ESH management system audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

21-200 01/02 ESH Policy and values

• ESH policy statement<br><br>

  Yes

  No

  N/A

• Does management ensure that employees use the ESH policy and ESH Management System to support ITT’s: 1) core values, which include respect, responsibility, and integrity; and, 2) integrated strategic processes, which include profitable growth, resource optimization, operational excellence, leadership and learning?<br><br>

  Yes

  No

  N/A

• Does the ESH policy meet or exceed relevant ESH legislation, regulations, and other requirements?<br><br>Does the ESH policy include a commitment to: 1) pollution prevention, and prevention of injury and ill health; 2) continual improvement in ESH management and performance; 3) being a leader in environmental protection, human health and safety, worldwide; 4) dedicated to world class products and customer support; and, 5) creating a safe and healthy workplace.<br><br>

  Yes

  No

  N/A

• Does the site make this policy available to interested parties and the public?<br><br>

  Yes

  No

  N/A

• Does the site periodically review this policy to ensure that it remains relevant and appropriate and update if required?

  Yes

  No

  N/A

21-100 3.4 Objectives ,targets and Programs

• Has the site established site-specific ESH objectives and targets that are consistent with ESH policy and prioritized based on Environmental aspects, impacts, OSH risks and applicable regulatory requirements? <br><br>

  Yes

  No

  N/A

• Have ESH programs been established, implemented, reviewed and updated at least annualy to achieve stated objectives and targets?

  Yes

  No

  N/A

21-300 01 Env aspects , OSH risks

• Does the site identify their environmental aspects and OSH risks, and their prioritization according to their established procedures?<br><br>

  Yes

  No

  N/A

• Are aspects/impacts and OSH risks reassessed as defined (at least annually) and when there are changes in regulations or site processes and following incidences that reflect breakdowns in ESH programs, or the ESHMS?<br><br>

  Yes

  No

  N/A

• Has senior management ensured that resources are budgeted and allocated to control OSH risks and significant aspects, and to meet associated objectives and targets?<br><br>

  Yes

  No

  N/A

• Are significant aspects and risks taken into account when establishing, implementing and maintaining operational controls?<br><br>

  Yes

  No

  N/A

• Is a list of the aspects and risks published and made available to site/site employees at least once a year?<br><br>

  Yes

  No

  N/A

• Does senior site or site management review the ESH aspects and risks on an annual basis?

  Yes

  No

  N/A

21-100 4.4 Communication

• Has the site developed, implemented, and maintained processes to communicate environmental aspects, OSH risks and the ESH management system throughout the site? <br><br>

  Yes

  No

  N/A

• Has the site developed, implemented, and maintained processes to communicate environmental aspects and OSH risks to visitors, contractors, and when requested, regulatory agencies?<br><br>

  Yes

  No

  N/A

• Have processes been developed, implemented and maintained to receive, document, and respond to relevant communication from external interested parties?<br><br>

  Yes

  No

  N/A

• Are the communication processes periodically reviewed for effectiveness?

  Yes

  No

  N/A

21-100 5.5 Nonconformity , corrective and preventive actions

• Has the site developed, implemented, and maintained procedures and processes for dealing with corrective and preventive actions?<br><br>

  Yes

  No

  N/A

• Are corrective and preventive actions tracked to completion with associated records maintained and effectiveness determined?<br><br>

  Yes

  No

  N/A

• Are site environmental aspects/impacts and OSH risks , updated following corrective and preventive actions?

  Yes

  No

  N/A

21-300 02 Legal requirements

• Does the site identify their environmental aspects and OSH risks, and their prioritization according to their established procedures?<br><br>

  Yes

  No

  N/A

• Are aspects/impacts and OSH risks reassessed as defined (at least annually) and when there are changes in regulations or site processes and following incidences that reflect breakdowns in ESH programs, or the ESHMS?<br><br>

  Yes

  No

  N/A

• Has senior management ensured that resources are budgeted and allocated to control OSH risks and significant aspects, and to meet associated objectives and targets?<br><br>

  Yes

  No

  N/A

• Are significant aspects and risks taken into account when establishing, implementing and maintaining operational controls?<br><br>

  Yes

  No

  N/A

• Is a list of the aspects and risks published and made available to site/site employees at least once a year?<br><br>

  Yes

  No

  N/A

• Does senior site or site management review the ESH aspects and risks on an annual basis?

  Yes

  No

  N/A

21-200 03 Resources , Roles and Responsibilities

• Has the site implemented and maintained an ESH accountability program that follows the requirements of 21-200.03? (ESH responsibilities defined, measured and recognized?)”.

  Yes

  No

  N/A

• Are site personnel authorized, required and empowered to: 1) shut down operations where imminent danger to people or the environment exists, with appropriate management coordination; 2) make appropriate notifications regarding ESH incidents - e.g. injuries, near misses, fires, spills, etc. ; 3) report unsafe acts and conditions, and work with management to initiate corrective actions for ESH program non-compliance; 4) assess and review accessible operations, on or off-site for regulatory compliance and compliance with ESH policies; ?

  Yes

  No

  N/A

• Has site management appointed and given due authority to ESH coordinators who have the appropriate background to implement and manage an effective ESH program that includes occupational/industrial hygiene, environmental protection, safety, pollution prevention, waste management, health and fire prevention/protection as defined in 21-200.03?

  Yes

  No

  N/A

• Does the site reward and recognize strong ESH performance by individuals and/or by teams with positive reinforcement, and ensure that there are defined consequences for poor performance in accordance with 21-200.03?

  Yes

  No

  N/A

21-400.03 procurement

• establish and implement processes to identify, evaluate and control potential health and safety risks as well as environmental impacts as related to procurement of supplies, equipment, raw materials, chemicals, and other goods and related services before introduction <br>

  Yes

  No

  N/A

• establish requirements for supplies, equipment, raw materials, chemicals, and other goods and related services purchased by each Unit to control potential health and safety risks and environmental impacts.<br>

  Yes

  No

  N/A

• ensure that purchased products, raw materials, and other goods and related services

  Yes

  No

  N/A

21-400.06 Education and training

• employee training program:A written training plan must be established annually. The training plan must include course topics and the anticipated audience.

  Yes

  No

  N/A

• Evaluation: Completion of the training plan for the previous year must be reviewed and documented

  Yes

  No

  N/A

21-500.02 documenting and preventing occupational injuries

• method for identifying hazards, initiating corrective and preventive action.<br>

  Yes

  No

  N/A

• Procedures for the reporting of incidents, injuries and illnesses. These reporting procedures apply to employees, contractors and visitors. <br>

  Yes

  No

  N/A

• Procedures to notify the Group ESH Department and Corporate ESH of incidents detailed in ESH Procedure “Reporting and Resolving ESH Incidents and Potential Hazards” (See Section 8.0), within 24 hours of occurrence or report <br>

  Yes

  No

  N/A

• Procedures to determine if an injury or illness is work-related.<br>

  Yes

  No

  N/A

• Documented investigations of every incident, injury and illness to determine the root cause. <br>

  Yes

  No

  N/A

• Implementation of the SAFE Accident Prevention program<br>1. Use of the Accident Investigation Report Form (See Section 8.0), or equivalent, if approved by ITT ESH Director or designee.<br>2. Use of the Root Cause Analysis (See Section 8.0), or equivalent, if approved by ITT ESH Director or designee.<br>3. A corrective action plan to prevent recurrence.<br><br>

  Yes

  No

  N/A

• Procedures to ensure compliance with all applicable regulations and posting requirements. <br>

  Yes

  No

  N/A

• Posting occupational injury and illness frequency and severity metrics at least quarterly.<br>

  Yes

  No

  N/A

• Reviewing past injury and illness statistics to define trends and identify preventive measures at least annually.

  Yes

  No

  N/A

21-400.14 DRINKING WATER MANAGEMENT

• transport system protected for contamination<br>

  Yes

  No

  N/A

• contingency plan <br>

  Yes

  No

  N/A

• compliance<br>

  Yes

  No

  N/A

• tests if water not supplied by Municipality<br>

  Yes

  No

  N/A

• transport equipments inspected

  Yes

  No

  N/A

21-400.15 WASTE MANAGEMENT

• documenting and accounting disposal <br>

  Yes

  No

  N/A

• storage areas designed and <br>identified

  Yes

  No

  N/A

• spill and weather protected<br>

  Yes

  No

  N/A

• compliance and contractors according to law

  Yes

  No

  N/A

21-400.16 AIR EMISSIONS MANAGEMENT

• inventory and compliance<br>

  Yes

  No

  N/A

• inadvertent release controlled

  Yes

  No

  N/A

21-400.17 WASTEWATER MANAGEMENT

• streams identification and characterization <br>

  Yes

  No

  N/A

• control of discharges <br>

  Yes

  No

  N/A

• permits <br>

  Yes

  No

  N/A

• accidental release , <br>

  Yes

  No

  N/A

• preventing contamination of streams

  Yes

  No

  N/A

21-400.18 MANAGEMENT OF HAZARDOUS MATERIALS

• secondary containment <br>

  Yes

  No

  N/A

• containment 110% vol of the largest container<br>

  Yes

  No

  N/A

• containment construction material compatible with stored material <br>

  Yes

  No

  N/A

• labeling <br>

  Yes

  No

  N/A

• MSDS availability and known by the employees <br>

  Yes

  No

  N/A

• on-going training for haz mat handling <br>

  Yes

  No

  N/A

• chemicals inventory (see content in policy<br>

  Yes

  No

  N/A

• procedures to control leaks and spills

  Yes

  No

  N/A

21-400.19 ASBESTOS IN PREMISES

• survey for id <br>

  Yes

  No

  N/A

• maintenance only by trained personnel

  Yes

  No

  N/A

• removal procedure

  Yes

  No

  N/A

21-400.20 LIFE SAFETY

• 2 means of egress / story <br>

  Yes

  No

  N/A

• fire-resistant interior finishes<br>

  Yes

  No

  N/A

• fire alarm system <br>

  Yes

  No

  N/A

• 1-2 fire drills / year <br>

  Yes

  No

  N/A

• Emergency exit route maps posted and current<br>

  Yes

  No

  N/A

• Emergency exit routes/ doors kept free of obstructions

  Yes

  No

  N/A

21-400.21 FIRE PREVENTION AND PROTECTION

• FRA / location <br>

  Yes

  No

  N/A

• fire alarm - suppression systems and smoke detectors connected to central alarm system <br>

  Yes

  No

  N/A

• fire events investigation<br>

  Yes

  No

  N/A

• fire producing damage >1,000 $ be reported in MESH <br>

  Yes

  No

  N/A

• procedure for handling and storing flammables<br>

  Yes

  No

  N/A

• hot work program<br>

  Yes

  No

  N/A

• labeling of flammables pipes <br>

  Yes

  No

  N/A

• Fire extinguishers access free of obstruction<br>

  Yes

  No

  N/A

• All extinguishers inspected within one month of current month

  Yes

  No

  N/A

21-400.22 EMERGENCY EYEWASHES AND SHOWERS

• located close to hazards < 30 m or 10 sec <br>

  Yes

  No

  N/A

• required if according to MSDS eye may be damaged by splash <br>

  Yes

  No

  N/A

• signs visible<br>

  Yes

  No

  N/A

• free path all time<br>

  Yes

  No

  N/A

• well maintained <br>

  Yes

  No

  N/A

• 15 l / min for min of 15 min <br>

  Yes

  No

  N/A

• once activated : free hands operation,

  Yes

  No

  N/A

21-400.23 MATERIAL HANDLING EQUIPMENT

• inventory<br>

  Yes

  No

  N/A

• capacity ratings <br><br>

  Yes

  No

  N/A

• inspections<br>

  Yes

  No

  N/A

• employee training<br>

  Yes

  No

  N/A

• battery charging area : emerg shower and eyewash / ventilated area / no smoking sign

  Yes

  No

  N/A

21-40024¸LONE OPERATOR

• program: determination of low / medium and high hazards areas <br>

  Yes

  No

  N/A

• High hazards (distribution panels, energized equip, >50 V, permit req. Confined space , working with conc. Acids or basis) : no lone operator is allowed

  Yes

  No

  N/A

21-400.25 EMERGENCY PREPAREDNESS AND RESPONSE

• written ERP: evacuation procedure<br>

  Yes

  No

  N/A

• methods to account people<br>

  Yes

  No

  N/A

• identification of potential emergency situations <br>

  Yes

  No

  N/A

• inspections and maintenance of emergency equipments<br>

  Yes

  No

  N/A

• procedures to handle off-hours situations,<br>

  Yes

  No

  N/A

• training of related employees

  Yes

  No

  N/A

21-400.26 PERSONAL PROTECTIVE EQUIPMENT (PPE)

• only used when hazards can't be eliminated<br>

  Yes

  No

  N/A

• properly designed<br>

  Yes

  No

  N/A

• approved by local authority <br>

  Yes

  No

  N/A

• employees responsible for maintaining the ppe<br>

  Yes

  No

  N/A

• hazard assessment before defining the use of ppe <br>

  Yes

  No

  N/A

• training for use

  Yes

  No

  N/A

21-400.27 CONFINED SPACE ENTRY

• identification<br>

  Yes

  No

  N/A

• labeling, <br>

  Yes

  No

  N/A

• exposed employees training <br>

  Yes

  No

  N/A

• procedure <br>

  Yes

  No

  N/A

• to be informed to contractors of confined spaces

  Yes

  No

  N/A

21-400.28 ELECTRICAL SAFETY

• designed and qualified person for overall electrical distribution updated if circuit is modified<br>

  Yes

  No

  N/A

• inspection and maintenance program <br>

  Yes

  No

  N/A

• wiring according to codes <br>

  Yes

  No

  N/A

• periodic training <br>

  Yes

  No

  N/A

• power tools double insulated or grounded <br>

  Yes

  No

  N/A

• labeled ( Volt and current) with permanent marking method

  Yes

  No

  N/A

• wet or damp areas : GFCI,<br>

  Yes

  No

  N/A

• extension cords not used for more than 30 days <br>

  Yes

  No

  N/A

• cords defects-free <br>

  Yes

  No

  N/A

• All work with a potential exposure to energized equipment or components is only conducted by employees specifically trained for such work<br>

  Yes

  No

  N/A

• Written documentation of this training must be retained. <br>

  Yes

  No

  N/A

• Arc flash hazards, including calculation of incident energy, arc flash hazard risk category, arc flash boundaries<br>

  Yes

  No

  N/A

• required PPE and labeling<br>

  Yes

  No

  N/A

• must be determined prior to commencement of work<br>

  Yes

  No

  N/A

• Equipment power cords no longer than six feet

  Yes

  No

  N/A

21-400.29 LOCKOUT / TAGOUT

• written procedure <br>

  Yes

  No

  N/A

• individual locks and tags <br>

  Yes

  No

  N/A

• new equipments considered <br><br>

  Yes

  No

  N/A

• all sources of energy identified <br><br>

  Yes

  No

  N/A

• double-blocked flammable/ high temp & pressure / corrosive pipes and drained before work

  Yes

  No

  N/A

• annual training

  Yes

  No

  N/A

21-400.30 STORAGE AND HANDLING OF COMPRESSED GASES

• training <br>

  Yes

  No

  N/A

• labeled tanks <br>

  Yes

  No

  N/A

• cylinders not re-used for gas diff than original <br>

  Yes

  No

  N/A

• weather/ corrosion and physical damage protection <br>

  Yes

  No

  N/A

• stored away from incompatible gases ( e.g. flammable and O2) <br>

  Yes

  No

  N/A

• protective devices like caps <br>

  Yes

  No

  N/A

• indoor storage min m as possible , and if indoor equipped with fire protection <br>

  Yes

  No

  N/A

• empty and full tanks separately and segregated by barrier ( e.g. wall)

  Yes

  No

  N/A

21-400.31 OPERATION AND MAINTENANCE OF PRESSURIZED TANKS

• inventory <br>

  Yes

  No

  N/A

• regular inspection and cleaning of tanks/ piping system and valves for boilers: int and ext inspection ( corrosion , cracks , wall thickness annually ) <br>

  Yes

  No

  N/A

• training <br>

  Yes

  No

  N/A

• shut-down procedures

  Yes

  No

  N/A

21-400.32 ERGONOMICS

• identification of ergonomic hazards<br>

  Yes

  No

  N/A

• periodic review of ergonomic injuries to perform hazard assessments<br>

  Yes

  No

  N/A

• training<br>

  Yes

  No

  N/A

• medical management program for ergonomic injuries

  Yes

  No

  N/A

21-400.33 MACHINE GUARDING

• for normal / special and setup operations, <br>

  Yes

  No

  N/A

• disciplinary procedures in place <br>

  Yes

  No

  N/A

• preventive maintenance of the guarding <br>

  Yes

  No

  N/A

• annual review of machines guarding <br>

  Yes

  No

  N/A

• grinders: tongue Guard was not kept within ¼” from wheel at all ; Tool Rest was not kept within1/8” from wheel at all times <br>bolted <br>

  Yes

  No

  N/A

• eyes protection <br>

  Yes

  No

  N/A

• wheel maintenance and test

  Yes

  No

  N/A

21-400.34 THE HEALTH PROGRAM

• trained first aid employees ( for shifts with more than 10 empl. ) if First aid center >10 min away<br>

  Yes

  No

  N/A

• principles ( annually) - basic first aid<br>

  Yes

  No

  N/A

• 2 years- CPR/2 years -AED/2 years - mgmt first aid supplies /years- blood borne pathogens (annually) <br>

  Yes

  No

  N/A

• AED for >50 employees<br>

  Yes

  No

  N/A

• maintenance of first aid kits ( including expiration date)<br>

  Yes

  No

  N/A

• identification Health care providers<br>

  Yes

  No

  N/A

• IH monitoring <br>

  Yes

  No

  N/A

• confidential records<br>

  Yes

  No

  N/A

• employment tests if required by the law <br>

  Yes

  No

  N/A

• procedures for medical management of emergencies

  Yes

  No

  N/A

21-400.35 FLEET SAFETY

• Valid driving licenses ( not necessary to keep copies) <br>

  Yes

  No

  N/A

• procedure for temporarily removal of permits to drive company cars (see new cars with occupant protection systems<br>

  Yes

  No

  N/A

• transport of goods: fire extinguishers, first aid kits and any other local requirement <br>

  Yes

  No

  N/A

• mobile phone that may interfere driving prohibited

  Yes

  No

  N/A

21-400.36 AVIAN FLU/PANDEMIC RISK MITIGATION

• Avian Flu Pandemic emergency response guidelines

  Yes

  No

  N/A

21-400.37 RETURNED GOODS

• written procedure to identify haz or potential haz returned goods <br>

  Yes

  No

  N/A

• identify necessary ppes<br>

  Yes

  No

  N/A

• medical protection ( vaccination)<br>

  Yes

  No

  N/A

• training for identification ( asbestos, biological , chemical radiation)

  Yes

  No

  N/A

21-400.38 FIELD SERVICE

• documented risk assessment before work , <br>

  Yes

  No

  N/A

• training <br>

  Yes

  No

  N/A

• MSDS in SOW<br>

  Yes

  No

  N/A

• Field Service employees trained CPR and first aid<br>

  Yes

  No

  N/A

• procedure to collect and dispose wastes<br>

  Yes

  No

  N/A

• available fire extinguishers and training for the use

  Yes

  No

  N/A

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