Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1 EPA Licence 1378 (400-215) / 304-1 Aspect No A1.

  • 1.1 Are Despatch personnel aware of the location of the Storm Water shut off valve and its function? (Ask employee for the location and function)

  • Comment

2 304-1 Aspect No E2 / PROC-VC-HSE-V1205-0-Storm Water Management / Yum Compliance 3.4

  • 2.1 Is the Storm water shut off Valve closed to prevent fire water entering the storm water system during an emergency (Ask Despatch Wardens)

  • Comment

  • 2.2 The Storm Water Shut Off Valve is compliant? (Visually inspect the shut off valve for damage / defects)

  • Report any Damage / Defects to the Maintenance Manager and enter into Vault.

  • Comment:

  • 2.3 Has the Despatch Workers completed the Visy Environmental Awareness training ?<br>(Check LMS records)

  • Comment

3 304-1 Aspect No E5 / Yum Compliance 3.4

  • 3.1 What would be the impact of a spill on the environment should it not be cleaned up effectively?

  • Comment

  • Rate the housekeeping in the Despatch Area at the time of the audit.

  • Report the housekeeping standard to the Factory Manager.

Sign Off

  • AREAS OF CONCERN:

  • POSITIVE OBSERVATIONS:

  • SUMMARY OF AUDIT:

  • CORRECTIVE ACTIONS:

  • SIGNATURE OF AUDITOR 1

  • SIGNATURE OF AUDITOR 2

  • SENIOR MANAGEMENT REVIEW:

  • Add signature

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