Refraline Group of Companies: SHEQ MANAGEMENT SYSTEM

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Scope of Audit

• Scope

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.

• Review of audit programme:

• Company representative

• Names:

• Function of company representative:

• Time of closing meeting:

• Confidentiality

• Reasons for aborting audit:

• Invite questions

• Comments:

Overview of organisation

• Comments

Results of previous audits:

• Comments:

4.1 OHS management system

• Does the company /site have a OSH management system?

  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

• Comments:

4.2 OHS Policy

• Does the Company have a written OHS Policy? <br>

  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 OHS Policy signed and communicated to all employees? <br>

  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 Policy available to all employees/interested parties? <br>

  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 policy and objectives relevant to the organisation's business? <br>

  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

• Demonstrate ongoing commitment in line with the SHE risk profile <br>

  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

• SHE performance forms part of the appraisal <br>

  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

• Comments

4.3 Planning

4.3.1 Planning for HIRA and risk Control

• Is a procedure in place for HIRA? <br>

  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

• Systematic approach to identify and assess risks and impacts<br>

  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/impact assessment methodology and criteria defined <br>

  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

• Cross section of employees involved in risk/impact assessment process <br>

  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

• Company standard set regarding risk/impact assessment review <br>

  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

• Assessment to include all activities

  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

• Assessment includes activities carried out by contractors and off site/installations <br> <br>

  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

• Assessments cover the full scope of the company responsibility and accountability<br>

  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

• Appropriate risk and impact assessment carried out before all changes and/or modifications carry over risks identified and assessed <br><br> <br>

  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

• Assessment take account of both internal and external changes and/or modifications carry <br>

  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

• Take into consideration normal and conditions as well as potential incidents and emergencies throughout the product and/or process life cycle <br> <br><br> <br>

  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

• SHE risk surveys <br>

  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

• Comments

4.3.2 Legal and other requirements

• Legal requirements identified <br>

  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

• System established to provide access to relevant current legislation <br>

  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 aware of consequences of non compliance<br>

  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

• Legal non compiance recorded and rectified accordingly<br>

  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

• Comments

4.3.3 SHE objectives and targets

• Corporate/site specific objectives and target established<br>

  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

• Objectives commensurate with risks and impacts identified <br>

  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

• Objectives documented at appropriate levels at the plant/facility<br>

  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

• Objectives and targets specific and measurable<br>

  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

• Objectives and targets updated at appropriate levels<br>

  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

• Interested and affected parties afforded the opportunity to comment on objectives and targets<br>

  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

• Comments

SHE Plan

• Plan established that indicates how objectives and targets are going to be achieved <br>

  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

• Adequate resources available to implement the plan <br>

  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

• Plan developed to operational level <br>

  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

• System established to track achievement of objectives and targets <br>

  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 informed of progress <br>

  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

• Comments

4.4 Implementation and operation

4.4.1 Resources, roles,responsibilities, accountability and authority

• Legal appointments in place <br>

  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

• Scope and duties defined<br>

  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

• Non statutory in place<br>

  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

• Scope and duties defined<br>

  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

• Comments

4.4.2 Competence Training and awareness

Needs and analysis

• Training needs analysis based on training matrix documented and includes: <br> SHE induction training<br> SHE awareness training <br> SHE system requirements <br> Task related SHE training <br><br> <br>

  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

• Training schedule documented and adhered to (SHE related) <br> <br>

  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

• Training procedure takes into account differing levels of responsibility, ability, literacy and risk<br>

  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 trained in all SHE standards, procedures and work instructions related to their responsibilities before commencement of new duties<br> <br>

  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

• Competency assessment part of training program <br>

  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 trained in the handling of hazardous waste and spill management procedures <br>

  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

• Competence of trainers and training material comply with legal requirements<br>

  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

• Comments

SHE induction

• Induction to include employees, contractors and visitors (cognisance taken of language) <br>

  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 specific induction carried out for all new and transferred employees as well for contractors <br>

  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 of computer/process control overriding physical lock out, assessed and control <br>

  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

• Comments

Site specific/task training

• Supervisors trained to give on the job training (including SHE aspects) <br>

  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 are aware of the hazards and risks and can explain the effects of exposures related to their jobs/tasks <br><br> <br>

  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

• Safe work procedures available for training purposes<br>

  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

• System in place to monitor suitability and effectiveness of training program <br>

  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

• System established to track training outcomes per employee <br>

  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

• Legal appointee training <br>

  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

• Legal appointees trained with respect to their SHE duties and responsibilities<br>

  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

• Comments

4.4.3 Consultation, Participation and communication

• All legal SHE related reports completed and submitted

  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

• Hazards and risks communicated before high risk tasks are performed

  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

• SHE performance information available to interested and affective parties

  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

• Comments:

4.4.4 Document control and record keeping:

Documentation

• Up to date copies of corporate standards are available <br>

  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 specific standards take cognisance of corporate standards<br>

  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

• Comments:

4.4.5 Control of documents

• Procedure in place for controlling all documents and data required by the SHE management system <br>

  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

• System periodically reviewed <br>

  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

• Current versions of relevant documents and data are available<br>

  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

• Obsolete documents and data are promptly removed from all points of issue<br>

  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

• Archived documents and data retained for legal or knowledge preservation purposes or both, are suitable<br>

  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

• Did the organization ensure that the documents of external origin is determined and 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

• Comments:

4.4.6 Operational control

4.4.6 Lifting Equipment

• Records available of maintenance, testing and inspection.

  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

• Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks is not in use and removed.

  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

• Lifting equipment labeled, meet the required legal requirement, SWL displayed

  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

• Operators of moving machinery is licensed .

  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

• SWL of plant or any lifting equipment is not exceeded

  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

• Comments:

4.4.6 Hazardous Chemical (including fuel and oil)

• Safe storage location (e.g. flammable not near ignition sources, spills can not enter stormwater drains, etc)

  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

• Adequate spill containment 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

• Safety Data Sheets accessible 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

• availability of emergency procedures for injury/spills/fire etc.

  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

• Sufficient ventilation.

  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

• Sufficient, and correct PPE.

  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

• Suitable storage containers. (unlabeled or stored in food containers)

  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

• Comments:

4.4.6 Personal Protective Equipment (PPE)

• PPE available 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

• System to issue, inspect, replace and monitor PPE.

  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

• training in safe use, clean-up and inspection of PPE.

  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

• Comments:

4.4.6 Electrical Hazards

• No Electrical leads that may be damaged from contact with moving machinery parts.

  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

• Electrical leads on work surfaces is safe.

  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

• Electrical equipment protected from flammables.

  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

• Safe electrical leads. (damaged, out of test date or untested)

  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

• Comments:

4.4.6 Preventative maintenance

• Adequate maintenance systems to ensure effective operation of plant and equipment<br>

  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

• Plant requiring maintenance based upon critically and reliability identified<br>

  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

• Frequency of maintenance established <br>

  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

• System in place for the maintenance of floors, building and structure <br>

  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

• Maintenance application monitored <br>

  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

• Integrity of bund walls monitored <br>

  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

• Comments

4.4.6 Premises and workplace

• Appropriate access provided for disabled people where applicable <br>

  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 redundant equipment stored/removed <br>

  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 shelves, cupboards and containers tidy <br>

  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

• Walkways unobstructed. No material protrudes beyond demarcation <br>

  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

• System in place for safe stacking and storage practices<br>

  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

• Maximum stacking height displayed in applicable areas and adhered to <br>

  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

• Comments

4.4.6 Facilities hygiene management

• Proof of services rendered obtained from pest control and cleaning contractors <br>

  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

• Health risks pertaining to food processing assessed<br>

  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

• Personal hygiene program established <br>

  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

• Sufficient facilities provided in relation to employees <br>

  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

• Comments

4.4.6 Pollution control

• Potential sources of pollution identified <br>

  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

• Procedure for spill-controll/cleanup of oils, solvents and other spills <br>

  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

• Equipment specified in the spill control procedure is available<br>

  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

• Remediation of polluted areas <br>

  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

• Comments

4.4.6 Waste management

• Suitable containers provided, for the various classess of waste generated <br>

  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

• Schedule for the removal of waste <br>

  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

• Waste inventory established <br>

  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

• Storage and diposal of hazardous waste <br>

  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

• Demarcation of waste bin locations

  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

• Waste streams classified and provision made for the separation of waste <br>

  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

• Comments

4.4.6 Hazardous waste

• Comprehensive inventory of all hazardous waste generated on site<br>

  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

• Procedure for the disposal of hazardous waste including contaminated protective equipment <br>

  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

• Copy of the agreement/contract with the hazardous waste collection agent <br>

  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

• Hazardous waste diposal site audited <br>

  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

• Comments

4.4.6 Isolation of energy sources (lock out)

• All energy sources identified <br>

  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

• Procedure in place to cover isolation of all energy sources <br>

  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

• Procedure to include test for zero potential <br>

  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 locks, keys and other devices identified and controlled <br>

  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 prescribed equipment, can be locked out at point of control/operation <br>

  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 main switches accessible (even when circuits are locked out) <br>

  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

• Provision in the procedure for the removal of a lock out in the absence of the person who applied it <br>

  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

• Comments

4.4.6 Guarding

• All areas where guarding is required identified <br>

  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

• Hazardous moving machine parts and all energy sources identified <br>

  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

• Guarding provided where required <br>

  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

• Guarding effective and adequate <br>

  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

• Guards designed for easy removal and replacement <br>

  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

• Guards included in maintenance schedule <br>

  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

• Critical valves locked in the open or shut position as required <br>

  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

• Comments

4.4.6 Management of portable gas cylinders, cutting and welding equipment

• All portable gas cylinders identified and recorded <br>

  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

• Procedure for the handling, storage and use of gas cylinders <br>

  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

• Comments:

4.4.6 Storage:

• Flammable/toxic inert identified <br>

  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

• Well ventilated area <br>

  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

• Nested/secured <br>

  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

• Stored upright <br>

  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

• Signage <br>

  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

• Empty and full cylinders separated <br>

  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

• Faulty cylinders clearly marked <br>

  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

• MSDS readily available <br>

  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

• Comments

4.4.6 Transportation:

• System in place for the safe transportation of gas cylinders <br>

  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

• Comments:

4.4.6 Cutting and welding equipment:

• Cutting and welding equipment identified and recorded <br>

  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

• System in place for maintenance of equipment <br>

  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

• Flashback arrestors fitted <br>

  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

• Comments

4.4.6 Portable electrical equipment:

• All portable electrical equipment identified and recorded <br>

  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

• System in place for the inspection and maintenance of all portable electrical equipment <br>

  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

• Inspection frequency based on risk <br>

  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

• Comments

4.4.6 General electrical installations

• Report on the safety of the electrical installation is generated after inspection<br>

  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

• Building earthing and polarity tests carried out by a competent person and results recorded <br>

  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

• Electrical installation in hazardous locations must be classified in terms of the classification of hazardous locations of hazardous locations and selection of apparatus for use in such locations

  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 intrinsically safe/flameproof electrical equipment identified and recorded <br>

  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

• Inspections of intrinsically safe/flameproof electrical equipment conducted in accordance with the requirements of the applicable legislation and recorded in a register<br> <br>

  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

• Certificates of compliance available <br>

  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

• Comments

4.4.6 Hand tools

• Hand tools policy in place <br>

  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

• Standard in place for makeshift or home made tools on company premises <br>

  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

• Storage of tools-all tools stored correctly (stores and tool boxes) without <br>

  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

• Creating hazards from sharp projections etc. <br>

  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

• Comments

4.4.6 Personal protection equipment

• Company policy for PPE <br>

  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 trained on the correct use, disposal, storage, maintenance and replacement procedure for PPE <br>

  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

• Formal PPE survey conducted <br>

  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

• System to ensure the condition of PPE, is checked on a regular basis . <br>

  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

• MSDS information used to identify specific PPE requirements for handlers of HC <br>

  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

• SHE role players involved in the selection of PPE <br>

  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

• Comments

4.4.6 Respiratory Equipment

• Standard operating procedure for all users of respiratory equipment <br>

  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 designated users of breathing apparatus receive regular refresher training in the use thereof <br>

  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

• Procedure for respirator and filter cartridge specifications including the recommended storage, maintenance and replacement frequencies effectively implemented <br><br> <br>

  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 respirators individually numbered and inspected on a regular basis <br>

  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

• Comments

4.4.6 Fall Protection

• A study to determine where and when fall protection is required <br>

  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 trained in the correct use of various types of fall protection <br>

  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

• Equipment inspected by a competent, appointed person and record kept <br>

  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

• Comments

4.4.6 Self propelled mobile equipment

• system (fleet management system) for control of motorised equipment that includes formal procedure for driver training, daily inspection of equipment, recording and reporting of defects <br><br><br>

  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

• Drivers/operators appointed <br>

  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

• Drivers have valid licences free of endorsements <br>

  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

• Check lists identify crtical safety items (equipment specific) <br>

  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

• Check lists identify crtical safety items (equipment specific) <br>

  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

• Procedure for the transport of hazardous goods effectively implemented<br>

  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

• Transportation" routing competency of the driver/operator (operational issues) <br>

  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

• Traffic safety' awareness program <br>

  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

• Comments

4.4.6 Management of dangerous goods

• The full scope of accountability associated with hazardous chemicals considred and related SHE risks managed <br>

  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

• HCS identified in accordance with legislative requirements <br>

  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

• Procedure to include: Storage , Issuing, Training, Handling, Transport <br><br> <br> <br><br><br> <br> <br>

  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

• Inventory of substances available and up to date <br>

  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

• MSDS available in the user departments, at the clinic and in storage areas <br>

  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

• Relevant permit requirements identified and in place <br>

  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

• Comments

4.4.6 First aid equipment

• First aid requirements identified <br>

  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

• First aid boxes provided for all workplaces and stocked according to statutory requirements and associated risk

  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

• Procedure in place for: Training of first aiders, Replenishing of first aid boxes, Control and management of first aid equipment, Training ratio met <br><br><br> <br>

  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

• Comments

4.4.6 Occupational health support services

• Baseline and risk based medical examinations for employees and meets all medical surveillance standards <br> <br>

  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

• Personal confidential medical files available for each employee <br>

  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

• Confidentially of medical records ensured <br>

  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

• Person job specification used by occupational health service/supervisor <br>

  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

• Specification used for placement of employee <br>

  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

• Specifications updated when tasks, process or health risk standard changes <br>

  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

• Regular medicals carried out: <br>

  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

• Exit examinations <br>

  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

• Monitoring of all hazardous substance handlers and vehicle drivers <br>

  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

• Job categories for regular medical surveillance or biological monitoring identified and recorded <br>

  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

• Medicals conducted for the above at scheduled intervals <br>

  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

• Biological monitoring schedules and records kept <br>

  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

• Identification and notification of occupational disease or exposure to human resources <br>

  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

• Remedial action taken where necessary <br>

  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

• Cerification of fitness to work available <br>

  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

• Clinic visits linked to medical examinations and biological monitoring <br>

  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

• Hearing conservation program implemented <br>

  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

• Comments

4.4.6 Work procedure

• Procedure regarding the compilation of WSWP <br>

  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

• WSWP available to all supervisors and employees <br>

  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

• WSWP identifies the hazards and critical steps <br>

  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

• WSWP contains the relevant control measures <br>

  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

• Comments

4.4.6 Signs/colour coding, demarcation and labelling

• Standard in place for identification and implementation of colour coding requirements <br>

  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

• Standard in place for identification and implementation of colour coding requirements <br>

  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 signs prominently displayed <br>

  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

• Areas demarcated and colour coded in accordance with the standard <br>

  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

• Critical valves and switches identified and labeled <br>

  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

• Direction of flow and open/shut operation indicated <br>

  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 al

• On planned maintenance program <br>

  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

• Process flow diagram available, correct and up to date <br>

  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 familiar with position and operation of critical valves and switches <br>

  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

• Identified noise zone(s) demarcated and appropriate symbolic signs displayed <br>

  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

• Comments

4.4.6 Storage of dangerous goods including explosives

• Design and construction: <br> Compatibility of chemicals assessed during normal and abnormal circumstances <br>

  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

• Hazardous material store complies with standards <br>

  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

• Ventilation systems, drainage etc regularly checked for efficiency <br>

  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

• Hazardous substances storeroom equipped with adequate ventilation/shelving/ <br>

  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

• security and fire control systems <br>

  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

• Appropriate permits/cerificates obtained and displayed <br>

  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

• Storage for and disposal of unused/old HCS provided <br>

  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

• Store neat tidy and clean <br>

  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 items labelled and neatly stored <br>

  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 containers kept closed/sealed <br>

  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

• Store free of combustible materials <br>

  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

• Maximum storage capacity displayed <br>

  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

• Bonding used when decanting <br>

  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

• Bonding and grounding cables, clamps etc in a good condition <br>

  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

• Containers and packaging <br>

  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

• Substances/products stored in appropriate, labelled containers <br>

  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

• Empty containers controlled and safely disposed of <br>

  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

• Number of containers in work place minimised to reduce risk <br>

  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 are familiar with labels <br>

  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

• Damaged containers/packaging dealt with in relation to the risk(Bulk HCS storage) <br>

  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

• Bunted as per the requirement <br>

  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

• Drainage valves closed during normal operations <br>

  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

• Monitoring/testing requirements identified and met <br>

  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

• Bulk tanks labelled, as per standard <br>

  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

• Comments

4.4.6 General

• Formal approval for the flammable store from the relevant local authority <br>

  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

• Respective municipal by law requirements for storage of HCS materials identified <br>

  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

• Inventory of HCS substances includes the maximum allowable storage <br>

  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

• quantities as well as the appropriate PPE to wear when entering the store <br>

  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

• MSDS available at point of storage <br>

  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

• Comments

4.4.7 Emergency preparedness and response

4.4.7 Emergency preparedness

• Emergency procedure establish and implemented

  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

• Formal risk survey conducted<br>

  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

• Correct types of equipment provided for each identified risk area <br>

  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

• Equipment to cater for all identified emergency scenarios

  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

• Equipment strategically located in relation to the risk <br>

  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

• Equipment located in easily accessible positions <br>

  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

• No smoking areas identified, demarcated and adhered to <br>

  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

• Fire doors provided and maintained<br>

  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

• Fire resistant construction applied where necessary<br>

  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

• Fire breaks maintained<br>

  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

• Bonding applied where required<br>

  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

• Explosion panels and safety glass installed and maintained where required<br>

  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 emergency exits unobstructed <br>

  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 emergency exits unlocked or approppriate means provided to open in the event of an emergency<br>

  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

• Operational effectiveness of doors maintained<br>

  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

• Comments

4.4.7 Community awareness and emergency response

• A current written facility emergency plan which addresses among other things communications with and the recovery needs of the community after emergency<br><br>

  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

4.4.7 Maintenance of fire protection equipment

• Formal inspection procedure to ensure that all fire equipment is inspected<br>

  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 fire extinguishing equipment recorded in a register indicating type, capacity and location<br>

  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

• Fire equipment serviced in accordance with applicable standard <br>

  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

• Copy of the registration certificate of the fire equipment servicing company <br>

  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

• Procedure for replacement of fire extinguishers that have to be serviced off site <br>

  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

• Spare fire extinghuisers available as standby units for extinguishers that have to be serviced off site <br>

  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

• Sprinkler systems are inspected annually by an approved maintenance company<br>

  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

• Comments

4.4.7 Emergency alarm system

• Independent alarm: <br> Sound of alarm is unique <br> Audible in all work areas <br>

  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

• Alarm system tested on a regular basis and a record of the tests kept <br>

  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

• Back up alarm<br>

  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

• Back up alarm independent of main electricity supply <br>

  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

• Tested at regular scheduled intervals and deviations addressed<br>

  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

• Interested and effected parties aware of the alarm<br>

  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

• Staff member, new employees, contractors and visitors are trained/made aware of correct emergency alarm system <br><br> <br>

  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

• Communication system <br>

  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

• Other means of communication introduced as required and determined by the risk<br>

  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

• Comments

4.4.7 Emergency training and awareness exercises

• Procedure in place covering the training of emergency response personnel and awareness exercises <br>

  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

• Emergency co-ordinator appointed<br>

  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

• He/she appropriately trained <br>

  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

• He/she receives refresher training as required, based on the risk <br>

  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

• Emergency teams formally appointed for each shift<br>

  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

• Letters of appointment should specify the duties and responsibilities of the emergency team members <br><br>

  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

• Emergency team members trained in formal fire prevention techniques and attend refresher courses relative to the risks <br><br> <br>

  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

• Record of in house fire training sessions kept<br>

  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

• Names (and photo's if possible) of fire team members are prominently displayed in all work areas and on notice boards

  Yes

  No

  N/A

• - 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

• MSDS information (of toxic substances) available for emergency service providers e.g. fire department, ambulance, hospitals <br><br>

  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

• At least one person per department excluding fire team members, trained in the use of fire extinguisher <br>

  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

• Comments

4.4.7 Emergency Response

• emergency plans available for 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

• Emergency procedures displayed at 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

• evidence of training and rehearsal of emergency plans

  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

• aduaqute first aid kits aid equipment for 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

• sufficient access to formally trained First Aiders for all shifts?

  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

• Comments:

4.5 Checking and corrective action

4.5.1 Performance measurement and monitoring

• Progressive statistical data: <br> Injury/occupational illness/diseases statistics for current and previous 12 months<br>

  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

• Damage statistics for current and previous 12 months<br>

  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

• Environmental incidents for current and previous 12 months <br>

  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

• Non conformance statistics for current and previous 12 months <br>

  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

• Annual consolidation of progressive year's statistics for comparative purposes <br>

  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

• Statistics consolidated and available in graphic format <br>

  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

• Analysis of statistics <br> <br>

  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

• Statistics categorised and analysed to identify trends <br>

  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

• Medical trends for non occupational illness/diseases evaluated to identify possible <br>

  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

• underlying work/hobby health hazard exposure sources <br>

  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

• At least an annual report to top management on incident statistic analysis (covers identified risks, increasing/decreasing trends) <br>

  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

• Statistics published and circulated <br>

  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

• Occupational health variances to form part of statistical data and used for remedial action <br> <br>

  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

• Statistical tabled for discussions at SHE committee meetings <br>

  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

• Comments

• Monitor the SHE performance of employees and the effectiveness of risk control measures <br>

  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

• Comments

4.5.1 Planned job observation

• Supervisors in possession of up to date JSA/WSWP's <br>

  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

• Supervisors trained in the correct method and purpose of task observations <br>

  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

• Deviation trends analysed and associated system weakness identified and corrected<br>

  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

• Comments

4.5.1 Performance management

• System in place to measure management and employee participation <br>

  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

• System in place to ensure maintenance and calibration of measuring tools and equipment <br>

  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

• Comments

4.5.3 Incidents investigation,non conformances, corrective action and preventative action

• Prevent re-occurrence of similar incidents and develop a corporate memory of SHE incidents <br>

  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

• Comments

4.5.3 Incident/non conformance reporting

• System in place for reporting of all categories of incidents <br>

  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

• Comments

4.5.3 Incidents/non conformances

• Injury, diseases, environmental incidents, Property damages <br>

  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

• Comments

4.5.3 Vechicle accidents

• Preventable, Non preventable, Vehicle damage <br>

  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

• Comments

4.5.3.1 Incident investigation

• Investigation conducted accordingly to standard <br>

  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

• Appropriate investigation <br>

  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 incidents requiring investigation are investigated <br>

  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

• Investigations done by designated person <br>

  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

• Investigation team members are appointed in writing and trained <br>

  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

• Appropriate SHE and other expertise co-opted on investigation team <br>

  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

• SHE department included in the investigation <br>

  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

• Investigators competent in principles and techniques of investigation <br>

  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

• Scope of investigation commensurate with both event and risk <br>

  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

• Causes identified <br>

  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

• Immediate (direct) causes identified <br>

  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

• Basic (indirect) cause identified <br>

  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

• Comments

4.5.3.2 Non conformity, Corrective action and preventative action

• Did the organization establish, implement and maintain a corrective and preventative 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

• Did the organization identify and corrected non conformities effectively and address recommendations? <br>

  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

• Investigation procedures to include recommendations to reduce risk <br>

  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

• Did the organization record and communicate the results of the corrective and preventative actions? <br>

  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

• Did the organization do a formal follow up / review after action to determine if effective? <br>

  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

• Did the organization ensure that any necessary changes arising from corrective and preventative action are made to the OSH management system?

  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

• Appointees conduct regular inspections of their areas responsibility, based on the risk profile <br>

  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

• Comments

4.5.4 Control of records

• Did the organization establish and maintain records as necessary to demonstrate conformity to the OSH management system requirements? <br>

  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

• Documented procedure for control of records established?<br>

  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 all records legible, identifiable and traceable?<br>

  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

• Comments

4.5.5 Internal Audits

• Team composition <br>

  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

• Documented procedure for auditors <br>

  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

• Do the organization conduct internal audits at planned intervals ? <br>

  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

• Top management represented <br>

  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

• Departmental managers/supervisors <br>

  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

• Area SHE representatives and or employee representatives part of the audit<br><br>

  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

• Deviation report compiled after the audit <br>

  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

• Action plan and follow up recorded<br>

  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

• Comments

4.6 Management Review:

• Systematic approach to identify and assess risks and impacts

  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

• Procedure in place for review of the SHE management system

  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

• Full SHE system reviewed

  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

• Review documented

  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

• Recommendations to system changes actioned

  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

• Comments

Closing meeting

• Attendance register

• Signatures:

  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

• Comments:

Summary of audit report:

• Summary of total score:

• Scoring: high / low :

• List non-conformances:

• List points / areas / clauses for improvement/s:

• List observations:

Corrective Actions

• Purposed corrective action dates:

Sign Off

• Auditor's signature

  Sign

• Auditee signature

  Sign

• Lead Auditor signatures:

  Sign

• Date:

  Date