SII HSSE Subcontractor Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety

• Does company operate a formal Safety Management system?

  Yes

  No

  N/A

• Is the system certified?

  Yes

  No

  N/A

• Reporting lines established and communicated?

  Yes

  No

  N/A

• Responsibilities established and communicated?

  Yes

  No

  N/A

• Does company have a documented drug and alcohol policy?

  Yes

  No

  N/A

• Does policy include pre-employment, post-accident, random and reasonable suspicion testing?

  Yes

  No

  N/A

• Does company have a formal risk assessment process that identifies hazards, risks, and ensures the implementation of associated control measure?

  Yes

  No

  N/A

• Does company have a structured system to ensure employees are provided appropriate training?

  Yes

  No

  N/A

• Does company ensure all employees provided performance information on a regular basis?

  Yes

  No

  N/A

• Does company have an annual improvement plan that reflects objectives, targets, and actions to improve HSSE performance?

  Yes

  No

  N/A

• How is progress against actions tracked to closure?

  Yes

  No

  N/A

• Does company have internal initiatives for overall performance improvement?

  Yes

  No

  N/A

• Does company conduct monitoring/internal audits of plans to demonstrate effectiveness?

  Yes

  No

  N/A

• Any citations received from a governmental agency in the last 3 years?

  Yes

  No

  N/A

• Records of regulatory inspections maintained?

  Yes

  No

  N/A

• Task specific procedures developed?

  Yes

  No

  N/A

• Process in place for internal communications?

  Yes

  No

  N/A

• Process in place for external communications?

  Yes

  No

  N/A

Safety Statistics

• Did company incur any fatalities within the past 3 years?

  Yes

  No

  N/A

• Did company incur any lost time cases within the last 3 years?

  Yes

  No

  N/A

• Did company incur any medical treatment (recordable) cases within the last 3 years?

  Yes

  No

  N/A

• If recordables were incurred, is EMR above 1.0 for any year in the past 3 years?

  Yes

  No

  N/A

Safety Documentation

• Signed and dated policy statement?

  Yes

  No

  N/A

• Policy posted and communicated?

  Yes

  No

  N/A

• Recent risk assessment report?

  Yes

  No

  N/A

• Current action plan?

  Yes

  No

  N/A

• Certificates and last assessment report?

  Yes

  No

  N/A

• Safety manual table of contents?

  Yes

  No

  N/A

• EMR data sheets?

  Yes

  No

  N/A

• Signed OSHA 300A data sheets for the past 3 years?

  Yes

  No

  N/A

Security

• Does company have a security management system in place?

  Yes

  No

  N/A

• Does company maintain a security management plan?

  Yes

  No

  N/A

• Does company conduct security response drills?

  Yes

  No

  N/A

Security Documentation

• Recent drill report?

  Yes

  No

  N/A

Environmental

• Does company operate a documented environmental management system?

  Yes

  No

  N/A

• Are state applicable standards used?

  Yes

  No

  N/A

• How is compliance ensured?

  Yes

  No

  N/A

• Identification of environmental hazards conducted?

  Yes

  No

  N/A

• Is the system certified?

  Yes

  No

  N/A

• Does company conduct monitoring/internal audits of environmental management system to demonstrate effectiveness?

  Yes

  No

  N/A

• Does company have an annual environmental plan that reflects objectives, targets, and actions to improve performance?

  Yes

  No

  N/A

• Job specific requirements identified regarding hazards and management?

  Yes

  No

  N/A

• Waste disposal practices are defined?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Environmental Documentation

• Environmental policy statement?

  Yes

  No

  N/A

• Current objectives, targets and action plan?

  Yes

  No

  N/A

Human Resources

• Does company test and track English proficiency among work forcs?

  Yes

  No

  N/A

• Does company have a documented procedure regarding competence assurance?

  Yes

  No

  N/A

• Does company define and make available competence requirements for all positions?

  Yes

  No

  N/A

• Are employees trained according to a defined matrix?

  Yes

  No

  N/A

• Additional training provided for supervision?

  Yes

  No

  N/A

Human Resources Documentation

• Training statistics for current and and past 3 years?

  Yes

  No

  N/A

• Training records maintained?

  Yes

  No

  N/A

• Training matrix reviewed?

  Yes

  No

  N/A

Document Control

• Documented procedure?

  Yes

  No

  N/A

• Authorization and approval process established?

  Yes

  No

  N/A

• Documents reflect revision date and approvals?

  Yes

  No

  N/A

• Process for ensuring most recent revision is available, and past revisions are removed from service?

  Yes

  No

  N/A

Regulatory Compliance

• Does company stay abreast of changing legislation?

  Yes

  No

  N/A

• Responsible person identified for compliance?

  Yes

  No

  N/A

• Regulations posted or available?

  Yes

  No

  N/A

Accident and Incident Reporting

• Documented procedure?

  Yes

  No

  N/A

• Reporting lines defined?

  Yes

  No

  N/A

• Person identified as responsible for investigation?

  Yes

  No

  N/A

• Action items tracked to closure?

  Yes

  No

  N/A

• Findings and information distributed to all employees?

  Yes

  No

  N/A

• Investigation priority established?

  Yes

  No

  N/A

• Near misses are reported and investigated?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Audits

• Documented system?

  Yes

  No

  N/A

• Schedule established?

  Yes

  No

  N/A

• Action tracking?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

• Findings distributed internally?

  Yes

  No

  N/A

Project Management

• Maintain project specific plans?

  Yes

  No

  N/A

• Plans outline client communications?

  Yes

  No

  N/A

Safety Meetings

• Procedures defined?

  Yes

  No

  N/A

• Held daily?

  Yes

  No

  N/A

• Topics selected according to defined system?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Emergency Response

• Plans in place?

  Yes

  No

  N/A

• Reporting process established?

  Yes

  No

  N/A

• Responsibilities of critical personnel established?

  Yes

  No

  N/A

• Emergency response team identified?

  Yes

  No

  N/A

• Escape routes and muster points assigned, posted, and communicated?

  Yes

  No

  N/A

• Training and exercises conducted?

  Yes

  No

  N/A

• Exercise reviews conducted, and lessons learned are shared?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

• Recent emergency response risk assessment report?

  Yes

  No

  N/A

Maintenance

• Procedures in place?

  Yes

  No

  N/A

• Implementation of a maintenance schedule?

  Yes

  No

  N/A

• Safety criticality used in prioritization of preventative maintenance and repairs?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Personal Protective Equipment

• Provided to employees free of charge?

  Yes

  No

  N/A

• Appropriately used, suitable and compatible with tasks performed?

  Yes

  No

  N/A

• In good condition?

  Yes

  No

  N/A

• Employees provided training?

  Yes

  No

  N/A

• PPE is readily available?

  Yes

  No

  N/A

• Fit testing for respirators?

  Yes

  No

  N/A

• Employees possess fit test cards?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Mobile Equipment

• Written plans in place?

  Yes

  No

  N/A

• Operators provided training?

  Yes

  No

  N/A

• Inspections documented daily?

  Yes

  No

  N/A

• Operators issued training verification cards?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Job Safety Analysis

• Performed before every task?

  Yes

  No

  N/A

• Completed by all personnel?

  Yes

  No

  N/A

• Required to be endorsed by a supervisor?

  Yes

  No

  N/A

• Job steps, hazards, mitigations, and PPE identified on JSA?

  Yes

  No

  N/A

• Triggering mechanisms established for revisiting JSA?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Risk Management

• Risk management plan in place?

  Yes

  No

  N/A

• Potential risks for planned activities identified?

  Yes

  No

  N/A

• Control measures established and implemented?

  Yes

  No

  N/A

• Records maintained?

  Yes

  No

  N/A

Closing Notes

• Findings

• Closing Notes

• HSSE Classification of Site

  Code 1

  Code 2

  Code 3