CP - Layered Audit Checklist

• Layered Audit Topic:

• Conducted on

  Date

• Team Leader:

• Team Member 2.

• Team Member 3.

PRE AUDIT MEETING

Discuss Last Audit and Actions ?

• Last Audit discussed ?

  Yes

  No

  N/A

• Actions available ?

  Yes

  No

  N/A

• Actions Closed - out or progression

  Yes

  No

  N/A

• Has a topic been selected for the Layered Audit ?

  Yes

  No

  N/A

• Is the topic relevant and Specific ?

  Yes

  No

  N/A

• Are there at least two levels of line present ?

  Yes

  No

  N/A

• Lead Auditor / Team members ?

  Yes

  No

  N/A

• Process Checker / Time Keeper ?

  Yes

  No

  N/A

• HSEC GLD's, standards or Procedures, FRC's ?

  Yes

  No

  N/A

• Risk bow-ties, 1SAP CDA, 1SAP CET, 1SAP CCV ?

  Yes

  No

  N/A

• Relevant legislation ?

  Yes

  No

  N/A

• Audit Test Plan Developed - area, people, questions identified ?

  Yes

  No

  N/A

OBSERVE FIELD PRACTICES

Observe Work Area

• Did the team follow all the HSE Rules in the field ?

  Yes

  No

  N/A

• Did they miss any key hazards/risks ?

  Yes

  No

  N/A

• Did the team respond appropriately to situations ?

  Yes

  No

  N/A

Interaction Process

• Was a good interaction process followed in the field ?

  Yes

  No

  N/A

• * Observe behaviour during an activity.
  * Safely stop activity, introduce self and ask the participant to explain the task and associated risks.
  * Commend positive behaviours and discuss "at risk" behaviours.
  * Get commitment to work safely.
  * Thank the participant and action findings and provide feedback.

Check Records

• What records were checked ?

  Select LMS SOP's LMS Authorisations Prestart Sign on Plant Prestart BMA SAFE / Take 5 JSA Permits Other None

  • LMS SOP's
  • LMS Authorisations
  • Prestart Sign on
  • Plant Prestart
  • BMA SAFE / Take 5
  • JSA
  • Permits
  • Other
  • None

• Did that correlate with the Audit Test Plan ?

  Yes

  No

  N/A

POST AUDIT MEETING

Observation Discussed

• Gaps in expected standards discussed and expectations clearly set ?

  Yes

  No

  N/A

• Was enough time allowed for the audit ?

  Yes

  No

  N/A

• Did the Lead Auditor ask for feedback to improve ?

  Yes

  No

  N/A

Actions Closed-Out

• Were actions discussed and agreed ?

  Yes

  No

  N/A

• Were SMART actions assigned and prioritised (max 5 actions) ?

  Yes

  No

  N/A

• Link to risk register, Management of Change or SE's made where needed ?

  Yes

  No

  N/A

• Select date

  Date

Person being observed ? Sign off

• Person being observed 1. Name and Signature

  Sign

• Person being observed 2. Name and Signature

  Sign

• Person being observed 3. Name and Signature

  Sign

• Person being observed 4. Name and Signature

  Sign

Coach?

• Coach. Name and Signature

  Sign

• # of attempts

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Competent/Not yet Competent?

  Yes

  No

  N/A

Person Being Observed 1 up Manager

• Person being Observed 1 up Manager. Name and Signature

  Sign