Forvia - Site Internal Audit Form

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

Contractual SHEQ Requirements

• Are Site Operating Guides finalised and agreed?

  Yes

  No

  N/A

• Have all sub-contractors received and signed the Site Operating Guide?

  Yes

  No

  N/A

• Have all Site Risk assessment been prepared, reviewed and approved?

  Yes

  No

  N/A

• Has all required Safety Training been completed, for both ENGIE and subcontractor staff?

  Yes

  No

  N/A

• Has the Health and Safety Inspection schedule (Safety Audit, Management Safety Visit, Joint Safety Walk schedule) been agreed?

  Yes

  No

  N/A

• Has the Health and Safety Incident, Hight Potential Incident and Near Miss reporting process been agreed?

  Yes

  No

  N/A

• Has an escalation process for operational, environmental and safety incidents been agreed?

  Yes

  No

  N/A

• Is the Safety , health, Environment, and Quality monthly status report available?

  Yes

  No

  N/A

• is a Site Induction and Customer Permit to Work Process in place and in use?

  Yes

  No

  N/A

• Are Risk Assessment and Method Statements in place for all high-risk activities with Potential for Significant Injury and Fatality (pSIF)?

  Yes

  No

  N/A

• Any additional comments:

ENGIE One Safety Culture

• All staff and sub-contractors are familiar with, and apply the ENGIE Life Saving Rules

  Yes

  No

  N/A

• All staff and sub-contractors are familiar with, and apply the Faurecia Safety Essentials

  Yes

  No

  N/A

• All staff and sub-contractors conduct a Last Minute Risk Assessment before starting or resuming work

  Yes

  No

  N/A

• All Staff and sub-contractors are familiar with the ENGIE Sop the Work Authority

  Yes

  No

  N/A

• Any additional comments:

Work Activity being performed (During works)

• Are there any technicians performing work at the time of the audit?

  Yes

  No

  N/A

• Are the Technicians/Engineers working in a way that complies with regulations, site procedures and their own risk assessment and work procedure?

  Yes

  No

  N/A

• Are the Technicians/Engineers using the correct safety equipment throughout the work activity?

  Yes

  No

  N/A

• Did the Technicians/Engineers maintain a generally clean and tidy workspace while performing the works?

  Yes

  No

  N/A

• Any additional comments:

Sub-Contractor Management

• Are all sub-contractors identified?

  Yes

  No

  N/A

• Is the scope of work for eac sub-contractor documented and agreed?

  Yes

  No

  N/A

• Are formal agreements in place between ENGIE and the sub-contractors?

  Yes

  No

  N/A

• Are sub-contractors monitored to ensure effective and safe service delivery?

  Yes

  No

  N/A

• Are sub-contractor non-conformances reported and corrective action plans in place?

  Yes

  No

  N/A

• Are all sub-contractor assessments complete including H&S assessments, public/employers liability insurance certificates, etc.?

  Yes

  No

  N/A

• Any addtional comments:

Corrective Action Items

• For all flagged responses has a corrective action plan been created?

  Yes

  No

  N/A