Title Page

  • Audit Objectives

  • Audit Criteria

  • Areas assessed

  • 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
  • District:

6.1.1 General

  • Is the service contract signed by the customer present?

  • Has the number of workers to carry out the activities been identified?

6.1.2. Hazard identification

  • Is the DUVRI provided by the Customer present?

  • Is the radiation safety document provided by the Customer present?

6.1.3 Determination of legal requirements and other requirements

  • Does the assessment also include a Brachytherapy system?

  • Is the documentation requested by STRIMS present? (Comunicazione al Registro delle operazioni commerciali)

  • list which ones

  • Are safety costs included in the contract or tender with the Customer?

  • 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
  • District:

7.1 Resources

  • Are there any suppliers provided in the contract with the customer?

  • Indicate the list of suppliers

  • Has the subcontracts been authorized by the customer?

7.3 Awareness

Environmental aspects

  • Is Manager (Preposto) aware of the management of waste produced during maintenance activities?

Health & Safety aspects

  • 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)

  • Is Manager (Preposto) aware of identifying the resources (workers and suppliers) needed to perform the maintenance activities?

  • Is Manager (Preposto) aware of the management of interference risks during maintenance activities?

7.4 Communication

  • Indicate the communications to and from the Customer present

  • Indicate the internal communications present

7.5 Documented information

  • List Health & Safety documentation present

  • List Environmental documentation present

8 Operation

    8.1 Operational planning and control
  • District:

8.1.4 Procurement

  • Are there any suppliers listed in 7.1?

  • Name of supplier

  • Are the outsourced functions and processes controlled?

  • Has the procedure for supplier qualification EHS-03-P11 been followed?

  • Has the procedure for supplier qualification EHS-03-P05 been followed?

  • 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?

  • Comment

8.2 Emergency preparedness and response

  • Is the customer's emergency response present?

10 Improvement

    Findings -Comments- Corrective Actions
  • District:

  • 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

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