VISY HSE Code of Practice : Isolation & Lockout Audit Protocol

• Site

• Area of the site audited

• Conducted on

  Date

• Audit completed by

• Manager /Supervisor in charge at the time of the audit

• instructions

• 1. The purpose of this audit is to review the awareness and implementation of the CoP for Isolation and Lockout ( Visy HSE System) 2. In all cases the Auditor should obtain and verify questions by observation and inspection of records. 3. Gaps in the audit leading to actions should be documented, be reviewed by site management / HSE committee and a response documented . Where necessary enter actions requiring an investigation and response into Vault. 4. Opportunities for improvement identified in the audit should be documented where described and reviewed by the site for implementation. Improvements and actions to close gaps can be documented in the annual site HSE Plan. HSE Procedure 201

Key Requirement 1: Roles and Responsibilities

• HSE the site communicated the responsibilities for identified roles in the COP to:

• Isolation Officer?

  Yes

  No

  N/A

• Operations / Site Manager?

  Yes

  No

  N/A

• Production / Maintenance / Engineering Manager?

  Yes

  No

  N/A

• Leading Hand / Supervisor?

  Yes

  No

  N/A

• All Employees?

  Yes

  No

  N/A

• Contractors?

  Yes

  No

  N/A

Key Requirement 2: Authorised Isolation Devices

• Does the site have list or register of identified authorised devices?

  Yes

  No

  N/A

• Are the authorised devices used on site detailed in site operating procedures?

  Yes

  No

  N/A

• Are appropriate devices provided and used on site?<br>View lockout station and devices used during the audit.

  Yes

  No

  N/A

• Are employees and contractors trained on the use and application of devices?

  Yes

  No

  N/A

• Are locks used in all situations where they can be fitted?<br>Ensure that lockout tags are not used in place of locks where the later can be used

  Yes

  No

  N/A

Key Requirement 3: Isolation Methods

• Are procedures in place for identified common forms of isolation?

  Yes

  No

  N/A

• Have levels and authority been clearly identified and communicated?

  Yes

  No

  N/A

• Is there a system for verifying the isolation method prior to any work commencing?

  Yes

  No

  N/A

• Does the site have a process or procedure when locks are left on?<br>Review records on the process followed and the documented procedures or SOP

  Yes

  No

  N/A

• Is there a documented process or procedure for incomplete work and maintaining the isolation?<br>Review the procedure detailing the process for incomplete work and still maintaining isolation

  Yes

  No

  N/A

• Are all energy sources tested to determine whether plant and equipment are de-energised?

  Yes

  No

  N/A

Key Requirement 4: Working on Energised Equipment

• Does the site have a process and procedures for working on energised equipment?

  Yes

  No

  N/A

• Does the site have a register of who is authorised to work on energised equipment?

  Yes

  No

  N/A

• Are all authorised personnel trained or have appropriate qualifications to work on energised equipment?

  Yes

  No

  N/A

• Are risk assessments completed for all work on energised equipment?

  Yes

  No

  N/A

• Are specific tasks on site that can be undertaken outside the isolation system identified and documented?<br>View the site register listing tasks outside of the isolation system.

  Yes

  No

  N/A

Key Requirement 5: Competency & Training ( Technical Skills & Behaviours)

• Has the site scheduled and conducted training for the roles identified on the training matrix for the Code of Practice?

  Yes

  No

  N/A

• Are records available for all training conducted?

  Yes

  No

  N/A

• Has the site identified any training gaps and scheduled training appropriately?

  Yes

  No

  N/A

• Is the site able to identify who the isolation Officer is for the Site?

  Yes

  No

  N/A

• Is there a process for verifying the competency of individuals prior to conducting isolations?<br>Sight training records and procedures for verification of competency.

  Yes

  No

  N/A

• Has bi-annual refresher training of each employee been conducted?

  Yes

  No

  N/A

Key Requirement 6: Audits

• Has the site internally audited the application of the isolation procedures in line with the CoP within the last 12 months?

  Yes

  No

  N/A

• Has the site been externally audited within the last 2 years?

  Yes

  No

  N/A

• Has the Site Manager or Isolation Officer been involved in all of the audits?

  Yes

  No

  N/A

Key Requirement 7: Isolation Plans and Procedures

• Does the site have an isolation plan?

  Yes

  No

  N/A

• Are all primary isolation points clearly marked or listed on the isolation plan?

  Yes

  No

  N/A

• Are all isolation points clearly marked on the plant and equipment across the site?<br>Undertake review of markings and signage on plant and equipment with isolation points.

  Yes

  No

  N/A

• Does the site have a method of labelling and identifying each individual isolation point associated with the plant and equipment?

  Yes

  No

  N/A

• Does the isolation plan detail the approved isolation devices required?<br>Review the isolation plan.

  Yes

  No

  N/A

• Does the site have a documented isolation procedure for group isolations and complex isolations ?<br>Answer yes if all of the following are included.

  Yes

  No

  N/A

• Expected duration of the procedure

  Includes

  Not covered

• Contact details of the Isolation Officer

  Includes

  Not covered

• The isolated plant and equipment

  Includes

  Not covered

• Location and type of isolation point

  Includes

  Not covered

• How to make safe each isolation point

  Includes

  Not covered

• How to verify isolation is effective

  Includes

  Not covered

• Details of lockout or tag out requirements

  Includes

  Not covered

Key Requirement 8: Incidents and Code of Practice Breaches

• Does the site use the Visy reporting system ( VAULT) to report all incidents and breaches of the Code of Practice requirements?<br>Review Vault or other records

  Yes

  No

  N/A

• Has the site conducted a full investigation for all serious incidents?

  Yes

  No

  N/A

• Has the site requested investigation reports for incidents involving contractors?<br>Inspect completed contractor investigation records

  Yes

  No

  N/A

• Does the site document corrective actions for all incidents and are they closed out once they have been completed?<br>Review records of corrective actions assigned to relevant people and corrective actions closed out.

  Yes

  No

  N/A

• Actions Resulting from the Audit

• Opportunities for Improvement

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