Internal Audit Checksheet Review

Date & Time:
INTERNAL AUDIT CHECKSHEET

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
DEPT :
Page:
AUDIT PERIOD :
of
AUDIT NO :
Processes to be audited :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS
Pl tick appropriate from below

as per QSP-MR-04
NO NCR
Is policy communicated & understood to all.
Are Objectives & target for OHSAS Identified & auditee aware of it?
4.3.3
Are Objectives & target for EMS identified.Auditee aware of it ?
4.3.3
Is procedure available for identification of aspects ?
4.3.1
How do you evaluate the impact?Have you identified aspects of non

routine activities?
4.3.1
Specify any point
NAME/SIGN OF THE AUDITOR :
MINOR
NCR
MAJOR NCR
OBSERVATION
4.2
NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
DEPT :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR MAJOR NCR
EMS/OHSAS
Their should not be any Hazardous waste open to sky, check ?
EMS
4.3.1
Is Form 3 in use for inter department handling of Hazardous Waste.
EMS
4.3.2
EMS
4.3.3
Check record available for Consumption of Oil,Thinner,Acids etc
EMS
4.5.1
Whether Resistance of Earthing Pit has checked.
EMS
4.5.1
At DG set chimney should have Sampling port & ladder for

sampling inspection .
EMS
4.5.1
Whether resistance of Earthing pit is measured as per electrical law.
EMS
4.3.2
Whether ,Method of disposal is decided in case of waste batteries of

Stackers
EMS
4.3.1
10
Check compliance to Legal and other EMS/OHSAS applicable

requirements for Electricity rules- defined clearly
EMS/OHSAS
4.3.2
OBSERVATION
4.2

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
DEPT :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
Whether monitoring & measuring instruments, Check for Calibration of

dB Meter and Lux Meter.
EMS/OHSAS
4.5.1
Are Auditee aware of the Document Location.
EMS/OHSAS
4.4.5
Verify list of documents with it's revision status ?
EMS/OHSAS
4.4.5
14
There should not any Plastic sheet/Grass raised in MSEB

metering cubicle area.
EMS/OHSAS
15
Check 1S,2S at Cable chember ?
EMS/OHSAS
16
Is auditee is aware of the Document Location.
EMS/OHSAS
4.4.5
17
Retaintion period for the documents is defined
EMS/OHSAS
4.5.4
18
Check the evidence for testing of compressor available as per FA1948

section 31 MFR 65-
OHSAS
4.3.2
19
As per FA 1948 section 21 & 22- while working near or on machinery in

motion compliance for gaurds and clothing should not availble.
OHSAS
4.3.2
11
OBSERVATION
12
13
4.4.6
4.4.6

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant : RAPLII
Date & Time:

Page:
AUDIT PERIOD :
DEPT :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
20
As per FA 1948 section 13 MFR No 22-A - verify ventilation &

temperature and compliance for circulation of air.
OHSAS
4.5.2
21
Lighting as per FA 1948 section no 17 , MF rule no 35 -- Check whether

OHSAS
Lux level is monitored.
4.5.2
22
Whether Form 12 is available? Check traceability & identity on

certificates. (Crane, wires etc.), with certification number.
OHSAS
4.3.2
Are Objectives & target for OHSAS Identified & auditee aware of it ?
OHSAS
4.3.3
Whether monitoring of Noise level is done & in case of non compliance

actions are taken to reduce or stabilize the confirming noise levels.
OHSAS
4.5.1
Check for, there should not any unsafe tool in use ?
OHSAS
4.4.6
Verify Calibration records for Lux meter and dB meter
OHSAS
4.5.1
Is all pressure vessels hydro test records, available ?
OHSAS
4.3.2
Is Form 12 available with traceability & identity on certificates.

(Crane, wires etc.),
OHSAS
4.3.2
Testing certificates of Chain pulley block to be verified.
OHSAS
4.5.1
23
24
25
26
27
28
29
OBSERVATION

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant : RAPLII
Date & Time:

Page:
AUDIT PERIOD :
DEPT :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
Are Cranes/Hoists/Stackers are reviewed for SWL
OHSAS
4.5.1
Whether Rubber mats are provided below the panel of presses.
OHSAS
4.3.2
Rubber Mats are to be available in front of electrical panel ?
OHSAS
4.3.2
Is Electricity permits being taken to electrical contractor.
OHSAS
4.4.6
34
Verify that Compressed air balancing is done.
OHSAS
35
Check Testing certificates of air receiver ?
OHSAS
36
Check SWL is displayed on each crane ?
OHSAS
37
Check there should no laddle near by Live Busbar.
OHSAS
38
Lux Intensity monitoring record available ?
OHSAS
OBSERVATION
30
31
32
33
4.5.1
4.5.1
4.3.2
4.4.6
4.5.4
Date & Time:

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant
Page:
AUDIT PERIOD :
DEPT : PURCHASE
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS REF
NO.
4.2
Is the Environmental policy is communicated to suppliers (interested pa
4.2
As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-Check compliance for PUC certificates for vehicles.
4
5
Check PPE's analysis w.r.t. IS standard & involvement, list is available

for all PPE's.
AUDIT FINDINGS
NO NCR

as per MAJOR
QSP-MR-04OBSERVATION
MINOR
NCR
NCR
4.5.2
4.3.2
4.3.2

4.3.3
Are Objectives & target for EMS/OHSAS Identified & auditee aware of
it ?
4.4.5
4.5.4
Date & Time:

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant
Page:
AUDIT PERIOD :
DEPT : STORES
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS REF
NO.
4.2
Is the Environmental policy is communicated to suppliers (interested pa
4.2
As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-Check compliance for PUC certificates for vehicles.
4
5
6
AUDIT FINDINGS
NO NCR

as per MAJOR
MINOR
NCR
NCR
4.5.2
4.5.1
Whether Weigh calibration form is available ?

4.3.2
4.3.2
4.3.3
Are Objectives & target for EMS/OHSAS Identified & auditee aware of
it ?
Check record available for Consumption of Oil,Thinner,Acids etc
4.5.1
4.4.5
10
4.5.4
GROUP OF INDUSTRIES

(EMS/ OHSAS)
Plant:
DEPT : MR
Date & Time:

Page:
AUDIT PERIOD :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS REF
NO.
Is the QEHS Policy in complince with Clause 4.2. ?
EMS/OHSAS
4.2
Is the list of locations where policy displayed available?
EMS/OHSAS
4.2
Evidences of assign of MR for the system.
EMS/OHSAS
4.4.1
Annual audit yearly plan is available ?
EMS/OHSAS
4.5.5
List of Internal auditor is available ?
EMS/OHSAS
4.5.5
OHSAS
EMS
6
7
NO NCR

as per MAJOR
MINOR
NCR
NCR
4.3.3
4.3.3
4.3.2
Check PPE's analysis w.r.t. IS standard & involvement, list is available

for all PPE's.
OHSAS
Whether Severity, Frequency & Incident rate are monitored & trend is
available .
OHSAS
4.5.1
4.4.5
10
AUDIT FINDINGS
EMS/OHSAS
GROUP OF INDUSTRIES

(EMS/ OHSAS)
Plant:
DEPT : MR
Date & Time:

Page:
AUDIT PERIOD :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS REF
NO.
11
EMS/OHSAS
4.4.5
12
Monitoring & trend of all air, water, parameters against targets.
EMS/OHSAS
4.5.1
13
EMS/OHSAS
4.5.4
14
Sampling Inspection reports/ TC are available ?
EMS/OHSAS
4.5.1
AUDIT FINDINGS
NO NCR

MINOR
MAJOR
OBSERVATION
NCR
NCR
Date & Time:

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
DEPT : Production/QA
Page:
AUDIT PERIOD :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR
Verify that Policy is dispayed in the cell/Shopfloor
EMS/OHSAS
4.2
EMS/OHSAS
4.2
In Aspect/Impact register specific Legal requirements are addressed ? EMS
4.3.1
Is their any area identified for seprate collection of Hazardous waste

at source.
4.3.2
EMS
MAJOR
NCR
OBSERVATION
4.3.2
Are applicable Legal requirements are known to all ?
EMS
4.3.2
6
Notification for Hazardous waste display board is displayed ?
EMS
4.3.2
7
EMS
EMS
Whether Seprate area for collection of waste is identified ( Cotton

waste/Plastic/Paper etc.)
EMS
10

Stackers
EMS
4.3.2
4.3.2
4.3.2/4.4.6

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
DEPT : Production /QA
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR
11
Is the QEHS policy is displayed at main gate.
EMS/OHSAS
12
Whether Register of Statutory And Regulatory Requirements is

available with Revision Number.
EMS
13
Are Significant aspects get monitored
EMS
14
Trends of Organisation's environmental objectives and targets are

available.
4.2
4.4.5
4.3.1
4.3.3
15
EMS
As per Central Motor Vehicle Rule 1989

rule no 25 ,48 ,5,62,116,141-- Check compliance for PUC certificates
for vehicles.
EMS
4.3.3
4.3.3
16
EMS
4.3.3
17
As per FA 1948 section 13 MFR No 22-A - verify ventilation &

temperature and compliance for circulation of air.
EMS/OHSAS
4.4.2
18
Are Traning records available for the traning to BCA & WCA ?
EMS/OHSAS
4.4.2
19
SOP training record / Work procedure training records are available? EMS/OHSAS
4.4.2
20
Method of training need is available?
EMS/OHSAS
MAJOR
NCR
OBSERVATION

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR
21
Is HIRA updated with all accidents which are taken place.
OHSAS
4.2
22
Is safety instructions are displayed on machines as per HIRA
OHSAS
4.2
23
In HIRA register specific Legal requirements are addressed ?
OHSAS
24
Whether Safety commitee is formed within organization (Frequency of

meeting is decided)
OHSAS
25
As per the Explosives Act 1884 & Gas Cylinder rules 1981 -rule
No17 , 18 , 36 - check for complaince of handling of cylinders.
MAJOR
NCR
OBSERVATION
4.3.1
4.3.2
4.3.3
OHSAS
4.4.2
26
List of training heads?
EMS/OHSAS
4.4.2/4.3.2
27
Training index per person? Safety training Hours?
EMS/OHSAS
28
EMS/OHSAS
29
EMS/OHSAS
30
EMS/OHSAS
4.4.4
4.4.5
4.4.5

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR
31
As per the Explosives Act 1884 & Gas Cylinder rules 1981 -rule No 9 Labelling of cylinders- check complaince of checklist of unloading
cylinders is available.
OHSAS
MAJOR
NCR
OBSERVATION
4.3.3
4.3.3
32
As per FA 1948, section 88 , MFR 115 -Notice of certain accident check complaince for form no 24 and 30.
OHSAS
4.3.3
33
As per FA 1948 section 21 & 22- while working near or on machinery

in motion compliance for gaurds and clothing should not availble.
OHSAS
4.3.3
34
As per FA 1948 , 2 verify that employees are wearing PPE's like,

mask, ear plug, gloves, safety shoes etc.
OHSAS
4.3.3
35
Lighting as per FA 1948 section no 17 , MF rule no 35 -- Check

whether Lux level is monitored.
OHSAS
4.3.3
36
OHSAS
4.4.6
37
Whether Safety points are covered in agreement done with labour

contractor ?
OHSAS
4.4.6
38
Verify Near miss accident register is available at specified location ?
OHSAS
4.4.6
39
Whether actions are taken in case of near miss situations ?
OHSAS
4.5.1
40
available .
OHSAS

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR
41
All stored Gas cylinders need to be have protected by providing

Caps ?
OHSAS
42
Verify that Chain Guarding provided for Gas cylinders ?
OHSAS
43
Verify High Noise level is identified ?
OHSAS
MAJOR
NCR
OBSERVATION
4.3.2
4.3.2
4.3.2
4.4.6
44
Check for, there should not any unsafe tool in use ?
OHSAS
45
Fire extinguisher are at accessible height, verify ?
OHSAS
46
Place to be assigned for Gas Cylinders.
OHSAS
47
Emergency contact numbrers are displayed ?
OHSAS
48
Whether Fire buckets are accessible in case of

emergency situations ?
OHSAS
49
Check Safety instructions are dispalyed at workplace.
OHSAS
50
Accident register updated with target dates for actions &

it's completion date.
OHSAS
4.4.6
4.4.6
4.4.7
4.4.7
4.4.7
4.6
Date & Time:

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
DEPT : Production
Page:
AUDIT PERIOD :
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR
Verify that Policy is dispayed in the cell/Shopfloor
4.2
4.2
Are Significant aspects get monitored
4.3.1
In Aspect/Impact register specific Legal requirements are addressed ?
4.3.1
5
6
MAJOR
NCR
OBSERVATION
4.3.2
Are applicable Legal requirements are known to all ?
4.3.2
Disposal of Hazardous waste has carried out by authorised agency.
Is form 9 or 13 had used for disposal Hazardous Waste.

Stackers
4.3.2
4.3.2/4.4.6
4.3.2
9
4.3.2
10
Whether Form 13 is submitted to MPCB after each disposal of

Hazardous waste to MEPL

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
DEPT : Production
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS

as per QSP-MR-04
NO NCR MINOR NCR
4.3.2
11
Whether Seprate area for collection of waste is identified ( Cotton

waste/Plastic/Paper etc.)
4.3.3
12
4.3.3
13
4.4.4
14
15
Whether Register of Statutory And Regulatory Requirements is

16
Check Safety instructions are dispalyed at workplace.
17
Accident register updated with target dates for actions &

it's completion date.
4.4.5
4.4.7
4.6
MAJOR
NCR
OBSERVATION

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant :
Date & Time:

Page:
AUDIT PERIOD :
DEPT : HR
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
as per QSP-MR-04
NO NCR
As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-- EMS
Check compliance for PUC certificates for vehicles.
4.5.2
As per water act 1977 section no 5 CESS rule 1978 rule no 4-Whether CESS return records are available.
EMS
4.5.2
4.5.2
As per wateract 1974 (prevention and control of pollution)

EMS
ammendment 1988 section 25,26- Check compliance are avilable for
monitoring of sewage of effluents.
Is Green area figure is displayed
EMS
Notification for Hazardous waste display board is displayed ?
EMS
4.3.2
Water consumption-IS 1172 std. is available ?
EMS
4.3.2
Check Stability certificates for the buildings ?
EMS
4.3.2
EMS
4.3.3
10
Whether Register of Statutory And Regulatory Requirements is.

EMS
4.4.5
EMS/OHSAS
MINOR
NCR
MAJOR
NCR
OBSERVATION
4.2
4.3.2
GROUP OF INDUSTRIES
Date & Time:

(EMS/ OHSAS)
Plant :
Page:
AUDIT PERIOD :
DEPT : HR
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
as per QSP-MR-04
NO NCR
11
Whether Water balance report is available ?
EMS
4.5.1
12
Check for Drainage line & water drain is shown in layout.
EMS
4.4.7
13
Check Consent to operate is renewed for declaration of Haz.wastes.

& material consumption.
EMS
4.3.2
14

requirements under Public Liability Act for Insurance.
EMS/OHSAS
4.3.2
15

requirements for Planting of Trees.
EMS/OHSAS
4.3.2
16

EMS/OHSAS
requirements of information of accidents to factory inspector is given.
4.3.2
17

requirements for PUC, Employee Health check-up is carried out.
EMS/OHSAS
4.3.2
18
As per FA 1948 Rule 1963,Section 6-Rule1-Clause a ,Check for

approved factory Plan.
EMS/OHSAS
4.3.2
19
Acknowledgement copy of I-factory license is available?
EMS/OHSAS
4.3.2
20
SOP training record / Work procedure training records are available?
EMS/OHSAS
4.4.2
MINOR
NCR
MAJOR
NCR
OBSERVATION
GROUP OF INDUSTRIES
Date & Time:

(EMS/ OHSAS)
Plant :
Page:
AUDIT PERIOD :
DEPT : HR
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
as per QSP-MR-04
NO NCR
21
Method of training need is available?
EMS/OHSAS
4.4.2
22
List of training heads?
EMS/OHSAS
4.4.2
23
Training index per person? Safety training Hours?
EMS/OHSAS
4.4.2
24
EMS/OHSAS
4.4.5
25
EMS/OHSAS
4.4.5
26
EMS/OHSAS
4.4.5
27
EMS/OHSAS
4.5.4
28
Are Traning records available for the traning to BCA & WCA ?
EMS/OHSAS
4.4.2
29
Whether inspection of Drinking water carried out as per defined

frequency.
OHSAS
4.5.1
30
As per F. A. 1948 Sect. no.41-C Specific responsibility of the occupier OHSAS

in relation to hazardous processes, check compliance to Maintain
accurate health records of worker
4.3.2
MINOR
NCR
MAJOR
NCR
OBSERVATION
RELIABLE GROUP OF INDUSTRIES
Date & Time:

(EMS/ OHSAS)
Plant :
Page:
AUDIT PERIOD :
DEPT : HR
of
AUDIT NO :
SR NO CHECK POINT
EMS/OHSAS
APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
as per QSP-MR-04
NO NCR
31
As per FA 1948, section 88 , MFR 115 -Notice of certain accident check complaince for form no 24 and 30.
OHSAS
4.3.2
32
Water tank cleaning records for overheads tanks is available ?
OHSAS
4.5.1
33
Verify that Water testing is done as follows:Chemical analysis for one OHSAS
locations, Physiological analysis for each locations.
4.5.1
34
Whether Confined place is defined for water tank cleaning & check for OHSAS
work permit is given.
4.4.6
35
Whether Safety points are covered within agreement done with labour OHSAS
contractor ?
4.4.6
36
OHSAS
4.3.3
37
Linkage of Hazardous point addressed in documentation control.
OHSAS
4.4.5
38
Accident register updated with target dates &completion date.
OHSAS
4.4.5
39
Verify PUC,Healh chk records are available.
OHSAS
4.5.1
40
Verify First Aid box for availability of listed Medicines, with expiry date. OHSAS
4.5.1
41
Verify that Ambulance drivers are assigned in each shift
OHSAS
4.4.7
42
Check the Building Stability certificate for plant building ?
OHSAS
4.3.2
MINOR
NCR
MAJOR
NCR
OBSERVATION

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant:
Date & Time:

Page:
AUDIT PERIOD :
DEPT : Safety
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS REF
NO.
Verify Near miss accident register is available at specified location ?
4.5.1
Whether actions are taken in case of near miss situations ?
4.5.1
available .
4.5.1
Whether monitoring of Noise level is done & in case of non

compliance actions are taken to reduce or stabilize the confirming
noise levels.
For Fire extinguisher numbering/identification is available ?
4.5.1
Whether safety Instructions are provided in case of slippery surface

at office area or shop floor to avoid any accident.
4.3.1
Work permit can not be issued for more than 2 days, check ?
4.4.6
Verify Completion records for work permit given ?
4.4.6
Whethe Mock Audit is conducted ? Response time get measured ?
4.3.2
10
In Health Check-up " Vibration induced white figure" disease

to be get checked
4.3.2
AUDIT FINDINGS
NO NCR

as per MAJOR
QSP-MR-04 OBSERVATION
MINOR
NCR
NCR
4.4.6

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant:
Date & Time:

Page:
AUDIT PERIOD :
DEPT : Safety
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS REF
NO.
11
4.4.5
12
4.4.5
13
Whether Register of Statutory And Regulatory Requirements is availab
4.4.5
14
Linkage of Hazardous point addressed in documentation control.
4.4.5
15
Accident register updated with target dates &completion date.
4.4.5
16
Is Emergency preparedness register is available ?
17
Whether safety squad members are formed in case of emergency ?
4.4.7
18
Does Mockdrill had conducted for handling emergency

situations.
4.4.7
19
Is Emergency assembly point identified in case of

emergency situations.
4.4.7
20
Verify test record of Safety shoes for electrical safety.
4.4.6
AUDIT FINDINGS
NO NCR
4.3.2/4.4.7

MINOR
MAJOR
OBSERVATION
NCR
NCR

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant:
Date & Time:

Page:
AUDIT PERIOD :
DEPT : Safety
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS REF
NO.
21
Fire extinguishers are need to be tested with defined frequency, also

need to be specify with Sr. No. & location on Map.
4.3.2
22
Are Fire extinguisher are checked for pressure tests.
4.3.2
23
Sand within Fire buckets needs to have in loose condition.
4.3.2
24
Check for Work place monitoring records ?
25
Whether Ventilation study done ?
4.5.1
26
Near miss accident register have format number.
4.5.3
27
Verifiy, Near miss accidents register for updatation & related actions
are taken ?
4.5.3
28
Whether root cause analysis is done in case of any accident.
4.5.3
29
Check awareness about immergency assembly point,incase of

emergency like fire.
4.5.2
30
On the Factory plan/Layout : Assy. Point, emergency, emergency

exists are identifed.
4.4.7
AUDIT FINDINGS
NO NCR
4.3.2/4.5.1

MINOR
MAJOR
OBSERVATION
NCR
NCR

(EMS/ OHSAS)
GROUP OF INDUSTRIES
Plant:
Date & Time:

Page:
AUDIT PERIOD :
DEPT : Safety
of
AUDIT NO :
SR NO CHECK POINT
APPLICABLE
CLAUSE/
PROCESS REF
NO.
31
Reporting media/ information flow of Accident is prepared ?
4.4.7
32
Method of calculating accident rate ?
4.3.2
33
4.4.5
34
4.5.4
35
Monitoring & trend of all air, water, parameters against targets.
4.5.1
AUDIT FINDINGS
NO NCR

MINOR
MAJOR
OBSERVATION
NCR
NCR

Internal Audit Checksheet Review

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