UK ISL Activity monitor form Rev9 10/14

• Client site

• Name of auditee.

• Add location
  Address

• Monitor.

• Designation

• Office an control number.

• Conducted on

  Date

• Prepared by

• Surveys / Inspection undertaken.
  
  Note: Please document previous codes monitored at last years Activity on line one below. Current year should reflect alternative codes to previous year.
  
  Appropriate evidence must be collected and included within or annexed to this report!
  
  Note the person carrying out the activity monitor shall hold the relevant experience in the area being audited.

• Year of audit

  Select 2010 2011 2012 2013 2014 2015 No Previous data new starter

  • 2010
  • 2011
  • 2012
  • 2013
  • 2014
  • 2015
  • No Previous data new starter

• Field of activity

  Select 1A (PD5500 or national requirements) 1Bii (ASME) 1Bi (ASME Code NCS Nuclear) 1C (NBIC) 1D (PED) 1E (IBR) 1f (MHLW) 1g (MOM) 1h (DOSH) 1i (TSSA Canada) 1j (Work Cover South Africa) 1k (Work Cover AUS) 2a (US DOT) 2b ( Transportable Gas cylinders) 3a (Tanks Fabricated) 3b (Pipework Fabricated) 3c (Structal Fabricated) 4a (Forgings) 4b (Castings) 4c (Steel Plate) 4d (Pipes) 4e (Tubes) 4f (Fasteners) 4g (Ropes) 5a (LRCCS) 5b (EN12079) 5c (Other Containers) 6a (Internal Combustion engines) 6b (Turbines) 6c (Compressors) 6d (Gearing) 6e (Agitators) 6f (Pumps) 7a (Electric Motors) 7b (Electrical Alternators) 7c (Transformers) 7d (Switchgear) 7e (Spare) 7f (Instrumentation) 7g (Boards, Panels & desks) 7h (Bushings) 7i (Electric cable) 7j (Power Transmission-Conductors) 7k (Power Transmission -Insulators) 7l (Power Transmission-Towers) 8a (Cast Iron, Bronze & Brass valves) 8b (Cast Steel Forged Valves) 8c (Fabricated Valves) 9a (Cranes, Lifts and Hoists) 9b (Loading arms) 10a (KEPIC Korea) 10b (Water Plants Spain) 10c (GIRS UK) 10d (NERS UK) 10e (ISIS UK) 10f (Refrigeration NL) 10g (Pressure Systems NL) 10h (Storage Tanks NL) 10i (Pressure Systems Propane, Butane NL) 10j (ISI Intervals NL) 10k (ISI Delays NL) 10l (ISI Pressure Equipment NL) 10m (Surveillance Prior to service NL) 10n (LPG NL) 10o (Propane, Butane Installations NL) 10q Sizewell B Independant Inspection UK) 10r (Quality System certification scheme UK) 10s (Pipeline Valves IT) 10t (Sellafield re-processing UK) 10u (WIRS) 10v (MAMRS) 11a (Welder Quals-Pressure) 11b (Welder Quals-Structual) 11c (Welding PQ-Pressure Equipment) 11d (Welding-Structual) 11e (Client Training PED) 11f (Client Training ASME VIII Div 1) 11g (Client Training ASME IX) 11h (Client Training ASME 1) 11i (Client Training ASME III

  • 1A (PD5500 or national requirements)
  • 1Bii (ASME)
  • 1Bi (ASME Code NCS Nuclear)
  • 1C (NBIC)
  • 1D (PED)
  • 1E (IBR)
  • 1f (MHLW)
  • 1g (MOM)
  • 1h (DOSH)
  • 1i (TSSA Canada)
  • 1j (Work Cover South Africa)
  • 1k (Work Cover AUS)
  • 2a (US DOT)
  • 2b ( Transportable Gas cylinders)
  • 3a (Tanks Fabricated)
  • 3b (Pipework Fabricated)
  • 3c (Structal Fabricated)
  • 4a (Forgings)
  • 4b (Castings)
  • 4c (Steel Plate)
  • 4d (Pipes)
  • 4e (Tubes)
  • 4f (Fasteners)
  • 4g (Ropes)
  • 5a (LRCCS)
  • 5b (EN12079)
  • 5c (Other Containers)
  • 6a (Internal Combustion engines)
  • 6b (Turbines)
  • 6c (Compressors)
  • 6d (Gearing)
  • 6e (Agitators)
  • 6f (Pumps)
  • 7a (Electric Motors)
  • 7b (Electrical Alternators)
  • 7c (Transformers)
  • 7d (Switchgear)
  • 7e (Spare)
  • 7f (Instrumentation)
  • 7g (Boards, Panels & desks)
  • 7h (Bushings)
  • 7i (Electric cable)
  • 7j (Power Transmission-Conductors)
  • 7k (Power Transmission -Insulators)
  • 7l (Power Transmission-Towers)
  • 8a (Cast Iron, Bronze & Brass valves)
  • 8b (Cast Steel Forged Valves)
  • 8c (Fabricated Valves)
  • 9a (Cranes, Lifts and Hoists)
  • 9b (Loading arms)
  • 10a (KEPIC Korea)
  • 10b (Water Plants Spain)
  • 10c (GIRS UK)
  • 10d (NERS UK)
  • 10e (ISIS UK)
  • 10f (Refrigeration NL)
  • 10g (Pressure Systems NL)
  • 10h (Storage Tanks NL)
  • 10i (Pressure Systems Propane, Butane NL)
  • 10j (ISI Intervals NL)
  • 10k (ISI Delays NL)
  • 10l (ISI Pressure Equipment NL)
  • 10m (Surveillance Prior to service NL)
  • 10n (LPG NL)
  • 10o (Propane, Butane Installations NL)
  • 10q Sizewell B Independant Inspection UK)
  • 10r (Quality System certification scheme UK)
  • 10s (Pipeline Valves IT)
  • 10t (Sellafield re-processing UK)
  • 10u (WIRS)
  • 10v (MAMRS)
  • 11a (Welder Quals-Pressure)
  • 11b (Welder Quals-Structual)
  • 11c (Welding PQ-Pressure Equipment)
  • 11d (Welding-Structual)
  • 11e (Client Training PED)
  • 11f (Client Training ASME VIII Div 1)
  • 11g (Client Training ASME IX)
  • 11h (Client Training ASME 1)
  • 11i (Client Training ASME III

• Additional Items Reviewed I.E. Notebooks etc...

  Select Notebook Client documents Specifications Commercial Information

  • Notebook
  • Client documents
  • Specifications
  • Commercial Information

• Product Code

  Select Pressure Equipment Gas Cylinders Fabribcations Material Containers Mechanical Equipment Electrical Equipment Valves Lifting Equipment Local Products Welding Services ISIS EC Directives

  • Pressure Equipment
  • Gas Cylinders
  • Fabribcations
  • Material
  • Containers
  • Mechanical Equipment
  • Electrical Equipment
  • Valves
  • Lifting Equipment
  • Local Products
  • Welding Services
  • ISIS
  • EC Directives

• Previous findings:<br>(The previous activity monitor has being reviewed and all outstanding actions closed out.)<br>If NO please identify below:

  Yes

  No

  N/A

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014

Commercial awareness (RFS / contracts)/client interaction

• Is the Surveyor fully aware of the Clients requirements, including latest applicable amendments, requirements for statutory surveys and the requirements of national authorities? (All as applicable)

  Yes

  No

  N/A

• Is the Surveyor/inspector fully conversant with all the specified requirements for work i.e. Technical notices, guidance documents and contractual requirements etc.

  Yes

  No

  N/A

• Is there a request for services in place?

  Yes

  No

  N/A

• Has a control number been raised with all the correct parameters?

  Yes

  No

  N/A

• Is the individual authorised for work list codes

  Yes

  No

  N/A

• Does the Surveyor have necessary PPE?

  Yes

  No

  N/A

• Is the individuals relationship with the client satisfactory

  Yes

  No

  N/A

• If no identify actions below

  Yes

  No

  N/A

• Is the individuals conduct on the clients premises satisfactory?

  Yes

  No

  N/A

• If no identify actions below

  Yes

  No

  N/A

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014

Technical awareness

• Are welding procedures, specifications together with their supporting procedure qualification records verified by the Surveyor/inspector? Are qualified welder a being used?

  Yes

  No

  N/A

• Is the storage and distribution of welding consumables satisfactorily monitored?

  Yes

  No

  N/A

• Is the individuals CV up to date?

  Yes

  No

• Are the individuals authorisations up to date?

  Yes

  No

• Are any measuring instruments used by the manufacturer/repairer been reviewed by the Surveyor/inspector

  Yes

  No

  N/A

• Has this been verified?

  Yes

  No

  N/A

• If no what corrective action has been taken?

• Has this been recorded (e.g on a pro forma, job control record, visit report, certificate or any other document) and placed on file.

  Yes

  No

  N/A

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014

Sample inspections by the Surveyor witnessed by me were :

• Found to be in order

• Found not to be in order - recommendation made and suitable corrective actions shown in findings section.

• No recommendations made

Documentation.

• Are the reporting documents issued satisfactory, e.g. Checklists, progress reports, job control records etc.

  Yes

  No

  N/A

• Is the individuals performance and competency considered satisfactory for the work undertaken.

  Yes

  No

  N/A

• Is there any evidence that previous training has benefited the individuals performance? If yes give evidence or examples.

  Yes

  No

  N/A

• Is the Surveyor aware of his job description and is it applicable to his role today?

  Yes

  No

  N/A

Record below all references through the process of the monitoring activity. I.e. Equipment identification, serial numbers, document references, materials, codes/specifications used etc

• Add any further media here

  Media

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014

I hereby confirm I have conducted a review of the following requirements, notations made where applicable and the relevant documents endorsed and issued along with this report.

• Group OSH Checklist (Reviewed and Accepted)

• Group OSH Checklist (Reviewed and updated on H Drive)

• Surveyors CV (Reviewed and Accepted)

• Surveyors CV (Reviewed and updated on H Drive)

• Authorisations local & EC Directives as relevant (Reviewed and Accepted)

• Authorisations local & EC Directives as relevant (Reviewed and updated on H Drive)

• Is the Surveyors NDE qualification up to date?

  Yes

  No

• When does the Surveyors NDE qualification expire?

  Date

Monitors/ line managers comments on review

• Add any further media

  Media

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014

Findings identified which require corrective action.

• Control number

• Field series of activity.

  Select Pressure Equipment Gas Cylinders Fabribcations Material Containers Mechanical Equipment Electrical Equipment Valves Lifting Equipment Local Products Welding Services ISIS EC Directives

  • Pressure Equipment
  • Gas Cylinders
  • Fabribcations
  • Material
  • Containers
  • Mechanical Equipment
  • Electrical Equipment
  • Valves
  • Lifting Equipment
  • Local Products
  • Welding Services
  • ISIS
  • EC Directives

• Findings

• Number of findings

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Confirmation

  findings log has been updated and relevant people updated accordingly

  findings log has not been updated

  N/A

• Control number

• Field series of activity.

  Select Pressure Equipment Gas Cylinders Fabribcations Material Containers Mechanical Equipment Electrical Equipment Valves Lifting Equipment Local Products Welding Services ISIS EC Directives

  • Pressure Equipment
  • Gas Cylinders
  • Fabribcations
  • Material
  • Containers
  • Mechanical Equipment
  • Electrical Equipment
  • Valves
  • Lifting Equipment
  • Local Products
  • Welding Services
  • ISIS
  • EC Directives

• Findings

• Number of findings

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Confirmation

  findings log has been updated and relevant people updated accordingly

  findings log has not been updated

  N/A

• Control number

• Field series of activity.

  Select Pressure Equipment Gas Cylinders Fabribcations Material Containers Mechanical Equipment Electrical Equipment Valves Lifting Equipment Local Products Welding Services ISIS EC Directives

  • Pressure Equipment
  • Gas Cylinders
  • Fabribcations
  • Material
  • Containers
  • Mechanical Equipment
  • Electrical Equipment
  • Valves
  • Lifting Equipment
  • Local Products
  • Welding Services
  • ISIS
  • EC Directives

• Findings

• Number of findings

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Confirmation

  findings log has been updated and relevant people updated accordingly

  findings log has not been updated

  N/A

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014

Conclusion and findings log

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• Findings identified which need action

• Line manger - evaluate findings and recommend close out date

  Date

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014

• Signed as accepted Surveyor /inspector

  Sign

• Monitor

  Sign

• Signed as accepted line manager.

  Sign

• Acceptance can be made by confirmation email which will be addended to report.

• MS02-04-04 app1 R9
  (Amended for local UK energy purposes 10-2014