OHSAS 18001 Health and Safety Management System Audit

• Company

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Pre audit checks

• When was the last audit completed for the site and are all actions identified completed?

  Date

• Where OH&S actions are identified, are root causes identified and corrective action taken?

  Yes

  No

  N/A

• Are site objectives and targets set and are they on the site action plan?

  Yes

  No

  N/A

2. Implementation and operation of management systems

• Who is responsible for Health and Safety on site?

  Yes

  No

  N/A

• Is there a site organisational chart for H&S?

  Yes

  No

  N/A

• How is H&S information communicated to staff

  Yes

  No

  N/A

• Are staff aware of their individual responsibilities to themselves and others?

  Yes

  No

  N/A

• Is there a training matrix and is it up to date with new starters/ refreshers etc?

  Yes

  No

  N/A

3. Health and safety Information for staff

• Does the site have a Health and Safety board and is all information correct and current?

  Yes

  No

  N/A

• Accident information, QHSE policy signed 2016 liability insurance, Site action plan, fire and first aiders, fire booklet.

  Yes

  No

  N/A

• Is there a staff forum/ communications group and are minutes available? (How ofter/ staff involved)

  Yes

  No

  N/A

4. Regulatory Compliance Review

• ISO 9001 Certificate available and Valid? (Quality Management System)

  Yes

  No

  N/A

• OSHA Workplace Registration Certificate available.

  Yes

  No

  N/A

• OSHA Compliance License

  Yes

  No

  N/A

• GCLA -Dangerous goods license held and current.

  Yes

  No

  N/A

• TFDA license held ( only for food storage facilities/ warehouse)

  Yes

  No

  N/A

• Environmental license held

  Yes

  No

  N/A

• License limits and restrictions known and understood or any signage to restrict the number of people authorised to be in the warehouse/ yard.

  Yes

  No

  N/A

• Awareness training on regulations for staff

  Yes

  No

  N/A

• Register available on site of applicable Acts, regulations, permit, license, code of practise etc.. A register maintained under document control?

  Yes

  No

  N/A

5. Housekeeping

• Housekeeping standard clearly set, inspected and enforced

  Yes

  No

  N/A

• General cleanliness of all areas

  Safe

  At Risk

  N/A

• Emergency equipment and exits signage are free of obstruction

  Yes

  No

  N/A

• Compressed air not used for any cleaning

  Yes

  No

  N/A

• Unobstructed routes and width adequate for needs

  Yes

  No

  N/A

• Storage facilities neat, tidy, signed and accessible

  Yes

  No

  N/A

• Environmental hazards properly controlled

  Yes

  No

  N/A

• Spill kits available and fit for purpose? Who inspects and are records available? (Staff trained in use)

  Yes

  No

  N/A

• Safety equipment well maintained and in use?

  Yes

  No

  N/A

• Welfare facilities suitable for the needs of the area

  Yes

  No

  N/A

• Lighting ventilation etc. satisfactory for the area and working correctly

  Yes

  No

  N/A

• Stairs are well lit and properly maintained

  Yes

  No

  N/A

6. Warehousing/storage

• Overloaded racking/poor stacking practices (Pyramid stacking)

  Safe

  At Risk

  N/A

• Segregation of inappropriate materials/ reactants (Bleaches/ disinfectant/ food stuffs/ consumables)

  Safe

  At Risk

  N/A

• Bulk stacks for stability (Overloaded pallets at height)

  Safe

  At Risk

  N/A

• Aisles for accessibility (Blocked aisles/ fire escape routes)

  Safe

  At Risk

  N/A

• Damaged racks/stacks/pallets etc (Are inspections completed and by who/ what training has been received)

  Safe

  At Risk

  N/A

• Flammable/hazardous materials stored appropriately and locked away where neccesary

  Yes

  No

  N/A

7. Dangerous Goods Storage and Handling (DG)

• Dangerous goods and poison storage compliant with regulations (placards, bunding, locked, restricted ...etc.

  Yes

  No

  N/A

• Site licensed for dangerous goods storage

  Yes

  No

  N/A

• DG storage, risk assessment done on change or every two years

  Yes

  No

  N/A

• Appropriate inspection of storage integrity and emergence equipment

  Yes

  No

  N/A

• Appropriate cleaning or management of empty DG containers

  Yes

  No

  N/A

• Customers site inspection prior to first delivery of bulk DG

  Yes

  No

  N/A

8. Transportation of Dangerous Goods

• DG packaged, labelled and Transported in compliance with regulations

  Yes

  No

  N/A

• Third party DG carriers accredited or audited prior to engagement/ arrangements and must be reviewed annually.

  Yes

  No

  N/A

• Periodic risk assessment of transport control and emergency response arrangements.

  Yes

  No

  N/A

• Work instruction & training for all personnel loading/ unloading dangerous goods.

  Yes

  No

  N/A

• Transport incident reported and investigated.

  Yes

  No

  N/A

• Transport routes assessed for high hazard material

  Yes

  No

  N/A

• Company drivers have trained in defensive driving techniques, Fatigue Management, Chemical handling. ....etc.

  Yes

  No

  N/A

9. Hand/power tools ( including Dangerous Tools/ Knives)

• Are hand tools/ equipment used (What type). Are they identified and registered.

  Safe

  At Risk

  N/A

• Have effort have been made to identify safer alternative to the use of dangerous tools.

  Yes

  No

  N/A

• Are users of dangerous tools trained.

  Yes

  No

  N/A

• Use of unauthorised tools/ equipment

  Yes

  No

  N/A

• Use of dangerous tools risk assessment and controlled. (Heigh pressure water, compressed air, grinding/ cutting wheels, explosives, power tools, cutting/!welding, knives ...et)

  Yes

  No

  N/A

10. Electrical hazards

• OSHA electrical certificate current

  Yes

  No

  N/A

• Training in electrical safety for staff (induction and refresher)

  Yes

  No

  N/A

• Clearance and personal locks used, isolationist tagged.

  Yes

  No

  N/A

• Authorised persons doing isolation and Qualified/ licensed electrician doing work.

  Yes

  No

  N/A

• Certificate of compliance issued

  Yes

  No

  N/A

• Permit to work and risk assessment done

  Yes

  No

  N/A

• Live work authorisation and risk assessment conducted.

  Yes

  No

  N/A

• Installation inspected by the Responsible Electrical Engineer (REE) and report to be issued.

  Yes

  No

  N/A

• Electrical drawing available and current

  Yes

  No

  N/A

• Portable electrical equipment, cables, plugs, inspection program in place.

  Yes

  No

  N/A

• Circuits and equipment labelled

  Yes

  No

  N/A

• Earth rods testing and inspection.

  Yes

  No

  N/A

• Damage to cables extension leads etc. (Daisy chaining/ overloading/ fan heaters)

  Safe

  At Risk

  N/A

• Are comms rooms inspected? (Clear of unused equipment/ Air con settings)

  Safe

  At Risk

  N/A

11. Fire/emergency evacuation

• Has the site a up to date Fire Risk Assessment? (Who completed/ when/ outstanding actions/ next review date)

  Date

• Has all ignition/ fuel sources been identified and controlled? (Gas bottles/ fixed wiring/ gas heating)

  Yes

  No

  N/A

• Evacuation routes are free from obstructions (Monthly inspections completed/ by whom)

  Yes

  No

  N/A

• Emergency equipment e.g. Fire extinguishers (last service date/ Monthly inspections completed/ whom)

  Safe

  At Risk

  N/A

• Emergency lighting (last service date/ Monthly inspections completed/ whom)

  Safe

  At Risk

  N/A

• Provision is made for disabled and temporarily incapacitated persons where appropriate

  Yes

  No

  N/A

• Fire alarm tests and drills completed (service date/ weekly test, using various call points/ 6 monthly fire evacuation)

  Yes

  No

  N/A

• Staff have appropriate knowledge and training in fire procedures (Who has received training/ when)

  Safe

  At Risk

  N/A

• Hot work controlled

  Yes

  No

  N/A

• Enough ventilation on chemical storage facility/ warehouse

  Yes

  No

  N/A

• Smoking controls in place with designated smoking area.

  Yes

  No

  N/A

• Control of vehicles -vehicles are not parked in approximately to a high risk area for a long period.

  Yes

  No

  N/A

• Preventive maintenance schedule and inspection for mobile equipments ( forklift, reach stacker, heavy vehicles, cars ....etc)

  Yes

  No

  N/A

• Good housekeeping prevents building up of combustible, waste or chemicals spillage)

  Yes

  No

  N/A

• Pre-start inspections to be conducted for all equipment.

  Yes

  No

  N/A

• Bunding of fuels storages in process areas to contain pool fire.

  Yes

  No

  N/A

• Separation distance of Oxidisers from fuels ....(Minimum 10M)

  Yes

  No

  N/A

12. Ladders/ Scaffolding / access equipments

• What is the process to manage erection, inspection, and use of scaffolds? I there compliance with local legislative requirements?

  Yes

  No

  N/A

• Portable ladders registered and inspected.

  Yes

  No

  N/A

• Fixed ladders > 6M have ladder cages or fall protection installed?

  Yes

  No

  N/A

• Work at height risk assessment completed and in date (Who completed/ actions completed)

  Yes

  No

  N/A

• Ladder inspections completed (Ladder tag system in place/ who completes)

  Yes

  No

  N/A

• Access equipment in good condition (Ladders used correctly and stored correctly)

  Yes

  No

  N/A

• What process do you use to ensure that the use of ladders is managed?

  Yes

  No

  N/A

13. Noise

• Training in noise controls

  Yes

  No

  N/A

• Segregation of workers not involved

  Yes

  No

  N/A

• Engineering controls, e.g. Acoustic lagging, isolation of equipment.

  Yes

  No

  N/A

• Audiometry (pre-placement and ongoing annually)

  Yes

  No

  N/A

• Noise monitoring, mapping program.

  Yes

  No

  N/A

• Signage of high noise areas

  Yes

  No

  N/A

• Use low noise methods

  Yes

  No

  N/A

• Exposure known - personal dosimetry conducted

  Yes

  No

  N/A

• Out sourcing noisy activities

  Yes

  No

  N/A

• Hearing conservation training

  Yes

  No

  N/A

• Noise management plan prepared, ongoing initiatives.

  Yes

  No

  N/A

• Job rotation

  Yes

  No

  N/A

14. Internal transport (FLT)/ Lifting Equipments.

• Lifting equipment of approved design, registered, inspected and identifies.

  Yes

  No

  N/A

• Periodic inspections up to date?

  Yes

  No

  N/A

• Risk assessments made before special lifting

  Yes

  No

  N/A

• No personnel working under suspend loads.

  Yes

  No

  N/A

• Per use checks completed

  Yes

  No

  N/A

• Unauthorised use of internal transport (Key control/ Named users)

  Yes

  No

  N/A

• Unauthorised carriage of passengers

  Safe

  At Risk

  N/A

• Drivers disregarding safety rules e.g speed limits

  Yes

  No

  N/A

• Road and pedestrian routes in good order

  Yes

  No

  N/A

• Unsafe practices e.g. Travelling with raised forks

  Yes

  No

  N/A

• Battery charging area clear of obstructions (Ventilated/ staff trained/ Risk assessed)

  Yes

  No

  N/A

• Are staff trained on how to change a gas bottle (Documented)

  Yes

  No

  N/A

15. Machinery guarding/safety

• Has all Machinery been risk assessed/ By whom?

  Yes

  No

  N/A

• Where required has machinery received a statutory inspection? (What machinery/ when/ by whom)

  Yes

  No

  N/A

• All dangerous parts guarded?

  Yes

  No

  N/A

• All guards in good condition and correctly fitted

  Yes

  No

  N/A

• Emergency stop controls are accessible,working, and correctly fitted (Inspected monthly/ by whom)

  Yes

  No

  N/A

• That access to any dangerous part is prevented whilst machine in motion

  Safe

  At Risk

  N/A

• Trip devices where fitted function correctly

  Yes

  No

  N/A

• Machinery can be positively isolated

  Yes

  No

  N/A

• Only trained and competent persons operate machinery (Named staff/ when trained)

  Yes

  No

  N/A

• Lockout procedure when cleaning

  Yes

  No

  N/A

• No guard, No run Policy enforced

  Yes

  No

  N/A

• Routine guarding audit/ inspection

  Yes

  No

  N/A

• Behaviour safety program

  Yes

  No

  N/A

• Pre start list prepared and used.

  Yes

  No

  N/A

• Awareness training done and toolbox talk

  Yes

  No

  N/A

• Startup alarms or beacons

  Yes

  No

  N/A

16. Environmental/welfare Including Waste Management

• Does the site hold a ISO 14001 certificate (Works with the o2o environmental management system)

  Yes

  No

  N/A

• Has the site conducted any environmental spills/ training

  Yes

  No

  N/A

• Lighting, heating, ventilation,humidity, dust suppression, fume extraction etc. (Service schedule where possible)

  Safe

  At Risk

  N/A

• Has a water risk assessment taken place (Date/ outstanding actions)

  Date

• Who is responsible for taking water temperature checks (How often/ sample temps/ training recieved)

  Yes

  No

  N/A

• Sanitation, washing facilities

  Safe

  At Risk

  N/A

• Are unused/ little used outlets flushed weekly (toilets/ outside taps/ showers)

  Yes

  No

  N/A

• Drinking water available

  Yes

  No

  N/A

• Waste management coordinator appointed.

  Yes

  No

  N/A

• Wast survey competed and waste reduction targets set?

  Yes

  No

  N/A

• Waste segregated (chemical, contaminated packaging. Separate and labelling of waste types with MSDSs?

  Yes

  No

  N/A

• Waste disposal via accredited contractors with tracking?

  Yes

  No

  N/A

• Waste and effluent stream monitoring and reporting in place and consistent with regulatory requirements (e.g. NPI)

  Yes

  No

  N/A

• Environmental impact assessment done for the site, reviewed and maintained & stored in the sites dossier?

  Yes

  No

  N/A

17. First aid

• Specific Procedure applicable to the site.

  Yes

  No

  N/A

• Has a first aid risk assessment been completed?

  Yes

  No

  N/A

• First aider list posted (How many first aiders/ training received/ refreshers due)

  Yes

  No

  N/A

• Accident book available (Where/ accident procedure known/ last RIDDOR accident/ investigations completed.

  Yes

  No

  N/A

• Near Miss/ Incidents reported (Procedure known/ last NM Reported/ Investigations completed)

  Yes

  No

  N/A

• First aid box checks (Who by/ how often/ documented)

  Yes

  No

  N/A

• Eye wash stations checked (Who by/ how often/ documented)

  Yes

  No

  N/A

18. Internal QHSE Audits

• Effective internal auditing system with audit schedule against the procedures in place?

  Yes

  No

  N/A

• Recording of internal audits recommendations and follow -up

  Yes

  No

  N/A

• Is there any process to assess compliance against work instructions ( E.g. JCCs)

  Yes

  No

  N/A

• Internal auditors independent of area being audited and had sufficient training?

  Yes

  No

  N/A

19. Other site Risk Assessments

• Who is responsible for completing/ reviewing risk assessments on site?

  Yes

  No

  N/A

• What other site risk assessments are in place?

  Yes

  No

  N/A

• Does the site make use of the Risk Assessment Manual? (in use/ signed)

  Yes

  No

  N/A

20. Compressed air

• Test, inspection records up to date

  Yes

  No

  N/A

• Identification mark legible

  Yes

  No

  N/A

• Staff are trained and are using compressed air correctly

  Yes

  No

  N/A

21. Protective clothing, equipment

• Suitability and fitting, comfort

  Yes

  No

  N/A

• Correct usage and storage, care and maintenance

  Yes

  No

  N/A

• Worn where required

  Yes

  No

  N/A

22. Safety signs

• In good condition

  Yes

  No

  N/A

• Visible

  Yes

  No

  N/A

• Correctly displayed where required

  Yes

  No

  N/A

23. Manual handling

• Pre- placement and ongoing health assessment done

  Yes

  No

  N/A

• Picking heavy objects, process and practices been reviewed.

  Yes

  No

  N/A

• Appropriate trolleys and other aids provided and maintained.

  Yes

  No

  N/A

• Early recognition and reporting of manual handling injuries.

  Yes

  No

  N/A

• Staff training and aware of safe handling methods

  Yes

  No

  N/A

• Purchasing policy considers pack size and shape.

  Yes

  No

  N/A

• Job rotation, load limits, rest breaks to reduce the load.

  Yes

  No

  N/A

• Variety of tasks / No repetitive activities.

  Yes

  No

  N/A

• Modification system identifies changes to manual handling ergonomic risks.

  Yes

  No

  N/A

• Suitable manual handling aids available and in use

  Yes

  No

  N/A

• Manual handling assessments (risk assessment manual in place and used?)

  Safe

  At Risk

  N/A

• All lifts > 10Kg limited to between knees and shoulders.

  Yes

  No

  N/A

• Ergonomic issues (Identify from observation)

  Safe

  At Risk

  N/A

24. QHSE Training, supervision

• Has the essential QHSE competences for key positions between and documented.

  Yes

  No

  N/A

• Have line managers attended QHSE Leadership training and had follow-up training?

  Yes

  No

  N/A

• Is there an appropriate, timely induction training process for all employees?

  Yes

  No

  N/A

• Training recorded

  Yes

  No

  N/A

• Is there a contractor induction and hazards training for site/ project specific hazards.

  Yes

  No

  N/A

• Is there evidence of active comprehensive structured refresher training programs?

  Yes

  No

  N/A

• Is there training in the key QHSE aspects ( e.g. PPE, Clearance to work, work permit, confined space entry, MSDSs).

  Yes

  No

  N/A

• Evidence of induction or other suitable training

  Safe

  At Risk

  N/A

• Familiar with Risk assessments/safe systems of work

  Yes

  No

  N/A

• Adequate supervision of vulnerable people e.g. Young persons

  Yes

  No

  N/A

• Observed to be working correctly.

  Safe

  At Risk

  N/A

25. Control of Contractors.

• Procedure for management of contractors with selection based on competence checks.

  Yes

  No

  N/A

• System of contractor site induction, emergency and hazard training; health assessment where appropriate?

  Yes

  No

  N/A

• Conductors working on site produce equipment inspections and are controlled by permit to work where appropriate?

  Yes

  No

  N/A

• Contractors required to produce job safety analysis?

  Yes

  No

  N/A

26. Management of Physical Security

• Who is the person responsible for physical security on site? What physical security training has this person received?

  Yes

  No

  N/A

• Site security manual and or emergency procedure manual prepared? Includes details of responsible law enforcement agency?

  Yes

  No

  N/A

• Personnel at high risk facility carry photo identified?

  Yes

  No

  N/A

• Under what circumstances would you conduct a physical security risk assessment ( e.g. Local threat, new high risk product, projects, etc)

  Yes

  No

  N/A

• Contract guards, etc hold appropriate licences?

  Yes

  No

  N/A

• Appropriate security measures applied to physical boundaries, computer systems, etc. (Extra for major hazards facility)?

  Yes

  No

  N/A

• Security related incidents reported to company security manager and where agreed to local law enforcement agencies?

  Yes

  No

  N/A

27. Permit to Work

• All non routine takes requires permit to work

  Yes

  No

  N/A

• Permit to work system exists, authorised issues formally appointed and trained, recipients trained?

  Yes

  No

  N/A

• Scope of permit to work is defined , JHA done, duration, limitation met, record kept.

  Yes

  No

  N/A

• What permit to work system do you use to ensure that the system is effectively managed? Is it appropriate for site risk?

  Yes

  No

  N/A

• Exemptions to permit to work are clearly documented and approved, exempt workgroups clearly defined? (Live LV electrical work)

  Yes

  No

  N/A

• Re-trained of authorised persons every 2 years? And trading records to be maintained.

  Yes

  No

  N/A

• How do you ensure that a "mod" form has been approved prior to issuing a permit to work for a modification job?

  Yes

  No

  N/A

• What is your procedure for issue and close out process with regards to handover and hand-back? Are there occasions where personal handover / hand back cannot be carried out? How do you manage this situation?

  Yes

  No

  N/A

• How are people responsible for the site and equipments informed of work in the area and what authorities do they hold?

  Yes

  No

  N/A

• Permit to work issued for those responsible for the site and equipments, any self issuance meets exemption requirements?

  Yes

  No

  N/A

28. Hot work Permit

• How do you determine whether or not to issue a Hot Work Permit on your site?

  Yes

  No

  N/A

• Hot work permit to work issuer training and authorized

  Yes

  No

  N/A

• Standby person trained and has fire extinguisher

  Yes

  No

  N/A

• Hot work certificate cross referenced to permit to work certificate and JHA reflects activities.

  Yes

  No

  N/A

• Limits of 5% LEL applied for atmosphere testing in areas that may contain flammable atmosphere.

  Yes

  No

  N/A

• Gas tests by non- Bollore witnessed by permit to work issuer.

  Yes

  No

  N/A

• Work area inspected after 1 hr and signed off.

  Yes

  No

  N/A

• Do you have an example where alternative methods to hot work have been considered? Is this includes in your training for hot work permit issuers?

  Yes

  No

  N/A

29. Lone and Isolated Workers

• At risk workers identified, risk assessments done and controls in place

  Yes

  No

  N/A

• Communication defined

  Yes

  No

  N/A

• Tastes that cannot be performed ( restrictions) documented?

  Yes

  No

  N/A

30. Working in Heat and Other Extremes.

• Risk assessment done for heat, cold, us, altitude as applicable?

  Yes

  No

  N/A

• Appropriate controls, protective equipments or system provided with training.

  Yes

  No

  N/A

• Sun screen available and used?

  Yes

  No

  N/A

• Wide brimmed hats ad available and used?

  Yes

  No

  N/A

• Long sleeves and long trousers worn?

  Yes

  No

  N/A

• Appropriate uv sunglasses supplied and work.

  Yes

  No

  N/A

31. Drugs and Alcohol

• Staffs made aware of drugs and alcohol policy, training recorded?

  Yes

  No

  N/A

• Appropriate controls and authorization for alcohol on site and for off-site company sponsored functions?

  Yes

  No

  N/A

• Does the site drug and alcohol testing program comply with the procedure?

  Yes

  No

  N/A

32. Health Assessments and Monitoring

• Pre-placement (prior to offer), Jon transfer and scheduled periodic assessments undertaken and performance documented.

  Yes

  No

  N/A

• What process are in place to identify and assess potentially impaired employees (e.g. Sick leave manage management and 'for cause' health assessment?

  Yes

  No

  N/A

• Which periodic 'fitness for work' health assessments are carried out on site?

  Yes

  No

  N/A

• Personal health risk management reviews prepared and recorded.

  Yes

  No

  N/A

• Health effects (audiometry, spirometry ) and biological monitoring programs compliant with OSHA Authority.

  Yes

  No

  N/A

33. Behavioral Safety Program

• A behavioral safety program in place, staff trains and participating?

  Yes

  No

  N/A

34. Underground and Secondary Containment

• Have you identified the site list of environmentally hazardous substances and prepared the risk management plan?

  Yes

  No

  N/A

• Underground tanks, pipes, bunds, pits, and lagoons with impervious surfaces and inspected periodically?

  Yes

  No

  N/A

• Tanks, drums, ISO -tanks, solid material stored on sealed bunded areas? Tanker loading bays bunded and sealed?

  Yes

  No

  N/A

• What method are used for inspecting and testing underground and secondary containment system s?

  Yes

  No

  N/A

• Bund water retained and tested prior to release?

  Yes

  No

  N/A

• All leaks into or from underground or secondary containment reported and investigated?

  Yes

  No

  N/A

35. QHSE Plans

• Plan content adequate , i.e. General follows

  Yes

  No

  N/A

• Plan prepared in consultation with the work groups.

  Yes

  No

  N/A

• Responsibilities identified to complete actions identified with the plan?

  Yes

  No

  N/A

• Does the plan include actions to close the gapes in 'critical procedures'?

  Yes

  No

  N/A

• Plan and QHSE capital budget signed off by business manager.

  Yes

  No

  N/A

36. QHSE Policies and Procedures.

• QHSE Policy up to date and well publicized?

  Yes

  No

  N/A

• QHSE procedures manual (or equivalent) exists and is readily available?

  Yes

  No

  N/A

• Have the procedure being identified and audited?

  Yes

  No

  N/A

• Is there a training program for users and owners of the procedure?

  Yes

  No

  N/A

• Is there a systematic method of scheduling recurring QHSE activities?

  Yes

  No

  N/A

37. QHSE Management Resources

• Clear definition of business and site responsibilities?

  Yes

  No

  N/A

• Accountabilities for key QHSE and physical security functions and reporting clearly defined in position descriptions and are currently?

  Yes

  No

  N/A

• QHSE line and functional roles clearly differentiated?

  Yes

  No

  N/A

• Responsible engineer arrangements in place and role and responsibilities documented?

  Yes

  No

  N/A

38. QHSE Objectives and Targets.

• KPI's and PPI's set for the facility and measurements of performance made?

  Yes

  No

  N/A

• QHSE Performance reported to the workgroups and the company?

  Yes

  No

  N/A

39. Significant Risk Management

• QHSE risks identified, assessed (e.g. Significant risk audit or HIRAC by trained personnel and documented (e.g. Site QHSE risk register)!

  Yes

  No

  N/A

• Critical procedures identified base on significant risks.

  Yes

  No

  N/A

• Clear links of significant risks to induction training

  Yes

  No

  N/A

• Clear links of significant risks to ongoing training program

  Yes

  No

  N/A

• Significant risk register kept updated

  Yes

  No

  N/A

• Hazards and critical controls clearly identified and managed e.g. Incorporated into work instructions and site/ yard equipment inspection schedule?

  Yes

  No

  N/A

• JHA prepared for non-routine tasks and clearance to work activities.

  Yes

  No

  N/A

• Critical controls clearly identified

  Yes

  No

  N/A

• KPI related to compliance with critical controls.

  Yes

  No

  N/A

• Internal audits of critical controls.

  Yes

  No

  N/A

40. Emergency Management.

• Non essential workers in another areas

  Yes

  No

  N/A

• Fire detection system installed (smoke, heat detectors)

  Yes

  No

  N/A

• Emergency plan prepared and current periodic updated?

  Yes

  No

  N/A

• Emergency exit marked and checked for appropriateness

  Yes

  No

  N/A

• Emergency drills done

  Yes

  No

  N/A

• Emergency assembly point defined, signed and appropriate.

  Yes

  No

  N/A

• Fire and emergency crew receive specialist incident management training

  Yes

  No

  N/A

• Emergency plan defines actions for incident scenarios including fire.

  Yes

  No

  N/A

• Emergency crew understand actions for each building, area and scenario.

  Yes

  No

  N/A

• Emergency training with external authorities

  Yes

  No

  N/A

• Emergency plan including command structure

  Yes

  No

  N/A

• System for head count during emergency?

  Yes

  No

  N/A

• System in place incident/ (accidents, security, traffic, transport and complaints) covering employees and contractors.

  Yes

  No

  N/A

• Investigation done using five steps process and root cause analysis.

  Yes

  No

  N/A

• System to ensure investigations are done, closed out rate measured, corrective action taken and effectives.

  Yes

  No

  N/A

41. Pumps Management

• Over temperature prevention

  Yes

  No

  N/A

• Dead heading prevented

  Yes

  No

  N/A

• Dry running prevented

  Yes

  No

  N/A

• Adherence to trips testing schedule

  Yes

  No

  N/A

• Register all pumps and maintain to the company standard (frequency, checks, etc )

  Yes

  No

  N/A

• Training and sure idiot of maintenance

  Yes

  No

  N/A

• Preventative maintenance program established.

  Yes

  No

  N/A

• KPI's established for maintenance

  Yes

  No

  N/A

• Yes

  No

  N/A

42. Working on Customer Sites

• Vehicles equipped with first aid kit, safety, triangle, fire extinguisher

  Yes

  No

  N/A

• Traffic management plan to include safe access to main roadway/ crossing roadways.

  Yes

  No

  N/A

• Selection of competent transport company

  Yes

  No

  N/A

• Car, vehicle, equipment audit

  Yes

  No

  N/A

• Routine maintenance on vehicles

  Yes

  No

  N/A

• ERS numbers supplied

  Yes

  No

  N/A

• No alcohol or drug driving

  Yes

  No

  N/A

• Licensed drivers only

  Yes

  No

  N/A

• Defensive driving training

  Yes

  No

  N/A

• Customer standards known, understood and in place.

  Yes

  No

  N/A

• Appropriate vehicle for the load

  Yes

  No

  N/A

• Bollore standards adopted as a minimum

  Yes

  No

  N/A

• JHA done for individual customer site activities and reviewed at each visit.

  Yes

  No

  N/A

• Customer site risk views current and controls known and understood by all staffs

  Yes

  No

  N/A

43. Vehicle/ Forklift/ Truck/ Mobile Equipments

• Risk assessments done (including use of attachments

  Yes

  No

  N/A

• Access to mixed traffic areas restricted

  Yes

  No

  N/A

• Define traffic flow, segregation & marked walkways.

  Yes

  No

  N/A

• Physical barriers used to separate pedestrian areas

  Yes

  No

  N/A

• Building lighting and visibility adequate.

  Yes

  No

  N/A

• Restricted access to site and operational area

  Yes

  No

  N/A

• Hi- Vis clothing used by staff and visitors.

  Yes

  No

  N/A

• Maintenance of equipment

  Yes

  No

  N/A

• Define loading and unloading areas

  Yes

  No

  N/A

• FLT's prevented from operating on dirty or unsealed surfaces.

  Yes

  No

  N/A

• Drains covered

  Yes

  No

  N/A

• FLT correct design for stability (tyre, track, width etc)

  Yes

  No

  N/A

• Driver's licensed

  Yes

  No

  N/A

• Training of forklift truck, mobile equipment, drivers and awareness.

  Yes

  No

  N/A

• Re- training program active annually

  Yes

  No

  N/A

• Pre-start checks

  Yes

  No

  N/A

• Rollover protection, roof protection, flashing lights, extinguishers, horn and reversing hooter

  Yes

  No

  N/A

• Cabin placards include SWL

  Yes

  No

  N/A

• Mirrors at blind corners

  Yes

  No

  N/A

• Correct rating of lifting equipment for loads

  Yes

  No

  N/A

• Operator and pedestrian behaviors

  Yes

  No

  N/A

• Seat belts installed and used

  Yes

  No

  N/A

• Forklift only used for transporting equipments ( not passengers vehicle)

  Yes

  No

  N/A

• System to control hired equipments

  Yes

  No

  N/A

• Speed limits set and forced.

  Yes

  No

  N/A

• Periodic health assessments for drivers

  Yes

  No

  N/A

• Fall protections or restriction on top of load access

  Yes

  No

  N/A

• Engineering inspections of attachments.

  Yes

  No

  N/A

• Roads and surface in good condition

  Yes

  No

  N/A

• Visitors controls

  Yes

  No

  N/A

• Control in place for truck drivers during loading

  Yes

  No

  N/A

• Reversing alarms required on all mobile equipment

  Yes

  No

  N/A

• Access to mixed traffic areas restricted

  Yes

  No

  N/A

• Yes

  No

  N/A

44. Chemical Contacts

• Work instructions documented

  Yes

  No

  N/A

• Hazardous substance identified

  Yes

  No

  N/A

• Chemical risk assessment (JHA, JCC's done and reviewed

  Yes

  No

  N/A

• Identified exposures monitored

  Yes

  No

  N/A

• Safety showers and eyewash appropriate

  Yes

  No

  N/A

• Appropriate PPE defined, available, worn and enforced.

  Yes

  No

  N/A

• Training in PPE, training in work instructions and chemical awareness.

  Yes

  No

  N/A

• Maintenance of equipment

  Yes

  No

  N/A

• Equipments fit for purpose

  Yes

  No

  N/A

• MSDS available and current

  Yes

  No

  N/A

• Isolations of operators from the line of fire and chemical exposure ( remote transfer)

  Yes

  No

  N/A

• Spill kits and procedures known

  Yes

  No

  N/A

• Lines heat traced to above fudge temperature.

  Yes

  No

  N/A

• SOPs should incorporate JHA from line break, de- fudging, unloading developed.

  Yes

  No

  N/A

• Hoses, containers, ISO tanks registered and inspected.

  Yes

  No

  N/A

• First aid training including special training for treatments.

  Yes

  No

  N/A

45. Working at Heights - Vehicles

• Risk assessment done

  Yes

  No

  N/A

• JHA and clearance system used

  Yes

  No

  N/A

• Training of people working in cage and of forklift truck operators.

  Yes

  No

  N/A

• Fall protection installed, training provided and used.

  Yes

  No

  N/A

• Inspections and maintenance of fall arrest equipments.

  Yes

  No

  N/A

• Restricted access to trucks and ISOs advertised.

  Yes

  No

  N/A

• Site top of load activity procedures in place

  Yes

  No

  N/A

• Fall protection used for trucks (e.g. Harness / fall arrest)

  Yes

  No

  N/A

• Stairs, platforms or fall protection for ISO or truck access

  Yes

  No

  N/A

• Truck fitted with safety gates or safety rails

  Yes

  No

  N/A

• Drop down platform for gantry access to trucks

  Yes

  No

  N/A

• Controls on access to top of loads on trucks.

  Yes

  No

  N/A

• Loading docks prevent fall when not in use.

  Yes

  No

  N/A

• Truck access eliminated with ground level controls

  Yes

  No

  N/A

• High standards of house keeping

  Yes

  No

  N/A

• Awareness training and reinforce behaviors.

  Yes

  No

  N/A

46. Working at Heights - Operations & Maintenance

• Risk assessment done

  Yes

  No

  N/A

• Appropriate access to sampling points

  Yes

  No

  N/A

• JHA and clearance system used

  Yes

  No

  N/A

• Fall protection used (e.g. Harness / fall protections)

  Yes

  No

  N/A

• Self closing or rollover gates on platforms.

  Yes

  No

  N/A

• Access by ladder eliminated

  Yes

  No

  N/A

• No work near open gates (loading pallets to platform)

  Yes

  No

  N/A

• Elevated work appropriate for use

  Yes

  No

  N/A

• Forklift truck cages has gates and harness mounting

  Yes

  No

  N/A

• Working at height procedure in place and used.

  Yes

  No

  N/A

• Awareness training and reinforce behaviors.

  Yes

  No

  N/A

• Safety harness used where there is no hand rails

  Yes

  No

  N/A

• High standards of house keeping

  Yes

  No

  N/A

• Ladders fitted with cages / platforms at 6M

  Yes

  No

  N/A

• Platforms used for maintenance

  Yes

  No

  N/A

• Equipment is approved, tested and maintained.

  Yes

  No

  N/A

47. Initiation Event from Inadequate Decontamination.

• Procedure identified for decontamination of process equipments.

  Yes

  No

  N/A

• Decontamination methods and standards defined.

  Yes

  No

  N/A

• Maintenance people trained in chemicals and explosive awareness.

  Yes

  No

  N/A

• Training given on decontaminations process

  Yes

  No

  N/A

• Only people trained to conduct decontamination process

  Yes

  No

  N/A

• Use of decontamination tags.

  Yes

  No

  N/A

• Tools specified and available

  Yes

  No

  N/A

• Maintenance, Technical or facility work instructions include decontaminations.

  Yes

  No

  N/A

• All maintenance works conducted under permit with JHA

  Yes

  No

  N/A

• Testing for contamination documented as part of permit.

  Yes

  No

  N/A

• Authorization current and documented.

  Yes

  No

  N/A

• Internal audits done, e.g. Open/ close clearance.

  Yes

  No

  N/A

• General awareness of requirements

  Yes

  No

  N/A

48. Confined Space Entry

• Active process to minimize need to enter

  Yes

  No

  N/A

• Confined space register exists

  Yes

  No

  N/A

• Confined spaces signed, locked or access restricted.

  Yes

  No

  N/A

• Confined space entry procedure in place and audited

  Yes

  No

  N/A

• Trained issuers, standby, insider and tester

  Yes

  No

  N/A

• Work scope full defined with full and detailed risk assessment documented each time prior to entry.

  Yes

  No

  N/A

• Low voltage and flameproof equipment used inside

  Yes

  No

  N/A

• Contractors and other trained in local confined space entry requirements

  Yes

  No

  N/A

• Gas testing available and calibration current

  Yes

  No

  N/A

• Testers trained and accredited.

  Yes

  No

  N/A

• Air test done before entry and continues monitoring

  Yes

  No

  N/A

• Extension hoses on samplers

  Yes

  No

  N/A

• Maintenance of equipment used (gas tester)

  Yes

  No

  N/A

• Initial entry conducted by person familiar with vessel

  Yes

  No

  N/A

• Rescue procedures prepared and rehearsed.

  Yes

  No

  N/A

• Breathers available and used

  Yes

  No

  N/A

• First aiders available and trained.

  Yes

  No

  N/A

Other statutory requirements for site

• Gas safety completed? (Gas boiler)

  Date

• Air con serviced (How many/ actions required)

  Date

• Asbestos survey completed (Identified/ Risk assessed/ Inspections documented)

  Date

• lightning rods inspected

  Date

• Does the site have shutter doors/ dock levellers? (last service date/ any history of damage)

  Yes

  No

  N/A

• Does the site have a passenger lift (LOLER/ when was the last service/ any issues identified/ outstanding

  Yes

  No

  N/A

Summery and Signature

• Select date

  Date

• Site Manager/ Supervisor

  Sign

• QHSE Representan

  Sign

• QHSE Auditor

  Sign