ACMA Awards 2017 18 Excellence in HSE ACMA

ACMA Awards 2017 -18 : Excellence in HSE ACMA Awards PM_44_F 41, Rev No. 00 Year of Inception: 1966 Excellence in HSE (Health, Safety & Environment) Company Name: Plant Location: Award Category: Tick mark in appropriate box as per your ‘Company Group Turnover for 2017 -18’. Medium Large Very Large > INR 30 to 100 Cr > INR 100 to 500 Cr > INR 500 Cr Tick mark in appropriate box: ACMA Member All Past & Present ACT Cluster/ ACMA UNIDO Cluster Companies are eligible without becoming ACMA member for all categories as per Turnover criteria 2017 -18 1

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 For Technical Queries: For Administrative Queries: Mr. Uday Harite Email – uday. harite@acma. in Mobile – 8149099959 Mr. Rupesh Somania Email – rupesh. somania@acma. in Mobile – 9992603010 Mr. Atul Gupta Email – atul. Gupta@acma. in Mobile - 9971888751 Ms. Sakshi Karkamkar Email – sakshi. karkamkar@acma. in Mobile – 7387002181 Mr. Binny Tomy Mr. Vishal Saxena Email – Vishal. saxena@acma. in Email- binny. tomy@acma. in Mobile- 9711138869 Mobile – 9650988154 Ms. Smita Kulkarni Ms. Ekta Agrawal Email- ekta. agrawal@acma. in Email – smita. kulkarni@acma. in Mobile – 9922922500 Mobile - 9657657258 ACMA Centre for Technology (ACT) Godrej Eternia-C, ‘B’ Wing, '10 th Floor, Office No. - C, Old Mumbai Pune Highway Wakdewadi, Shivaji Nagar , Pune – 411005, India, Desk phone – 020 66061219 act@acma. in www. acma. in , www. digitalact. in 2

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Letter for Submission of Award application Company letterhead details ( Logo , Address ) To , The Secretariat ( ACMA Awards ) , ACMA Centre for Technology Godrej Eternia, ”B” Wing , 10 th Floor, Office No. C, Old Mumbai –Pune Highway, Wakdewadi , Shivaji Nagar Pune – 411005, India We are pleased to submit the application for ACMA Award 2017 -18 for Excellence in HSE (Health, Safety & Environment) in Medium / Large / Very Large category. All data submitted is duly verified and true to the best of our knowledge. With regards ( Name & Designation of the Plant CEO ) Company History with ACMA Awards (last 3 years) Sr. No. Financial Year (April to March) ACMA Awards Category. Applied Award / Certificate Won 1 2014 -15 2 2015 -16 3 2016 -17 Note- If you have applied & won multiple awards in one year, please mention accordingly. 3

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Automotive Component Manufacturers Association of India 6 th Floor, The Capital Court Olof Palme Marg, Munirka New Delhi - 110 067, India To, Applicant Company CONFIDENTIALITY STATEMENT As a part of the ACMA Awards Process, applicant companies provide business, market, technical, financial information/documents and top customers details in the application. Such information could also be related to intellectual property i. e. , patents, product development etc. . ACMA take reasonable care to keep the above information confidential and shall not divulge it to third party and/or not use it for their own purpose, any part of this information in the course of assessment and thereafter. I agree. On behalf of ACMA Sd/Director General 4

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Company’s Details 1. Name of the corporate group (if company is part of a corporate group): - ( Underline the plant for which application is sent ) Plant Address : 3 Chief Executive (Site) details : Name : Mobile : Website: Designation : E-mail : 4. Plant Head ( Next to Chief Executive (Site)) details : Name : Mobile : Designation : E-mail : 5. HR Head details : Name : Mobile : Designation : E-mail : 6. Training Head details : Name : Mobile : Designation : E-mail : (If Sr. No. 3 & 4 are same , then provide next level person details at Sr. No. 4 ) 5

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Company’s Details 7. Company Group Annual Sales Turnover (in INR Cr. ) for Year 2017 -18: 8. Plant (for which application is submitted) turnover ( in INR Cr. ) for Year 2017 -18 : 9. Year of Establishment : Company _______ , Plant ______ 10. Total Employees : Company ______ , Plant _______ On Contract for Company _______ , Plant_______ 11. Do you have a Joint Venture : ( If Yes , Mention the partner name ) 12. Company’s Key products & Key Raw Materials : 13. Plant’s Key products : 14. Plant’s key manufacturing processes : 15. Plant’s Key competitors : 16. Plant’s Major Certifications : 6

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Route Map to reach your plant Provide here route map to your company for site diagnosis ( Site diagnosis is carried out if your application is shortlisted ) Contact Person Information: ( Need to contact thru out the process of ACMA Award ) Name : Designation : E-Mail : Mobile : Contact Person Information: ( Need to Contact if above person is not available) Name : Designation : E-Mail : Mobile : 7

8 ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Customer Details Mandatory requirement As a part of ACMA Award process, feedback from your major Customers to be obtained by Applicant companies & to be send by your customer directly to ekta. agrawal@acma. in as per format. This feedback will be shared to Juries directly & the same will be provided to you as a part of feedback report. When you register online, you will receive Customer Feedback format. Kindly send to your top 3 Business Customers & ensure that we receive this before you submit the application online. ( Your application will not be processed without this feedback) Kindly furnish your top 3 Business customer details from whom you will be obtaining feedback. S. No. Customer % Business share (From the plant) 1 2 3 Customer key persons name Mobile Number & Email Manufacturing Head Incoming Quality Head Note- In addition to application & your site diagnosis , Supplier feedback scores will be also considered for final scores. 8

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Key Performance Indicators (KPIs) KPI Sheet for Excellence in HSE Target Value Remar 2015 - 2016 - 2017 - for 2017 ks -18 16 17 18 Actual Value S. No. KPI Uo. M 1 No. of accidents Nos 2 Total man-days lost due to accidents Days 3 No of near miss incidences Nos 4 No. of illness cases Nos 5 No. of environmental related incidences Nos 6 No of cases for falling from height Nos Hours 9 Moc drills conducted in a year Nos 10 Improvements related to HSE / Employee Nos db % Lux Nos % % feet 20 Safety audit score ( Internal ) % 21 Safety audit score ( External ) % 22 Employee satisfaction score % 23 Total absenteeism % Nos % 7 Per employee medical expense per year ( For accidents INR / first aids / medicine - other than medical policies ) Lakhs 8 HSE related training man-hours/man / year 11 Notices received from Environment board / legal authorities 12 Highest noise level inside company % of area using natural lights in day time including offices Average illumination levels at night for standard 14 working areas 13 15 No of accidents happened for contractors / visitor 16 % employee using safety PPEs 17 % of employees awarded by you for HSE improvements 18 5 S scores 19 Max height for material storage 24 Awards received by for HSE 25 % leaking machines ( Oil/ Coolant ) 9

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Executive Summary A. Synopsis of Application- (write here Specific Achievements (Qualitative & Quantitative) for all 5 areas of application which will support to understand how your company deserves to be a winner) Area 1 -Leadership Focus & Commitment Area 2 -General Health & Safety Requirements Area 3 -Regulatory Health & Safety Requirements Area 4 - Industry Specific Health & Safety Requirements Area 5 -Environmental Requirements B. Key differentiator (Mention here few points which makes you to stand as a winner ) C. How you are a better employer compared to others ? ( Mention in brief ) 10

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Status of actions taken by your company based on previous ACMA Awards feedback report. (Mention top 5 only) (Not applicable- for 1 st time applicants) S. N. Area of Improvement Action taken 11 Result / Outcome

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No. 00 Sharing of Best Practices of your company Best Practices along with photos shown here will be compiled and shared by ACMA to all applicants / members / non-members for learning purpose. (This is OPTIONAL and there are no marks for this) By tick mark hereby I agree to allow ACMA to use this information for sharing with others (From above topic only) • Please mention your best practices here • • Photo 12

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 ( For office use only ) Company performance at a glance ( Following radar chart shows the scores for each main area as per questionnaire , scores are converted to % ) RADAR Chart Marks Environmental Requirements Marks Leadership Focus & Commitment 120 100 80 60 40 20 0 Industry Specific Health & Safety Requirements General Health & Safety Requirements Regulatory Health & Safety Requirements S. N Area Total Marks 1 Leadership Focus & Commitment 200 2 General Health & Safety Requirements Regulatory Health & Safety Requirements 230 Industry Specific Health & Safety Requirements Environmental Requirements 220 3 4 5 Actual Marks % ( for Office Use only ) 200 Total 150 1000 13

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 ( For office use only ) Section 1 LEADERSHIP FOCUS & COMMITMENT Total Marks = 200 S. N. Sub topic 1 A 1 B 1 C 1 D 1 E 1 F 1 G HSE Policy, Strategy & Communication HSE Management Role & Responsibility HSE Performance Reporting Total Actual % Marks ( for s office use ) 20 20 20 Accident, Incident, Illness & 20 Near Miss Reporting Incident investigation & 20 Emergency Preparedness Incorporation of Safety 20 KPIs Reward & Recognitions 20 1 H Motivation 1 I Consequence Management 1 J Expectations / Role 10 Modelling Contribution of Company 10 towards Nation Building Total 200 1 K 20 20 14

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 A. HSE Policy, Strategy & Communication (20) (i) Has organization defined its HSE management policy, Vision, Mission & Strategy statements? Does it includes commitment for continuous improvement, prevention of accident & pollution, compliance under applicable legal and other requirements which relates to HSE aspects and a framework for setting and reviewing HSE objectives and targets periodically? (10) (ii) What procedures been developed to ensure that all staff, contractors staff or on its behalf are aware of HSE aspects, the importance of conforming with HSE policy, procedures and requirements for the potential consequences for not following procedures? (5) (iii) What procedures been developed for internal communication , documenting and responding to receiving communication from internal & external interested parties? (5) 15

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 B. HSE Management Role & Responsibility (20) (i) Have specific management representative(s) been appointed with the clear role, responsibilities and authorities for ensuring that the HSE is implemented and maintained and reporting on the performance of the HSE for review? (10) (ii) Has the organizations identified training needs & appropriate facility for the staff and contractors associated with its HSE aspects and provided training to meet these needs? Are competence, training and awareness records available? (5) (iii) Has top management reviewed performance of the HSE at planned intervals to ensure its continued suitability, improvements, adequacy & preventive actions and to give recommendations for its improvement? (5) 16

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 C. HSE Performance Reporting (20) (i) Have ‘Health Safety & Environment ‘(HSE) systems been developed and documented & does it define its scope of Performance Reporting? Mention KPIs monitored with its weightage out of 100 %. (10) (ii) Have procedures been developed to establish and maintain records and necessary to determine conformity to the requirements of its HSE, ( ISO 14001, 18001 ) and the results achieved? Mention how you monitor effectiveness of actions ? (5) (iii) Are internal HSE audits scheduled at defined intervals to determine whether the HSE practices conforms to the requirements of ISO 14001, 18001, & is being properly maintained? (5) 17

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 D. Accident, Incident, Illness & Near miss Management (20) (i) Have operations that are associated with significant HSE aspects been identified and planned by preparing procedures to ensure that they are carried out under specified conditions to control situations where their absence could lead to Incident or deviation from the HSE policy, objectives and targets? Are these frequently reviewed and revised ? If yes, provide few examples (20) 18

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 E. Incident investigation & Emergency Preparedness (20) (i) Has the procedures been developed and implemented with designated persons to investigate minor, major & serious incidents & near misses? Are these procedures reviewed with after serious incident or certain period of time? (10) (ii) Have all Emergency scenarios been identified in your plant ? Are the procedures been developed accordingly and implemented and reviewed periodically or after serious incident for continual improvement? (5) (iii) When was the last mock drill held? Was it effective? Please list all the identified areas which are subjected to a mock drill? Do you have the yearly schedule of Mock drill? ( 5 ) 19

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 F. Incorporation of Safety KPIs (20) (i) What are the KPIs related to Health , Safety and Environment are monitored in your company ? Kindly provide list and monitoring frequencies and responsibilities e. g. Medicine consumption, Noise, Heat, etc. (10) Sr No HSE KPIs Monitoring frequency Responsibility 1 2 3 4 5 6 7 8 9 10 (ii) At what frequencies TOP Management reviews the above KPIs and what actions are initiated after this review? Elaborate with 2 examples. (10) 20

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 G. Rewards & recognitions (20) (i) What are rewards and recognitions provided in year 2017 -18 for your employees under HSE? (10) Sr No Reward / Recognitions No. of employee received ( % of total employees ) (ii) How these rewards / Recognitions help to IMPROVE HSE at your company ? Elaborate with 2 examples. (10) 21

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 H. Motivation (20) (i) How do you motivate your employees to come forward and get involved in HSE activities? Do you have Kaizen, Suggestion Scheme, etc. for motivating the employees? ( 10 ) (ii) What is the effect of motivation for improving HSE areas? Elaborate with 2 examples. (10) 22

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 I. Consequence Management (i) (20) Have you listed the disasters which will affect the working of the Company? (05) (ii) How company manages consequences in case of disaster to restore essential services? e. g. natural / man made incidents. (05) (iii) Have you been able to resolve such incidences in recent past ? Elaborate with 2 examples. (10) 23

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT 1 J. Expectations / role modelling (10) (i) How your company ensures that expectations in HSE are met? e. g. Leading by examples, Meeting statutory regulations etc. ( 5 ) (ii) Elaborate with examples where employees follow HSE inspired by the role Model. ( 5 ) 24

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT (1. K) Contribution of Company towards Nation building (10) Please describe the practices of the company to support the implementation of the issues of national importance with respect to the following – but not limited to this. ( 1 mark each ) S. No. Actual Marks Obtained Sub-Topic Have you encouraged implementation of Sarva Shiksha Abhiyan to key communities for education? 5 H. 1 How are you improving the computer literacy of staff and workmen ( Mention in brief ) How you develop ownership of the cleanliness of 5 H. 2 the neighborhood , improving the aesthetics around the company premises ( outside ) Percentage of women employees & how this has increased over the years. Do you have a committee 5 H. 3 for implementation of policy of POSH (Prevention of Sexual Harassment at Work) Act, 2013? Electric Vehicles readiness (Awareness and if applicable to your company, what steps are taken ). 5 H. 4 How the Company promotes the use of Electric vehicles or battery operated two or four wheeler? 5 H. 5 Any specific CSR activity you have done in year 201718. If Yes, describe Total 25

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 1. LEADERSHIP FOCUS & COMMITMENT (1. K) Contribution of Company towards Nation building (10) Please describe the practices of the company to support the implementation of the issues of national importance with respect to the following – but not limited to this. ( 1 mark each ) S. No. Actual Marks Obtained Sub-Topic Have you supported any differently abled persons - 5 H. 6 % age employment provided and accessibility arrangements for differently abled persons Mention steps taken by the Company to reduce the 5 H. 7 usage of plastic in manufacturing and non manufacturing areas. National Solar & Water Mission - Have you installed Roof Top Solar energy collectors and have earned 5 H. 8 through net metering. Adoption of Rainwater harvesting? How do you support Make in India drive & skill 5 H. 9 development. (Import substitution , Entrepreneurship development , Tie ups with skill centers) 5 H. 10 Do you have a policy for prevention of Child Labour? (As per POCSO Act 2012) Total 26

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 ( For office use only ) Section 2 General Health, Safety & Environmental Requirements Total Marks = 230 S. N. Sub topic Total Actual Marks ( % Marks for office use ) 2 A Safety Policy and Strategy 2 B 2 C Housekeeping (Implementation of 5 S) Safety Training Excellence 2 D Safety Communication 20 2 E Safety Assessment 20 2 F Safety Processes 20 2 G Safety Motivation 15 2 H Machine Guarding 20 2 I Safe Use of Ladder & Working at Heights Material handling & Ergonomics in work place. Slip –Trip –Fall (on same level) 2 J 2 K 2 L New Product / innovation Safety 20 20 20 15 20 20 20 TOTAL 230 27

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 A. Safety Policy and Strategy Total = 20 (i) Please describe your safety policy & describe how it is achieved, maintained & improved continuously. (10) (ii) Are Cardinal Rules exist? How are they implemented ? (Life saving rules ) (10) 28

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 B. Housekeeping (Implementation of 5 S) Total = 20 (Note: - Add photos where necessary to show good practices) (i) Describe what aspects involved in housekeeping and how it is achieved and maintained all time up to date How is the 5 Sscore for the year 2017 -18? (10) 5 S Results 50 55 60 66 Aug-17 75 65 Jul-17 90 70 71 75 70 75 80 82 Mar-18 100 Target Feb-18 5 S Percentage Scores 50 Jan-18 Dec-17 Nov-17 Oct-17 Sep-17 Jun-17 May-17 0 Apr-17 25 (ii) Describe how all employees involved in housekeeping (5) (iii) Mention role & responsibilities of responsible persons to achieve and maintain Housekeeping. (5) 29

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 C. Safety Training Excellence Total = 20 (i) Describe in details all Safety training strategies & development plan adopted in your industry to eliminate or reduce accidents, incidents & Near misses in the Industry. (5) (ii) Describe in details what trainings were in in the past year ? Who were / are the trainers ? How are training delivered ( Either at classroom or at shop floor ) ? List what trainings are essential in your industry and how it is linked with the work process and accident lesson learned. (5) (iii) Is there a competency matrix available for trainers ? How do you measure effectiveness of training ? Do you need field demonstration for proving trainer’s competency? How do you increase the training competency of the trainer? (3) 30

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 C. Safety Training Excellence Total = 20 (iv) What resources are available at present and are those adequate for the size of the industry? How many training hours utilized per employee in a year? What is your internal target? Do you have qualified and experienced safety trainers? and How do you maintain all training records? (5) HSE Related Training Mandays per employee HSE Training Mandays Target 25 22 20 15 15 10 10 15 10 7 5 0 2015 -16 2016 -17 2017 -18 (v) How do you ensure the understanding & knowledge retention after training is imparted? Do you have safety training handbook relevant to your industry ? What are the content in it? Is the hand book issued to each & every employee during Induction process? (2) 31

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 D. Safety Communication Total = 20 (i) What are the different means being used in industry for efficient safety communication to your employees and contractors? And should not be restricted to safety day only. (5) (ii) How do you ensure that all safety information communicated to all employees and contractors in time & that understood by all? (5) 32

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 D. Safety Communication Total = 20 (iii) Do you have feedback system from employees and contractors regards to HSE & how this system work? (5) (iv) Describe the process of accident / Incident / Nearmiss reporting in your industry. Are there any targets for Near Miss cases? How do you ensure that all NMC ( Near Miss cases ) are reported ? (5) 33

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 E. Safety Assessment Total = 20 (i) Describe in detail how unsafe conditions and unsafe acts are noticed or what systems are implemented for safety assessment. (e. g. . Safety Audit, Safety Inspection, Safety management personnel tour, Safety Survey etc. . ) (5) (ii) How do you ensure immediate corrective and preventive measures taken are for all serious safety noncompliance reported? (10) (iii) Provide the data for last years of findings of noncompliance and closed items within specified time duration, including overdue. (5) 34

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 F. Safety Processes Total = 20 (i) Describe in brief what safety tools being used for “process safety” for hazard identification in your industry. Elaborate one of the process with example. e. g. : Process Hazards Analysis (PHA), Failure mode and effect analysis (FMEA), Hazard and Operability Review (HAZOP) Human Error Analysis, (HEA), Fault tree analysis. (FTA) Risk analysis, (RA) Job security Analysis (JSA ) etc. (20) 35

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 G. Safety Motivation Total = 15 (i) Describe in detail about safety motivation processes are in places & how effective are they. What are the responses & feedback received from employees for further improvement? (15) 36

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 H. Machine Guarding Total = 20 (i) Describe in details principles of safeguarding of machines being used in your industry. What safe guarding measures have been adopted? (10) (ii) Mention how many incidents or near misses reported during last 3 years and corrective & preventive actions taken, explain with the help of Bar Chart. Were these repeat incidences? (5) Yearly reporting of Near miss cases / incidences Reporting of yearly near miss cases Target 30 24 25 20 24 18 15 24 15 16 2016 -17 2017 -18 10 5 0 2015 -16 (iii) Describe safe practices for working near unprotected running machines, live electrical appliances / panel boards, Crane / hoisting , PTW ( Permit to Work ) , LOTO , etc. , (5) 37

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 I. Safe Use of Ladder and trolleys (by persons) & Working at Heights Total = 15 (i) Describe in details about system / safe practices in place for safe use of ladders and trolleys (used for working at heights by people) in your industry. (5) (ii) What type of ladders and trolleys being used in the industry? & how do you ensure that all ladders and trolleys are safe? & employees will follow safe practices all time? (5) (iii) Mention about ladder / trolley incidents happened during last 3 years and corrective & preventive actions (CAPA) implemented. (5) 38

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 J. Material handling & Ergonomics in work place Total = 20 (i) How do you ensure safety in manual handling? (eg- Maximum weight to lift, safe posture to protect backbone, ) (5) (ii) How do you ensure safety in material handling with the aid of power tools, power equipment? (e. g. - fork lift, hoist, cranes, pallet truck, trolleys, wheel barrow, etc. ) How do you carry out statutory checking of cranes, hoists, forklifts, lifting tackles, etc. (5) (iii) Explain areas you have considered for Ergonomics aspects at workplace (10) S. N. Particulars 1 Noise Protection 2 Illumination 3 Ventilation 4 Heat 5 Repetitive movements 6 ( Any other ) Standard Are you following? 39

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 K. Slip –Trip –Fall (on same level ) Total = 20 (i) Explain in details what safety aspects are considered & implemented to eliminate slip-trip & fall in the work place. (10) (ii) Explain in details what is strategy / systems implemented in the workplace to eliminate fall from 1. 5 m height above. Explain the use of Safety belt with double lanyard (Full body harness with double lanyard). Working at height permits are obtained in advance. (5) (iii) List the incident if any happened due to fall from height , above 1. 5 m (from ladder / trolley / platform) & corrective and preventive action taken for last 3 years. (5) Incidences due to fall from height of 1. 5 meters Incidences - fall from Height 5 4 3. 5 3 2. 5 2 1. 5 1 0. 5 0 4 3 2 2015 -16 2016 -17 2017 -18 40

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 2. General Health, safety & Environmental Requirements 2 L. New Product / innovation Safety Total = 20 (i) Explain with examples how do you ensure safety of personnel and work place during development, testing or use of new product ( Design , physical Chemical safety ). (20) 41

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 ( For office use only ) Section 3 Regulatory safety Requirements Total Marks = 200 S. N. Sub topic Total Actual Marks % Marks ( for office use ) 3 A Mandatory regulatory requirement according to manufacturing processes 40 3 B 40 3 D Welfare and other mandatory facilities for employee Hazardous process & safety Emergency preparedness 3 E Fire Prevention measures 40 3 C 40 40 TOTAL 200 42

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 3. Regulatory safety Requirements 3 A. Mandatory regulatory requirement according to manufacturing processes Total = 40 (i) List & describe in brief the mandatory regulatory requirements has to be implemented in your industry according to activities and safety of personnel associated with it. (40) 43

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 3. Regulatory safety Requirements 3 B. Welfare and other mandatory facilities for employees Total = 40 (i) List & explain in brief what welfare facilities are provided for employees & How all those maintained up to date all time. (15) 44

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 3. Regulatory safety Requirements 3 B. Welfare and other mandatory facilities for employees Total =40 (ii) Specify status in below mentioned checklist for “Must be facilities” for all company employees ? Illustrate with photographs of some examples (25) Must be facilities S. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Description Status Jogging track inside shop floor, along walls OK / Not OK Trees in plant campus (86 Trees/ Acre) OK / Not OK No earth should be visible in entire company area. There should be concrete, tar roads or green lawns OK / Not OK No truck / fork-lift inside shop floor OK / Not OK Clean toilet blocks inside shop floor, dry & smell free OK / Not OK No nails to be used anywhere in the factory premises OK / Not OK All employees to wear uniform, shoes and necessary safety gadgets OK / Not OK Noise free DG sets & compressor OK / Not OK Clean wash room / change room and rest room facilities OK / Not OK Hygienic kitchen, drinking water & dinning hall OK / Not OK Good recreational facilities OK / Not OK Appropriate fire fighting equipment's should be placed at accessible locations OK / Not OK Drive Forward Digitization - Team in place OK / Not OK Shop floor- Well Ventilated OK / Not OK Shop floor- Illumination (natural lighting) OK / Not OK Nothing directly on floor across company OK / Not OK Accessibility for differently abled persons (If Applicable) OK / Not OK Mock Drill - conducted as per frequency OK / Not OK ETP & STP in Well maintained condition OK / Not OK Training & Learning Facility OK / Not OK Logistics Centre OK / Not OK Research Centre OK / Not OK Resource Optimization - - Drive Team in Place OK / Not OK Is your plant outside surroundings are clean OK / Not OK Use of Non-conventional energy OK / Not OK Photo YOU CAN ADD MORE PHOTOS Photo

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 3. Regulatory safety Requirements 3 C. Hazardous process & safety Total = 40 (i) List hazardous process & Explain Provisions & mandatory safety requirements in relation to any two hazardous process in your industry. (40) 46

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 3. Regulatory safety Requirements 3 D. Emergency preparedness Total = 40 (i) List & explain in brief what types of emergencies could possible in your industry & how industry has prepared to face it. How emergency preparedness systems are maintained & updated regularly. Give one example of outcome of (Mock Drill) and action taken. (40) 47

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 3. Regulatory safety Requirements 3 E. Fire prevention measures Total = 40 (i) Explain in detail preventive and post actions for safety measures implemented to eliminate / reduce risk of fire in your industry. What are mandatory and proactive measures implemented in your industry. (40) 48

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 ( For office use only ) Section 4 Industry Specific Safety Requirements Total Marks 220 S. N. 4. A Sub topic Total Actual Marks ( % Marks for office use ) 30 4. D Mandatory HSE regulatory requirements Key personnel HSE Role and Responsibilities Industry specific process safety Risk assessment 4. E Safety training 20 4. F Accident /Incident/Near Miss. 20 4. G Waste management 20 4. H Safety process implemented 20 4. I Safety assessment strategy 20 4. J Restricted work places 20 4. B 4. C 30 20 20 TOTAL 220 49

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 A. Mandatory HSE regulatory requirements Total = 30 (i) List the regulatory safety requirements according to manufacturing processes of your industry & how are those requirements maintained on day to day practice? (30) Sr No Manufacturing Processes Regulatory Safety Requirements How these requirements are met 1 2 3 4 5 50

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 B. Key personnel HSE Role and Responsibilities Total = 30 (i) Mention in details HSE Role & Responsibilities of key personnel in the industry. (20) (ii) Describe how the key personnel implement their HSE responsibilities in industry & how it is improved over the period. (10) 51

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 C. Industry specific process safety Total = 20 (i) List the hot processes in your industry. What special precautions and safety measures implemented for work with all type of hot process in the industry? Do you give special training to people working on the identified hot processes. (Mention if not applicable) (20) 52

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 D. Risk Assessment Total = 20 (i) Describe in brief the specific “Risk assessment of any four critical process in your industry. (20) 53

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 E. Safety Training Total = 20 (i) Mention in detail Safety Specific training courses essential for this process. Mention details of such training schedules, training hours person & benefits achieved. (10) (ii) Give details of- What training facilities do you have inhouse. Mentions about whether sufficient resources, training hours/employee, funding, rooms, qualified trainers etc. . , are available, with details(10) 54

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 F. Accident /Incident/Near Miss Total = 20 (i) Give details with target for last year about “Accident frequency rate & Accident Severity rate” & . Mentions top three accident prone area and preventive measures implemented. (15) Accident Frequency rate Accident Frequency Rate 1 Target 0. 8 0. 6 0. 5 0. 6 0. 4 0. 3 0 Oct-17 Nov-17 Accident Severity rate 1 Accident Severity Rate 0 0 Target 0. 7 0. 6 0. 5 0. 45 0. 3 0. 4 0 0 0 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 0. 2 Apr-17 0 0 0. 8 0. 2 0 Mar-18 0 Feb-18 0 Jan-18 0 Sep-17 0 0. 15 Aug-17 0 Jul-17 0 Jun-17 0 0 May-17 0. 2 Apr-17 0. 2 Dec-17 0. 3 0. 4 Formula No. of accidents Accident Frequency rate =------------ X 106 Total man hours Formula Total man-days lost Severity rate =---------------- X 106 Total man hours 55

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 F. Accident /Incident/Near Miss Total = 20 (ii) How do you monitor incidences and near miss incidents. Mention in details-What corrective and preventive actions were implemented to rectify the situation (5) 56

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 G. Waste Management Total = 20 (i) Describe in details with figures about type of waste generated and how 4 R (Reduce-Reuse-Recycle. Refuse ) implemented. Give the details about benefits achieved with 4 R system. (10) (ii) List highly dangerous chemicals being used in your industry & waste management strategy implemented for chemical waste? Do you follow MSDS and conduct training for this? Please show training records (10) 57

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 H. Safety Process implemented Total = 20 (i) Mention in brief, 5 processes in your industry having higher safety potential of incident or incident history, or how safety achieved in the industry for following aspects- Manual handling, rotating hand power tools- Grinder, cutter, drill, etc. ), Industrial power equipment use (e. g. . Forklift, cranes, hoist etc. ), Electrical safety LOTO (Lock out Tag Out) & Use of Arc Flash Suit , (e. g. working on live & dead panels) and use of ELCBs (Earth Leakage Circuit Breakers) for hand tools, water coolers, slip trip, fall from height, use of work platforms, painting process, working near running machines, hoist and cranes, use of ladders, or other… (15) (ii) Mention in for contract processes : - How does it takes into account their equipment's & people safety ? And Mention how is it enforced ? (05) 58

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 I. Safety assessment (finding risk or hazards) strategy Total = 20 (i) Describe in brief methods (eg-FMEA, JHA, FTA etc. ) that is used for safety assessment (finding risk with process) in the industry. (5) (ii) Describe in brief about how all Pneumatic Hand tools, Electrical Hand Tools, PPE, Power tools, Industrial Equipment etc. are maintained safe to use at any time? (10) (iii) Explain in brief about dangerous operations control system in your industry. (5) 59

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 4. Industry Specific Safety Requirements 4 J. Restricted work places Total = 20 (i) List the confined spaces or Strictly restricted work places you have in your Industry and safety control measures implemented. Mention any incident with it and corrective action taken during year (15). (ii) List the frequency at which the ‘List of Confined spaces / Restricted work places is reviewed’ Who is authorized to review? (05) Sr No Details of Incident Corrective action 1 2 3 60

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 ( For office use only ) Section 5 Environmental Safety Requirements Total Marks = 150 S. N. 5. A Sub topic Total Marks Regulatory environmental requirements Environment Policy & mission 20 40 30 5. E Environmental aspect Monitor & control of smoke, gases, fumes. Ground Protection 5. F Workplace environment control 10 5. B 5. C 5. D TOTAL Actual Marks ( % for office use ) 20 30 150 61

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 5. Environmental Safety Requirements 5. A Regulatory environmental requirements Total = 20 (i) Describe in brief about industry specific processes, regulatory environmental requirements, work permits for the industry. List the processes for which work permits are required to be issued (4) Sr No Processes which require work permit 1 2 3 4 5 (ii) Brief on procedure developed to identify potential emergencies or incidents that could have impact on the environment & does it addresses how to respond it (4) (iii) Brief on procedure developed to monitor and measure key operations that could have a significant environmental effect(4) 62

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 5. Environmental Safety Requirements 5. A Regulatory environmental requirements Total = 20 (iv) Describe on how environmental incidents are reported & corrective / preventive actions taken. (2) (v) Brief on procedure developed to evaluate compliance with applicable legal requirements & other requirements to which it subscribes and conformity requirements to ISO 14001 (3) (vi) Does the procedure address investigation of nonconformity determining their causes and taking actions in order to avoid their recurrence, recording the results of corrective & preventive actions & reviewing the effectiveness regularly? ( 3) 63

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 5. Environmental Safety Requirements 5. B Environmental Policy & Mission Total = 20 (i) State Environmental Protection Policy & Mission statement & how it is communicated over the industry. Do you have a policy of reviewing the policy, when it was last reviewed? (10) (ii) Describe how effectively it is implemented in the industry. (10) 64

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 5. Environmental Safety Requirements 5. C Environmental Aspect Total = 40 (i) List the Environmental Aspects in your industry and tabulate how each aspect has been monitored & controlled within specified limit. (10) (ii) List the environmental incidents with bar chart for last 3 years with internal target & incident closed with corrective & preventive actions within time frame (20) Environmental Incidents 8 7 Target 7 6 5 5 4 3 3 2 1 0 Sr No 0 0 0 2015 -16 2016 -17 2017 -18 Incident Corrective action Preventive action 1 2 3 4 (iii) Have environmental safety posters, information displayed at prominent places to alert responsible staff member to follow safe practice? At which locations these posters have been displayed(10) 65

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 5. Environmental Safety Requirements 5. D Monitoring & control of Smoke, Fumes & gases Total = 30 (i) Which areas are source of smoke, gases, fumes, and hazardous dust in your industry? Describe what safety measures are implemented to monitor & control of dangerous smoke, gases, fumes, hazardous dust in your industry. (10) (ii) Give details with bar chart the monitoring details of all workplaces dust smoke & fumes showing the improvement over the last 3 year. (10) Monitoring of Dust and Smoke Dust count in PPM 60 50 40 Target 50 40 33 37 26 30 27 20 10 0 2015 -16 2016 -17 2017 -18 (iii) Explain, chimneys installed in the industry & how are they safe by its position to surrounding atmosphere from its outlet. (05) (iv) How do you carry out cleaning of the chimneys (05) 66

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 5. Environmental Safety Requirements 5. E Ground protection Total = 30 (i) Describe in details what measures implemented to monitor & control of ground, ground water, waste water, hazardous water, drainages, sumps, pits, pipes etc. (25) (ii) How do you do rain water harvesting? (05) 67

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 5. Environmental Safety Requirements 5. F Workplace environment control Total = 10 (i) In which areas do you control work place temperature & humidity. How it is efficient? Please show the records maintained. (5) (ii) Give figures in bar-chart to indicate continuous improvement for last three years with internal target line (5 ) Continuous Improvements Continuous Improvement Target 30 24 25 19 20 15 15 20 15 12 10 5 0 2015 -16 2016 -17 2017 -18 68

ACMA Awards 2017 -18 : Excellence in HSE PM_44_F 41, Rev No 00 Summary of Achievements for the year 2017 -18 ( Company has to fill up ) 1. Did you receive any awards other than Customers? 2. What are your biggest achievements in the last year? 3. What are challenges for you in the future and how are you preparing for it?