Title Page

  • Site conducted

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

5.1 Leadership and Commitment (Responsibility of Senior Executive(s)) (

  • Appointment for Plant Management team

  • VFL done by the Management and other team members

  • Management is to actively be involved to protect and improve performance, support the HSE system, and partake in HSE activities, such as HSE meetings, safety days, investigations (where applicable), risk assessments, simulations, drills and exercises

  • Are resources needed for the HSE system implementation and Management provided

5.2 HSE and Other Policies (4.2)

  • Is there an HSE policy signed by the Top Manager or Senior Executive?

  • Is the HSE policy displayed in the work area?

  • Have employees acknowledged and are of the contents of the HSE policy? Communicated to all employees?

Organisational, HSE Roles, Responsibilities and Authorities

  • Are applicable appointments in place . Made in writing and still within the 3 year approval period?

  • Appointments considered by the NOSA Management System include, but are not necessarily limited to: o

  • HSE representatives o

  • HSE committee members o

  • Emergency coordinators o

  • Emergency team members o

  • HSE coordinators o

  • Hazardous chemical substances (HCS) co ordinator o

  • Occupational health medical practitioner o

  • Occupational health nursing practitioner o

  • First aider(s) o

  • Person responsible for plant and machinery o

  • Incident investigators o

  • Stacking supervisor o

  • Ladder inspector o

  • Scaffolding inspector o

  • Lifting equipment inspector o

  • Pressurised equipment inspectors o

  • Portable electrical equipment inspectors o

  • Classified equipment/electrical inspector

5.3.2 HSE Representatives (

  • Sufficient HSE nominated and appointed?

  • Names of elected representatives are to be circulated/displayed

  • All HSE representatives are to undergo an HSE representative inspection course

  • Do SHE reps conduct inspections? Are action being addressed?

  • Do they participate in SHE rep meetings?

5.4 Consultation and Participation of Workers and Affected Parties (Contractors, Service Providers, etc.), Including Committees, Small Group Activities, etc. (

  • Is there a SHE committee ? Or a forum to discuss HSE related issues?

  • Are members appointed?

  • Are meeting being held?

  • Do SHE reps participate in these meetings?

HSE Risk and Impact Assessment (4.3.1)

  • Is there a system to identify and assess risks and impacts ? To include Occupational, Fire, Process and Environmental Risks and Impacts?

  • Is there a system to manage risks associated with Change ?

  • Are Risk assessments kept in file? To include Take5 and GTAs?

  • Are Quarterly Risk Reviews being done?

  • Are there any studies or surveys done? Hygiene etc

  • Are there any Artifical Intelligence risks identified? How are they Managed?

6.1.2 Legal and Other Requirements (4.3.2)

  • A system is to be in place to identify HSE legal and other requirements, linked to identified HSE hazards/risks, aspect/impacts, and communication thereof

  • The organisation must be able to demonstrate how identified requirements are applied, implemented and complied with

  • Applicable HSE permits, certificates, authorisations are to be available, valid and complied with

6.2 HSE Objectives: Setting and Achievement (4.3.3)

  • Have Objectives and Targets been set?

  • Objectives are to be set at appropriate levels within the organisation

  • Objectives and targets are to be specific and measurable, where applicable

  • A documented programme/plan is to be established that indicates how objectives are to be achieved (what, who, when and how to be evaluated)

  • A system is to be established to track the achievement of objectives against set indicators

Training and Competency (

  • The organisation is to establish, implement and maintain a training system

  • Is there a training matrix for the department? Are trainings being done accordingly? Is the training matrix signed by HOD?

  • How are training needs identified?

  • Is there a trining schedule for the identified trainings?

  • Are employees trained to perfomr their tasks safely?

7.2 Awareness, Induction and Promotion (

  • HSE awareness needs are to be identified

  • Workers are to be made aware of HSE policy and the risks/environmental impacts that are relevant to their work area and activities, HSE and other policies, HSE objectives, and relevant HSE performance indicators and actions

  • Are there any General Inductions and Plant Specific Inductions done?

7.3 Communication: Internal and external

  • Is there a system for Internal and External Communications?

  • Does the system identify : The type of communication (posting, letter, e mail, verbal, etc) What (content) and when to communicate (frequency, etc) To which recipients – within the organisation, to contractors and visitors, as well as identified interested parties

  • Inhouse HSE communication methods are to be established and made available, such as a company bulletin that contains HSE articles, mail groups and annual reports

  • Are HSE communications being done eg. Small groups or toolbox talks ?

7.3.2 Reference Resources (

  • Magazines, articles, or related information on HSE, is to be communicated/circulated before being placed in the library or stored electronically

7.3.3 Incident Recall (

  • Employees are to be made aware of incidents and investigation results (causes and preventive action), applicable to their tasks/areas

  • All previous HSE incidents are to be reviewed (including trends on nearmiss incidents)

7.4 System Documentation

  • Identification and description (indicating document title, date of creation, author, owner or reference number(s)) of the documentation. •

  • Format (for example, software type, version thereof, graphics) and printed or electronic media (that is, paper or electronic) of the documentation. •

  • Review requirements (general and review after change/incidents/approval for suitability and adequacy) of the documentation

  • The organisation is to establish, implement and maintain a system the for control of documents

  • The organisation is to establish and maintain a system for protection and retention of all documents, data or information

Operational Planning and Control

  • A preventative maintence plan or system in place for Structures, Buildings and other facilities

  • Are inspections done as per schedule e.g Monthly EHS inspection?

  • Are deviations reported and corrected?

8.1.2 Illumination: Natural and Artificial (

  • Lighting, including emergency lighting, as required by risk and legal requirements, is provided?

  • All bulbs/tubes/LEDs are to be in good working order

  • Emergency routes and exit signs are to be illuminated

  • Appropriate lighting and mirrors are to be provided to ensure workers can see and equipment can be seen

  • Vehicle illumination/visibility requirements are to be identified and complied with

8.1.3 Ventilation: Natural and Artificial (

  • Ventilation systems provided? Where possible use natural ventilation

  • Ventilation systems are to be included in the plant maintenance programme. Inspectiosn being done?

  • Air quality is to be monitored to prevent exposure to bacteria or other pathogenic organisms. E.g Ventilation surveys

8.1.4 Sanitation, Plant Hygiene, Amenities for Personal Hygiene (

  • Are toilets provided in the workplace, for both male and female?

  • Are they in good and hygienic conditions?

  • Kitchen and canteens are to be clean and vermin free

8.1.5 Pollution, Degradation and Rehabilitation (

  • Monitoring programmes are to be established to track compliance on pollution prevention and related controls

  • Appropriate spillcontainment equipment is to be provided and maintained at all times and with ready, effective access thereto

  • Due consideration is to be given to the potential degradation of the environment, including those relating to loss or adverse alteration of habitat; loss of species; loss or adverse alteration of biodiversity; loss of amenity to a community; contribution to global warming and climate change; depletion of nonrenewable resources, etc

  • Greenhouse gas emission are to be monitored, recorded and reported as required, and action is to be taken to reduce where feasible

  • All areas requiring rehabilitation are to be identified

  • Rehabilitation programmes are to be authorised by management and authorities (if required)

8.1.6 Thoroughfare and Access (

  • Demarcation requirements are to be adhered to

  • Barricading is provided to restrict access to hazardous areas (excavations, restricted, close clearance, confined spaces, where working at height or highrisk tasks warrant it)

8.1.7 Stacking and Storage (

  • Stacks are to be correctly erected, as per standards

  • Stacks are to be erected and broken down under supervision and according to standards

  • Maximum load capacity (safe working load (SWL)/working load limit (WLL)) is to be displayed for racking systems

  • Periodic inspections of racking are to be undertaken by competent person(s) and be recorded

8.1.8 Housekeeping (

  • The yard and factory are to be included in periodic inspections and corrective action taken if required

  • All work stations are to be kept tidy

8.1.9 Waste Management (

  • Waste seperated? Waste bins provided as per waste type?

  • Approved recycling companies are to be used and wastedisposal records obtained

  • Waste receptacles are to be in sound condition and corrosion free

8.1.10 Colour Coding: Plant, Equipment and Pipelines (

  • Color coding board provided for the area?

  • Color coding adhered to?

8.1.11 Plant and Equipment Maintenance (

  • Maintenance Plan inplace for plant and equipment ?

8.1.12 Machine Guarding (

  • Identify and minimise/manage risks associated with hazardous moving machine parts

  • Machine guard inspections are to be conducted by appropriately experienced or qualified staff

8.1.13 LockOut System (

  • Written Lock out system in place? Test the effectiveness

  • The system is to include arrangements for working under live conditions, issuing, authorisation, equipment type, worker competency, cutting and overriding of locks

  • All locks, keys and other devices are to be uniquely labelled and controlled

  • Staff is to be trained on the system

8.1.14 Labelling and Operation: Electrical Switchgear/Critical Valves (

  • Electrical installation diagrams are to be available, correct and up to date

  • Piping installation diagrams are to be available, correct and up to date

  • Operational effectiveness is to be verified as part of a planned maintenance system

8.1.15 Ladders, Elevated Surfaces, Stairways and Scaffolding (

  • Employees trained ?

  • Inspections available and deviations corrected?

  • Scaffolding is to be erected, altered and dismantled according to standards and by competent people

8.1.16 Lifting Machines and Associated Tackle (

  • All lifting machines/tackle on site are to be considered and covered in the register

  • All lifting machines/tackle are to be inspected and tested by a designated competent person in accordance with standards

  • Where designed with safety latches, these are to be in place and functional

  • All operators and assistants of lifting machines are to be specifically trained and declared competent to operate a particular type of machine (including the use of hand signals)

  • Lifting plans are to be developed and signed, as required

8.1.17 Pressure Systems and Cylinders (

  • Ensure HSE risks associated with pressurised systems, equipment, vessels and portable gas containers are identified, assessed and managed

8.1.18 Hazardous Chemical Substances (

  • Hazardous Chemical List for all chemicals used?

  • Employee training on handling chemicals?

  • MSDS provided for each chemical?

  • The compatibility of chemicals is to be assessed during normal and abnormal circumstances. Compatibility Chart to be available

  • Chemical and/or flammable material store(s) is to comply with standards

  • Register for Radiation sources? Up to date?

8.1.19 Motorised Equipment and Occupational Driving (

  • Drivers/operators are to be issued with a permit/licence for the type of vehicle they are authorised to operate, where applicable

  • Specific checklists are to be available for different types of vehicles/equipment

8.1.20 Portable Electrical Equipment (

  • All portable electric equipment/items are to be identified and recorded in a register

  • Regular inspections are to be carried out according to standards and legal requirements. Persons undertaking the inspections are to be competent

8.1.21 Earth Leakage and Relay Protection (

  • Inspection, verification and maintenance: o

  • All units are to be identified and recorded in the register. o

  • All units are to be tested at regular intervals (determined by conditions/risk), by a competent person. o

  • Actual trip readings are to be recorded. o

  • Faulty items are to be actioned and retested

8.1.23 Hand Tools and Equipment (

  • All hand tools are to be in good order. Check the inspection or register

  • Defective tools/equipment are to be identified, removed/isolated, repaired and/or destroyed

8.1.24 Ergonomics (

  • Ergonomics risks identified?

  • Employees trained on manual handling?

  • Ergonomics survey done and actions addressed?

8.1.25 Personal Protective Equipment (

  • PPE requirements are to be identified and be appropriate to the hazard and risk, as last resort

  • Records kept of all issued personal protective equipment

  • PPE is to be worn and used correctly, according to standards and specifications. Documented proof of training on maintenance, use, cleaning, storage, replacement and disposal is to be maintained

8.1.26 Notices and Signs: Electrical, Mechanical, Protective Equipment, Traffic, Symbolic (

  • Standardised signs/notices are to be posted. Must be visible

8.1.28 Critical Control Management

  • High Risk Tasks ad Controls in place?

  • Critical controls are to be identified (acts, objects and technological systems – or a combination of acts and objects)

  • Critical controls are to be implemented and monitored

8.1.30 Permit System (

  • A system (written procedure) is to be available and updated

  • The system is to include arrangements for competence and authority for issuing, acceptance, renewal and clearance of permits to work

8.1.31 Confined, CloseClearance and Restricted Spaces (

  • The organisation is to establish, implement and maintain a system for confined, enclosed, close clearance and restricted space/area entry

8.1.32 Working at Height/Elevated Positions (

  • The organisation is to establish, implement and maintain a system for working at height and elevated positions

8.1.33 Trenching and Excavation (

  • Trenching and excavation system requirements are to be identified and plan(s)/system(s) developed

8.1.34 Management of Change and Design (

  • The organisation is to develop, implement and maintain a system for the management of change

  • Identification and assessment of HSE risks and impacts associated with all new developments/projects/organisational/system changes

8.1.35 Procurement: Contractor/Supplier/Provider Control (including Outsourcing) (

  • A contractor/supplier control system is to be defined, implemented and maintained

  • Formal induction training is to be provided and includes all relevant HSE areas

Emergency Preparedness and Response

  • Development and documentation of related HSE emergency plans

  • Emergency response teams are to be established and appointed in relation to identified risk

  • Emergency drill/tests: o

  • Emergency drills/fire drills/testing are to be planned and executed o

  • Each emergency/fireteam member is to participate in regular drills/tests o

  • Effectiveness of drills/tests is to be assessed

  • Firstaid boxes/facilities and names of first aiders are to be clearly indicated by signs

  • First aiders are to be trained on specific firstaid treatment associated with plantspecific hazards

  • Firstaid boxes are to be inspected periodically, and restocked when required

  • Alarms are to be audible in all areas

  • A system is to be in place to enable lone workers to raise the alarm for emergency purposes

  • Fire breaks are to be maintained

  • Emergency equipment is to be unobstructed and accessible

  • All firefighting/emergency equipment is to be recorded in a register, clearly identifying location, type and capacity

8.2.8 Security System (

  • A security checkpoint for pedestrian and vehicular access to the premises is to be in place, as applicable

  • The HSE competency of security staff is to be confirmed and training given, when necessary


  • The organisation is to establish, implement and maintain a system for HSE monitoring

  • A system is to be established to implement, conduct and maintain evidence of periodic evaluation of compliance with applicable legal and other requirements. •

  • A documented arrangement (schedule) is to be in place for legalcompliance audits, indicating frequency

9.3 Resource Conservation (

  • Ensure the consumption of natural resources is optimised

9.4 Medical Services (

  • Appointments and licences for Medical Practitioners &/or Nurses/Service providers

  • Annual medical Surveillence done to all employees Baseline medical examinations are to be performed as per required standards on all workers

  • Valid Clinic licence

  • Occupational health (OH) facilities and services are to be provided according to risk MAN JOB SPECS in use

  • Medical equipment is to be maintained, serviced and calibrated as part of maintenance plan

  • Pressure gauges and flow meters on medical oxygen are to be in good working order

  • Medication is to be issued, controlled and checked in accordance with legislation/standards

  • Exit medical examinations are to be undertaken for all workers

  • Certification of fitness to work is to be generated, where required

  • Medical Waste Managed accordingly

9.6 HighRisk Task Observations (

  • Planned Task observations (PTOs) are being carried out:

  • List of High risk tasks and schedule of PTOs in place

9.7 Internal Audit (4.5.5)

  • The organisation is to implement a system to conduct planned internal audits, at intervals

  • Follow up to check progress on corrective action o

  • Verify effectiveness of actions and closure

9.8 Management System Review (4.6.1)

  • Management is to review the HSE Management System to ensure its continuing suitability, adequacy and effectiveness at appropriate, pre determined intervals

  • Outputs from management are to be made available to workers and their representatives for communication and consultation

HSE Incident, NonConformity, Preventive and Corrective Action

  • Is there a system to establish, implement and maintain the investigation and analysis of incidents and their records

  • Off the job HSE incidents are to be reported and communicated to workers

  • Suggestions received are recorded and subjected to feedback and recognition

  • HSE performance experience is to be displayed as per NOSA requirements

  • Compilation and recording of statistics are to be in line with classification and identification of incidents as per AUDP11

  • Identify the cost of HSE risk liability cover, and other losses

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