Site Tour (H/O)

FFBL - Head Office has identified, planned and performed its operations under controlled
conditions, in accordance with documented procedures and work instruction. Operational
controls found established and implemented. Engineering controls and administrative controls
including Permit to Work system, trainings, procedures, work safety instructions, and rules,
signage, warnings, preventive maintenance of equipment and infrastructure found effectively
Implemented

During site tour, visit of different offices, utilities and cafeteria, environmental aspects and OH&S
hazards found to be effectively controlled through various operational controls including
engineering controls, effective preventive maintenance, documented procedures stipulating
operating criteria, condition monitoring, safety interlocks, trainings, usage of trained, qualified
and approved personnel, usage of personal protective equipment, equipment isolation,
administrative controls, signage, warnings, permit to work system and various awareness
initiatives to ensure processes and activities are carried out in environmentally friendly, healthy
and safe manner. Operational controls related to contractor and visitors found documented and
managed in an effective manner.

Procurement
FFBL - Head Office has established “Procurement Procedure Manual” (PPM) and all activities
have performed as per the defined procedure. FFBL – Head Office has developed supplier
selection criteria of each product and monitors performance on regular basis. FFBL - Head
Office is responsible for procurement from local suppliers and clearance of consignments from
foreign vendors. Sub divided in two sections Local Procurement. PPM defines mechanism
related to purchase order and contract establishment. FFBL – Head Office has defined
mechanism for lead-time of procurement for any request for purchase of material, equipment
and supplier and has defined lead-time for Normal, Urgent and Emergency requirement, lead-
time monitoring mechanism is defined in PPM. FFBL Head – Office has defined monitoring of
lead-time as a tool of supplier performance.

FFBL Head – Office has defined mechanism for selection, evaluation, monitoring of
performance and re-evaluation of supplier (Local & Foreign). During audit, reviewed different
supplier evaluation and re-evaluation record. It was observed that procurement department also
performs audit of supplier premises at the time of selection evaluation. It was observed that all
Purchase Requisitions are reviewed and approved by authorized person. During audit, also
review procedures on General Working of Materials Unit. List of approved suppliers was
available and found maintained. Performance of suppliers has being monitored and analyzed on
continuous basis.

1.PO # 4511404328
Date: 01.03.2023

2.PO # 4511500393
Date: 21.03.2023

3.PO # 4511301705
Date: 14.04.2023
HR / Training (H/O)
FFBL- Head Office has developed procedure for competence and training. Competence
requirements for each position in the department are identified and documented as per the
organization’s requirements. Records of competence found maintained in the personal files
which are being maintained by HR and were reviewed during the audit. FFBL - Head Office has
established a HR department, which is responsible for recruitment, development, performance
appraisal, promotion plan and relocation. FFBL- Head Office has established a system for
training, awareness and competence. The competence criteria and requirements are well
defined and documented and all hiring are performed as per the laid down criteria. HR
Department has established procedure and defined a system to determine the resources
required to implement, maintain and continually improve the effectiveness of the integrated
management system and to enhance customer satisfaction and QHSE performance.
Technological and manpower resources are identified within the management review meetings
and provisions are taken in annual budgets. FFBL – Head Office has established various
mechanisms to create awareness throughout the organization relation to QHSE obligations and
compliance. Different methods including regular trainings, displays, management participation
programs, events are conducted to ensure awareness is enhanced amongst the employees.

Policy commitments and Objectives

FFBL – Head Office has established Health Security, Safety, and Environmental policy. The
policy found signed by company top management. The policy found displayed throughout the
facility and communicated to employees by training sessions. The policy found appropriate to
the nature of activities of organization.

QHSE Documentation (H/O)

FFBL – Head Office has developed documented QHSE management system, which includes
policy, manual, procedures, work instructions forms to record the information as per the
requirements of the standard as well as the requirements determined by the organization and its
customers.

The document control system implemented and observed as effective. The document control
procedure is observed as meeting the requirements of the standard. The procedure is
effectively implemented and maintained. Current, applicable documents found approved and
available at the point of use. The documented procedure for control of records was also
observed as meeting the standard requirements. The procedure is effectively implemented. The
retention time and method of disposition of each record were defined. The mechanism for
identification, storage, protection and retrieval of records was verified. Verified master list of
records and found that all records were identified and listed on the index with defined retention
periods and disposition authorities. All requirements addressed satisfactorily. Different records
were checked e.g. Minutes of last management review, training, production and internal audits.
Records were found in good condition and maintained as per the retention time.

FFBL- Head Office has established procedure for environmental aspects & their evaluation
(EIA-01) and hazard identification & risk control (HIRA-01). FFBL has performed environmental
aspect evaluation, hazard identification and risk management in line with the above mentioned
procedures. All aspects and hazards related to various activities, equipment, material, services
covering Head Office scope found identified. Associated HSE risks found calculated based on
the probability severity grid and control measures found identified based on the acceptability
threshold. Change management found effectively implemented. Head Office an updated register
in which records of HSE risk assessment were found duly maintained and updated.
Communication of HSE aspects/ hazards, associated risks and controls measures for
management to relevant functions found effective.

Hazard Identification, risk management & determining control found updated. Aspect
identification includes chiller operation, HVAC, generator area etc.

During audit reviewed OHS risk assessment for office building, kitchen, lower basement,
ergonomics, top roof area, TSC, generator area, vehicle parking etc.

The inventory of identified health and safety hazards and environmental aspects on Risk
Assessment and Environmental Aspect/ Impact list adequately illustrates the operational
controls which are applied to minimize the impact of significant hazards and aspects for which
the significance criteria has been established and implemented satisfactory.

Verified workers participation and consultation in HSE risk assessments and found appropriate.

Procedure for emergency response identifying potential emergencies, response and evacuation
plan found maintained. These included identification of potential emergency situations and
locations, details of the actions to be taken by personnel during the emergency (including
actions to be taken by staff, by contractors and visitors), responsibilities, and authorities of
personnel with specific response duties and roles during the emergency (e.g. fire wardens, first
aid staff, major spill and Leakages), interface and communication with emergency services,
communication with employees, regulators and other interested parties (e.g. family, neighbors,
local community, media), information necessary for undertaking the emergency response
(building layout drawings, identification and location of emergency response equipment,
identification and location of hazardous materials, utility shut off locations, contact information
for emergency response providers). Emergency response equipment including firefighting, first
aid, alarms and trained personnel found available. Periodic drills found conducted to ensure that
emergency situations are well catered

Emergency drills conducted as mentioned below

Evacuation Fire Drill on 20 December 2022, Ground Floor.

FFBL - Head Office has clearly identified resources required for the effective establishment,
implementation and maintenance of monitoring and measurement activities. Monitoring and
measurement at different stages of procurement, engineering support is being performed to
ensure that services meet the desired level. The HSE performance is reviewed on regular basis.
All HSE indicators found regularly monitored and effectively managed. Condition monitoring of
equipment, monitoring of stack emissions and effluent discharge, medical examination of
personnel, analysis of drinking water, is carried out at defined frequencies. Monitoring and
measurement activities related to fire prevention, electrical installations, transportation, ladders,
equipment, power tools, vehicles, housekeeping, stores found effectively maintained. Monitoring
of data related to first aid cases, incidents, OH&S inspections found reviewed and actions
initiated. Calibration of equipment such as noise level meter, lux meter and pressure gauges
found performed and records of calibration found maintained. Appropriate records were found
maintained.

Fire Extinguisher Inspection Record 31 Jan 2023

Fire hydrant Inspection record for the month Jan 2023
Emission test of Generator carried out in April 2021 by EPA approved Lab.
Electrical Panel Inspection carried out dated 30-Feb-2023

Observation:

1. First Aid Box Checklist has not updated & Goods of First aid was not accordingly.
2. During site visit, Acetylene Cylinders found stored in non-designated Area & without
cap, Chain Strip, Trolley and others safety precaution.
3. Found Oil Drums Stored in non-Designated Area & near the Generator Area without
safety coverage as well as Safety MSDS not provide.
4. Fire Extinguisher Found Without Safety Inspection Tag.