DRAFT - CONTRACTOR HSE AUDIT

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1 - GENERAL INFORMATION

• Services provided

2 - HSE ELEMENTS

• Do you have an HSE Management System?

  Yes

  No

  N/A

• Do you perform a Management System review?

  Yes

  No

  N/A

• Do you perform a review of the HSE Work procedures?

  Yes

  No

  N/A

• Is there a process to update/revise the HSE Management System and/or HSE Work Procedures?

  Yes

  No

  N/A

3 - HSE PERFORMANCE

• Do you have the most recent OSHA 300 log posted where employees can view or available for employees to view?

  Yes

  No

  N/A

4 - HSE STAFF

• Does company have staff personnel dedicated to HSE Management?<br>Title? Full-time? Part-time?

  Yes

  No

  N/A

5 - HSE MANUAL

• Does the company have a process in place for determining which existing regulations apply to specific operations?

  Yes

  No

  N/A

6 - HSE WORK PROCEDURES

7 - PERSONAL PROTECTIVE EQUIPMENT

8 - HEARING CONSERVATION

9 - FALL PROTECTION

10 - RESPIRATORY PROTECTION

11 - ACCESS TO MEDICAL RECORDS

12 - HAZARD COMMUNICATION

13 - INDUSTRIAL HYGIENE

43 - ADDITIONAL AUDIT ITEMS

• Local safety leadership team (operations and contractor) requirements.

• Specific regulatory topics applicable to contract company.