IPS HSE System Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Training

• Training Matrix current

  Yes

  No

  N/A

• Training Records (1 supervisor, 1 new hire, 1 operator)

  Yes

  No

  N/A

• Short Service Employee policy in place and training papers current (3 employees)

  Yes

  No

  N/A

• Hep B declination form on file

  Yes

  No

  N/A

Forms and policies

• LOTO procedures followed and equipment available

  Yes

  No

  N/A

• Forklift daily inspections completed (last 10 days)

  Yes

  No

  N/A

• Forklift operators certified

  Yes

  No

  N/A

• Monthly full body harness inspections completed

  Yes

  No

  N/A

• Monthly and annual inspections of SRL completed

  Yes

  No

  N/A

• Fall rescue plan in place

  Yes

  No

  N/A

• SDS'S current and complete

  Yes

  No

  N/A

• Weekly safety meeting paperwork completed (1 month)

  Yes

  No

  N/A

• SPCC plan current

  Yes

  No

  N/A

• SWPP plan current

  Yes

  No

  N/A

• Waste water disposal records current

  Yes

  No

  N/A

• Waste oil disposal records current

  Yes

  No

  N/A

Job info

• JSAs completed (last 10 jobs)

  Yes

  No

  N/A

• Job skills verification (3 employees)

  Yes

  No

  N/A

• BBSM cards (last 2 weeks)

  Yes

  No

  N/A

• Incident reports

  Yes

  No

  N/A

• Corrective actions decided and being completed (last 4 incidents)

  Yes

  No

  N/A

• MOC deviation and request available

  Yes

  No

  N/A

Crane

• Daily checklists completed (3 cranes auditors choice)

  Yes

  No

  N/A

• Monthly checklists completed (3 cranes auditors choice)

  Yes

  No

  N/A

• Annual inspections (3 cranes auditors choice)

  Yes

  No

  N/A