ISS Contractor HSE Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Section 1- HSE Managment

HSE Overview

• Does your organization have a written HSE Policy<br>

  Yes

  No

  N/A

• Does your organisation have a HSE Managment System? Is it certified by a recognized independent authority (e.g. N.S.C.A., Du-Pont Stop, Safety MAP, WorkCOver-Self Insurer, ISO 18001, AS/NZS 4801, Civil Contractors Federation Integrated Management System)? If so what was the latest result.

  Yes

  No

  N/A

Responsibilities

• Are health and safety responsibilities clearly identified for all levels of staff?

  Yes

  No

  N/A

HSE Consultation

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

  Yes

  No

  N/A

• Are employees involved in decision making over HSE matters?

  Yes

  No

  N/A

• Does your organization have a HSE representative and have they been trained?

  Yes

  No

  N/A

• How does your organization identify and communicate HSE issues (e.g. legislative/ industry changes)?

  Yes

  No

  N/A

HSE Management System

• Is a documented Job Safety & Environmental analysis (JSEA) conducted prior to commencement of a job (i.e. risk identification, assessment, control and review procedures)?

  Yes

  No

  N/A

• Does your organization have any permit to work systems (e.g. Hot Work, Confined Space)?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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.)?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do your environmental procedures address containment and recovery processes?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Hazard Management

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does this process involve a regular Hazard Registery?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

HSE Training & Induction

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• How does your organization plan to manage inductions for the project?

  Yes

  No

  N/A

• Is there other specific HSE training for employees?

  Yes

  No

  N/A

HSE Workplace Inspection

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Incident Management

• Is there a documented incident management and investigation procedure?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there a system for investigating incidents to determine causes, identify and implement appropriate action to prevent a reoccurrence?

  Yes

  No

  N/A

HSE Offences

• 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.)?

  Yes

  No

  N/A

Quality

• 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.)?

  Yes

  No

  N/A

Section 2- HSE Performance Monitoring & Statistics

Performance Monitoring

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Statistics

Current Lost Time Injury Frequency Rate and for the previous 3 years

• Current YTD: (use comment to add rate)

  Yes

  No

  N/A

• Year 1: (use comment to add rate)

  Yes

  No

  N/A

• Year 2: (use comment to add rate)

  Yes

  No

  N/A

• Year 3: (use comment to add rate)

  Yes

  No

  N/A

Current Medical Treatment Injury Frequency Rate and previous 3 years

• Current YTD: (use comment to add rate)

  Yes

  No

  N/A

• Year 1: (use comment to add rate)

  Yes

  No

  N/A

• Year 2: (use comment to add rate)

  Yes

  No

  N/A

• Year 3: (use comment to add rate)

  Yes

  No

  N/A

Number of First Aid Injuries for current YTD and previous 3 years

• Current YTD: (use comment to add rate)

  Yes

  No

  N/A

• Year 1: (use comment to add rate)

  Yes

  No

  N/A

• Year 2: (use comment to add rate)

  Yes

  No

  N/A

• Year 3: (use comment to add rate)

  Yes

  No

  N/A

Summary/Grading----Check Yes to ONE

• SUPERIOR- Has exceeded all requirements

  Yes

  No

  N/A

• ADVANCED- Has exceeded some minimum requirements

  Yes

  No

  N/A

• ACCEPTABLE- Has met all minimum requirements

  Yes

  No

  N/A

• NOT ACCEPTABLE- Has only met some minimum requirements

  Yes

  No

  N/A

• NOT ACCEPTABLE- Has not responded or met any requirements

  Yes

  No

  N/A

Persons Participating in Audit Print/Sign

• Sign Name

  Sign

• Sign Name

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• Sign Name

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• Sign Name

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• Sign Name

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