EHS-04-D07-M02b -Rev 02- Internal Audit - Process: HR - EHS - 22/08/2024

• Audit Objectives

  Select

• Audit Criteria

  Select

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Assessment participants

• Others people present at audit

• Documentations

• EHS Procedures

  Select 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

  • 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

• Document number

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

  Yes

  No

• list which ones

• During assessed period, were there any new hires?

  Yes

  No
6.1.1 General

• Employee's name

• Was EHS department been informed in advance of the new employee's hire date?

  Yes

  No

  N/A

• Attach evidence

  Media

• Before hiring, it was asked if he/she is/was a radiation worker?

  Yes

  No

  N/A

6.1.3 Determination of legal requirements and other requirements

• Is idoneità alla mansione been signed by employee and employer present?

  Yes

  No

  N/A

• Attach evidence

  Media

• Are mandatory EHS training certificates present?

  Yes

  Partial

  No

  N/A

• Attach evidence

  Media

• Has it been verified that the employee is not assigned to the job without a Suitability for the Job Certificate (Idoneità alla mansione)?

  Yes

  No

  N/A

• Attach evidence

  Media

7.1 Resources

• Have EHS trainings been organized with the AIFOS supplier?

  Yes

  No

• Attach evidence

  Media

• Is Employee belong to GO 04 or GO 06?

  Yes

  No

• Has radiation safety training been organized with EdR?

  Yes

  No

• Attach evidence

  Media

• Attach evidence that the worker has already taken a radiation safety training

  Media

• Have new dosimeters been requested from the supplier Tecnorad?

  Yes

  No

• Attach evidence

  Media

• Is Employee Dirigente or Preposto of G04 or G06?

  Yes

  No

• Has radiation safety training for Dirigente/Preposto been organized with EdR?

  Yes

  No

• Attach evidence

  Media

7.3 Awareness

• Based on the GO, have PPE and dosimeters been given to the Employee?

  Yes

  No

  N/A

• Attach evidence

  Media

• Have health checks have been organized as required by procedures EHS-03-P01 and EHS-03-P13?

  Yes

  No

  N/A

• Attach evidence

  Media

7.4 Communication

• Has MC/MA been informed?

  Yes

  No

• Attach evidence

  Media

• If Employee belong to GO 04 or 06, have the EDR and MA been informed?

  Yes

  No

  N/A

• Attach evidence

  Media

7.5 Documented information

• Is idoneità alla mansione signed by Employee and Employer present?

  Yes

  No

• Attach evidence

  Media

• Is allegato H - Scheda Attribuzione GO-MT-DEF del DVR signed by Employee and Manager/Employer present?

  Yes

  No

• Attach evidence

  Media

• Are PPE issue records present?

  Yes

  No

  N/A

• Attach evidence

  Media

• During assessed period, were there any job changes?

  Yes

  No
6.1.1 General

• Employee's name

• Was EHS department informed in advance of the employee's job change date?

  Yes

  No

  N/A

• Attach evidence

  Media

• Is allegato H - Scheda Attribuzione GO-MT-DEF del DVR signed by Employee and Manager/Employer present?

  Yes

  No

• Attach evidence

  Media

6.1.3 Determination of legal requirements and other requirements

• Based on the new job description, has the need to be visited by the MA/MC for job suitability been assessed?

  Yes

  No

• Based on the new job description, has the need of additional trainings been assessed?

  Yes

  No

7.1 Resources

• If necessary, have EHS trainings been organized with the AIFOS supplier?

  Yes

  No

• Attach evidence

  Media

• Based on the new job description, is Employee Dirigente or Preposto of G04 or G06?

  Yes

  No

• Has radiation safety training for Dirigente/Preposto been organized with EdR?

  Yes

  No

• Attach evidence

  Media

• If necessary, have new dosimeters been requested from the supplier Tecnorad?

  Yes

  No

  N/A

• Attach evidence

  Media

7.3 Awareness

• Based on new GO, if necessary, have PPE and dosimeters been given to the Employee?

  Yes

  No

  N/A

• Attach evidence

  Media

7.4 Communication

• If necessary, has MC/MA been informed?

  Yes

  No

• Attach evidence

  Media

• If the new job description belong to GO 04 or GO 06, has the EdR been informed?

  Yes

  No

  N/A

• Attach evidence

  Media

• In the cases provided for in the procedure, have the Employee's Manager and HR been informed of the results of idoneità alla mansione?

  Yes

  No

  N/A

• Attach evidence

  Media

7.5 Documented information

• If provided, is idoneità alla mansione signed by employee and employer present?

  Yes

  No

  N/A

• Attach evidence

  Media

• If provided, is PPEs issue record present?

  Yes

  No

  N/A

• Attach evidence

  Media

• Any other documented information present

• During assessed period, were there any terminations of employment?

  Yes

  No
6.1.1 General

• Employee's name

• Was EHS department informed in advance of the employee's termination date?

  Yes

  No

  N/A

• Attach evidence

  Media

• Did he/she belong to GO 04 or GO 06?

  Yes

  No

• Has the closing medical examination been arranged with MA?

  Yes

  Partial

  No

  N/A

• Attach evidence

  Media

• Has EDR been informed of the closure of the dosimetry registry?

  Yes

  No

  N/A

• Attach evidence

  Media

6.1.3 Determination of legal requirements and other requirements

• If he/she belong to GO 04 or GO 06, did Varian have the evidence that MA sent the Documentazione sanitaria to INAIL?

  Yes

  No

  N/A

• Attach evidence

  Media

7.1 Resources

• If he/she belong to GO 04 or GO 06, has been informed Tecnorad that as of a certain date to stop supplying dosimeters for the retired employee?

  Yes

  No

• Attach evidence

  Media

7.4 Communication

• Has MC/MA/EDR been informed?

  Yes

  No

• Attach evidence

  Media

7.5 Documented information

• Any documented information

Injuries

• During assessed period, did any injuries occur?

  Yes

  No
10.2 Injury record

• Employee's name

• Was the injury recorded as required by law?

  Yes

  No

  N/A

• Attach evidence

  Media

6.1.1 General

• Are mandatory Health checks due dates monitored?

  Yes

  Partial

  No

  N/A

• Evidence

• Are Health checks scheduled before deadlines?

  Yes

  No

  N/A

• Evidence

• Are there cases of absence from work for health reasons exceeding sixty continuous days?

  Yes

  No

• Has the EHS been informed of the need for a new health check before resuming work?

  Yes

  Partial

  No

  N/A

• Attach evidence

  Media

6.1.3 Determination of legal requirements and other requirements

• Are there Employees with who have overdue Health checks?

  Yes

  No

• Employee's name

• What are the reason why he/she has overdue mandatory Health checks?

7.4 Communication

• In the cases provided for in the procedure, have the employee's Manager and HR been informed of the results of idoneità alla mansione?

  Yes

  No

  N/A

• Attach evidence

  Media

6.1.1 General

• Are mandatory EHS training course due dates monitored?

  Yes

  Partial

  No

  N/A

• Evidence

• Are EHS trainings scheduled before deadlines?

  Yes

  No

  N/A

• Evidence

6.1.3 Determination of legal requirements and other requirements

• Are there Employees with who have overdue training?

  Yes

  No

• Employee's name

• What are the reason why he/she has overdue mandatory EHS training(s)?

7.5 Documented information

• EHS trainings certificates

6.1.1 General

Dose values exceeding Varian's internal and regulatory dose limits

• Have there been any cases of dose values exceeding Varian's internal and regulatory dose limits?

  Yes

  No

• Has EHS been informed by EDR?

  Yes

  No

  N/A

• Has the root cause analysis been carried out?

  Yes

  Partial

  No

  N/A

• Has corrective action(s) been implemented?

  Yes

  Partial

  No

  N/A

• Evidence

Overexposure of a dosimeter

• Have cases of accidental overexposure of a dosimeter occurred?

  Yes

  No

• Did the employee notify EHS that his/her dosimeter(s) was accidentally overexposed?

  Yes

  Partial

  No

  N/A

• Attach evidence

  Media

• Has the specific form for accidental irradiation of a dosimeter been filled and signed by the Employee?

  Yes

  No

• Has it been sent to EDR?

  Yes

  No

• What are the recommendations of EDR?

Findings -Comments- Corrective Actions

• List any findings / comments / corrective actions

• Number of health and safety non-conformities

• Number of environmental non-conformities

• Overall conclusion

Signature

• Auditor Signature

  Sign

• Audidee(s) Signature

  Sign

• Audidee(s) Signature

  Sign

• Audidee(s) Signature

  Sign

• Audidee(s) Signature

  Sign

• Audidee(s) Signature

  Sign

• Other person present at audit

  Sign