Refraline Group of Companies SHEQ Management System

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Scope of Audit

• Comments:

• Current jobs on site?

• Jobs inspected:

Opening meeting

• List attendees and their roles.

• Signatures:

  Sign

• Complete attendance register

• Objectives of the audit. -Not to reject the system -re-currence may point to system failure - cant cover all aspects. -where no non-conformance detected does not mean non exist sample of activities.

• Confidentiality

Work on site:

• Is the current work on site covered by a risk assessment?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Risk assessment covers full scope of work?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• All reasonable practicable hazards been identified?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Controls identified on risk assessments and implemented on site (reasonable practicable)

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Has the risk assessments been explained to the employees and registers signed?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Records kept of previous risk assessments as per Control of Records procedure

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Has the required permits been issued to work?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Has work been scoped by the client and covered by all the required documentation? Z

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Has all machinery used on site been inspected by the relevant inspection registers before use?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Has all relevant operators been trained to use equipment?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Is the equipment used during work safe and meet minimum legal requirements?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Has the correct PPE been issued to employees

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• All employees using the PPE as specified?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• SOP's available for current work, and have employees been trained on SOP's?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Where required is SDS's available for chemicals used on site

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Employees training to work at heights?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Fall protection equipment legal, maintenance, inspected and correctly used

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Fall protection plan available on site, implemented, and checked?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• All relevant symbolic safety signs obeyed and considered?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Where required have barriers been fitted for work that involves excavations and do they meet requirements?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Site area housekeeping maintained, controlled and in order?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Planned job observation schedule developed and being adhered to?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• PTO’s done by safety officers and supervisors?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• PTO’s completed adequately and correctly as per procedure?

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Issues identified in PTO’s addressed in relevant manner? (Look for evidence)

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• PTO’s revised and signed by management on a regular basis

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

• Records kept of all PTO’s

  Yes

  No

  N/A

• 4 - fully implemented and apply 3 - implemented partly elective 2 - implemented / partly implemented -not satisfactory 1 - no evidence of effective application (even if implemented) 0 - not addressed at all

Closing meeting

• Attendance register

  Sign

• Audit only sample, where no non conformance reported, does not mean on exist.

• Summarise good practices if any.

• Comments:

• Copy of feedback report.

• Invite questions

Summary of audit report:

• List non-conformances:

• List findings:

• List opportunities for improvement:

Signatures:

• Auditor signature:

  Sign

• Site Manager:

  Sign

• Lead Auditor:

  Sign

• Date and time:

  Date