SL K Q&S IA

• Conducted on

  Date

• Auditor

Accident Incident Hazard Near Miss Procedure

• Question X: Do staff comply with this procedure

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Do supervisors/managers comply with this work instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

First Aid Work Instruction

• Question X: Are first aid boxes compliant.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Are there appropriate numbers of first aid personnel for each shift/site

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Isolation and Tagging Procedure

• Question X: Are staff trained and do they act in compliance with this work instruction.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Are appropriate tags available for use.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

JSA Risk Assessment Procedure

• Question X: Are risk assessments being completed where/when required.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Is the required documentation compliant

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Manual Handling and Lifting Safe Work Instruction

• Question X: Can employees demonstrate the correct way to lift.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Mobile Electronic Device Work Instruction

• Question X: Do staff comply with the Work Instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

PPE Work Instruction

• Question X: Do staff comply with the work instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Is all required PPE available for workers.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Do all contractors and visitors comply with this work instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Asbestos Management

• Question X: Is the Asbestos Management Plan & Asbestos Register current?

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Have all identified action/recommendations identified in the Asbestos Management Plan & Asbestos Register been addressed?

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Lifting Equipment Inspections

• Question X: Is any non-approved lifting equipment in use.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Is all lifting equipment recorded, inspected and marked as per the Work Instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Permit to Work

• Question X: Do contractors comply with the work instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Do managers/supervisors comply with the work instruction(s)

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Traffic Management Plan

• Question X: Is the Traffic Management Plan current and observed by site users.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Cyclone

• Question X: Does the site comply with this work instruction?

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Is this work instruction current?

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Sealanes and Tenants Karratha Emergency Action Plan

• Question X: Is this work instruction current?

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Does the site comply with this work instruction?

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Vehicle and Mobile Plant

• Question X: Is maintenance for trucks and other mobile plant completed as per schedules and records maintained. <br>Note: Must audit 3 x trucks, 2 x reach or yard forklift, 2 x PR/PE/electric walk jack.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Driver Fatigue

• Question X: Are the steps in the Driver Fatigue Management Plan current and followed by supervisor's/managers.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Are the steps in the Driver Fatigue Operating Standards and Procedure current and followed by drivers.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Vehicle

• Question X: Do Sealanes staff comply with the Tail Lift Operating Work Instruction.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Do Sealanes staff comply with the Vehicle - Breakdown and Accident Work Instruction.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Do Sealanes staff comply with the Vehicle Breakdown and Accident Work Instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Do Sealanes staff comply with the Vehicle - Safe Entry and Exit of Trucks Work Instruction.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• Question X: Are all the vehicle work instructions current.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

• From the drop down list provided select which Work Instruction(s) you will use to verify this question.

  Select Shipping Container Cleaning Shipping Container Loading Unloading Saddliers Pan via Ramp

  • Shipping Container Cleaning
  • Shipping Container Loading
  • Unloading Saddliers Pan via Ramp

• Question X: Were the steps in the selected work instruction(s) current and followed by staff.

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings

Working at Height

• Question X: Do Sealanes staff comply with the Working at Height Work Instruction

  Conforming

  Non Conforming

  Not Verified

• Corrective Actions

Corrective Action

• Corrective action to take

• Responsible Person

• Target Date

  Date

• Closed out date

  Date

• Findings