Contractor HSE Audit/Pre-Approval

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HSE Overview

• Does your company have a written HSE policy?

  Yes

  No

  N/A

• Does your company have a HSE Management System? Is it certified by a recognised independent authority (e.g. AS/NZ 4801, ISO 18001)? If so, what was the latest result?

  Yes

  No

  N/A

Responsibilities

• Are health and safety responsibilities clearly identified for all levels of staff?

  Yes

  No

  N/A

HSE Consultation

• Is there a workplace HSE committee or regular meetings conducted with employees (e.g. Tool box talk)?

  Yes

  No

  N/A

• Are employees actively involved in decision making over HSE matters?

  Yes

  No

  N/A

• Does your company have a HSE representative and have they been trained?

  Yes

  No

  N/A

• How does your company identify and communicate HSE issues (e.g. Legislative and/or industry changes, updated standards, etc)?

  Yes

  No

  N/A

HSE Management System

• Is a documented Job Safety Analysis conducted prior to commencement of a job (i.e. Hazard identification, risk assessment, control and review procedures)?

  Yes

  No

  N/A

• Does your company have any permit to work systems (e.g. Hot work, Confined spaces, Working at height)?

  Yes

  No

  N/A

• Does your company have a process in place for the selection, assessment, monitoring and review of sub-contractors, which incorporates HSE?

  Yes

  No

  N/A

• Do you have procedures in place for the maintenance and inspection of plant operated/owned by your company (e.g. Compressor, borer, electrical equipment, etc)?

  Yes

  No

  N/A

• Do you have procedures in place for the selection, use, storage, handling, spill management &disposal of hazardous substances and dangerous goods (e.g. Corrosives, poisons, flammable liquids and gases, etc)?

  Yes

  No

  N/A

• Do you have procedures for identifying, assessing and controlling risks associated with manual handling (e.g. Controls in place: hand truck, hoists, cranes, etc)?

  Yes

  No

  N/A

• Does your company have procedures to prevent & reduce environmental emissions and damage?<br>Do your environmental procedures include containment and recovery processes?

  Yes

  No

  N/A

• Does your company have emergency response plans or management process (e.g. Fire, medical, emergencies, environmental issues)?

  Yes

  No

  N/A

• Does your company conduct regular HSE audits of your HSE Management System by external parties?

  Yes

  No

  N/A

Hazard and Risk Management

• Is there a process by which employees can report hazards at workplaces (and potential health, safety and environmental hazards)?

  Yes

  No

  N/A

• Provide an example of the Hazard Management process used by your company (e.g. identification, assessment, control and review)?

  Yes

  No

  N/A

• Does this process involve a regular Hazard Registry?

  Yes

  No

  N/A

• How does your company communicate hazards to your employees and sub-contractors?

  Yes

  No

  N/A

HSE Training & Induction

• Describe how HSE Training & Induction is conducted in your company (e.g. Confined space entry training, traffic control, first aid, waste management and disposal, hazardous substances, etc)?

  Yes

  No

  N/A

• Are records maintained of all training (certificates and licences) and induction programs undertaken for employees (existing and new employees) in your company?

  Yes

  No

  N/A

• Is there other specific HSE training for employees?

  Yes

  No

  N/A

• How does your company plan to manage inductions for the project?

  Yes

  No

  N/A

HSE Workplace Inspection

• Does your company have a process for regular (e.g. Weekly, monthly) HSE inspections at worksites?

  Yes

  No

  N/A

• Are standard workplace inspection checklists used to conduct health, safety and environmental inspections?

  Yes

  No

  N/A

• How is information presented to stakeholders (i.e. Workers, management, clients, etc)?

  Yes

  No

  N/A

Incident Management

• Is there a documented incident management and investigation procedure?

  Yes

  No

  N/A

• Is there a system for the notification of incidents to the regulatory bodies?

  Yes

  No

  N/A

• Is there a system for investigating incidents to determine causes, identify and implement appropriate actions to prevent a reoccurrence?

  Yes

  No

  N/A

HSE Offences

• Has the company had any enforcement activity or been convicted for a HSE offence in the pats 3 years (e.g. Improvement/ prohibition notices, etc)?

  Yes

  No

  N/A

Quality

• What systems are in place to demonstrate that all HSE requirements of a contract are being met (e.g. Compliance with Standards, Codes of Practice and Specifications,etc)?

  Yes

  No

  N/A

HSE Performance Monitoring

• Is there a system to record and analyse HSE performance statistics?

  Yes

  No

  N/A

• Are employees regularly provided with information on your HSE performance?

  Yes

  No

  N/A

HSE Statistics

• Can you provide a copy of your last three years data for Lost Time Injuries, Medical Treatment Injuries, and First Aid Injuries?

  Yes

  No

  N/A

Summary /Grading

• Superior: has exceeded all requirements <br>Advanced: has exceeded some minimum requirements <br>Acceptable: has met all minimum requirements<br>Not Acceptable: has only met some minimum requirements <br>Not Acceptable: has not responded or met any requirements

  Yes

  No

  N/A

Persons participating in the audit Print/Sign

• Name: <br><br>Name:<br><br>Name:<br><br>Name:

  Yes

  No

  N/A