IS ENTERPRISES

QHSE INTERNAL AUDIT CHECKLIST

Company: IS ENTERPRISES Date of Audit:

Auditor Name Designation Company Representatives Designation

TOTAL SCORE :

NCR RESULT
S. NO. RANK AUDIT CRITERIA AUDITOR’S COMMENT SCORE
| YES | NO | N/A |

MANAGEMENT RESPONSIBILITY

1 QHSE POLICY STATEMENT 10 Max

Has the QHSE Policy Hard Copies Available?

1.1 approved by the top management of the
organization?

1.2 Is there any addition/ deletion or change implied in

your tenure? If yes explain

Does it include a commitment to customer

1.3 satisfaction, continual improvement and
prevention of IS Enterprises?

Does any change include a commitment to comply

with relevant legislation, and with other
1.4
requirements to which the organization
subscribes?

Do you provide the framework for setting and

1.5 reviewing QHSE objectives and targets? If yes
Explain

Is HSE Policy communicated to & understood by all

1.6
Drivers/Helpers & Crane Operators?

Is any record is available of your given inductions

1.7
and deployement proof?If yes Explain?

is reviewed periodically to ensure that it remains

1.8 relevant and appropriate to the organization?

2 HEALTH MANAGEMANT PROGRAM Max 10

2.1 Is health management procedure reviewed?

Is there a program organized by you to monitor

2.2 health of the Drivers/Helpers/Crane operators that
are exposed to health hazards?

3 HAZARD IDENTIFICATION

3.1 Is Hazard and Risk management procedure

available?

Does all hazard associated with the activities

3.2 identified to all concerns before any operation ? If
yes Explain

3.4 Does the proposed control measures adequate to

reduce the risk rate as well as company cost ?

Does the control measures prioritized in a proper

3.5 order? If yes Explain

3.6 Is there a system to review and re evaluate the

Safety hazards?

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3.7 Ensure worker involvement in hazard identification

3.8 Check the close-out of PDF Reports

4 ENVIRONMENTAL ASPECTS

4.1 IS Environmental Impact and aspects of the

activities Identified?

4.2 Does the proposed mitigation measures adequate

to reduce the risk rate?

4.3 Does the mitigation measures prioritized in a

proper order (ERIC PD)

4.4 Is there a system to review and re evaluate the

impact?

4.5 Is there a program to measure and monitor

emissions and discharges to the environment?

5 WASTE MANAGEMENT SYSTEM

Are wastes categorized as recyclable (non-

5.1 hazardous), non-recyclable (non-hazardous),
hazardous & bio-medical wastes

5.2 Is waste generated recorded and maintained

5.3 Does waste disposed through out approved and

authorized specialized contractor

5.3 Are Waste segregation bins available and

deployed.

6 LEGAL AND OTHER REQUIREMENT

6.1 Does all applicable legal and other requirement

identified?

Does the organization evaluating compliance with

6.2
legal requirement?

6.3 Are there records of the evaluation?

7 OBJECTIVES AND TARGETS

7.1 Are HSEQ Objectives and targets established and

maintained at each relevant function and level?

7.2 Are objectives achievable and measurable?

7.3 Have programs been established for achieving

objectives and targets?

Check that the means and timeframes for

7.4 achieving objectives and target has been
determined, and is adhered to,

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Check middle management awareness of

7.5 objectives.

Check that responsibility has been assigned for

7.6 achieving the set objectives.

Check that a documented system is used to

7.7 maintain and review progress for all objectives and
targets.

8 EMERGENCY PREPAREDNESS AND RESPONSE

8.1 Are all emergency situations Identified?

8.2 Ensure emergency procedures of deferent

situation are in place?

8.3 Ensure emergency drills are being carried out

periodically

9 PURCHASING

9.1 Ensure approved vender list in place

Ensure that suppliers and contractors are being

9.2
evaluated for approval

9.3 Ensure verification of purchased product

Ensure purchased product that does not meet

9.4
specification is reported on NCR.

Ensure that last update of purchase procedure at

9.5 the point of implementation.

10 IMPLEMENTATION AND OPERATION

10.1 Check the organization chart

Ensure that all roles and responsibilities are

10.2 assigned.

11 TRAINING AWARENESS AND COMPETENCE OF STAFF

11.1 Ensure training program in place

11.2 Check the implementation of the training program

11.3 Check the records of training and HSEQ awareness

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12 COMMUNICATIONS

12.1 Check the means of Communication (external and

internal)

12.2 Ensure appropriate involvement of workers in

incident investigation

12.3 Ensure meeting, Toolbox talks are being carried

out.

12.4 Ensure safety signs, posters and safety flashes are

deployed

13 CONTROL OF DOCUMMENT

13.1 Ensure document including records of HSEQ

standard are controlled and approved

13.2 Ensure that HSEQ manuals and SOPs are controlled

and approved

13.3 Ensure changes and current revisions status of

documents are identified

Ensure that relevant version of applicable

13.4
documents are at the point of use.

14 CONTROL OF RECORDS

14.1 Is there a documented procedure for control of

records?

14.2 Are records suitably maintained, identified, stored

and disposed?

14.3 Are retentions periods know and adhered to?

14.4 Are records easily retrieved?

Are computer records backed up and suitably

14.5 stored?

15 ACCIDENTS AND INCIDENTS

15.1 Are procedures in place to ensure that Accidents,

Incidents are identified, reported and recorded?

15.2 Ensure accident investigations are being carried

out

15.3 Ensure root causes are being identified

Ensure corrective and preventive actions are

15.4 appropriate and being carried out to prevent
recurrence?

15.5 Check the follow-up process, which ensures action

is taken within the specified time?

15.6 Is the effectiveness of action reviewed?

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S. NO. RANK AUDIT CRITERIA AUDITOR’S COMMENT SCORE
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15.7 Does accident communicated to the employees?

16 CONTROL OF MONITORING AND MEASURING DEVICES

16.1 Is equipment used identified?

16.2 Is calibration, undertaken within defined /

appropriate frequencies?

16.3 Is the calibration status of equipment evident?

17 PREVENTIVE MAINTENANCE

17.1 Are inspection tests such as (load test, MPI, Ultra

sonic and hydraulic test) undertaken

17.2 Is there a tracking system in place to identify un

valid Certificate.

17.3 Is there a preventive maintenance program for the

equipment?

17.4 Are storage conditions adequate?

18 NON CONFORMANCE AND CORRECTIVE AND PREVENTIVE ACTION

Does non conformances identified, corrected and

18.1
action taken?

Check whether the investigating nonconformity,

18.2 determining its cause and taking actions in place to
avoid recurrence.

18.3 Evaluate the effectiveness of the action taken

18.4 Check the non conformance register.

19 CUSTOMER SATISFATION

19.1 Is Customer feedback recorded and maintained.

19.2 Is customer feed back analyzed and area for

improvement identified.

19.3 Are customer complaints recorded , and closed

out.

19.4 TRANSPORTATION AND ROAD SAFETY

19.5 Is On line IVMS device Installed in the vehicles

Is IVMS report generated and reviewed and action

19.6 taken against the violations

19.7 Does all drivers holding ADSD Card.

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19.8 Is journey management procedure in place

20 INTERNAL AUDTITING

20.1 Is there an audit schedule in place?

20.2 Is the schedule properly implemented?

20.3 Is there an action plan to follow up audit findings

and close it?

20.4 Are audit findings being close with in the assigned

time frame?

21 MANAGEMENT REVIEW

21.1 Are management reviews conducted at

determined intervals and documented?

Are all required agenda items discussed including

21.2
continual improvement?

21.3 Is top management involved?

22 GENERAL OBSERVATIONS

22.1

22.2

22.3

22.4

DEFINITION SCORE

There is no evidence that the Expectation is recognized to be an HSEQ MS requirement.

There is no implementation action ongoing or planned. 0

The Expectation is recognized to be an HSEQ MS requirement but is only partially being complied with nd shows significant gaps and weaknesses. 1
There is no adequate plan to implement this Expectation beyond the current level of compliance.

The Expectation is already partially implemented and there is an adequate plan in place to fully implement it. 2
Implementation progress is less than originally planned

The Expectation is being implemented and there is an adequate plan in place to fully implement it.
Implementation progress is in accordance with or better than the plan. 3

The Expectation is currently fully met with negligible noncompliance. 4

There are adequate systems in place to ensure continuous compliance and improvement.

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COMPANY
Auditor Name Designation Date of Audit

Company Representatives Designation