Title Page
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Audit Objectives
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Audit Criteria
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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-Gestione Infortuni-NMGO-NC
- 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
Waste management (Equipment disposal)
- Waste Management
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Customer name
6.1.1 General
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Has PM requested EHS to dispose of the equipment by submitting the form EHS-03-P07-M03-Allegato Scheda Ritiro Rifiuti RAEE and the Attestazione analitica di caratterizzazione del rifiuto signed by the Customer?
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Evidence
6.1.3 Determination of legal requirements and other requirements
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Is copy of the waste form present (Destinatario del FIR)?
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Evidence
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Are licences of carrier and consignee present?
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Evidence
7.4 Communication
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Has EHS requested WEEE-Safe Consortium to dispose of the equipment by sending the documentation received from PM?
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Evidence
7.5 Documented information
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Have waste forms (FIR) been saved in the intranet?
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Evidence
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Have licences of carrier and consignee been saved in the intranet?
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Evidence
10 Improvement
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List any findings / comments / corrective actions
Waste management (Waste from maintenance activities)
- Waste management
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Customer name
6.1.1 General
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Is there an agreement with the WEEE-safe consortium for waste management?
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Evidence
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Has FSE requested EHS to dispose of the waste by submitting the form EHS-03-P07-M02-Allegato Scheda Ritiro da manutenzione?
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Evidence
6.1.3 Determination of legal requirements and other requirements
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Are both copies of the waste form present (copia produttore e distinatario del FIR)?
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Evidence
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Are licences of carrier and consignee present?
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Evidence
7.4 Communication
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Has EHS requested WEEE-Safe Consortium to dispose of the waste by sending the documentation received from FSE?
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Evidence
7.5 Documented information
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Have waste forms (FIR) been saved in the intranet?
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Evidence
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Have licences of carrier and consignee been saved in the intranet?
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Evidence
10 Improvement
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List any findings / comments / corrective actions
Suppliers qualification
- Supplier (verification of documents required under Article 26 prior to the beginning of work by the subcontractor(s)) - Chapter 7.1 of Procedure EHS-03-P05.
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Customer and subcontractor(s) name:
6.1.1 General
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Did SCS or Service officially request EHS to qualify a subcontractor for a certain hospital?
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Evidence
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Has the supplier been approved according to procedures EHS-03-P11 and EHS-03-P05?
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Evidence
7.1 Resources
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Are EHS training courses for supplier workers present?
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Evidence
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Are Idoneità alla mansione for supplier workers present?
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Evidence
7.4 Communication
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Has EHS documentation of the subcontractor qualification process been sent to SCS?
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Evidence
10 Improvement
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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