Title Page
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Audit Objectives
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Audit Criteria
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Areas assessed
- IT2
- IT3
- IT4
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Site conducted
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Conducted on
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Prepared by
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Location
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Assessment participants
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Others people present at audit
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Documentations
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EHS Procedures
- EHS-03-P01-Sorveglianza sanitaria
- EHS-03-P02-Neoassunti_Cambio Mansione
- EHS-03-P03-Gestione DPI
- EHS-03-P04-Acquisti
- EHS-03-P04-D01-Materiale di consumo e attrezzature di lavoro
- EHS-03-P05-Gestione delle attività in appalto
- EHS-03-P06-D01-Criteri nomina PEI
- EHS-03-P07-Gestione rifiuti
- EHS-03-P08-EHS-03-P06-D01-Criteri nomina PEI
- EHS-03-P11-Qualifica dei fornitori
- EHS-03-P12-Procedura Comunicazione al Registro delle operazioni commerciali (STRIMS) Sorgenti IR192
- EHS-03-P13-Sorveglianza Fisica e Sanitaria della Protezione
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Document number
Opening meeting
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Are there any follow-ups to the previous evaluation?
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list which ones
6 Planning
- 6 Planning
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District:
6.1.1 General
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Is the service contract signed by the customer present?
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Has the number of workers to carry out the activities been identified?
6.1.2. Hazard identification
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Is the DUVRI provided by the Customer present?
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Is the radiation safety document provided by the Customer present?
6.1.3 Determination of legal requirements and other requirements
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Does the assessment also include a Brachytherapy system?
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Is the documentation requested by STRIMS present? (Comunicazione al Registro delle operazioni commerciali)
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list which ones
- Comunicazione stipula del contratto
- Comunicazione immissione nel mercato
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Are safety costs included in the contract or tender with the Customer?
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Has the cooperation required by Article 26 of Legislative Decree 81/2008 and Article 112 of Legislative Decree 101/2020 been implemented with the customer?
7 Support
- 7 Support
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District:
7.1 Resources
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Are there any suppliers provided in the contract with the customer?
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Indicate the list of suppliers
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Has the subcontracts been authorized by the customer?
7.3 Awareness
Environmental aspects
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Is Manager (Preposto) aware of the management of waste produced during maintenance activities?
Health & Safety aspects
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Is Manager (Preposto) aware of the management of H&S matters during maintenance activities? (i.e. EHS trainings, radiation safety training, health check, PES-PEI)
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Is Manager (Preposto) aware of identifying the resources (workers and suppliers) needed to perform the maintenance activities?
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Is Manager (Preposto) aware of the management of interference risks during maintenance activities?
7.4 Communication
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Indicate the communications to and from the Customer present
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Indicate the internal communications present
7.5 Documented information
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List Health & Safety documentation present
- DUVRI
- Informativa rischi introdotti ex art 26
- Riunioni di cooperazione e coordinamento ex art.26
- Coordinamento delle misure di radioprotezione ex art 112 -113 d.gls 101/2020
- PSC
- POS
- Altra documentazione H&S predisposta dal committente
- None of the above
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List Environmental documentation present
8 Operation
- 8.1 Operational planning and control
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District:
8.1.4 Procurement
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Are there any suppliers listed in 7.1?
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Name of supplier
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Are the outsourced functions and processes controlled?
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Has the procedure for supplier qualification EHS-03-P11 been followed?
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Has the procedure for supplier qualification EHS-03-P05 been followed?
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Has all information required for cooperation and coordination under Article 26 of Legislative Decree 81/08 been acquired from subcontractors with an indication of the costs of safety and radiation protection measures?
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Comment
8.2 Emergency preparedness and response
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Is the customer's emergency response present?
10 Improvement
- Findings -Comments- Corrective Actions
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District:
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List any findings / comments / corrective actions
Overall conclusion
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Number of health and safety non-conformities
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Number of environmental non-conformities
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Overall conclusion
Signature page
Signature
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Auditor Signature
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Audidee(s) Signature
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Audidee(s) Signature
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Audidee(s) Signature
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Audidee(s) Signature
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Audidee(s) Signature
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Other person present at audit