Title Page

  • 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

Waste management (Equipment disposal)

    Waste Management
  • Customer name

6.1.1 General

  • 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?

  • Evidence

6.1.3 Determination of legal requirements and other requirements

  • Is copy of the waste form present (Destinatario del FIR)?

  • Evidence

  • Are licences of carrier and consignee present?

  • Evidence

7.4 Communication

  • Has EHS requested WEEE-Safe Consortium to dispose of the equipment by sending the documentation received from PM?

  • Evidence

7.5 Documented information

  • Have waste forms (FIR) been saved in the intranet?

  • Evidence

  • Have licences of carrier and consignee been saved in the intranet?

  • Evidence

10 Improvement

  • List any findings / comments / corrective actions

Waste management (Waste from maintenance activities)

    Waste management
  • Customer name

6.1.1 General

  • Is there an agreement with the WEEE-safe consortium for waste management?

  • Evidence

  • Has FSE requested EHS to dispose of the waste by submitting the form EHS-03-P07-M02-Allegato Scheda Ritiro da manutenzione?

  • Evidence

6.1.3 Determination of legal requirements and other requirements

  • Are both copies of the waste form present (copia produttore e distinatario del FIR)?

  • Evidence

  • Are licences of carrier and consignee present?

  • Evidence

7.4 Communication

  • Has EHS requested WEEE-Safe Consortium to dispose of the waste by sending the documentation received from FSE?

  • Evidence

7.5 Documented information

  • Have waste forms (FIR) been saved in the intranet?

  • Evidence

  • Have licences of carrier and consignee been saved in the intranet?

  • Evidence

10 Improvement

  • 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.
  • Customer and subcontractor(s) name:

6.1.1 General

  • Did SCS or Service officially request EHS to qualify a subcontractor for a certain hospital?

  • Evidence

  • Has the supplier been approved according to procedures EHS-03-P11 and EHS-03-P05?

  • Evidence

7.1 Resources

  • Are EHS training courses for supplier workers present?

  • Evidence

  • Are Idoneità alla mansione for supplier workers present?

  • Evidence

7.4 Communication

  • Has EHS documentation of the subcontractor qualification process been sent to SCS?

  • Evidence

10 Improvement

  • 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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