ICTSI Audit Template 8B

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Workshop Safety Management

• Workshop Management, Safety and Housekeeping.

• Workshop Safety Management Available Points (max 10)

• Confirm if Business Unit has sufficient safety program in place.

  Yes

  No

• Document Number (if applicable)

• Safety Program details

• Safety Program media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if Workshop personnel has all required Personal Protective Equipment (PPE) when conducting workshop activities.

  Yes

  No

• Tasks witnessed and PPE utilised

• PPE media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm that Eye Protection is used appropriately.

  Yes

  No

• Tasks witnessed demonstrating eye protection is used appropriately

• Eye protection media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if there are any sources of excessive noise in the work area from external sources?

  Yes

  No

• dB (A) Level

• Make note of any excessive noise sources and record dB (A) level below

• dB (A) Level

• Noise exposure controls

  Select Signage Restricted Area PPE Other No Controls

  • Signage
  • Restricted Area
  • PPE
  • Other
  • No Controls

• Signage information

• Signage media

  Media

• Is noise exposure control sufficient?

  Yes

  No

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Restricted area details and control

• Restricted area media

  Media

• Is noise exposure control sufficient?

  Yes

  No

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• PPE details

• PPE media

  Media

• Is noise exposure control sufficient?

  Yes

  No

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Alternative controls used

• Alternative noise control media

  Media

• Is noise exposure control sufficient?

  Yes

  No

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm that workshop machines are adequately guarded?

  Yes

  No

  No Machines

• Machine and guard details

• Machine guard media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if Residual Current Devices (RCD) are used for portable electric hand tools?

  Yes

  No

• RCD location and details

• RCD media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if there is a preventative maintenance program in place for workshop equipment?

  Yes

  No

• Workshop equipment preventative maintenance details

• Workshop equipment preventative maintenance media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm that all Tank Cylinders of Oxygen, Acetylene, Carbon Dioxide, Nitrogen have cover on the valve to prevent accidental bursting of the valves.

  Yes

  No

• Valve cover details

• Valve cover media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop grounds are clean of oil and dirt to avoid slipping.

  Yes

  No

• Good house keeping details

• Good housekeeping media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop floor space is clear of objects for example scrap or waste material?

  Yes

  No

• Good house keeping details

• Good housekeeping media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop is sufficiently lighted to prevent accident due to poor visibility.

  Yes

  No

• Lighting level details record Lux level below

• Lux level

• Lighting level media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop is sufficiently ventilated especially during hot works inside the workshop.

  Yes

  No

• Ventilation details

• Ventilation media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if appropriate fire extinguishers (correct type) are in place and if they are clear of obstructions?

  Yes

  No

• Fire extinguisher amount and details including expiration date

• Fire extinguisher media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if there is program in place for the inspection and re-charging of fire extinguishers?

  Yes

  No

• Fire extinguisher re-charging details

• Fire extinguisher re-charging media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop has correct tools for all their maintenance activities.

  Yes

  No

• Fire extinguisher re-charging details

• Fire extinguisher re-charging media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Is there any standard reporting system for Accidents:

  Yes

  No

• Accident reporting system details

• Accident reporting system media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Is there any Statistical evaluation of accidents?

  Yes

  No

• Accident statistical evaluation details

• Accident statistical evaluation media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Is there any Risk Management evaluation to ensure accidents do not happen?

  Yes

  No

• Risk management evaluation details

• Risk management evaluation media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Comment on Risk condition and explain as necessary

  Safe

  At Risk

• Risk condition comment

• Workshop and safety management support media

Support Media

• Workshop and safety management support media

  Media

• Auditors Comments

Comment

• Comment

• Workshop and Safety Management Marking Summary

• Workshop and Safety Management Score

• Add Workshop Safety and Management Score Summary Media

• Score Summary

  Media

• Auditor Signature

  Sign

• Add Additional Auditor Signature

Additional Signatory

• Auditor/Authorising Manager Signature

  Sign

Tire Management.

• Tire Maintenance Management and Repair

• Tire Maintenance Management and Repair Available Points (max 10)

• Confirm if Business Unit has adequate tire maintenance program in place.

  Yes

  No

• Tire maintenance management details

• Tire maintenance management media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop is conducting regular tire maintenance checks and confirm records are filed in the equipment asset file.

  Yes

  No

• Tire maintenance check details

• Tire maintenance check media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop has incorporated tire maintenance and repair equipment and facility especially those handling 18.00 x 25 size tires.

  Yes

  No

• Record details of tire maintenance and repair of 18.00 x 25 size tires

• Maintenance and repair of 18.00 x 25 size tires media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if Business Unit is practicing tire recapping as alternative to brand new tires.

  Yes

  No

• Record details of current tire capping policy

• Tire capping media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if workshop utilizes calibrated tire pressure gauges for inflation and checking of tire pressures.

  Yes

  No

• Record current tire pressure gauge information including calibration details

• Calibrated tire pressure gauge media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Confirm if safety cage is used during tire inflation.

  Yes

  No

• Tire cage details

• Tire cage media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Tire maintenance inspection check sheet 1

• Asset Number

• Asset type

• Tire Location (for example: Rear right outer)

• Confirm all cargo/container handling equipment fitted with tires have inflation pressure indicated on the equipment.

  Yes

  No

• Tire pressure indication media

  Media

• Record Tire Branding (Manufacturer, size and PR Rating)

  Yes

  No

• Tire manufacturer and branding details

• Tire manufacturer and branding media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record OEM recommended inflation pressure

  Yes

  No

• Record OEM tire inflation details

• OEM recommended tire inflation pressure media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record OEM recommended tread depth before replacement

  Yes

  No

• Record OEM tire tread depth details

• OEM recommended tire tread depth media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record actual pressure reading

  Yes

  No

• Record actual tire pressure reading

• Actual tire pressure reading media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record actual tread depth

  Yes

  No

• Record actual tire tread depth reading

• Actual tire tread depth media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Compare actual reading against latest maintenance checklist record

  Yes

  No

• Record comparison data

• Comparison data media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Tire maintenance inspection check sheet 2

• Asset Number

• Asset type

• Tire Location (for example: Rear right outer)

• Confirm all cargo/container handling equipment fitted with tires have inflation pressure indicated on the equipment.

  Yes

  No

• Tire pressure indication media

  Media

• Record Tire Branding (Manufacturer, size and PR Rating)

  Yes

  No

• Tire manufacturer and branding details

• Tire manufacturer and branding media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record OEM recommended inflation pressure

  Yes

  No

• Record OEM tire inflation details

• OEM recommended tire inflation pressure media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record OEM recommended tread depth before replacement

  Yes

  No

• Record OEM tire tread depth details

• OEM recommended tire tread depth media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record actual pressure reading

  Yes

  No

• Record actual tire pressure reading

• Actual tire pressure reading media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record actual tread depth

  Yes

  No

• Record actual tire tread depth reading

• Actual tire tread depth media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Compare actual reading against latest maintenance checklist record

  Yes

  No

• Record comparison data

• Comparison data media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Tire maintenance inspection check sheet 3

• Asset Number

• Asset type

• Tire Location (for example: Rear right outer)

• Confirm all cargo/container handling equipment fitted with tires have inflation pressure indicated on the equipment.

  Yes

  No

• Tire pressure indication media

  Media

• Record Tire Branding (Manufacturer, size and PR Rating)

  Yes

  No

• Tire manufacturer and branding details

• Tire manufacturer and branding media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record OEM recommended inflation pressure

  Yes

  No

• Record OEM tire inflation details

• OEM recommended tire inflation pressure media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record OEM recommended tread depth before replacement

  Yes

  No

• Record OEM tire tread depth details

• OEM recommended tire tread depth media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record actual pressure reading

  Yes

  No

• Record actual tire pressure reading

• Actual tire pressure reading media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Record actual tread depth

  Yes

  No

• Record actual tire tread depth reading

• Actual tire tread depth media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Compare actual reading against latest maintenance checklist record

  Yes

  No

• Record comparison data

• Comparison data media

  Media

• Corrective Action

Corrective Action

• Priority Level

  Priority One

  Priority Two

  Priority Three

• Corrective Action Description

• Corrective Action Support Media

  Media

• Comment on Risk condition and explain as necessary

  Safe

  At Risk

• Risk condition comment

• Tire inspection and maintenance management support media

Support Media

• Tire inspection and maintenance management support media

  Media

• Auditors Comments

Comment

• Comment

• Tire Inspection and Maintenance Management Marking Summary

• Tire Inspection and Maintenance Management Score

• Tire Inspection and Maintenance Management Score Summary Media

• Score Summary

  Media

• Auditor Signature

  Sign

• Add Additional Auditor Signature

Additional Signatory

• Auditor/Authorising Manager Signature

  Sign