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Quality Management System

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Title: Guard Post Inspection Page 1 of 6

Approval: Operations Director

Guard Post Inspection

RECORD NUMBER Guard Post Inspection 2016 / August / 2
To be completed by Exera HQ ONLY yyyy / mm / inspection number

Instructions

General
1. This form is to be completed by inspectors conducting inspections on Exera Guard Posts in
Myanmar. This form is divided into Five Parts: Instructions, Identifying Information, Core
Competencies, General Competencies and Health, Safety and Environment (HSE).

2. Completely fill out all fields in the form. If a space is left blank or a question unanswered, write
N/A and provide an explanation why the criteria is inapplicable in the “Remarks” section at the end
of the form.

3. Complete the entire inspection, even if a post has failed a Core Competency.

4. The results of the inspection are confidential and may only be shared outside Exera with
permission from the General Manager.

5. You may present the results of the inspection to the post only upon completion of the entire
inspection.

Scoring

6. An answer of “no” for any Core Competency criteria results in an automatic fail and must be
followed by a Critical Non-Conforming Service Report.

7. A grade of less than 60% across all General Competencies results in a fail and must be followed
by a Non-Critical Non-Conforming Service Report.

8. The HSE inspection is not scored for service quality and does not contribute to the “pass” or “fail”
of the inspection. Regardless, it must be completed in full.

9. Scoring for General Competency is achieved by dividing the number of “yes” answers by the
total applicable questions.

Submission

10. Submit the hard copy of the completed inspection form by mail or in person to the following
address: No 14. San Yeik Nyien 5th Street, Kamayut Township, Yangon, Myanmar.
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Quality Management System
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Approval: Operations Director

Identifying Information
Inspector Name Tin Aye Date 22 August 2016 Time 15:25
Surname, First name dd/mm/yyyy hh:mm

Post Address No. –LA / 2 Shwe Taung Gya (1) Bahan Township , Yangon ,Myanmar
Street address, city, state/region

Client Wood Side Energy Co.Ltd

Organization name

Guard Commander /
Site Supervisor Aye , Tin
Surname, First name

Guards On Duty
Surname, First name Than Htay

Core Competencies
Circle either “yes” or “no”. Any answer of “no” in this section results in an automatic fail. Even if a post
fails a Core Competency, complete the entire inspection.
1. Are guards awake, sober and within their assigned area? YES

2. Are all unescorted visitors stopped at the gate/access control point? YES

3. Is authorization for all unescorted visitors somehow obtained before

YES
permitting access?
Score PASS
Circle either “pass” or “fail”

General Competencies
Circle either “yes” or “no”. Divide the number of “yes” answers into the total number of applicable answers
to determine the General Competencies Score. Posts with a score less than 60% fail.
Section 1 - Presentation
1. Are guards wearing correct and complete uniforms? YES

2. Are uniforms fitted properly? YES

3. Are uniforms clean? YES

4. Are guards shaved with appropriate haircuts? NO

5. Is the post clean and free of debris? YES

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Approval: Operations Director

Section 2 – Post Equipment and Administration

6. Is there a working post telephone? (mobile) YES

7. Is other equipment assigned to this post present and in working

YES
order?

8. Is the Key Contacts List posted? YES

9. Is the Key Contacts List up to date? YES

10. Are Post Orders posted? YES

11. Are Post Orders up to date? YES

12. Is the Visitors Log available? YES

13. Is the Visitors Log being completed correctly? YES

14. Are Visitors Passes available? YES

15. Is the Events Log available? YES

16. Is the Events Log being completed correctly? YES

17. If applicable, are Site Specific SOPs available and correct? YES

Section 3a – Procedures (Access Control)

18. Are entrances kept closed? YES

19. Do guards respond to individuals arriving at the gate/access control

YES
point?
20. Do guards stop and challenge unknown people (visitors, guests,
YES
delivery people, contractors etc) OUTSIDE the gate / door / barrier?

21. Do guards require all unknown people to produce ID? YES

22. Do guards check unknown people against a list of client approved

individuals (if one has been provided) or obtain client approval (ex: YES
telephone) before permitting unknown people to enter the site?

23. Are Visitors Passes issued? YES

24. Do guards completely fill out the Visitors Log? YES

25. Do guards escort visitors to a secure waiting area? YES

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Approval: Operations Director

Section 3a – Procedures (Emergency)

26. Are the phone numbers for the ECC, RSM and Guard Commander
YES
available?
27. Are the phone numbers for the local police and fire services
YES
available?

28. Is a phone number for a local client contact available? YES

29. Can guards correctly identify emergency situations? YES

30. Can guards explain the procedure for fire/smoke?

Raise the alarm, Evacuate the site, Call the Fire Service, Call the
YES
ECC, Attempt to attack fire if safe to do so, record actions taken in
the Events Log

31. Can guards locate and identify all fire fighting equipment on site? YES

32. Can guards explain the procedure for demonstration/protesters?

Close the gate/access control point, Call the ECC & RSM, record YES
actions taken in the Events Log
33. Can guards explain the procedure for medical emergency?
Perform First Aid if trained, Call the ECC & RSM, record actions YES
taken in the Events Log

34. Can guards locate and identify all First Aid equipment on site? YES

Section 3c – Procedures (Post Specific)

35. If applicable, are post specific instructions or SOPs being followed? YES

34 / 1
Number of “yes” answers / total
number of questions answered
Results
Divide the number of “yes” answers in this section by the total number of questions answered

97 %
Percentage Result

Score PASS
Circle either “pass” or “fail.” A result of 60% and above is a “pass”. A result less than 60% is a “fail.”
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Approval: Operations Director

Health, Safety and Environment (HSE)

Circle either “yes” or “no”. This section is not scored. It does not contribute to the “Pass” or “Fail” result
of the inspection. Regardless, it must be completed.
1. Is shelter of an appropriate kind provided for guards? YES

2. Is there permanent access to clean drinking water? YES

3. Is there permanent access to sanitary toilets? YES

4. Is adequate lighting provided from sunset to sunrise? YES

5. Are there tripping hazards or debris blocking exits? YES

6. Are guards wearing appropriate PPE?

Unless site specific HSE requirements apply, the requirement is safety shoes, baseball cap and YES
cotton pants.

7. Is wet weather and cold weather gear available? YES

8. Has any guard worked more than 48hrs in the past week? NO

9. If there are site specific HSE requirements, are they being followed? NO

Things that found out in site

Visitor Log books, event book , visitor passes are put in orderly .

Things need to be done in site

Some time there are meeting at the office . At that time visitor pass is not enough to be issued to the guests .
10 visitor passes need to be issued to the Guard post.

Actions Taken
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Approval: Operations Director

To shave his moustache. Guard must be in appearance. Next time he will be under action I warned .

Remarks
Inspectors may include their remarks below. If a question has not been answered because it is inapplicable,
include an explanation with the question number in this section.

Nothing seriously to be mentioned.

Overall Result
Circle either “pass” or “fail”. A score of “pass” in both Core Competencies and General Competencies is
required for an overall result of “pass.”
Overall result PASS