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• Document No.

• Contract Number

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PMC HSE POLICY

• Is Dar PMC HSE Policy communicated to all personnel at the project, through different communication channels

  5

  4

  3

  2

  1

PMC HSE MANUALS

• Is the PMC H&S Manual and the PMC Environmental Manual delivered to all personnel, by trainings and other communication channels

  5

  4

  3

  2

  1

PMC INDUCTION TRAINING

• Has the PMC HSE Induction training for Dar project employees been delivered recorded and maintained

  5

  4

  3

  2

  1

PMC HSE OBJECTIVES

• Are the objectives been discussed at the internal meetings and records kept

  5

  4

  3

  2

  1

PMC PROJECT ORGANISATION CHART

• Is the organization chart established, with all Dar site personnel which identifyies communication channels

  5

  4

  3

  2

  1

PMC LEGAL REGISTER

• Are all legal and other HSE requirements identified, kept up-to-date and communicated to persons working under their controls and any relevant interested parties.

  5

  4

  3

  2

  1

PMC TRAINING

• Is the training matrix for Dar personnel established, and records kept

  5

  4

  3

  2

  1

PMC HSE NOTICE BOARD

• Is the HSE Notice Board displayed at the workplace, with all the HSE relevant information required

  5

  4

  3

  2

  1

PMC EMERGENCY PROCEDURES

• Is there an Emergency Procedure established for the project?

  5

  4

  3

  2

  1

• Is the Risk Register kept up to date and implemented properly

  5

  4

  3

  2

  1

• Have emergency drills been conducted frequently?

  5

  4

  3

  2

  1

• Fire Safety - Fire Risk Assessment - completed and communicated

  5

  4

  3

  2

  1

• First Aid - Provisions, First Aiders

  5

  4

  3

  2

  1

• Has the Contractor submitted the necessary Lifting Plans for approval prior any lifting operations on sites

  5

  4

  3

  2

  1

• Is sufficient HSE Signage displayed on the Project

  5

  4

  3

  2

  1

ARRANGEMENTS

• Has the Contractors HSE Plan been submitted and reviewed by Dar HSE team

  5

  4

  3

  2

  1

• Have the Method Statements & Risk Assessments been submitted and reviewed by Dar HSE team

  5

  4

  3

  2

  1

• Does the Contractor have a competent HSE Team

  5

  4

  3

  2

  1

• Electrical Safety - Inspection, etc...

  5

  4

  3

  2

  1

• Welfare Facilities

  5

  4

  3

  2

  1

• Is PPE available and recorded as issue

  5

  4

  3

  2

  1

• Are Project Registers Complete including;<br>- Tool Box Talks.<br>- Contractor HSE inspection.<br>- Permits completed

  5

  4

  3

  2

  1

• COSHH Assessments - Register, Storage

  5

  4

  3

  2

  1

PMC HSE INSPECTIONS

• Are all HSE reports completed and recorded transmittal to the contractor with evidence of closure on issues raised

  5

  4

  3

  2

  1

NON-COMPLIANCE (NCR)

• Is the NCR Register been up to date and records kept

  5

  4

  3

  2

  1

CORRECTIVE ACTION PLANS

• Is the corrective action plan established and recorded for each audit report

  5

  4

  3

  2

  1

ACCIDENTS, INCIDENTS, NEAR MISS

• Are the reports been reported to the responsible parties and records kept. Are investigation reports recorded and corrective actions issued to prevent reoccurrence

  5

  4

  3

  2

  1

PMC KPI WORKBOOK

• Is the KPI workbook being submitted to the Dar PMC HSE - Amman, is it being accurately recorded and maintained

  5

  4

  3

  2

  1

HSE MEETINGS, CONSULTATION

• Is a HSE Meeting being conducted and minuted periodically to discuss the HSE Concerns on the Project

  5

  4

  3

  2

  1

Environmental

• Is there a site waste management plan established

  5

  4

  3

  2

  1

• Is waste segregated and reused where applicable?

  5

  4

  3

  2

  1

• Are drip trays provided for static plant?

  5

  4

  3

  2

  1

• Have environmental impact assessment been completed?

  5

  4

  3

  2

  1

• Are spill kit readily available?

  5

  4

  3

  2

  1

Additional comments

• Additional comments

• Auditor Signature

  Sign

• Representative signature

  Sign

Audit Meeting

• Regional Office:

• Select date

  Date

• Audited By:

• Project Manager:

• Project Name:

Aspected Audited

• Office Safety

• Office Environmental

• Project Safety

• Project Environmental

Summery of Findings/ Conclusion:

• Summery of Findings/ Conclusion:

• HSE Manager Signature:

  Sign

• Project Managers Signature:

  Sign

• Auditor Signature:

  Sign