Title Page

  • Assessement plan

  • Audit Objectives

  • Audit Criteria

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Assessment participants

  • Others people present at audit

  • Documentations

  • EHS Procedures

  • Document number

Opening meeting

  • Are there any follow-ups to the previous evaluation?

  • list which ones

6 Planning

    6 Planning

6.1.1 General

  • Varian office: Purchase of PPE, Tools or chemicals.

  • Has the procurement department been informed of the need to purchase PPE, Tools or Chemicals?

  • Attach evidence

  • Purchase of PPEs, Tools and chemicals required by FSE

  • Has the procurement department been informed of the need to purchase PPE, Tools or Chemicals?

  • Attach evidence

6.1.3 Determination of legal requirements and other requirements

  • Are Declaration of conformity, use and maintenance manual of PPE, Tools and Chemicals purchased present?

  • Attach evidence

7 Support

7 Support

7.3 Awareness

  • In case of purchase PPE, Tools or Chemicals, has the purchase requisition been signed by EHS Manager?

  • Attach evidence

7.4 Communication

  • Has purchase purchase requisition been sent to interested parties?

  • Attach evidence

7.5 Documented information

  • Verification of the presence of the purchase requisition and/or other supporting documentation.

10 Improvement

Findings -Comments- Corrective Actions

  • List any findings / comments / corrective actions

Overall conclusion

  • Number of health and safety non-conformities

  • Number of environmental non-conformities

  • Overall conclusion

Signature page

Signature

  • Auditor Signature

  • Audidee(s) Signature

  • Audidee(s) Signature

  • Audidee(s) Signature

  • Audidee(s) Signature

  • Audidee(s) Signature

  • Other person present at audit

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.