Section 1 - HSE Management

1.1 HSE Overview

  • 1.1.1 Does your organization have a written QHSE Policy?

  • 1.1.2 Does your organization have a QHSE Managment System? Is it certified by a recognised independent authority (e.g. N.S.C.A., Safety MAP, WorkCOver-Self Insurer, ISO 9001, ISO 18001, AS/NZS 4801, ISO 14001?

1.2 Responsibilities

  • 1.2.1 Are QHSE responsibilities clearly identified for all levels of staff?

1.3. HSE Consultation

  • 1.3.1 Is there a workplace QHSE committee or regular meetings conducted with employees (e.g. safety meetings, tool box talk etc.)?

  • 1.3.2 Are employees involved in decision making over QHSE matters?

  • 1.3.3 Does your organization have a QHSE representative? Have they received HSE training?

  • 1.3.4 How does your organization identify and communicate QHSE issues (e.g. legislative, regulatory, industry)?

1.4 QHSE Management System

  • 1.4.1 Is a documented risk assessment tool in place or conducted prior to the commencement of a job (i.e. risk identification, assessment, control and review procedures - SWMS, JSEA, etc.)?

  • 1.4.2 Does your organization have a permit to work system (e.g. Hot Work, Confined Space, etc.)?

  • 1.4.3 Does your organization have a process for the selection, assessment, monitoring and review of sub-contractors that incorporates HSE requirements?

  • 1.4.4 Do you have procedures in place for the maintenance & inspection of plant equipment owned and/or operated by your organization (e.g. front end loader/backhoe, excavator, compressor, borer, electrical equipment, fire-fighting equipment, forklift, etc.)?

  • 1.4.5 Do you have procedures for selection, use, storage, handling, spill management & disposal of hazardous substances and dangerous goods (e.g. corrosives, poisons, flammable liquids and gases, etc.)?

  • 1.4.6 Do you have procedures for identifying, assessing and controlling risks associated with manual handling (e.g. controls in place - hand trucks, forklifts, cranes, etc.)?

  • 1.4.7. Does your organization have procedures to prevent & reduce environmental emissions & damage?

  • 1.4.8 Do your environmental procedures address containment and recovery processes?

  • 1.4.9 Does your organization have emergency response plans and/or management process? (e.g. fire, medical emergencies, environmental issues, etc.)?

  • 1.4.10 Does your organization conduct regular HSE audits of your HSE Management System by external parties?

1.5 Hazard Management

  • 1.5.1 Is there a process by which employees can report hazards at workplaces (and potential health, safety & environmental hazards)?

  • 1.5.2 Provide an example of the Hazard Management process to be used by your organization. (e.g. identification, assessment, control & review).

  • 1.5.3 Does this process involve a regular Hazard Register?

  • 1.5.4 How does your organization communicate hazards to your employees and your sub-contractors?

1.6 HSE Training & Induction

  • 1.6.1 Describe how HSE Training & Induction is conducted in your organization (e.g. confined space entry training, new hire orientations, first aid, waste management & disposal, etc.)

  • 1.6.2 Are records maintained of all training (certificates & licenses) and induction programs undertaken for employees (existing and new employees) in your organization?

  • 1.6.3 How does your organization plan to manage inductions for personnel involved in projects with ISS?

  • 1.6.4 Is there other specific HSE training for employees?

1.7 HSE Workplace Inspection

  • 1.7.1 Does your organization have a process for regular (e.g. weekly, monthly) HSE inspections at worksites?

  • 1.7.2 Are standard workplace inspection checklists used to conduct health, safety and environmental inspections?

  • 1.7.3 How is information presented to stakeholders (i.e. workers, management, clients, etc.)?

1.8 Incident Management

  • 1.8.1 Is there a documented incident management and investigation procedure?

  • 1.8.2 Is there a system for the notification of incidents to regulatory agencies?

  • 1.8.3 Is there a system for investigating incidents to determine root causes? Does the system identify and implement appropriate corrective actions?

1.9 HSE Offences

  • 1.9.1 Has the organization had any enforcement activity or been convicted for a HSE offense in the past 3 years (e.g. improvement/prohibition notices, etc.)?

1.10 Quality

  • 1.10.1 What systems are in place to demonstrate that all HSE requirements of a contract are being met and maintained (e.g. compliance with Standards, Codes of Practice and Specifications, etc.)?

Section 2 - HSE Performance Monitoring & Statistics

2.1 Performance Monitoring

  • 2.1.1 Is there a system for recording and analyzing HSE performance statistics?

  • 2.2.2 Are employees regularly provided with information on your HSE performance?

2.2 Statistics

2.2.1 Current Days Away/Restricted or Transfer (DART) Rate and DART Rate for previous 3 Years

  • Current - YTD: (use comment to add rate)

  • Year 1: (use comment to add rate)

  • Year 2: (use comment to add rate)

  • Year 3: (use comment to add rate)

2.2.2 Current - YTD Number of First Aid Injuries and for previous 3 Years

  • Current - YTD: (use comment to add rate)

  • Year 1: (use comment to add rate)

  • Year 2: (use comment to add rate)

  • Year 3: (use comment to add rate)

2.2.3 Total Recordable Incident Rate (TRIR) for current year and previous 3 Years

  • Current - YTD: (use comment to add rate)

  • Year 1: (use comment to add rate)

  • Year 2: (use comment to add rate)

  • Year 3: (use comment to add rate)

2.2.4 Number of Environmental Incidents & Non-Compliances for current YTD and previous 3 Years

  • Current - YTD: (use comment to add rate)

  • Year 1: (use comment to add rate)

  • Year 2: (use comment to add rate)

  • Year 3: (use comment to add rate)

Summary/Grading----Check Yes to ONE

  • SUPERIOR - Has well exceeded all requirements

  • ADVANCED - Has exceeded some minimum requirements

  • ACCEPTABLE - Has met all minimum requirements

  • NOT ACCEPTABLE - Has only met some minimum requirements

  • NOT ACCEPTABLE - Has not responded or met any requirements

Persons Participating in Audit Print/Sign

  • Sign Name

  • Sign Name

  • Sign Name

  • Sign Name

  • Sign Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.