Toller UPL HS&E check list V2

• Site Reference:

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  Date

• Audited by

• Location

• Additional Documentations ( Plan, ISO certificates, Policy,...)

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GLOBAL QUESTIONNAIRE

1. General requirements

1.1 Requirements related to documentation system

• What is the certification status of the company?

• Is the management system described in full in a management manual ?

  Yes

  No

  N/A

• Are Q, S, E, HACCP, others management systems integrated or described separately?

  Yes

  No

  N/A

• Does the documentation cover all levels of the document hierarchy (processes, procedures, specifications, certificates, etc.)?

  Yes

  No

  N/A

• Are the company Processes presented in a form that enables the mutual dependencies and process responsibilities to be identified (e.g. process model, process mapping)?

  Yes

  No

  N/A

• Is the documentation system appropriately communicated and readely accessible (eg IT solutions)?

  Yes

  No

  N/A

• Are processes designed according to ISO NORMS?

  Yes

  No

  N/A

1.2 Control and traceability of documents, data and records

• Are appropriate users notified when new documents are issued or existing documents are updated?

  Yes

  No

  N/A

• Are these documents & data available at the right places?

  Yes

  No

  N/A

• Are there procedures to establish and maintain identification, collection, accessibility, indexing, filling, storage place & time, maintenance and disposition of records, including training, audit, reviews, problems, compliance certificates (MSDS, Packaging Directives) and pertinent subcontractor records, incl records related to Q, S, E, H, BI, IP, PI?

  Yes

  No

  N/A

• Are computorised records backed up and stored off site or in a secure environment. Paper records are maintained in a secure environment to prevent loss, damage, deterioration and confidentiality?

  Yes

  No

  N/A

• Are the raw materials, tools, machines, processing aids, SFG and FG identified appropriately throughout the production process?

  Yes

  No

  N/A

• Are these documents & data listed (hard / e) and reviewed?

  Yes

  No

  N/A

• Provided a finished product lot number (given by the auditor), what product identification and traceability information can you provide on raw material lot identification (to what level can raw material components be traced, production process information (tools,...), production equipment used, manufacturing sequence, finished product test results, and shipment information? Approximately how long does it take to provide all these informations?mations?

• What is the level of detail of traceability (raw materials, tools, FG)?

• How is the identity and traceability of reworked product/repaired tool maintained?

  Yes

  No

  N/A

• Are processing aids and hazardous materials recorded appropriately?

  Yes

  No

  N/A

2. Management responsability

2.1 Management commitment

• Is the development/introduction of the management system a strategic decision of the company management? (i.e. policies, MBO, budget, strategic plan )

  Yes

  No

  N/A

2.2 Company policies

• Does the company have written policies for Q, OHS, Environment, BI, IP ?

  Yes

  No

  N/A

• Are the policies consistent with the UPL policies?

  Yes

  No

  N/A

• Are the policies customer oriented?

  Yes

  No

  N/A

• Do they include : a commitment to continual improvement, prevention of accidents a commitment to comply with the law, local authority regulations and other contractual or market requirements?

  Yes

  No

  N/A

• Are the policies endorsed by top management ?

  Yes

  No

  N/A

• Are policies regularly reviewed in terms of their suitability and effectiveness?

  Yes

  No

  N/A

• To what extend is the work force involved in the policy and decision making process?

  Yes

  No

  N/A

• Are business sustainability and social responsibility taken into account when the organisation defines and/or updates the policies?

  Yes

  No

  N/A

• Are the policies accessible to interested parties and communicated to all employees so that it is understood and familiar at all levels of the organization?

  Yes

  No

  N/A

2.3 Planning

2.3.1 Identifying hazards, risk assessment and risk control (aspects+risk management)

• Is there a method for risk assessment?

  Yes

  No

  N/A

• Is the method is in line with international Standards or any reference to local regulation ?

  Yes

  No

  N/A

• Are risks associated with identified hazards determined by:

• (a) the exposure to the hazard/danger/nonconformity?

  Yes

  No

  N/A

• (b) the population exposed to the hazard/danger/nonconformity ?

  Yes

  No

  N/A

• (c) the frequency of exposure to the hazard/danger/nonconformity?

  Yes

  No

  N/A

• (d) the duration of exposure to the hazard/danger/nonconformity?

  Yes

  No

  N/A

• (e) the potential severity of an incident/nonconformity?

  Yes

  No

  N/A

• (f) the probability of an incident/nonconformity?

  Yes

  No

  N/A

• Are identified hazards prioritised according to their risk?

  Yes

  No

  N/A

• Is suitable and qualified consulting expertise engaged when specialised skill is required to identify hazards and assess risks?

  Yes

  No

  N/A

• Has a risk assessment been performed for OHS aspects/impacts?

  Yes

  No

  N/A

• Has a risk assessment been performed for environmental aspects/impacts?

  Yes

  No

  N/A

• Has a risk assessment been performed for Quality / PI aspects/impacts?

  Yes

  No

  N/A

• Has the company carried out a preliminary environmental review?

  Yes

  No

  N/A

• Has risk assessment identified all necessary Critical Control Point's?

  Yes

  No

  N/A

• Is there a crisis management plan (emergency plan, contingency plan, crisis communication)?

  Yes

  No

  N/A

• Are local prevention plan and group contingency plan maintained and updated?

  Yes

  No

  N/A

• Has a trained media communication manager been appointed in case of emergency ?

  Yes

  No

  N/A

2.3.2 Legal and other requirements

• How can the company demonstrate knowledge of and accountability for, applicable regulations, company standards and customer's contracts, to which they are subject?

• Is there a procedure for recording, maintaining and communicating (to appropriate users) regulations and legal & contractual requirements ?

  Yes

  No

  N/A

• Are there any indications that the supplier is in compliance with established national and local regulations or with contractual specifications and got no deviation ?

  Yes

  No

  N/A

• Has the company never been cited for non-compliance with any regulations or contract? If so, when and for what ?

  Yes

  No

  N/A

• Has the company issued compliance certificates regarding heavy metals or any packaging regulation/directive ?

  Yes

  No

  N/A

• Are responsibilities and competences for Regulatory Affairs (regulation watch, compliance check and certification) and PI defined?

  Yes

  No

  N/A

• Is there an inventory of materials subject to regulations or contractual requirements?

  Yes

  No

  N/A

• Do you have a valid licence to operate ? are you recorded as a Seveso Site ?

  Yes

  No

  N/A

• Do you have a valid insurance policy? What the amount of the total damage insured?

  Yes

  No

  N/A

2.3.3 Objectives & targets

• To what extend do measurable goals exist against which progress can be tracked (KPI's, programmes, objectives)? Try to assess the relevance and level of challenge in any programmes

• Is there a process for continuous setting and review of objectives of each individual level (i.e. KPI, MBO)?

  Yes

  No

  N/A

2.3.4 OHS, Environmental & Q program

• Do programme(s) exist and are they current and enforced?

  Yes

  No

  N/A

• Do these programme(s) specify the required activities and resources with specific responsibilities, the means and the time schedules in order to achieve objectives and targets?

  Yes

  No

  N/A

• Are all hierarchy levels and the relevant functions included?

  Yes

  No

  N/A

• Are the programs systematically reviewed and updated at planned intervals?

  Yes

  No

  N/A

• Are the programs adapted to suit the changes that may occur in the activities, products, services or working conditions of the organisation?

  Yes

  No

  N/A

• Are the applicable objectives integrated in the program(s)?

  Yes

  No

  N/A

2.4 Roles & Responsabilities

• How well does the organisational structure define OHS, environment, quality and PI responsabilities and authorities?

• Clear organisational charts and job accountabilities are defined. Backup personnel are appointed for key positions

  Yes

  No

  N/A

• Quality and/or EHS responsible has been appointed and is a member of the Company Management?

  Yes

  No

  N/A

• Quality and/or EHS responsible has competence and authority to implement the system(s) and report on it?

  Yes

  No

  N/A

2.5 Communication

• Do these procedures provide the availability of appropriate instruments for topdown communication and vice versa as well as for any communication with third parties affected/concerned ?

  Yes

  No

  N/A

• Are changes in the activities and related effects communicated to the interested parties?

  Yes

  No

  N/A

• Are the employees:

• included within the development and review of the risk management policy and procedure,

  Yes

  No

  N/A

• consulted for advisory purposes on changes which affect health and safety in the workplace,

  Yes

  No

  N/A

• represented in health and safety at workrelated matters,

  Yes

  No

  N/A

• informed as to who represents them in health and safetyrelated matters and who from the management is responsible specifically for health and safety?

  Yes

  No

  N/A

• Is external feedback systematically evaluated and used to improve the process?

  Yes

  No

  N/A

• How is communication ensured with headquarters regarding market and customer requirements?

• How is communication ensured between affiliates and/or headquarters regarding market and ARE requirements?

2.6 Measurement, monitoring, analysis (statistical method)

2.6.1 KPI, PPI

• Are there measures (KPIs) utilized to assess performance and drive process improvements

  Yes

  No

  N/A

• Costs of the QSE system are known (Prevention, Appraisal, Failures)?

  Yes

  No

  N/A

• Is there a process for describing the procedures on how data is collected and analyzed?

  Yes

  No

  N/A

• Is the scope of the data collection and analysis sufficient to:

• ascertain the system effectiveness,

  Yes

  No

  N/A

• ascertain process reliability and suitability,

  Yes

  No

  N/A

• ascertain the level of Internal/external customer satisfaction,

  Yes

  No

  N/A

• ascertain agreement with the legal and stakeholders requirements,

  Yes

  No

  N/A

• ascertain all processes and product/service compliance,

  Yes

  No

  N/A

• evaluate suppliers?

  Yes

  No

  N/A

• Does the system identify the critical success factors of the realization processes, which influence the fulfilment of the requirements for product/services (CCP) ?

  Yes

  No

  N/A

• Are the procedures appropriate for monitoring nearmisses?

  Yes

  No

  N/A

• Is there evidence that these KPI's are reviewed by the management on a regular basis?

  Yes

  No

  N/A

2.6.2 Audits (internal, external)

• Have internal audits been conducted?

  Yes

  No

  N/A

• Are audits conducted according to the Company standard?

  Yes

  No

  N/A

• Describe your process for conducting internal/external audits (planning, scheduling, frequency, etc.)

• Are the audit intervals appropriate and are the audit results taken into account when producing the program?

  Yes

  No

  N/A

• Does the company has a program to audit affiliates/sister companies ?

  Yes

  No

  N/A

• Are the auditors sufficiently qualified and independent?

  Yes

  No

  N/A

• Has the company been audited by customers?

  Yes

  No

  N/A

• Are the findings that are made during the course of the audit recorded and the competent personnel responsible informed accordingly?

  Yes

  No

  N/A

• Are the required corrective actions done, reviewed, checked on effectiveness and documented on the basis of the audit results?

  Yes

  No

  N/A

• Are the findings and actions communicated across the group/organisation ?

  Yes

  No

  N/A

• Does the company have a program to audit suppliers?

  Yes

  No

  N/A

• Are audits conducted according to the planning?

  Yes

  No

  N/A

2.7 Management review

• Are the management systems, strategic plan, policies, programs and objectives reviewed periodicaly?

  Yes

  No

  N/A

• Is there a documented review of the outcome of audits, client satisfaction, client complaints, employee satisfaction, product/service quality, nonconformance costs, CCP, adherence to requirements in respect of environment, safety and legislation as well as the evaluation of the financial results and the status of the improvement measures?

  Yes

  No

  N/A

• Is a process for continuous improvement in the management system and the company's performance defined and implemented?

  Yes

  No

  N/A

• Does the management review lead to an improvement program?

  Yes

  No

  N/A

2.8 Preventive & corrective actions, improvement

• Are there processes or tools to prevent incidents, nonconforming products, equipments, services?

  Yes

  No

  N/A

• What type of analysis is performed on records and customer/stakeholders complaints? (e.g. Pareto charts, trend analysis, control charts, Ishikawa, FMEA

• Is there a monitoring of preventive and corrective actions?

  Yes

  No

  N/A

• Are all the inputs taken into consideration (audits, complains, incidents, alerts, near misses,

  Yes

  No

  N/A

• How is the effectiveness of corrective action evaluated?

• Are all corrective actions from last UPL audit corrected as per time frame agreed on last audit corrective action plan?

  Yes

  No

  N/A

• Is there a process to prevent the immediate (prior to risk analysis) recurrence of an incident or nonconformity?

  Yes

  No

  N/A

3. Resources

3.1 Resources availability & Human Ressources

• Does the management provide the necessary resources for the implementation, control of and improvement in the management systems?

  Yes

  No

  N/A

• Are job descriptions available for all relevant roles

  Yes

  No

  N/A

• Are job descriptions reviewed when necessary (procedure exists, documented evidence)

  Yes

  No

  N/A

• Job description contains necessary competences and skills (professional (and related regulations), QSE, PI, IP, BI, HACCP, aspects are considered and adapted to each role of the organisation)

  Yes

  No

  N/A

• Is there a complete personnel process from recruitment right up to (use of job description, qualification profile, training needs, collegial decision) and including departure?

  Yes

  No

  N/A

• Are assigned personnel competent on the basis of training, skills or experience?

  Yes

  No

  N/A

• Induction programs are established systematically ("role change", refreshing sessions (frequency?), deputies, temporary employees & contractors as well)

  Yes

  No

  N/A

• There is a system for training needs evaluation

  Yes

  No

  N/A

• There is a system to measure employee satisfaction

  Yes

  No

  N/A

• There is a system for performance management and rewarding

  Yes

  No

  N/A

• There is a program for carieer development

  Yes

  No

  N/A

• Does the training ensure that all employees are aware of existing or potential consequences for their work activity in the event of failure to comply with the instructions,

  Yes

  No

  N/A

• Deputies, backups and succession plans are established

  Yes

  No

  N/A

• Is the training properly documented (docts signed by both parties and records are maintained as necessary e.g. on OHS topics)

  Yes

  No

  N/A

• Is the training adapted to all employees (language, method, visuals,

  Yes

  No

  N/A

• Training needs, performed, effectiveness and objectives are reviewed on a regular basis

  Yes

  No

  N/A

• Does the company evaluate the effectiveness of training?

  Yes

  No

  N/A

3.1.1 Technical support (infrastructure)

• Are procedures for pest control in place ( pest control system with identified targets, responsabilities, monitoring, corrective actions and measures of improvement is documented)?

  Yes

  No

  N/A

• The machinary, equipment, infrastructure show a suitable state of condition that will not adversely impact product quality, employee OHS or the environment

  Yes

  No

  N/A

• Are there inspection, cleaning and sanitizing procedures ? (for raw and inprocess material storage vessels and containers, processing equipment, and material delivery systems to include pumps,conveyors, hoses, discharge lines, containers, vehicles)

  Yes

  No

  N/A

• How adequate are storage areas and facilities?

• Have any requirements for laboratory environmental conditions been determined for impact on measuring equipment? How are these conditions monitored and controlled?

• Is a preventive equipment maintenance program in place?

  Yes

  No

  N/A

• To what extend does the supplier document tool wear and utilise it in preventive maintenance?

• Is there a management of spare parts (critical one) ?

  Yes

  No

  N/A

3.1.2 Quality, Safety and Environment Practices

• Are Safe/Standard Operating Practices (related to QSE) available at the working place?

  Yes

  No

  N/A

• Are Inspection frequency and size established on the bases of process capability and/or risk assessment (supplier recommendations, regulations, norms, customer specifications)?

  Yes

  No

  N/A

• Do budgets are allocated to Q, S, E and PI ?

  Yes

  No

  N/A

• Do personal objectives are assigned to managment in term of Q, S, E ?

  Yes

  No

  N/A

3.1.3 Finance and Controlling

• Does the company have an appropriate procedure for financial resources allocated to QHSE ?

  Yes

  No

  N/A

• To what extend does the supplier's Accounting staff interact with Operating staff? Is reporting of results frequent and usefull?

• To what extend is the supplier willing and able to provide the components of cost?

• To what degree can the supplier demonstrate that they are actively involved in programs to control and reduce cost in the area of waste reduction, supplier cost control, productivity improvement, efficiency improvement, and technological advancement?

3.1.4 IS

• Does the company have an appropriate data and information management (hardware, software)?

  Yes

  No

  N/A

• Does the company have for IS an appropriate crisis management plan and backups ?

  Yes

  No

  N/A

• Does the company have a clear policy for data security (access rights, employees, contractors, temporary work, frirewalls, hackers) ?

  Yes

  No

  N/A

• Does the company follow International Standards ?

  Yes

  No

  N/A

4 Implementation and operation

4.1 Operational control

4.1.1 Sales

• Is there an effective system with clear responsibilities for client communication (product/service information, order processing, customer complaints, information relating to product/service performance capability, process change)?

  Yes

  No

  N/A

• Is there a process for qualifying customers (reliability, BI)?

  Yes

  No

  N/A

• Are the client requirements for products/services defined in full (incl. the aftersales activities already determined and agreed)?

  Yes

  No

  N/A

• Is the amendments (last minutes changes or addon's) procedure an integral part of the process?

  Yes

  No

  N/A

• Is a feasibility study carried out and documented where appropriate?

  Yes

  No

  N/A

• Clients documents are properly converted into internal specifications, procedures, and manufacturing orders

  Yes

  No

  N/A

• How well can the company demonstrate that mutually agreed upon specifications exist for all items supplied the client?

  Yes

  No

  N/A

• There is a process for reviewing contracts/purchase orders to address revisions to specifications and new specifications

  Yes

  No

  N/A

• How is the client notified if contractual agreement can not be met

• How does your planning or scheduling department obtain the necessary documents and information, including raw material stock, needed to produce to the customer's specification?

  Yes

  No

  N/A

• What is your planning process for handling the production of urgent jobs that may be required by your customers? To what extent can the supplier alter production schedules to meet changing demands?

• How effective are the procedures to ensure and measure ontime delivery? To what extent is the company capable of providing the exact quantity ordered? To what extent does the company work to control and reduce leadtime?

  Yes

  No

  N/A

• Where servicing is specified in the contract, have procedures been established and maintained for verifying that servicing meets the specified requirements?

• Is the customer satisfaction measured and monitored (survey, KPI's) ?

  Yes

  No

  N/A

• To what extent does the company provide field support to resolve operational problems?

4.1.2 Product development

• Does the company have R&D facilities ?

  Yes

  No

  N/A

• Is there a technological survey ?

  Yes

  No

  N/A

• Is a design/development process defined and implemented (project phases, milestones, responsibilities)?

  Yes

  No

  N/A

• Does the company have an appropriate project management system for the realization of the design/development activities, which controls in particular the cost, and time standards?

  Yes

  No

  N/A

• How developments are coordinated across the group/organisation ?

  Yes

  No

  N/A

• Are there any restrictive patent or agreement ?

  Yes

  No

  N/A

• Are all Q, OHS, Environmental and PI, BI, IP aspects considered at the development stage (incl. Raw materials, waste, disposal, obsolete tools) ?

  Yes

  No

  N/A

• Is the client informed about potential restrictions/limitations in usage of the good or service due to the development stage ?

  Yes

  No

  N/A

4.1.3 Production & Logistique

• Planning : Is the planning coordinated with other requirements such as quality management, resources, processes, facilities, environment, requirements, assessment criteria, testing activities, records ?

  Yes

  No

  N/A

• Procurement : Do purchasing documents specify clearly the product or refer to a detailled specification sheet?

  Yes

  No

  N/A

• Procurement : Do purchasing specs define clearly quality, quantity, timing, purity and regulatory requirements?

  Yes

  No

  N/A

• Procurement : Are suppliers periodicaly evaluated, audited and do they get feedback?

  Yes

  No

  N/A

• Procurement : Are alternative/backup raw materials, tools and suppliers submitted for approval for Q, S, E and PI topics?

  Yes

  No

  N/A

• Reception

• How are incoming materials received (tanker, rail car)? Are incoming raw material carriers dedicated to specific products? Describe raw material carrier inspection procedures. Are inspection procedures documented?

  Yes

  No

  N/A

• How do you determine that incoming materials conform to specifications (COA, sensory evaluations, standard physical and analytical analysis, compositional analysis, and microbiological analysis)?

• Are COA's, supplier test data and/or your incoming test data evaluated against product specifications? Describe the process of reviewing COA's. When discrepancies are found between COA's, incoming inspection, and specifications, describe the steps taken for resolution?

• Are material audits conducts to verify conformance to COA's? What is the frequency of these audits?

  Yes

  No

  N/A

• Is there a procedure for usage of raw materiel prior to completion of normal inspection/testing (used to meet urgent production needs)?

  Yes

  No

  N/A

• Have appropriate statistical techniques been selected to establish sampling plans for incomimg inspections and verification of the values reported in the COAs?

  Yes

  No

  N/A

• Is the accuracy of incoming inspection equipment enough ?

  Yes

  No

  N/A

• Are Incoming inspection records kept?

  Yes

  No

  N/A

• Are incoming inspection procedure in line with UPL standards?

  Yes

  No

  N/A

• Are the rules for retained samples of raw material defined, implemented?

  Yes

  No

  N/A

• Manufacturing

• Are manufacturing processes validated (incl. the documentation of validation)?

  Yes

  No

  N/A

• What are your inprocess inspection, process control, final inspection and online control information (are instructions and specifications available at all level )?

• How well are inprocess controls specified and performed?

  Yes

  No

  N/A

• Are the employees aware of the competencies and methods of approach to rectifying the deviations?

  Yes

  No

  N/A

• Are the rules for retained samples of SFG and FG defined, implemented? Are those rules in line with the customer requirements?

  Yes

  No

  N/A

• Are inspection records kept?

  Yes

  No

  N/A

• Can all or a part of the manufacturing be subcontracted ? If yes, what are the checks ?

  Yes

  No

  N/A

• Are procedures in place for secret products ?

  Yes

  No

  N/A

• What test data or COA is currently provided to UPL ?

• How do you verify that only approved products/services are shipped/delivered?

  Yes

  No

  N/A

• Are responsibilities for status verification clearly defined?

  Yes

  No

  N/A

• Storage Distribution

• Can the storage be subcontracted ? If yes, what are the checks ?

  Yes

  No

  N/A

• The infrastructure and transportation means show a suitable state of condition that will not adversely impact product quality, employee OHS or the environment

  Yes

  No

  N/A

• How can the company avoid the delivery of wrong references or mix of version?

4.2 Operational support

• 4.2.1 Control of testing and measuring devices

  Yes

  No

  N/A

4.2.1 Control of testing and measuring devices

• Are all test materials and equipments systematically monitored, calibrated and maintained on a regular basis ?

  Yes

  No

  N/A

• Measurement capability/uncertainty has been assessed and is consistent with requirements

  Yes

  No

  N/A

• Is the verification of the test material and equipment based on acknowledged national or international standards? Otherwise, the basis used for calibration shall be recorded

  Yes

  No

  N/A

• Who is responsible for performing calibrations and maintenance of inspection, measuring, online control and test equipment? Is this person properly trained?

• How are calibration records maintained?

  Yes

  No

  N/A

• How is calibration status identified for equipements or instruments?

  Yes

  No

  N/A

• When equipment is found out of calibration, is the validity of previous inspection assessed and documented?

  Yes

  No

  N/A

• Is the equipment identified accordingly?

  Yes

  No

  N/A

• What are the backup solutions when an equipment is out of calibration/service?

• Are all inspections and test methods carried out according to defined procedures and methods? Are results compared to specification for identifying nonconforming products?

  Yes

  No

  N/A

• How comprehensively are analytical methods documented and applied?

• Do you perform routine calibration checks with working standards between scheduled calibrations? Are these checks documented?

  Yes

  No

  N/A

• Have any requirements for laboratory environmental conditions been determined for impact on measuring equipment? How are these conditions monitored and controlled?

  Yes

  No

  N/A

4.2.2 Treatment of non conformity, complaints & accidents

• Are there defined procedures which stipulate the responsibility and authority regarding the handling and analysis of accidents, incidents, noncompliance (nonconformities) and the introduction of corrective and preventative measures?

  Yes

  No

  N/A

• Are appropriate measures initiated in the event of nonconformities being discovered following delivery/commissioning of the products/services (incl. recall process as required)?

  Yes

  No

  N/A

• Is there a system for reporting nonconformance, which ensures that the competent departments are informed of the type and extent of nonconforming products and take the necessary decisions?

  Yes

  No

  N/A

• Are corrective actions followed? Is effectiveness of actions undertaken checked?

  Yes

  No

  N/A

• Is there a process for the control of nonconforming products/services defined and implemented?

  Yes

  No

  N/A

• Are nonconforming products/services identified as such and picked out?

  Yes

  No

  N/A

• Do you have a segregated nonconforming holding area? If so, summarize how nonconforming materials are inventoried and reconciled

  Yes

  No

  N/A

• How do you verify that reworked product conforms to specifications?

  Yes

  No

  N/A

• Have you had any products or raw material recalls?

  Yes

  No

  N/A

5. Fire: Electrical hazards

• Are you safety cabinets clean and locked to un-authorized people

  Yes

  No

  N/A

• Who is authorized to access to electrical cabinet/panel ?

• Could you provide us an example of authorized licence from electrician ?

  Yes

  No

  N/A

• Do you perform PAD testing and thermal infra-red checking

  Yes

  No

  N/A

• Do you have in the past no Safety alert linked with electrical hazard ( smouldering, ignition, fire ) ? If no please give details

  Yes

  No

  N/A

• Do you have in place a pest control policy ? ( Avoid cables damages by rats/mice)

  Yes

  No

  N/A

• Do you install in the electrical cabinet a pest control element when the electrical cabinet is in the basement ?

  Yes

  No

  N/A

• Is there an Electrical Preventive Maintenance (EPM) program in place (including thermography) ?

  Yes

  No

  N/A

• Do you use an UPS (Uninterruptible Power Supply) in your premises ? If yes do you have considered sufficient Ventilation, Maintenance and specific fire detectors in the room the UPS is installed ?

  Yes

  No

  N/A

6. Fire Prevention

• Are fire exits clear of obstructions

  Yes

  No

  N/A

• Outside : Are combustible materials stored a minimum 5 meters away from the building/premises

  Yes

  No

  N/A

• Are fire extinguishers kept free from obstruction, in their correct storage location, undamaged, fully laden and in date

  Yes

  No

  N/A

• Are emergency spill kits present and accessible at any time

  Yes

  No

  N/A

• Are fire alarm call points free from obstruction

  Yes

  No

  N/A

• Are buildings protected with fire resistance doors and fire wall

  Yes

  No

  N/A

• Are building protected with sprinkler systems ?

  Yes

  No

  N/A

• Are storage protected with water or high /low density Foam system ?

  Yes

  No

  N/A

• What type of drainage are using (pumping, pipes, trenches) ? what are the volume ?

7. Personal Protective Equipment

• Is high visibility and any others PPE ( gloves, masks, respiratory ) available to colleagues where appropriate

  Yes

  No

  N/A

• Are eye protection, gloves and aprons provided in charging areas

  Yes

  No

  N/A

• Is safety footwear being worn and soles in good condition

  Yes

  No

  N/A

• Are safety gloves being worn and in good condition, I.e. fingers not cut off

  Yes

  No

  N/A

• Are the mandatory hearing protection areas, if yes is hearing protection being worn

  Yes

  No

  N/A

8.Equipment and Machinery

• Is all equipment in good working order

  Yes

  No

  N/A

• Is the area around machinery, clean, clear and in good order

  Yes

  No

  N/A

• Are all fixed guards secured with only approved means, such as, nuts & bolts, Allen nuts - there should be no screws

  Yes

  No

  N/A

• Are interlocks functioning as they should - machine stops when open

  Yes

  No

  N/A

• Are all control panels locked and secure

  Yes

  No

  N/A

• Are all electrical sockets in good order

  Yes

  No

  N/A

• Are their any trailing or damaged cables

  Yes

  No

  N/A

• Are there no sharp edges on equipment

  Yes

  No

  N/A

• Are there no damaged emergency stop buttons

  Yes

  No

  N/A

• Are there no damaged isolation switches

  Yes

  No

  N/A

• Have all pre-start checks been completed

  Yes

  No

  N/A

• Are there any ladders/step ladders without ladder tags and or inspection record

  Yes

  No

  N/A

• If there is machinery being cleaned has isolation & lock off been implemented correctly

  Yes

  No

  N/A

9.Hazardous Substances

• Are substances stored and secured to prevent unauthorised use

  Yes

  No

  N/A

• Are containers used for displaying same label as original container

  Yes

  No

  N/A

10. Forklift

• What type of FLT are using ?

• Do you manage a list of driving licences for drivers ?

  Yes

  No

  N/A

• Do you have rules for FLT entering in ATEX zones ?

  Yes

  No

  N/A

• Are using Charging stations fro FLT's (They are clean, fire protected, detached buildinds, ventilation)?

  Yes

  No

  N/A

• What are the rules for stacking IBC's and drums ( IBC max 2 level, Drums 4 levels ) ?

11.ENVIRONMENTAL SECTION

Management Systems & Training

• Does your facility have a management system in place, or is it developing one, to assess environmental risks associated with production?

  Yes

  No

• Is your facility management system in compliance with applicable environmental laws and regulations?

  Yes

  No

• Does your facility have (other than 14001) up-to-date Environmental certification eg EMAS, Ecocert,?

  Yes

  No

  N/A

• Please list relevant certifications.

• Does your facility hold the necessary license(s) or permit(s) for and has the facility received no fines, prosecution, or warnings by regulators in relation to (select all that apply):

  Select Air emissions Storage or use of hazardous substances Preventing soil & groundwater contamination Wastewater management Waste issues

  • Air emissions
  • Storage or use of hazardous substances
  • Preventing soil & groundwater contamination
  • Wastewater management
  • Waste issues

• Are environmental policies, practices, and expectations communicated to all employees and suppliers in local or appropriate languages?

  Yes

  No

• Are employees trained on relevant environmental matters, including (select all that apply):

  Select Air emissions Management & use of hazardous substances Preventing soil & groundwater contamination Wastewater management Waste management, including hazardous waste Water use

  • Air emissions
  • Management & use of hazardous substances
  • Preventing soil & groundwater contamination
  • Wastewater management
  • Waste management, including hazardous waste
  • Water use

• Does your facility have established environmental targets and objectives to improve environmental performance?

  Yes

  No

• What are the targets & objectives?

• Does your facility review its environmental performance annually?

  Yes

  No

Greenhouse Gas (GHG) Emissions & Energy Usage

• Does your facility monitor and track energy consumption and conduct on-site energy audits?

  Yes

  No

• Does your facility have a system in place to reduce the environmental impact of energy use and greenhouse gases?

  Yes

  No

• Does your facility have a program and/or procedures to reduce the use of energy?

  Yes

  No

• Does your facility have goals and targets to reduce GHG emissions?

  Yes

  No

• What are the targets?

• Does your facility have set goals and targets in relation to increased energy efficiency?

  Yes

  No

• What are the targets?

• Total annual GHG emissions in the most recent year measured (enter in total metric tons CO2e)?

• Does your facility report GHG emissions and climate change strategy to the Carbon Disclosure Project (CDP) or publicly disclose an equivalent amount and type of information on an annual basis?

  Yes

  No

Air Emissions

• Does your facility regularly test air emissions (i.e. NOx, SOx, mercury, hazardous air pollutants)?

  Yes

  No

• Does your facility have a system in place to manage air emissions?

  Yes

  No

• Does your facility have set targets in relation to reducing air emissions?

  Yes

  No

• What are the targets?

• Does your facility have pollution prevention devices on chimneys, vents, and extraction systems?

  Yes

  No

Water Management

• Does your facility have a system in place to manage and monitor water withdrawals and consumption?

  Yes

  No

• Does your facility have a program and/or procedures to reduce water use or reuse/recycle water?

  Yes

  No

• Does your facility have set targets to reduce water consumption?

  Yes

  No

• What are the targets?

• Does your facility have a system in place to address wastewater generation and management?

  Yes

  No

• Does your facility treat wastewater prior to off-site discharge?

  Yes

  No

• What is the standard?

• Does your facility identify the sources of its water (e.g. aquifers, municipal water sourced from local water body, harvested rainwater, etc.)?

  Yes

  No

• Does your facility assess external supply and quality risks related to these water sources?

  Yes

  No

Waste Management

• Does your facility have a program and/or procedures to reduce or eliminate pollution and waste in its operations?

  Yes

  No

• Does your facility have a recycling program to reduce or eliminate pollution and waste in its operations?

  Yes

  No

• Does your facility have a program and/or procedures to manage and dispose of hazardous waste (if applicable), wastewater, solid waste, and airborne emissions?

  Yes

  No

• Does your facility have set targets to reduce the volume of waste generated?

  Yes

  No

• What are the targets?

• Does your facility maintain records of off-site transfer, treatment, and disposal of waste?

  Yes

  No

• Does your facility have external waste contractors?

  Yes

  No

• Do you conduct regular audits of those contractors?

  Yes

  No

• Do they have relevant certifications?

  Yes

  No

• Have they received any compliance violations within the past 3 years?

  Yes

  No

Packaging

• Does your facility have goals and targets to reduce, reuse, and recycle the amount of packaging used for its products?

  Yes

  No

• What are the targets?

• Does your facility incorporate packaging reduction, reuse, and recycling in its purchasing practices?

  Yes

  No

Pollution Prevention

• Does your facility consider Design for Environment (DfE) in its development of products?

  Yes

  No

• Does your facility use life cycle assessment (LCA) as part of determining chemical selection for product inputs?

  Yes

  No

• Does your facility use chemical hazard assessment and/or comparative chemical hazard assessment as part of determining chemical selection for product inputs?

  Yes

  No

• Does your facility assess whether substances stored, used, or handled on-site are prohibited by national or international laws or protocols?

  Yes

  No

• Does your facility have a system in place to address pollution prevention and management of hazardous and potentially hazardous substances?

  Yes

  No

• Does your facility maintain up-to-date material safety data sheets (MSDS) for all hazardous substances used on-site?

  Yes

  No

• Does your facility set targets in relation to eliminating or reducing hazardous substances on-site?

  Yes

  No

• What are the targets?

• Does your facility conduct tests to identify impact on soil and groundwater from facility operations?

  Yes

  No

Other Raw Materials

• Does your facility keep inventory of all chemical substances used, stored, processed, and manufactured?

  Yes

  No

• Does your facility have a program and/or procedures to reduce the use of resources (other than water), and promote sustainable natural resource practices?

  Yes

  No

Transportation

• Does your facility have in place targets and programs to reduce overall sustainability impacts by managing transportation logistics (e.g. prioritizing low impact transportation modes)?

  Yes

  No

• What are the targets and programs?