Procedure and Process Audit form

• Job number

• Site address

• Conducted on

  Date

• Prepared by

• Personnel/ company onsite

• Procedures and Processes must be regularly audited as part of a continuous improvement plan. Any significant or repeat failings should be subject to a NCR, refer to NCR form 3
  The Site Manager is responsible of ensuring this process is implemented

• Procedure or Process being Audited:

Induction pre start permits SWMS collection

• Job step is referenced in SWMS/ JSA/ SOP?

  Yes

  No

  N/A

• Staff trained/inducted/instructed?

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Recommendations

  Yes

  No

  N/A

• By whom?
  
  
  Date by:
  
  

Responsibilities defined. Laws and Regs known and referenced

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instructed

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

Registers, competencies plan: Safety, traffic, emergency and environment

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instruced

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom
  
  
  Date by:

Facilities, sanitary, first aid equipment, evacuation

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instructed

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

Chemicals, plant equipment (storage and use of all)

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instruced

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

Inspections, testing, maintenance, authorization of use

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instructed

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

Main hazards: electrical, slips/trips/falls/crushing, falling objects

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instructed

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

Manual handling, noise weather, housekeeping

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instructed

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

Impact on other site activities and public environment issues

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instructed

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

Procedure understood, followed, employee able to explain

• Job step is referenced in SWMS/JSA/SOP

  Yes

  No

  N/A

• Staff trained/inducted/instructed

  Yes

  No

  N/A

• Any observations

  Yes

  No

  N/A

• Any recommendations

  Yes

  No

  N/A

• By whom:
  
  
  Date by:

• JLG REP

  Sign