P

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Incomplete

  Yes

  No

  N/A

• Score

0% Flagged items

• 0 Actions

• Date of Audit

  Date

• Contractors Name

• Additional Auditor(s)

• Manager

• Additional Comments

• Such as;

  Yes

  No

  N/A

• - Work going on?

  Yes

  No

  N/A

• - Any training being carried out?

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

Opening Meeting

Auditor Information

• The company undergoes ‘office’ audits to maintain certification for ISM from the MCA, and maintain ISO 9001 & ISO 14001 certification from LRQA. These office audits ensure that our

Interview Questions;

• Any response to an interviewers question will be subject to the individual auditors interpretation

  Yes

  No

  N/A

• At the Opening Meeting it is important to discuss the following items;

Opening Meeting

- Introduction

- Scope and purpose of Audit

- Sample Process

• - Reminder that this is a learning process

  Yes

  No

  N/A

• - Expected duration of the audit

• - Arrange for a guide where necessary

  Yes

  No

  N/A

- Schedule Interviews

• Opening Meeting Comments

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

Audit Aid Memoire and Required Checks

The following Section is an Aid Memoire for the Internal Auditor

• The intention of this section is to provide guidance and suggestions for points of audit

• The direction the audit takes is entirely in the discretion of the trained and competent auditor chosen to complete the audit based on their meeting the requirements of the North Star Shipping

  Yes

  No

  N/A

Integrated Management System

1. Documentation

• Is there a formal statement of Health and Safety Policy

  Yes

  No

  N/A

• Has it been brought to the attention of all employees (on display)

  Yes

  No

  N/A

• Is it reviewed annually

  Yes

  No

  N/A

• Is the Health and Safety Law poster on display • Latest version

  Yes

  No

  N/A

• • Correctly filled in

  Yes

  No

  N/A

• Is there a current and valid Employers Liability Insurance

  Yes

  No

  N/A

• Certificate on display

  Yes

  No

  N/A

Management of Health and Safety at Work

• Training Certificate

  Yes

  No

  N/A

• Has the need for health surveillance been identified from the

  Yes

  No

  N/A

• RA. If so is it provided

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Are suitable provisions in place for any expectant mothers?

  Yes

  No

  N/A

• Is refresher training given where appropriate

  Yes

  No

  N/A

• Are employees made aware of their responsibilities during induction to

  Yes

  No

  N/A

• • Use equipment, including safety equipment, as directed

  Yes

  No

  N/A

• • Inform the employer of any unsafe act or condition

  Yes

  No

  N/A

• • Report any accidents immediately

  Yes

  No

  N/A

• Is there evidence that suitable supervision is given?

  Yes

  No

  N/A

• Is the workplace shared with other employers

  Yes

  No

  N/A

• If so is there

  Yes

  No

  N/A

• • Co-operation

  Yes

  No

  N/A

• • Co-ordination

  Yes

  No

  N/A

• • Sharing of information

  Yes

  No

  N/A

• Do outside employees undertake work on the premises

  Yes

  No

  N/A

• If so are provided with information on;-

  Yes

  No

  N/A

• • Risks to their health and safety

  Yes

  No

  N/A

• • Health and safety measures in place

  Yes

  No

  N/A

• Is the ventilation adequate

  Yes

  No

  N/A

• Is the temperature adequate

  Yes

  No

  N/A

• Is lighting sufficient

  Yes

  No

  N/A

• Are all areas clean , tidy and waste removed

  Yes

  No

  N/A

• Workrooms have sufficient space (11m2 per person)

  Yes

  No

  N/A

• Workstation and seating suitable

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Is the workplace and equipment maintained in safe condition

  Yes

  No

  N/A

• Are work areas maintained in safe condition

  Yes

  No

  N/A

• Pedestrian areas maintained in a safe condition

  Yes

  No

  N/A

• Traffic routes appropriate

  Yes

  No

  N/A

• Sanitary conveniences suitable and sufficient

  Yes

  No

  N/A

Display Screen Equipment

• Is the work such that breaks away from DSE use can be taken

  Yes

  No

  N/A

Fire

• Has a fire risk assessment been carried out at the premises

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Have young people been included where appropriate

  Yes

  No

  N/A

• Have dangerous substances included where appropriate

  Yes

  No

  N/A

Access Equipment and Work at Heights

• Has work at height been subject to a Risk Assessment

  Yes

  No

  N/A

• Where necessary is work at height

  Yes

  No

  N/A

• • Planned

  Yes

  No

  N/A

• • Supervised

  Yes

  No

  N/A

• • Carried out in a safe manner

  Yes

  No

  N/A

• • Planning includes selection of work equipment

  Yes

  No

  N/A

• • Planning for emergencies and rescue included

  Yes

  No

  N/A

• • Only carried out when weather conditions do not jeopardise

  Yes

  No

  N/A

• workers H&S

  Yes

  No

  N/A

• Are persons engaged in work at height suitable competent

  Yes

  No

  N/A

• Where work at height is carried out are suitable and sufficient collective measures in place to prevent a fall

  Yes

  No

  N/A

• • Guard rails

  Yes

  No

  N/A

• • Fixed platforms

  Yes

  No

  N/A

• • Appropriate ergonomic conditions

  Yes

  No

  N/A

• Where collective measures are not reasonably practicable

  Yes

  No

  N/A

• • is suitable work equipment provided to minimise the

  Yes

  No

  N/A

• distance and /or consequences of any fall

  Yes

  No

  N/A

• • Is suitable additional training and instruction provided

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Is work at height equipment checked, and checks recorded

  Yes

  No

  N/A

• Electricity

  Yes

  No

  N/A

• Risk Assessment Available- REQUIRED - Ref: ISM 1.2.2, SMS 7

  Yes

  No

  N/A

• PAT testing carried out as per HSE guidelines (Maintaining portable and transportable electrical equipment)

  Yes

  No

  N/A

• Electrical equipment selected suitable for task

  Yes

  No

  N/A

• Cabling checked for damage regularly

  Yes

  No

  N/A

• Equipment free of tampering

  Yes

  No

  N/A

• Where appropriate reduced voltage equipment in place

  Yes

  No

  N/A

• RCD’s in use where applicable

  Yes

  No

  N/A

• Suspect or faulty equipment is taken out of use and labelled

  Yes

  No

  N/A

• ‘DO NOT USE’ or similar

  Yes

  No

  N/A

First Aid and Reporting

• Record kept of trained first aiders?

  Yes

  No

  N/A

• Training in date

  Yes

  No

  N/A

• Suitable First Aid equipment available?

  Yes

  No

  N/A

• Record of checks on FA Equipment available?

  Yes

  No

  N/A

• Are accident records maintained (Accident Book)

  Yes

  No

  N/A

• Are Employees aware of who the ‘Responsible Person’ is?

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Reportable incidents known and understood?

  Yes

  No

  N/A

Maintenance & Building Work

• Asbestos

  Yes

  No

  N/A

• Has an asbestos Assessment been undertaken?

  Yes

  No

  N/A

• Where a third party has been nominated to undertake the this party has

  Yes

  No

  N/A

• • Adequate training and experience

  Yes

  No

  N/A

• Are suitable MSDS Sheets available on site for each chemical?

  Yes

  No

  N/A

• Is suitable information available on Safety Data Sheets and

  Yes

  No

  N/A

• Symbols?

  Yes

  No

  N/A

• Are Staff Aware of Symbols and meaning?

  Yes

  No

  N/A

• Is PPE available for use with chemicals?

  Yes

  No

  N/A

• Is a Suitable and Sufficient Risk Assessment in place?

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Has guidance been made available for suitable Manual

  Yes

  No

  N/A

• Handling techniques?

  Yes

  No

  N/A

• Where possible are mechanical aids provided?

  Yes

  No

  N/A

• Where provided has suitable training been provided?

  Yes

  No

  N/A

• Are suitable maintenance routines in place and recorded?

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Has a Risk Assessment been conducted?

  Yes

  No

  N/A

• Any Actions identified taken?

  Yes

  No

  N/A

• Is Information provided (Where Applicable) to employees?

  Yes

  No

  N/A

• If required is Health Surveillance carried out? (If required)

  Yes

  No

  N/A

• PPE Available?

  Yes

  No

  N/A

• Vibration

  Yes

  No

  N/A

• If required, is suitable health surveillance in place?

  Yes

  No

  N/A

• If required, is the exposure value known and recorded?

  Yes

  No

  N/A

• Are all measures taken to reduce the exposure to vibration?

  Yes

  No

  N/A

• Is advice provided to operators on best practice?

  Yes

  No

  N/A

• (See attached Advice for Mobile Machine Operators and Drivers)

  Yes

  No

  N/A

• Work equipment is of ergonomic design?

  Yes

  No

  N/A

Work Equipment and Machinery

• Inspection routine includes all work equipment (Hammers, drills, ladders etc)

  Yes

  No

  N/A

• Appropriate Risk Assessments in place for use of Work

  Yes

  No

  N/A

Equipment and Machinery

• Any evidence of tampering with guards or machinery found

  Yes

  No

  N/A

Lifting Operations & Lifting Equipment

• Appropriate Risk Assessments in place

  Yes

  No

  N/A

• Lifting Plans available and in use

  Yes

  No

  N/A

• All lifting equipment clearly marked with the

  Safe

  Working

• Load (SWL)

  Yes

  No

  N/A

• Lifting equipment in use suitable for task

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• If Lifting equipment used for lifting people is it

  Yes

  No

  N/A

• • Designed to prevent a person using it being crushed, trapped

  Yes

  No

  N/A

• or struck

  Yes

  No

  N/A

• • Designed with suitable devices to prevent the carrier falling

  Yes

  No

  N/A

• • Is such that a person trapped in any carrier is not thereby

  Yes

  No

  N/A

• exposed to danger and can be freed

  Yes

  No

  N/A

• Persons trained for confined space entry and rescue

  Yes

  No

  N/A

• Clear Emergency response procedures in use and known

  Yes

  No

  N/A

• Dangers of confined spaces known and understood

  Yes

  No

  N/A

• One Way system in place?

  Yes

  No

  N/A

• Suitable Signage posted, sufficient for all (consider delivery visiting for a short time)

  Yes

  No

  N/A

• Information Posted to notify drivers of availability of

  Yes

  No

  N/A

• Banksman where appropriate?

  Yes

  No

  N/A

Workplace Transport

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Roads or parking areas well maintained?

  Yes

  No

  N/A

• Speed Limit in place and appropriately signed

  Yes

  No

  N/A

• Speed humps / Cushions in place with appropriate signage?

  Yes

  No

  N/A

• Pedestrian walkways clearly marked and/or sign posted?

  Yes

  No

  N/A

• Protective barriers to further separate pedestrians from vehicles in place. These should be particularly in place at;

• • At entrances and exits to buildings

  Yes

  No

  N/A

• • At the corners of building; and

  Yes

  No

  N/A

• • To prevent pedestrians from walking straight onto roads

  Yes

  No

  N/A

• Appropriate crossing points in place? (Pelican walkways? Where particularly wide are islands used?)

  Yes

  No

  N/A

• Parking bays clearly marked?

  Yes

  No

  N/A

• Provision made for Disabled Parking?

  Yes

  No

  N/A

• Reverse Parking policy in place?

  Yes

  No

  N/A

• Are dangerous substances used or stored at the premises?

  Yes

  No

  N/A

• If yes are they of suitable design?

  Yes

  No

  N/A

• Are they subject to suitable maintenance and inspection?

  Yes

  No

  N/A

• Suitable risks assessed and actions identified taken?

  Yes

  No

  N/A

Miscellaneous

• Employees aware to Stop Unsafe Work

  Yes

  No

  N/A

Dangerous Substances and Explosive Atmospheres

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

• Corporate Policies known by employees?

  Yes

  No

  N/A

• •HSE Policy

  Yes

  No

  N/A

• •Alcohol & Substance Abuse

  Yes

  No

  N/A

• •Stress Policy

  Yes

  No

  N/A

• •Lone Working Policy

  Yes

  No

  N/A

• •Ethics

  Yes

  No

  N/A

• •Absence Policy

  Yes

  No

  N/A

•Young People at Work

• Risk Assessor Program in use?

  Yes

  No

  N/A

• Awareness of QHSE Contacts?

  Yes

  No

  N/A

• safetyculture.com/report-recipients/?utm_source=report_pdf

  Yes

  No

  N/A

Closing Meeting, Results and Summary

Audit Findings

• Have any Observations been Noted

  Yes

  No

  N/A

• Have any Non Conformances been noted?,

  Yes

  No

  N/A

• Has any particularly good practice been noted?

  Yes

  No

  N/A

Masters acceptance of audit findings - Master to Sign

• Auditor acceptance of Companies proposed corrective actions

• - Auditor to Sign

  Sign

Closing Meeting

• - Explain the Findings and Observations and review them

• with the company representatives

- Review the audit summary

• - Thank everyone for their co-operation

  Yes

  No

  N/A

• List of those Present