ENVIRONMENTAL MANAGEMENT SYSTEM Internal Audit Report

Audit Date: Supervisor/Contact: Auditors: Section(s) Audited:

The following is a detailed internal audit report as required and defined by procedure EMS-0100.0011 of the City’s Environmental Management System.

I.

Environmental Policy: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Environmental Aspects: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Critical Control Points: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments:

Not in conformance

Not Audited

II.

Not in conformance

Not Audited

III.

Not in conformance

Not Audited

IV.

Legal &Other Requirements: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Objectives and Targets: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Structure and Responsibility: Findings-C/PAR#s: Opportunities for Improvements: Comments:

Not in conformance

Not Audited

V.

Not in conformance

Not Audited

VI.

In Conformance

Not in conformance

Not Audited

VII.

Training, Awareness, Competence: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments:

Not in conformance

Not Audited

Effective Date: 4/1/00 Revision Date: 9/25/08 Revision #: 5

Page 1 of 3 Corresponding Procedure: EMS-0100.011 Form #: EMS-0101.011A - _______-________

011 Form #: EMS-0101.EMS-Internal Audit Report VIII. Not in conformance Not Audited XII._______-________ . In Conformance Not in conformance Not XVII. Records: In Conformance Not in conformance Findings-C/PAR#s: Opportunities for Improvements: Not Audited Effective Date: 4/1/00 Revision Date: 9/25/08 Revision #: 5 Page 2 Corresponding Procedure: EMS-0100. In Conformance Not in conformance Not Audited XV. In Conformance Not in conformance Not Audited XIV. Evaluation of Compliance: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Corrective/Preventative Action Program: Audited Findings-C/PAR#s: Opportunities for Improvements: Comments: Not in conformance Not Audited XVI. Communication Programs: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Public Participation: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: EMS Documentation: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Document Control: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Operational Control: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: Emergency Preparedness Response: Findings-C/PAR#s: Opportunities for Improvements: Comments: Monitoring and Measurement: Findings-C/PAR#s: Opportunities for Improvements: Comments: Not in conformance Not Audited IX. Not in conformance Not Audited XI.011A . Not in conformance Not Audited XIII. Not in conformance Not Audited X.

011A .EMS-Internal Audit Report Comments: XVIII. EMS Audit Program: In Conformance Findings-C/PAR#s: Opportunities for Improvements: Comments: XIX. Biosolids Performance Report: Not Audited Findings-C/PAR#s: Opportunities for Improvements: Comments: Management Review – ISO 14001: Findings-C/PAR#s: Opportunities for Improvements: Comments: Not in conformance Not Audited In Conformance Not in conformance XX. In Conformance Not in conformance Not Audited Auditor Signature_____________________________________________Date_____________ Auditor Signature_____________________________________________Date_____________ Auditor Signature_____________________________________________Date_____________ Effective Date: 4/1/00 Revision Date: 9/25/08 Revision #: 5 Page 3 Corresponding Procedure: EMS-0100._______-________ .011 Form #: EMS-0101.

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