Professional Documents
Culture Documents
Status
OK
NG
Auditors: Auditee:
Geographical Condition
Plant Level from Main Road – Height/Depth, Height (Mtr)________ Depth (Mtr)__________
Is any basement area in plant:___________ Yes/No, specify the occupancy if yes _________
6
B Recommendation
Total 18
Overall Remarks
Frequency of Cleaning:-….
7. Is drainage cleaning being done at periodic
frequency specifically pre-monsoon?
☐ ☐ ☐ Last Cleaning date:-….
Provided: Yes/No
9. Is power isolation switch provided &
communicated to all concerned?
☐ ☐ ☐ Persons Name who are aware and know the
purpose:-…..
10. Have rain water management team defined and Team Members Name, their roles and
trained to prevent the water logging condition?
☐ ☐ ☐ responsibility defined:-…..
4. Is pathway elevated enough to prevent water Should be > 300 mm from highest flood level
logging (Preferably > 300 mm above from ☐ ☐ ☐
highest flood level) Height of elevated pathway:-……(in mm)
Result Criteria:-
Mandatory Status
100 % OK
< 100% NG
(Declaration on Supplier company letter head)
Date:
To,
Dear Sir,
We have audited our plant (V Code: _____) as per MSIL Water Safety audit check sheet. Following is the
summary of audit.
B Recommendations 6
Total 18
During Audit we have found some observations as compiled in the attached annexure along with
countermeasure action plan. We shall be closing the observations by ________
We would like to assure that, we are committed to implement the required safety measures in our plant.
With Regards,
(Signature)
Please write Name of Signatory
Please write Designation (MD/CEO/COO)
Please write name of the company