Information

  • Document No.

  • Site / Company

  • Conducted on

  • Prepared by

  • Personnel interviewed and accompanying auditor

Procedure

Occupational health hazard identification

  • Are all potential sources of exposure identified through the process of risk assessment?

  • Is the process considered previous risk assessment, exposure monitoring results, medical surveillance results, health incidents and the findings of audits performed ?

  • Are SEGs establishment?

  • Are SEGs reviewed for their relevancy at a minimum of every 2 years or where a change in process, task, or controls ?

Exposure Assessments

  • Is the site undertake exposure assessment to assess the exposure of workers to hazards in the workplaces?

  • is the exposure measured through personal and stationary monitoring?

  • Are sampling methodologies consistent with the requirements of international recognized standards?

  • All sample analysis carried out by accredited laboratories?

  • Are controls identified and their effectiveness taken into account when evaluating exposure ?

  • Is the priority for sampling given to employees at highest risk of exposure?

Sampling plan and data collection

  • Is the minimum number of samples taken for each SEG per company procedure?

  • Is the IH sampling schedule or plan established?

  • Are individuals sampled being randomly chosen?

  • The sampling conducted for the purpose of long term exposure assessment, is normally based on routine operation under normal conditions?

Determination of exposure levels and control

  • Are results of exposures compared against OEL?

  • Are controls put in place to manage exposure below OEL?

  • When recommending control for identified and assessed hazards, is the hierarchy of control applied?

Communication of exposure monitoring results

  • After receipt of any monitoring results, sampled employees notified about their monitoring results?

  • Is the monitoring made personally to the sampled worker?

  • Is the IH notification form used whenever there is exceedence?

  • Are all OEL exceedences reported within 24 hours upon receipt and confirmation of results?

  • Is the notification made to the appropriate HoD or supervisor for the area where exceedence occurred?

  • Is the investigation conducted for every incident I.e. exceedence with maximum reasonable corrective actions ?

  • Are all personal monitoring results reported back to the employees concerned within 7 days of receipt of results?

  • Is the IH report prepared and submitted to management within 7 days upon receipt and confirmation of results

  • Is the IH report includes recommendations and actions taken?

  • Is the annual IH monitoring summary data provided to management for each SEG

Quality control

  • Are monitoring equipment appropriately calibrated ?

  • Are staff carrying out workplace monitoring have adequate training or experience?

  • Are field sample blank provided for each set of samples submitted to lab?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.