against me if I have knowingly provided any false information.

________________________Signature of Applicant & Date

Nature of Industry (please mark the most appropriate industry or sector with an “x”).Construction      

Shipbuilding & Ship Repair      

Metalworking      

Healthcare      

Hotels, Food And Beverage      

Landscape Care And Maintenance

     

Transport      

Veterinary      

Waste And Water Management

     

Other Manufacturing      

Others (please describe)      

Chief Executive OfficerName Mrs      

Designation      

Tel No. / Fax No.      

Email address      

Nomination for Developer’s Award (for construction companies only/optional)

This award recognises developers/project owners of construction projects with outstanding achievement in effective OSH management at project sites. Your recommendation will be considered if your workplace wins a Gold Award, Silver Award or SHARP. Please fill in the particulars of your Developer below if it has helped your workplace to improve in safety and health performance.Name of Developer      

Address      

Tel No./ Fax No.      

Email address      

Reasons for nomination      

Describe three areas or examples in which this developer helped your workplace improve on safety and health performance during this project.

     

Describe how your experience with this developer had benefited your other projects in terms of safety and health.

     

:

Part 2(to be printed on A4 sized paper; also to be in the CD)

Part 2. Safety and Health Performance

Please complete the relevant tables even if the project was accident free from 2014 to 2016. Please refer to the definitions given in “Explanation of terms used in this application”.

Table 1: Statistics of the project 2014 2015 2016

A No. of reportable accidents occurred in the project (refer to definition)                  

B Total number of man-days lost based on A                  

C Total number of man-hours worked                  

D Number of employees (including sub-contractors)                  

E Project’s injury rate = (item A * 100,000)/ (item D)                  

Table 2: Best Accident-Free Performance of the project (Do not fill this table if there is no reportable accident in the workplace in 2016). If there is at least one accident in the project in 2016, you may back date the accident-free period to start in 2015. At least 750,000 man-hours of the minimum 1,500,000 man-hours eligibility criteria must be attained within 2016.

A

Best accident-free period (in dd/mm/yyyy; period may began within 2014 but must end in 2015 or 31 Dec 2015); There must be no accident within this period.

From       to      

B Number of persons employed during this period      

C

Number of man-hours worked without any accident during this period. (Provide clear and break down of calculations on how you arrive at the figure.)

(If your accident free period starts from 2015, please complete item D instead)

     

D

Number of man-hours worked without any accident in both 2015 and 2016 if your best accident-free period began before 2016. (Provide calculations how you arrive at the figure separately. The best accident-free period for 2016 must start from 1 Jan 2016).

     

Table 3: List of Reportable Accidents of the project in 2016 (if any)

S/No Date of Accident /Incident

Description of the Accident /Incident Name of injured NRIC/ ID

of injured

No. of Man-days lost

                                   

                                   

                                   

                                   

                                   

                                   

                                   

                                   

                                   

                                   

                                   

                                   

                                   

                                   

* workplace includes organisation’s main office and all its worksites or projects# for injury rate column, calculate the overall injury rate of the organisation; do not total the injury rates of all the projects.

Table 4: For SHARP only:Statistics of the organisation which owns the project (including worksite).

2016

A No. of accidents occurred in the whole organisation      

B Number of employees (including sub-contractors)      

C Organisation’s injury rate = (item A * 100,000)/ (item B)      

Table 5: For SHARP only:List of accidents in 2016 in all workplaces of organisation applying for SHARP. The organisation which owns the project (including worksite) is to fill in this table for all its workplaces (projects or worksites) operational in 2016. Include the project applying for SHARP.

NoWorkplace*

and/or Factory Number

Location No of

accidents within

workplace*

No of employees

within workplace*

Injury rate

Applied for

WSHPA or

SHARP?Example: Administration

Main office address

                       

Example: Project A (the project applying for SHARP in this document)

Workshop A                        

Example: Project B (may also be applying for SHARP in another document or just another project)

ZZZZ Road                        

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            

Total#                              

* workplace includes organisation’s main office and all its worksites or projects# for injury rate column, calculate the overall injury rate of the organisation; do not total the

injury rates of all the projects.

Part 3 Make use of the file OSHMS.xls which is to be downloaded on the same URL with

the application form to help you calculate the total scores and percentage. Print it on A4 sized paper and also include in the CD. All documentary evidence is to be in CD, do not submit documentary evidence in

hardcopies. Please ensure all required evidence is submitted. Incomplete submission will not

be considered.

Part 4 Make use of the file WSH Awards 2017 X factor checklist.xlsx which is to be

downloaded on the same URL with the application form to help you calculate the total scores and percentage.

Print it on A4 sized paper and also include in the CD. All documentary evidence is to be in CD, do not submit documentary evidence in

hardcopies. Please ensure all required evidence is submitted. Incomplete submission will not

be considered.

Part 5(a)Please complete the declaration form for performing the WSH Culture Diagnostic Assessment using the CultureSAFE e-tool.

Declaration Form

To be completed by applicant:

Company Name:      Project Identification:      

Status of WSH Culture Diagnostic Assessment

CultureSAFE Perception Survey

Planning. In-progress. Completion Date: ______     ___________

CultureSAFE Evidence Based Assessment

Planning. In-progress. Completion Date: ______     ___________

Note: The WSH Culture Diagnostic Assessment is part of the application criteria.

Applicants who fail to complete the WSH Culture Diagnostic Assessment may be

deemed to be disqualified from the award.

Part 5 (b)Please complete and attach the following acknowledgement form with the

application submission.

Acknowledgment Form

To be completed by applicant:

Name:      

Company:      

Address:      

Project Title:      

Tel:      

Fax:      

For internal use:

This acknowledgement form confirms that the WSH Council has received this

application.

______________________ ________________

WSH Council Stamp Date

Signature

Part 6for Auditors only

(to be printed on A4 sized paper and signed by the auditor)

Part 6. Particulars of Auditor

Particulars of Approved AuditorName      

Designation      

Tel No/ HP No.      

Email address      

Auditor’s company      

Date of on-site visit      

Type of checklist completed (X factor/ConSASS/OSHMS/ CultureSAFE EBA)

     

I hereby declare that I:

(a) have conducted an on-site audit of the workplace and the assessments given are in accordance with the evidence given in the CD and what I observed during the audit; and

(b) will not directly or indirectly disclose or make available any information, in whole or in part, given to me by the applicant, to any other person or party, except submitting them to WSHC; and

(c) will not make any duplicate copy of the CD or copy its contents without the consent of the owner.

________________________Signature of Auditor & Date

Particulars of Auditor (For CultureSAFE Evidence Based Assessment)Name      

Designation      

Tel No/ HP No.      

Email address      

Auditor’s company      

Date of on-site visit (if any)      

I hereby declare that I:

(b) will not directly or indirectly disclose or make available any information, in whole or in part, given to me by the applicant, to any other person or party, except submitting them to WSHC; and

(c) will not make any duplicate copy its contents without the consent of the owner.

________________________Signature of Auditor & Date

Part 7Organisations

Providing Auditing Services

Table 1List of Organisations Providing Auditing Services. IMPORTANT: The auditor visiting your workplace must be from this list.

PARTICULARS OF ORGANISATION AUDITORS1 A A A Performance Pte Ltd

64 Hillview TerraceSingapore 669277

Contact person: Mr Koo Chee Khim KevinTelephone No: 6762 3161Aaa.enquiry@sg-akc.com

1. Koo Chee Khim Kevin2. Wee Pui San3. Wong Kwek Min

2 A.P.J Safety Consultancy

Blk 530 Bukit Batok Street 51, #03-36Singapore 650530

Contact Person: Mr Dhana Balakrishnan PrabhuTelephone No: 6698 1170prabhu2353@gmail.com

1. Krishnamoorthy Sathasivam2. Malayappan Muthaiah3. Dhana Balakrishnan Prabhu

3 ACE EHS Singapore Pte Ltd

Block 168 Jalan Bukit Merah Tower 3, #04-08BSingapore 150168

Contact Person : Mr Lawrence ChanTelephone No : 9750 0309 / 9380 4198info@aceehss.com

1. Yoong Chi Meng2. Lim Thiam Hock

4 ACE Plus Workplace Consultancy LLP

Blk 233 Bukit Batok East Ave 5,#01-49Singapore 650233

Contact Person: James Sim Chee SengTelephone No: 9745 8484jamesscs@yahoo.com.sg

1. Tang Ah Lek

5 ACME Consultancy and Services Pte Ltd

22 Sin Ming Lane, Midview City, #06-76Singapore 573969

Contact Person: Venkata Raman KartikeyanTelephone No: 6871 4213akmepteltd@gmail.com

1. Venkata Raman Karthikeyan

6 AJA Registrars Pte Ltd

60 Paya Lebar Road, Paya Lebar Square, #11-20Singapore 409051

Contact Person: Mr Peter SimTelephone No: 6294 0308peter@aja-singapore.com

1. Tin Min2. Rajvinder Singh3. Lim Kia Leng4. Tan Joo Jin5. Wong Chong Howe

7 Anzen Consultancy Pte Ltd

60 Kaki Bukit Place, Eunos Techpark, #08-01Singapore 415979

Contact Person: Mr Yap Chee KongTelephone No: 6744 4440auditor@anzen.com.sg

1. Cheng Lee Kiow2. Md Alomgir Hossain

8 Anzenet Pte Ltd

186 Woodlands Industrial Park E5, #03-01ASingapore 757515

Contact Person: Mr Andy GohTelephone No: 6362 4687enquiry@anzenet.com.sg

1. Goh Siew Kiang2. Yeo Wei Siong

9 August International Pte Ltd

274, Woodlands Industrial Park E5, Woodlands BizhubSingapore 757319

Contact person: Mr Arun / Ms LeemaTelephone No: 6316 8386arun@8ipl.com.sg / admin@8ipl.com.sg

1. Yak Eng Chuan

10 Avanta Global Pte Ltd

72 Bendemeer Road, Luzerne, #03-29Singapore 339941

Contact Person: Mr V. BhuvanTelephone No: 9457 6199enquiry@avanta.com.sg

1. Govindaswamy Ramesh2. Edmund Fong Chor Chee

11 Axcel Safety Audit Pte Ltd

196 Pandan Loop, Pantech Business Hub, #07-18Singapore 128384

Contact Person: Mr Shawn LeeTelephone No: 9764 1814shawn@axcelsafety.com.sg

1. Tan Tze Chong, Stanley2. Liew Wei Meng, Vivian

12 CAS Safety Auditors Pte Ltd

Blk 96 Toa Payoh Lorong 3, #03-44Singapore 310096

Contact Person: Mr DurairajTelephone No: 9271 7420rajcas12@yahoo.com.sg

1. Krishnan Mayazhagu2. Duraisamy Packiaraj3. Semmanangur Kaliya Pillai

Balasubramanian

13 CCIS Singapore Pte Ltd

16 Jalan Kilang Timor, Redhill Forum, #08-03 Singapore 159308

Contact Person: Ms Loych Lee Li Cher Telephone No: 6376 0550 june@ccis.com.sg

1. Mandalam Rajaraman Ramkumar2. Chew Lay Keng3. Ang Chit Hong

14 Certification International (Singapore) Pte Ltd

60 Albert Street, OG Albert Complex, #13-03Singapore 189969

Contact person: Joey ChanTelephone No: 6299 9001certints@singnet.com.sg

1. Cheng Loon Dave2. Mirza Laeeque BAIG3. Kee Chee Meng Lawrence4. Tan Lay Choo Serene5. Kum Yee Lum

15 Concord Associates Pte Ltd

8 Boon Lay Way, 8 @Tradehub 21, #03-08Singapore 609964

Contact person: Mr Bryan SioTelephone No: 6515 5247 / 6515 5248bryan@concordassociates.com.sg

1. Patrick Siow Wing Siang2. Low Edmund Christopher3. Mohamed Zaini bin Kamaruddin4. Lim Li Lin

16 DAS Certification Singapore Pte Ltd

33 Ubi Ave 3, Vertex,#02-34Singapore 408868

Contact Person : Mr Ang Thiam HockTelephone No : 6735 7407info@dascertsg.com

1. Ang Thiam Hock2. Ng Heng Foo Francis3. A Nazir Mohamed

17 DNV GL Business Assurance Singapore Pte. Ltd.

16 Science Park Drive, DNV GL Technology CentreSingapore 118227

Contact Person: Mr Phua Cher Hock AlbertTelephone No: 6485 8355 / 8299 0092Albert.phua@dnvgl.com

1. Grace Cheah Wan Ling2. Phua Cher Hock Albert

18 Dynamic Safety Pte Ltd

482 Serangoon Road, #06-01Singapore 218149

Contact Person: Mr RajTelephone No: 6341 7344contact@dynamicsafety.com.sg

1. Pichaimuthu Sivaramalingam2. Tay Sim Leong

19 EHS Universal Pte Ltd

60 Kaki Bukit Place, Eunos Techpark, #06-01,Singapore 415979

Contact Person: Mr PandianTelephone No: 9144 5253ehs.universal@gmail.com

1. Muthukaruppan Pandian

20 ESIS Asia Pacific Pte Ltd

138 Market Street, CapitaGreen, #12-01Singapore 048946 Contact Person: Ms Kristine LimTelephone No: 6398 8660Kristine.Lim@esis.com

1. Edwin Yap Seng Wee2. Lim Say Thiam3. Ong Toon Meng3. Philip Au Tak Ming

21 Focus Safety Technique Pte Ltd

45 Sims Drive, Sims Vista, #01-160 Singapore 380045

Contact Person: Mr Philip Koh Telephone No: 6547 4503 / 9004 0104philipkoh@focussafety.com.sg

1. Philip Koh Teck Feng2. Mok Wai Seng3. Darren Tan Chee Hiong4. Ng Wei Liang

22 Fusion Safety Management Pte Ltd

8 Eu Tong Sen Street, The Central, #18-85Singapore 059818

Contact Person: Mr Harry Ho Sai KwongTelephone No: 9018 6289harryho@fusionsafetymgt.com

1. Ho Wei Tat Kelvin 2. Kareemkhan Mahaboob Khan 3. Ho Sai Kwong Harry

23 Greencross Safety Fire & Equipment Consultants Pte Ltd

45 Kallang Pudding Road, Alpha Building, #09-06Singapore 349317

Contact Person: Mr William Lee Kin Weng Telephone No: 6220 5885 info@greencrosssafety.com

1. William Lee Kin Weng2. Lee Kok Hwa Raymond

24 Greensafe International Pte Ltd

175A Bencoolen Street, Burlington Square, #08-11 Singapore 189650

Contact Person: Ms Tricia OngTelephone No: 9271 4066tricia@greensafe.com.sg

1. Jason Yap Beng Kok2. Leong Wai Kin Mark3. Sethuraman Suresh4. Narayanswamy Venkataraman5. Poovanur Swaminathan Venkatesh

25 Hong Tech Consultant Pte Ltd

116 Lavender Street, Pek Chuan Building, #03-09Singapore 338730

Contact Person: Mr Low Hong TeckTelephone No: 6283 3996 hongtech@singnet.com.sg

1. Peh Lai Kwee2. Suresh Kumar S/o Tangavelu3. Low Heok Chay4. Sum Seng Khai5. Soh Cham Hong6. Koh Kok Kian

26 IRM Consultants

237 Pandan Loop, Westech Building, #06-02Singapore 128424

Contact Person: Mr Yew Lai HinTelephone No: 6778 2220 yewlh@irm.com.sg

1. Yew Lai Hin2. Yew Kian Chee Andrew3. Ramachandran Baskaran4. Zheng Kai Qi Michael

27 Jurong Integrated Solutions Pte Ltd

8 Jurong Town Hall Road, The JTC Summit, #08-00Singapore 609434

Contact Person: Eric LimTelephone No: 9862 4945eric.limss@jurong.com 

1. Joseph Chua Choon Haw2. Eric Lim Sin Sing

28 Learners Hub Pte Ltd

190 Middle Road, Fortune Centre, #19-05Singapore 188979

Contact Person: Lee Chun KitTelephone No: 9169 1006leekit@learnershub.com

1. Lee Chun Kit

29 Lloyd McGill Pte Ltd

152 Paya Lebar Road, Citipoint, #04-05 Singapore 409020

Contact Person: Lim Sok HoonTelephone No: 6352 1566shlim@lloydmcgill.com

1. Shamsuddin Bin Aman

30 NMC Management Centre Pte Ltd

10 Anson Road, International Plaza, #21-02Singapore 079903

Contact Person: Mr Wan Tong Wah / Mr Ng Man ChoongTelephone No: 9108 9307 / 9612 1378n2mc@hotmail.com

1. Boey Ghim Huat2. Wan Tong Wah

31 NQA (S’pore) Consulting

201 Jurong East Street 21, #14-101Singapore 600201

Contact person: Mr Daniel Ker Siong TuanTelephone No: 9735 6507dancare@singnet.com.sg

1. Ong Teng Hong2. Thomas Ker Siong Tian

32 Quality Safe Consultants Pte Ltd

10 Bukit Batok Crescent, The Spire, #08-01Singapore 658079

Contact person: Mr Vishnu LalTelephone No: 6261 8150enquiry@qualitysafe.com.sg

1. Tan Michael2. Rangasamy Natarajan3. Ling Zhi Ern4. Li Wei Xiong, Joseph

33 QuESH Consultants (Pte) Ltd

50 Bukit Batok St 23, Midview Building, #07-10Singapore 659578

Contact person: Mr Ngo Seow KuanTelephone No: 9066 5640ngo@quesh.com.sg

1. Ngo Seow Kuan2. Milton M. Augustine

34 Safety Advisory Services Pte Ltd

Blk 164 Bukit Merah Central, #03-3637Singapore 150164

Contact Person: Mr Lee Nam WahTelephone No: 6471 2720 / 9626 7501leenmwah@singnet.com.sg

1. Lee Nam Wah2. Yong Chee Kwan

35 Safety Management Audits Pte Ltd

11D Matlock Rise, Singapore 358568

Contact Person: Mr Sasikumaran PillaiTelephone No: 9488 4308smamgt@singnet.com.sg

1. Sasikumaran Pillai

36 SAS Pte Ltd

Blk 164 Bukit Merah Central, #03-3631Singapore 150164

Contact person: Mr Yoong How LeongTelephone No: 6274 1120 / 9756 1162sasaudit@singnet.com.sg

1. Sing Loong Kuan2. Tan Eng Kee3. Yoong How Leong

37 SC2 Pte Ltd

1 Bukit Merah Lane 2, Construction HouseSingapore 159760

Contact Person: Mr Loh Yeow LengTelephone No: 6272 9986loh_yl@sc2.com.sg

1. Loh Yeow Leng2. Lau Huat Poh3. Lau Len Hong, Desmond4. Lim Cheng Mok5. Eileen Lim Yu Qing6. Wong Yew Kee, Francis7. Teh Kien Seng

38 SM2 Consultancy Pte Ltd

5 Coleman Street, Excelsior Hotel, #02-17Singapore 179805

Contact Person: Ms ThilagaTelephone No: 8698 9363Auditsm2008@gmail.com

1. Ramanathan Ravichandran2. Radhakrishnan Karumuthu

Manigandan3. Narayanan Manimozhian4. Vairamani Thananjeyan

39 Success Safety Consultancy

32 Ang Mo Kio Industrial Park 2, Sing Industrial Complex, #05-03Singapore 569510

Contact Person: Rengasamy BalasubramanianTelephone No: 6484 5711successsafety1@gmail.com

1. Rengasamy Balasubramanian

40 Team-6 Safety Training & Consultancy (S) Pte Ltd

100D Pasir Panjang Road, Meissa, #04-09Singapore 118520

Contact Person: Ms Florence ChongTelephone No: 6776 7138contact@team6safety.com

1. Ang Chek Woon2. Chia Bak Khiang3. Rajavelu Rajpriya4. Alvin Yeo Kheng Hock5. Salahuddin Bin Abdul Samad

41 Transpacific Certifications (Singapore) Pte Ltd

8 Ubi Road 2, Zervex, #03-16Singapore 408538

Contact Person: Catherine LimTelephone No: 6777 8160contactus@tcspl.com.sg

1. Ng Cheng Boon 2. Neo Choon Hao3. Chew See Kiun

42 TÜV SÜD PSB Pte Ltd

1 Science Park DriveSingapore 118221

Contact Person: Mr Chuah Choo HuatTelephone No: 6885 1668choo-huat.chuah@tuv-sud-psb.sg

1. Chuah Choo Huat2. Chin Chee Chow3. Gurdip Singh4. Rezal Bin Ramli5. Tan Eng Cheow

43 Virtue Safety Solutions

31 Rochester Drive, The Rochester, #24-00Singapore 138637

Contact Person : Ng Chee WeiTelephone No : 6569 1554virtueenquiry@gmail.com 

1. Tan Chin Hua2. Ong Kian Teck3. Daniel Tan Chew Ting

Table 2CultureSAFE programme

List of CultureSAFE Consultant Organisations (CSCOs), providing CultureSAFE Consultancy Services, acceptable to the Workplace Safety and Health Council (WSHC)

Please note that the consultant in the table below whose name not found in the WSH Awards 2017 Approved Auditors list in table 1 are not allowed to perform ConSASS/OSHMS checklist as well as X factor checklist for WSH Awards 2017 applicants.

No Particular of CSCO Names of CultureSAFE Consultants (CSCs)

1

ARISE WSH Solutions Pte Ltd45, Jalan Pemimpin #09-00 Foo Wah Building Singapore 577197DID: 6255 5373 Email : edmund@arise.com.sgContact : Edmund Yang

1. Kon Kwok Seng Allan 2. Lee Kok Hwa Raymond3. Neo Wee Beng Mike4. Tan Puay Seng Gerald5. Tama Kelvin Robson

2

Concord Associates Pte LtdNo. 8 Boon Lay Way#03-08 8@Tradehub21Singapore 609964DID : 6515 5248Email : bryan@concordassociates.com.sgContact: Bryan Sio

1. Birch Sio Ah Tee2. Eng Boon Kai3. Jeffery Thomas Spickett4. Matthew L Davies5. Soh Guat Hiong6. Ronaldo Fajardo

3

EQS Asia Pte Ltd14A Richards AvenueSingapore 546412DID : 6221 8006Email : kekkoon@eqsasia.com

1. Yeo Kek Koon2. Tan Kai Lee, Stephanie3. Anita Fernandez Rios4. Prem Letchuman

4

ESIS Asia Pacific Pte Ltd138 Market Street #12-01 CapitaGreen Singapore 048946DID : 6398 8660Email : Enquiries.sg@esis.com

1. Au Tak Ming2. Lim Say Thiam3. Sidney Dekker4. Yap Seng Wee5. Ong Toon Meng

5

Hong Tech Consultant Pte Ltd116 Lavender Street#03-09 Pek Chuan BuildingSingapore 338730DID : 6283 1546 / 6283 3996Email : hongtech@singnet.com.sg

1. Peh Lai Kwee2. Soh Cham Hong3. Suresh Kumar S/O Tangavelu4. Oh Tai Beng

6

QuESH Consultants Pte Ltd50 Bukit Batok Street 23#07-10 Midview BuildingSingapore 659578DID : 6316 6602Email : contact@quesh.com.sg

1. Milton M Augustine2. Ngo Seow Kuan3. Sarjit Singh4. Winston Emmanuel Longue

7

Success Safety Consultancy Pte Ltd1, Yishun Industrial Street 1#04-26 A’POSH bizHub Singapore 768160DID : 6262 3664Email : successsafety1@gmail.comContact: Govindasamy Natarajan Kavitha

1. Baskaran Ramachandarn2. Karuppusamy Sundaravadivelu3. Rengasamy Balasubramanian4. Sesudoss James5. S.K. Balasubramanian

8

Team-6 Safety Training & Consultancy (S) Pte Ltd100D Pasir Panjang Road MEISSA #04-09 Singapore 118520DID : 6776 7138Email : contact@team6safety.com

1. Ang Chek Woon2. Chang Choong Meng3. Chia Bak Khiang4. Salahuddin Bin Abdul Samad

9

SMER Pte Ltd10 Jalan Besar #15-02A Sim Lim TowerSingapore 208787DID : 6493 3232  Email : gohcg@smer.com.sg  

1. Chan Kheng Ping Patrick2. Chan Kim Yam3. Chin Wei Sin Derrick4. Fong Hung Ying5. Goh Chye Guan6. Niranjan Arun Masurekar7. Tan Jee Jiar Andrew