BMT SV Recert Audit Report (V8 May 2021) - Recertification-Pioneer Cement-ISO 45001-Client

Management Systems Certification Audit Report for:
Pioneer Cement Industries

(Member of Raysut Cement Co. Group Sultanate of Oman)
P.O. Box 4423
Al Ghail Industrial Park
Client address:
Ras Al Khaimah
United Arab Emirates
Certificate Number 615
Report author: Mento Manjiyil
Report issue date: 17-11-2021
Date(s) of next audit: October 2022
Number of major NCRs issued at Number of minor NCRs issued at

0 0
this audit: this audit:
Note: As a result of this audit the client is to be issued with a new / revised certificate. Please refer to the section 'Confirmation of
Certificate details' towards the back of this report for the certificate details to be specified on the certificate of registration.
BMTC-F-83 V8 May 2021 Page 1 of 30

Audit & Company Information
Audit Criteria
ISO 9001:2015 ISO 14001:2015 (BS) OHSAS 18001:2007 ISO 22301:2014
ISO 50001:2011 SSIP ISO 27001:2013
ISO 50001:2018 ISO 44001:2017 ISO 45001:2018 ✔ NHSS
Audit Information
Audit Type:
Scope Extension / Special

Surveillance Recertification ✔
Audit
ISO 50001:2018 ISO 45001:2018

Transition Migration
Onsite / Remote Audit: On-site audit ✔ Remote Audit (Covid-19)
Integrated / Combined / Integrated systems Not applicable

Combined systems audit (single standard / ✔
Single system? audit (IMS) system)
Participating /
Central Office Single Site
Audit conducted at? Temporary Site ✔
(multi-site certification) Certification
Multi-site certification)
The audit deviated from the audit plan? No

(if yes please provide further details in the auditor comments and conclusions field in the executive summary)
The organisation outsources activities / functions / processes included in the scope of certification? No
Sites Audited and Audit Dates
+ -
Site Address Audited Audit date(s)

P.O. Box 4423
Al Ghail Industrial Park
09,10,11,13-11-2021
Ras Al Khaimah
Audit Attendees
+ -
Name Role
Mento Manjiyil Lead Auditor
Company Information
Contact
Contact Person: Mr. Soumajit Das / Mr. Frank Higgins telephone 00 971 7 2584333
number:
Contact email
soumajit@pioneercements.ae / frank.higgins@raysutcement.com.om
address:
Total number of sites included in the

Total number of employees: 32 1
scope of certification:
Number of shifts operated by the organisation: 3
Does the organisation have personnel working away from the organisation's premises?
No
(If yes provide details below including the activities conducted and number of employees working away from the organisations premises)
Does the organisation provide services at another organisation's premises? No

(if yes provide details below)
Please provide a brief summary below of the activities conducted by the organisation and site specific conditions seen
at the sites audited and as required any further details regarding employee numbers, shifts, sites etc.
Company profile:
Pioneer Cement Industries, a subsidiary of Raysut Cement Company, Oman's largest cement manufacturer, is a regional leader
and one of the largest and modern cement manufacturers in the UAE.s
A 1.20-million-ton state of Art Technology Green Field cement plant Built in Ras Al Khaimah, UAE. Pioneer Cement has been a
major partner in the success of the Ras Al Khaimah Investment Authority. Pioneer Cement has been playing a major role by
providing the quality cement that speaks for itself while contributing to the fast-developing Middle East and especially the UAE.
In collaboration with many local and international partners, Pioneer Cement provides the expertise, focus, and resources
required to efficiently deliver solutions to aid the growth of construction across the Middle East.
With the high-quality products, strong partnerships, rapid growth, and major acquisitions, Pioneer Cement are quickly
establishing itself as a strategic partner for growth in the developing world.

Brief process:
Receive inquiry - Submit proposal - LOI/LPO/Contract agreement - Cement is produced and delivered/made arrangement for
delivery, as per the agreement with the clients/customers.
Visit facility:
1. Office area: Reception, Top Management-GM, Sales & Marketing, HR & Admin, Purchase Manager, Finance & Accounts,
Production Manager, Mechanical Team, IT, Electrical & Instrumentation.
2. Airconditioned offices, Work stations, Firefighting systems: fire extinguisher and smoke detector, First aid boxes, Emergency
response team.
3. Production area: Production office/Central Control room.
3.1. Machineries & equipment: box feeder, surface feeder, chain bucket elevator, bag filter, belt conveyor, cement mill, electric
monorail hoist, weighbridge system, bag counter, truck loader, compressor, water pump, firefighting system, manual hoist, air
ventilation system, silos, air slides, PLC panels, chain block, shackles, forklift, shovel.
4. Quality control laboratory: Quality Manager, Lab technicians.
4.1. Inspection & testing equipment: compressive testing machine, humidity chamber, digital thermometer, anemometer,
analytical balance, oven, pH meter, autoclave machine, sound level meter, pressure gauge, humidity chamber, muffle furnace,
flame photometer, hydrometer, digital vernier caliper, analytical weight-20kg; was verified during the audit.
5. Other associated utilities:
5.1. Welfare facilities: Separate washroom for men & women, Pantry, Meeting room.
5.2. IT infrastructure-Server, hardware & software solutions and ERP solution-SAP.
5.3. Communication facilities-Internet, email, landline, intercom, meetings, training, toolbox talks.
6. Family and bachelor accommodations provided as per the contract agreements, creation facilities like Gym, badminton.
7. Canteen with 3 times meals.
8. First aid room with a full-time male nurse.
Other information:
Pioneer Cement works 2 general shifts to complete the production activities as per schedule.
There were no changes to the number of employees; No new employees joined since the last audit in the year 2020.
Scope of Certification
Manufacturing and Distribution of OPC, SRC, PLC Cement and GGBFS
Details of any Changes to the Client Organisation
Have any of the client organisation details changed since the last audit?
No
(e.g. Name, address, employee numbers, sites)?
Has the clients scope of certification above changed since the last audit? No
Does the client require a new certificate as a result of this audit and/or changes? Yes
(If yes please ensure that you complete the confirmation of certificate details section reflecting the new certificate details)
If yes please specify details of all changes below

Due to recertification.

Confirmation of Changes Required to Future Audits / Audit Programme
Do future audits for this client need amending / adjusting based upon:
• any new / changes to production / service activities conducted at temporary locations?
• any seasonal activities operated by the client for example laying of asphalt, agricultural activities? No
• changes to the clients determined IS security controls? - ISO 27001 only
• other reason(s) not listed above?
If yes please specify details below and ensure that the audit programme is updated accordingly
NA
Areas for consideration to be covered during the next audit
Please specify and specific processes, activities, departments, specific sites temporary or fixed, specific requirements,
and/or outstanding issues that must be assessed during the next audit.
NIL. During this recertification audit, all the processes, activities at the Office and production floor were covered; so, no specific
concerns were to be assessed during the next surveillance audit.
Following the recertification audit planning review results, confirm below any trends, focus areas of the organisation,
areas of significant change that were specifically covered during the recertification audit
OHSMS found effectively maintained through the facility. Importance is given in achieving the policy commitments and the set
objectives.
OHSMS implemented by Diar Consult is found effective; Evidenced the stabilized production activities carried out even during
the pandemic COVID-19 situation without any positive cases.
Pioneer Cement has demonstrated commitment to maintaining the effectiveness and improvement of the facility through/by
implementing a systematic approach to eliminating the identified root cause by implementing appropriate corrective actions for
the findings and concerns raised during an internal audit and customer complaints, incident & accident cases; Only 2 cases (1
LTI & 1 property damage) FY2021 where a total of 12 incident & accident cases including medical treatment FY2020 and a total
of 19 cases FY2019 were recorded.
OHSMS has demonstrated consistent growth in providing products and services as per customer requirements. For Pioneer
Cement, meeting the customer requirements and health & safety of the employees & visitors is the very first priority.
During this recertification audit, all the processes, activities at the Office and production floor were covered; so, no specific
concerns were to be assessed during the next surveillance audit.
Surveillance audits covering all the standard clause requirements have been carried out as per the contract agreement between
BM TRADA and Pioneer Cement.

Executive Summary
Nonconformities identified at this Audit
+ -
Number NCR Type Standard(s) Area NCR identified (process / department)
NIL NIL NIL
Opportunities for Improvement
NIL
Status of any Previous Audit Findings
Are there any outstanding nonconformities identified and issued at previous audit(s) for follow up and
No
verification and closure at this audit?
Audit Summary and Conclusions
The audit objectives have been fulfilled? Yes
The clients management system documented information demonstrates conformity with the requirements
Yes
of the applicable standard(s), and supports implementation of the management system?
The audit evidence demonstrates that the organisation continues to implement a OH&S management
system which is consistent with their OH&S policy and have demonstrated their ability to improve
occupational health and safety, provide safe and healthy working conditions, eliminate or minimise OH&S
Yes
risks (including system deficiencies), fulfil applicable legal and other requirements, and have established,
communicated, planned and monitor actions to achieve OH&S objectives and improve OH&S
performance?
All major and minor nonconformities from all previous audits in this certification cycle have been verified
Yes
and closed?
The recertification audit has confirmed the continued conformity and effectiveness of the organisations
Yes
management system as a whole, and continued relevance and applicability for the scope of certification

Over the most recent certification cycle the organisation has demonstrated commitment to maintain the
Yes
effectiveness and improvement of the management system in order to enhance overall performance?
Over the most recent certification cycle the organisations management system has been effective with
Yes
regard to achieving their objectives and the intended results of the respective management system?
Auditor comments and conclusions

Recertification audit of Pioneer Cement Industries was carried out at the office and production floor, as per ISO 45001:2018
standard. All the requirements of the standard were covered. The activities witnessed and evidence verified during the audit
demonstrated Pioneer Cement Industries is complying with the standard requirements. No NCRs were raised during this audit
and recommend Pioneer Cement Industries for the renewed certification with BM TRADA.
Surveillance / Recertification Recommendation
Based upon the results of this audit and objective evidence seen to substantiate the level of implementation of the management
system, the auditor / audit team:
Recommends Continued Certification - No Nonconformities Raised

Audit Findings
Persons Interviewed
In the field below please confirm the persons interviewed during this audit.
Note: For OHSMS audits the audit team shall interview the following personnel:
a) the management with legal responsibility for Occupational Health and Safety,
b) employees' representative(s) with responsibility for Occupational Health and Safety,
c) personnel responsible for monitoring employees' health, for example, doctors and nurses. Justifications in case of interviews conducted remotely shall be
recorded,
d) managers and permanent and temporary employees.
These people shall be clearly indicated in the field below.
Mr. Abdul Hamid-HR Manager

Mr. Soumajit Das-QC Manager
Mr. Satheesh-QC Chemist
Mr. Achi Darlington-HSE Supervisor
Mr. Subbarao-Chief Engineer-Production
Mr. Asheeshan-Weighbridge operator
Mr. Mohammed Saif-Mechanical Engineer & Worker Representative
Mr. Rasheed-Asst. Procurement Manager
Mr. KKV Ramakrishna Rao-Chief Engineer-Mechanical
Mr. Ravi Kumar-Chief Engineer-Electrical
Covid-19 Management System Impact Assessment
Is the organisation functioning normally?

If no confirm after Covid-19 related restrictions are
lifted - how soon would the organisation be able to
Yes
operate reasonably as normal?
Is the organisation manufacturing /

shipping product / performing all services
Yes
defined within the scope of certification?
If no provide details.
Has the organisation been required to use

alternative manufacturing and/or
distribution sites? No
If yes please provide details and confirm that these
sites are covered under the current certification?
Does existing client inventory still meet

customer specification or has the certified
client contacted its customers regarding No
possible concessions. Please provide
details:

Has some of the processes and/or
services performed been subcontracted to
other organisations? No
If yes please provide details including a summary of
how the other organisations activities are controlled
by the certified client.
Has the client conducted any impact

Yes ✔ No
assessment related to Covid-19?
Did the audit identify any significant risks

to maintenance of certification? No
If yes provide details
To what extent has implementation and

maintenance of the management system Not at all
been affected by the pandemic?
Please confirm any elements of the clients

management system that have not been
maintained during the pandemic NA
(if applicable):
Is evidence available to demonstrate that

the management system been effectively Yes
maintained throughout the pandemic?
1. Adequate face mask, hand sanitizers provided in offices and different locations in
the sites.
2. Awareness posters in different languages are posted in the site office and areas of
work.
3. Temperature monitoring before entering all the facilities.
4. Isolation rooms arranged for any suspected cases.
5. Weekly disinfection carried out for vehicles, accommodation, office and rest areas.
6. COVID-19 management meeting dt. 30-06-2021; Attended by HSE, HR & Admin,
Security; The action taken is communicated to the employees through gate meeting
If the certified organisation is certified to a
dt. 18-07-2021.
management system that requires a
7. Email dt. 21-05-2021; Between Group Office and Pioneer Cements; Subject: Daily
disaster recovery or emergency response
COVID-19 stats monitoring for the country and Raysut Group including Pioneer
plan (e.g. ISO 27001)/
Cement.
If yes has the organisation implemented the plan and
was it effective? 8. Risk assessment for COVID-19; 10 risks identified.
8.1. Hazard: COVID-19 virus; Affect persons: Employees, contractors and visitors;
Details of MOH/WHO guidelines: What the risks are-the symptoms and how the virus
spreads, Personal control measures to minimize the spread of the virus-Do's &
Don'ts, WHO provides information and a free 3-hour online training course for
emergency respiratory virus including COVID-19; New control measures:
Temperature monitoring for all persons entering the facility, Trained personnel on
screening, Specific guidance documents, Advice on symptoms and control measures
passed to employees through mobile clinic awareness sessions; Responsibility: Male
nurse.

Does the certified organisation have any
equipment that requires calibration? Third-party certificate of a thorough examination of lifting equipment, certificate ref.
If yes provide details of the equipment and evidence no. R1DX17-111376, dt. 23-02-2021; By Dutest Inspection Serviced Est; Description:
to demonstrate that the equipment been calibrated in
accordance with requirements or if any permitted
Monorail Beam c/wunderslung electric powered wire rope hoist, Distinguishing
extensions have been granted or if the equipment number: 65819; Expiry dt. 22-02-2022.
has been taken out of use*
Details of accidents / incidents, regulatory investigations and prosecutions (environmental / health & safety /
information security as applicable)
Important: Please remind the client that they are to inform BM TRADA, without delay, of the occurrence of a serious incident or
breach of regulation necessitating the involvement of the competent regulatory authority.
Has the organisation had any environmental / health & safety / information security reportable accidents /
Yes
incidents that have occurred in the previous 12 month period?
Has the organisation had any environmental / health & safety / information security regulatory visits that
Yes
have occurred in the previous 12 month period?
Has the organisation got any environmental / health & safety / information security investigations or
No
prosecutions that are pending or outstanding?
Summary of any accidents / investigations / regulatory visits in the previous 12 months and/or prosecutions that are
pending or outstanding
Procedure for incident reporting and investigation doc. no. PCI-IRI-IMS-12.
1. Total of 2 incidents recorded: 1 LTI and 1 property damage; For the period: January to October 2021.
1.1. Accident & incident report ref. no. PCIL/Accdnt/Invetgtn/02, dt. 02-02-2021; Category: LTI; Description: Rigger in the
mechanical department with 15 years of work experience in Pioneer Cement was undertaking the job of cleaning the bending
roller of the BC20 due to some coal coating. He had already signaled the local control panel operator who is his supervisor to
stop the belt, it had been turned off from the local control panel. When turning the equipment off from the local control panel it
takes time for the equipment to run down to a stop. During the running down of the equipment, the IP tried to clean the roller
resulting in a small laceration to his hand, tissue and muscle damage to the arm. This was the first time the IP had carried out
his work; Immediate action: Evacuated the IP from the area and shifted to the nearest hospital; Root cause: High moisture in the
delivered coal. The moisture content cannot be analyzed as the coal was fed directly to the coal hopper. If the coal delivered
has little moisture, it will not stick to the drums that resulting in manual cleaning by employees. The IP was unaware of the
hazards and risks associated with the task; Corrective action is taken: Review risk assessment permits and procedures. Root
cause analysis to be conducted and findings presented to Plant Manager and action plan to be rolled out as per the instructions
from Plant Manager. Coal analysis is to be undertaken by the QC department to ensure moisture content meets QC standards.
Undertake conveyor survey for similar hazards in the plant-lime stone conveyor. Conduced TBT to all employees on the topic-
conveyor safety; Status: Closed out dt. 15-02-2021.
1.2. Accident & incident report ref. no. PCIL/Investigation/01, dt. 29-01-2021; Category: Property damage; Description: The
sample boy-Mr. Idrish was undertaking the task of shifting molds in the sample area. He had already picked up the molds on
both sides of his hands from the chamber in the chemical room and was on his way to the gaging room. The iron mold on the
left side of his hand accidentally hit the glass door at the entrance of the gaging room, the glass door instantly got shattered. No
injury was sustained; Immediate action: Barricaded the area and cleaned of the area; Root cause: Improper handling of the
materials; Corrective action taken: Instruction/toolbox provided to the sample boy on proper handling of materials. Reviewed the
requirement/need for the glass door in that area and decided to remove it; Status: Closed out dt. 29-01-2021.
2. Visit by RAK Civil Defense dt. 11-07-2021; Reason: As part of license renewal.

Context of the Organisation
The organisation continues to determine the external and internal issues that are relevant to its purpose
Yes
and that affect its ability to achieve the intended result(s) of its relevant management system(s)?
The organisation continues to determine the interested parties relevant to the relevant management
system(s) and the requirements of these interested parties including those that are compliance Yes
obligations?
The organisations scope continues to be established and documented and is based upon the boundaries
Yes
and applicability of the relevant management system(s)?
ISO 45001 Context: Have the OH&S related internal and external factors been identified that could
Yes
affect, or be affected by the organisation?
ISO 45001 Interested parties: Has the organisation determined:
1.The relevant interested parties who can affect or be affected by the OH&S management system?
2.The relevant needs and expectations of workers and other interested parties Yes
3.Which of the above needs and expectations are or could become legal and other requirements?
Note: Relevant interested parties must include workers
Context - Audit findings and supporting evidence seen

Understanding the organization and its context is detailed in section 4.1 of the manual.
1.Identified 13 internal factors:
Example:
1.1. Compliant with UAE labor law: Pioneer Cement complies with the articles & sections relevant to their activities. The same is
included in the evaluation of compliance.
1.2. Team work-Audits, inspections, meetings & training; Pioneer Cement carry out periodic toolbox talks with matters related to
health & safety, Committee Meetings-Gate meetings, HSE committee, COVID-19 management meeting, Welfare committee
meetings.
2. Identified 14 external factors:

Example:
2.1. Government bodies changes of rules and regulations; Additional overheads to meet the requirements as per the COVID-19
regulations.
2.2. Bankruptcy of external providers; Many professional suppliers have stopped working/shut down during the pandemic due to
less demand in the market for the materials.
Understanding the needs and expectations of interested parties are detailed in section 4.2 of the manual.
1. Identified 7 major interested parties:
Example:
1.1. Statutory & Regulatory Body: Needs: Complying with statutory & regulatory requirements. Pioneer Cement holds a valid
Industrial License, Civil Defense approval, Environmental permit.
1.2. Employees: Needs: Salaries on time, Safe and healthy working environment, Medical insurance, Personnel development.
Communication of context of the organization:

1. Email dt. 07-11-2021; From Mr. Soumajit Das-Quality Manager to all the employees; Subject: IMS system documentation.
2. Hard copy maintained and controlled by Mr. Achi Darlington-HSE Supervisor.
3. Reviewed and discussed during the management review meeting 31-10-2021.
4. HSE Committee meeting dt. 29-07-2021.

The integrated management system and its processes are detailed in section 4.4 of the manual.
1. Integrated management system manual doc. no. PCI-IMS-QHSE-01.
2. Determining the scope of integrated management system detailed in section 4.3 of the manual:
2.1. "Manufacturing and Distribution of OPC, SRC, PLC Cement and GGBFS"
3. Process interaction detailed in the Annexure-E of the manual.
Leadership
Top management continue to take accountability for the effectiveness of the management system and
demonstrate ongoing, effective leadership in the continual improvement of the system by (but not limited
to):
- Communicating responsibilities and authorities for relevant roles within the organisation for ensuring that
Yes
the management system confirms to the requirements of the applicable standard(s) and reporting on the
performance of the management system to top management,
- Communicating and periodically reviewing the organisations policy for its suitability, adequacy and
effectiveness?
As required by the standard(s), customer requirements, applicable statutory and regulatory requirements
Yes
continue to be determined and communicated throughout the organisation?
ISO 45001 Policy: Does the OH&S policy include a commitment to:
A. Provide safe and healthy working conditions?

B. Fulfil legal and other requirements
C. Eliminate hazards and reduce OH&S risks
D. Consultation and participation of workers (and if applicable workers representatives)
Yes
Note: Top management must be able to demonstrate that they have established the policy and that they have not just signed a
policy written by somebody else. The policy must be discussed in detail with top management to ensure they can demonstrate from
their own understanding that the policy is compatible with the strategic direction and context of the organisation. Commentary must
be provided below related to audit findings.
Evidence must be provided to demonstrate that the policy has been communicated and understood throughout the organisation.
ISO 45001 - Consultation and participation of workers: Has top management developed and
implemented a process for consultation and participation of workers at all applicable levels and functions
and where they exist, workers representatives, in the development, planning, implementation,
performance evaluation and actions for improvement of the OHSMS? Yes
Note: Worker includes all persons working under the control of the organisation including visitors, contractor’s personnel and
personnel carrying out an outsourced process.
Leadership - Audit findings and supporting evidence seen
Leadership and management commitment are detailed in section 5.1 of the manual.
1. Mr. B.S. Rajan-GM is stationed in the office; Visit the production floor monthly and when required to evaluate the overall
performance of the facility including HSE.
2. Mr. Biswarup Kumar-Plant Manager is stationed in the office; Responsible for the overall operations; Visit the production floor
on monthly and when required to evaluate the overall performance of the facility including HSE.
3. Mr. Biswarup Kumar-Plant Manager attends all the committee meetings and almost all the monthly gate meetings.
4. Mr. Achi Darlington-HSE Supervisor is available to full time and report reports to Mr. Biswarup Kumar-Plant Manager.
5. QHSE documents: Manual, Procedures, Work instructions, Standard operating procedures; Prepared by: QHSE Team and
approved by: Mr. Biswarup Kumar-Plant Manager.
6. OH&S policy doc. no. PCI/IMS/001, dt. 23-09-2020; Approved by Mr. Joey Partul Ghose-Group CEO.

5. Resources required are provided by Mr. Biswarup Kumar-Plant Manager in coordination with Mr. B.S. Rajan-GM.
OHSE policy is detailed in section 5.3 of the manual.

2. Contents of policy:
2.1. As a condition of employment, all employees are expected to work safely by following established policies, regulatory
requirements and work practices.
2.2. Ensure that, the safety, health & security and that of their fellow workers and the work areas in which Pioneer Cement
operates.
2.3. Commitment to the prevention of incidents that lead to injuries, illness and property damages.
Communication of policy:
5. Displayed in the notice board, offices, meeting room, reception area.
7. Induction training dt. 04-11-2021; By Mr. Achi Darlington-HSE Supervisor; Attended by Mr. Abdullah-Plumber-Sunrise
Company-Third party visit for major maintenance work.
Organizational roles, responsibilities and authorities are detailed in section 5.2 of the manual.
1. HSE responsibilities & authorities are with Mr. Achi Darlington-HSE Supervisor; Assigned by Mr. B.S. Rajan-GM.
2. Organization chart with the job positions and flow of communication updated dt. 25-11-2019.
5. Communicated through job description; Communicated at the time of joining.
5.1. Job title, Reporting, Position type, Job description, Qualification.
Participation and consultation detailed in section 7.4.2 of the manual; Procedure for communication, participation and
consultation doc. no. PCI-ICEOH-IMS-06.
1. Methods of communication are through: Email, HSE meetings, Toolbox talks, Emails, Induction training.
1.1. Email dt. 07-11-2021; From Mr. Soumajit Das-Quality Manager to all the employees; Subject: IMS system documentation.
1.2. Management review meeting 31-10-2021.
1.3. Quarterly HSE Committee meeting dt. 29-07-2021.
1.4. Monthly gate meeting dt. 09-07-2021.
1.5. Induction training dt. 04-11-2021; By Mr. Achi Darlington-HSE Supervisor; Attended by Mr. Abdullah-Plumber-Sunrise
1.6. Toolbox talk dt. 28-10-2021; By Mr. Soumajit Das-QC Manager; Topic: Radiation hazard; Attended by Mr. K. Satheesh-Lab
Chemist.
Risks and Opportunities, Legal & Other Requirements

The organisation has determined and assessed the risks and opportunities that are relevant to the
intended outcomes of the management system(s) associated to any changes in the organisation, its
Yes
processes or the management system. In the case of any planned changes this assessment has been
undertaken before the change was implemented?
The organisation identifies, has access to up to date and periodically reviews all the specific applicable
compliance obligations (legal and other requirements) and determines how requirements apply to the Yes
organisation?
The organisation continues to plan actions to address risks and opportunities and if applicable how to
address legal and other requirements and to prepare for and respond to emergency situations as Yes
applicable)

Documented information is available relating to:
- Risks and opportunities,

Yes
- The processes and actions needed to determine and address risks and opportunities,
- Compliance obligations (legal and other requirements) including the results and actions taken (including
ensuring it is updated to reflect any changes)?
Planning - Audit findings and supporting evidence seen

Action to address risks and opportunities are detailed in section 6.1 of the manual; Procedure for risk & opportunities doc. no.
PCI-ROM-IMS-22.
1. Methodology used is a 5x5 matrix.
2. Identified 21 risk sources.
Example:
2.1. Risk source: Political, economic, social, technological, legal and regulatory; Issue Type: External; Risk description: Change
of government disrupts economic recovery; Risk level: Medium; Control measures: Develop feasibility reports before venturing
into new businesses; Risk level: Low; Opportunity: Change of government accelerates economic recovery, Capitalize on new
government investment promotion policies.
Communication of risk and opportunities:

Compliance obligation detailed in section 6.1.3 of the manual; Procedure for legal and other requirements doc. no. PCI-LEG-
IMS-07.
1. Detailed in section 5.5 of the procedure; Frequency of updating in once in a year.
2. Legal register doc. no. Legal/01; Updated on May 2021:
2.1. Federal Law no. 08 of 1980-Labor Law
2.2. Article 122,123,124,125 of Government Human Resources Law of Ras Al Khaimah-Free Zones Regulations.
3. Documents of external origin:
3.1. ISO 45001:2018.
4. Industrial License ref. no. 21922; Issued by RAKEZ-Ras Al Khaimah Economic Zone-Government of Ras Al Khaimah; Expiry
date: 23-11-2021.
5. License to conduct a regulated activity using regulated material (Radioactive Material and Radiation Sources) ref. no. FANR/
RM/2010/31; Issued by Federal Authority for Nuclear Regulation; Expiry date: 05-08-2023.
Communication of legal-compliance register:

5. Awareness session by Mr. Achi Darlington-HSE Supervisor, dt. 10-05-2021; Topic: Updated legal register and the
requirements; Attended by Mr. Baskar-Mechanical Engineer.
Hazard Identification and Risk Assessments - ISO 45001 / (BS) OHSAS 18001
Has the organisation established and implemented a process(es) for hazard identification that is ongoing
Yes
and proactive? Do the processes take into account the requirements of the relevant standard?

The organisation has identified hazards (sources of potential to cause injury or ill health) associated with
operational processes throughout the organisation been identified?
Yes
Note: When identifying hazards organisations should take account the definition of “workplace”. Workplace is not limited to the site
where organisations perform their activities. Workplace also covers
any place under the full or partial control of the organisation, where workers need to be present or go to for work purposes.
The organisation has established and implemented a process(es) to:
a) assess OH&S risks from the identified hazards, while taking into account the effectiveness of
Yes
existing controls;
b) determine and assess the other risks related to the establishment, implementation, operation and
maintenance of the OH&S management system.
Risk assessments have been completed and the methodology used for risk assessment and the criteria
applied is documented?
Yes
Documented information is retained on the results of the organisations determination and assessment of
risks and opportunities?
Hazard Identification and Risk Assessments - Audit trails, findings, comments and conclusions
Occupational risk and environmental aspects detailed in section 6.1.2 of the manual; Procedure for identification of aspects,
impacts, hazard and risk assessment doc. no. PCI-A1HR-IMS-05.
1. Methodology used is a 5x5 table.
2. Hazard identification & raw risk assessment doc. no. PCI-IMS; Identified 263 activities, covering office area, production floor,
QC lab, surroundings and accommodation:
Example:
2.1. Area: Admin office; Responsibility: Head of Departments & HSE Team; Work activity: Improper wiring-trips/shocks; Hazard:
Electrocution, fire; Potential risk: Personnel injury; Risk level: High; Control measures: Inspection before work, Repair all
damaged wires; Residual risk: Medium.
2.2. Area: Production floor-Air blower's room; Responsibility: Production Team/Technicians; Work activity: Air blowing; Hazard:
Noise; Potential risk: Acute/chronic health effects; Risk level: Medium; Control measures: Authorized persons, Periodical
maintenance, Use of proper PPEs; Residual risk: Low.
2.3. Area: Quality Lab; Responsibility: Blender; Work activity: Blending chemicals; Hazard: Chemical reaction; Potential risk:
Acute/Chronic health effects; Risk level: High; Control measures: Authorized personnel, Ventilation system, Work instructions,
Medical check, Use of proper PPE; Residual risk: Low.
3. Specific activity-based risk assessment for any special task;
3.1. Task risk assessment doc. no. PCI-IMS-RA-E&I-005, dt. 18-10-2021; For VFD panel maintenance; Identified 5 hazards.
Example:
Action: Working on electrical systems; Hazard: Electrical contact; Hazard effect: Electrical shocks and burns; Persons at risk:
Engineers and workers; Risk rating: High; Control measures: Training and communication for operators, Isolation of power, Use
of insulated and proper tools, Job supervision, Use of rubber gloves with other PPE; Residual risk: Low.
Communication of hazard identification and risk assessment:

5. Toolbox talk dt. 18-10-2021; By Mr. Rajeev Kumar-Sr. Engineer; Topic: General safety, Fire safety, Electrical safety, Lifting
operations, Slips, trip & fall, PPE, Signages & barricades; Attended by Mr. V. Purushotham-E&I Engineer.
Objectives

The organisation continues to establish measurable objectives at relevant functions, levels and processes
as required by the applicable management system standard(s), which are consistent with the policy, Yes
monitored and communicated? ?
Objectives are being / have been achieved and results evaluated, according to the documented action
Yes
plans (i.e.what will be done, resources required, responsibilities, time scales and evaluation of results)?
Objectives - Audit findings and supporting evidence seen

Objectives and action plan to achieve the objectives detailed in section 6.2 of the manual.
1. Achievement of objectives FY2020:
1.1. Objective: Accident incidents; Measurement: Reduction; Target: Reduce LTIFR ≤ 1; Achievement: Achieved 0.25.
1.2. Objective: Accident incidents; Measurement: Reduction; Target: Reduce incidents by 20% of the year 2019; Achievement:
Achieved FY2019-19 and FY2020-12 cases recorded.
1.3. Objective: Management visibility; Measurement: Total completed; Target: Undertake one inspection per month of
department areas; Achievement: Achieved with 20 visits.
1.4. Objective: Management visibility; Measurement: Total completed; Target: Undertake a minimum of 4 out of hours visits in
the calendar year; Achievement: Achieved with 4 visits.
1.5. Objective: Toolbox talks; Measurement: Total completed; Target: Deliver monthly TBT to all department employees;
Achievement: Achieved with more than toolbox talks conducted.
2. Objectives FY2021 and the achievements as of October 2021; The final achievement status will be verified during the next
surveillance audit.
2.1. Objective: Incidents; Discipline: Safety; Measurement: Statistical; Target: Reduce LTIFR ≤ 0.75; Responsibility: All the
employees; Weighting: 15%; Value: ≤ 0.75; Achievement: Will have the final value by end of December 2021.
2.2. Objective: Inspections; Discipline: Safety; Measurement: Statistical; Target: Reduce TRIR ≤ 4; Responsibility: All the
employees; Weighting: 10%; Value to be achieved: ≤ 4; Achievement as of October 2021: 1.25 year to date.
2.3. Objective: Safety culture; Discipline: Safety; Measurement: Statistical; Target: Report minimum one unsafe act/condition/
violation weekly; Responsibility: Department Heads; Weighting: 10%; Value to be achieved: 48; Achievement as of October
2021: 150.
2.4. Objective: Inspections Discipline: Safety; Measurement: Statistical; Target: Conduct monthly inspection area of
responsibility and submit report; Responsibility: Department Heads; Weighting: 10%; Value to be achieved: 9; Achievement as
on October 2021: 20.
2.5. Objective: Inspections; Discipline: Safety; Measurement: Statistical; Target: Submit quarterly reports showing area
improvements; Responsibility: Department Heads; Weighting: 5%; Value to be achieved: 4; Achievement as of October 2021: 4.
3. Draft objectives FY2022 in place; That will roll out from 01-01-2022.
Communication of objectives:
1. Email dt. 07-12-2020; From Mr. Achi Darlington-HSE Supervisor to all the Department Heads; Subject: Final objectives &
target FY2021.
5. Email dt. 08-09-2021; From Mr. Frank-Group HSE Head to all the Department Heads; Subject: Objectives & target FY2022.
6. Minutes of meeting dt. 15-09-2021; Subject: Review the objectives FY2021 and draft objectives FY2022.
Competence, Awareness and Training
The organisation continues to determine and provide the knowledge, resources, infrastructure and
environment needed for the establishment, implementation, maintenance and continual improvement of Yes
the relevant management system(s)

The organisation continues to determine the necessary competence (knowledge and skills) of person(s)
doing work under its control that affects the performance and effectiveness of the management system
Yes
and ensures that the persons doing work under its control are competent on the basis of appropriate
education, training or experience?
Persons doing work under the organisations control (workers) are aware of the policy and their
contribution to the effectiveness of the management system(s), including the benefits of improved Yes
performance and the implications of not conforming with the relevant management system requirements?
ISO 45001 Awareness: Are workers made aware of the incidents, related investigations, hazards and
OH&S risks relevant to them? Are workers able to remove themselves from work situations that they Yes
consider present an imminent and serious danger to their life and health without fear of reprisal?
Competence, Awareness and Training - Audit findings and supporting evidence seen
Resources detailed in section 7.1; People detailed in section 7.1.2; Infrastructure detailed in section 7.1.3; Environment for the
operation of processes detailed in section 7.1.4; Competence detailed in section 7.2; Awareness detailed in section 7.3 of the
manual; Procedure for human management doc. no. PCI-RM-IMS-14.
Visit facility:
1. Office area: Reception, Top Management-GM, Sales & Marketing, HR & Admin, Purchase Manager, Finance & Accounts,
Production Manager, Mechanical Team, IT, Electrical & Instrumentation.
2. Airconditioned offices, Work stations, Firefighting systems: fire extinguisher and smoke detector, First aid boxes, Emergency
response team.
3. Production area: Production office/Central Control room.
3.1. Machineries & equipment: box feeder, surface feeder, chain bucket elevator, bag filter, belt conveyor, cement mill, electric
monorail hoist, weighbridge system, bag counter, truck loader, compressor, water pump, firefighting system, manual hoist, air
ventilation system, silos, air slides, PLC panels, chain block, shackles, forklift, shovel.
4. Quality control laboratory: Quality Manager, Lab technicians.
4.1. Inspection & testing equipment: compressive testing machine, humidity chamber, digital thermometer, anemometer,
analytical balance, oven, pH meter, autoclave machine, sound level meter, pressure gauge, humidity chamber, muffle furnace,
flame photometer, hydrometer, digital vernier caliper, analytical weight-20kg etc; was verified during the audit.
5. Other associated utilities:
5.1. Welfare facilities: Separate washroom for men & women, Pantry, Meeting room.
5.2. IT infrastructure-Server, hardware & software solutions and ERP solution-SAP.
5.3. Communication facilities-Internet, email, landline, intercom, meetings, training, toolbox talks.
6. Family and bachelor accommodations provided as per the contract agreements, creation facilities like Gym, badminton.
7. Canteen with 3 times meals.
8. First aid room with a full-time male nurse.
Organizational roles, responsibilities and authorities are detailed in section 5.2 of the manual.
1. HSE responsibilities & authorities are with Mr. Achi Darlington-HSE Supervisor; Assigned by Mr. B.S. Rajan-GM.
2. Organization chart with the job positions and flow of communication updated dt. 25-11-2019.
5. Communicated through job description; Communicated at the time of joining.
5.1. Job title, Reporting, Position type, Job description, Qualification.
Monitoring and measuring resources are detailed in section 7.1.5 of the manual.
1. Third-party certificate of a thorough examination of lifting equipment, certificate ref. no. R1DX17-111376, dt. 23-02-2021; By
Dutest Inspection Serviced Est; Description: Monorail Beam c/w underslung electric powered wire rope hoist, Distinguishing
number: 65819; Expiry dt. 22-02-2022.
2. Third-party vehicle test certificate ref. no. 201808, dt. 11-03-2021; By General Resources Authority-Government of Ras Al
Khaimah; Description: Wheel loader, 7ton, Komatsu WA470.
External training records:

1. Third-party training certificate ref. no. QRS-TRG-21-074, dt. 18-02-2021; By Quality Registrar systems; Topic: ISO

45001:2018 Internal audit training; Attended by Mr. Achi Darlington.
2. Internal training records;

1.1. Dt. 02-10-2021; By Mr. Achi Darlington-HSE Supervisor; Topic: Isolation; Attended by Mr. Pandey-Mechanic.
1.2. Dt. 04-11-2021; By Mr. Achi Darlington-HSE Supervisor; Topic: Guarding; Attended by Mr. Satheesh-QC Chemist.
1.3. Dt. July 2021; By Mr. Achi Darlington-HSE Supervisor; Topic: Selection & inspection of /and wearing a harness; Attended
by Mr. Vishnu Sankar-Prduction Engineer.
1.4. Dt. May 2021; By Mr. Achi Darlington-HSE Supervisor; Topic: Confined space; Attended by Mr. Satheesh-QC Chemist.
1.5. Toolbox talk dt. 04-11-2021; By Mr. Mohan-Jr. Engineer & Mr. Karunakar-Engineer; Topic: General safety and electrical
safety; Attended by Mr. Srinicas-Technician.
Communication and Documented Information
The organisations communication needs and methods continue to be identified, implemented and
Yes
maintained effectively in accordance with the relevant management system requirements?
The organisation continues to communicate significant environmental aspects / health and safety hazards
and related control measures among the various levels and functions of the organisation? (ISO14001/ Yes
OHSAS18001/ISO 45001)
The organisation continues to maintain sufficiently controlled documentation as required by the relevant
Yes
standard(s) requirements as determined necessary by the organisation?
Documented information (including documents of external origin) is available, adequately protected,

distributed, stored, retained and under change control as required by the management system standard(s) Yes
and the organisation?
ISO 45001 Communications: Does the organisation take into account diversity aspects (e.g. gender,
Yes
language, culture, literacy, disability) when considering its communication needs?
Communications and Documented Information - Audit findings and supporting evidence seen
Communication detailed in section 7.4; Participation & consultation detailed in section 7.4.2; Procedure for communication,
participation and consultation doc. no. PCI-ICEOH-IMS-06.
1. Methods of consultation with the workers are through Weekly meetings, Safety/HSE meetings, Training, Toolbox talks,
Meetings, Induction training, What's up.
1.1. Email dt. 06-10-2021; From Mr. Frank Higgins-Group HSE Head to Pioneer Cement; Subject: Silo cleaning guidance
document.
1.2. Dt. 06-07-2021; Between Pioneer Cement and FANR-Federal Authority for Nuclear Research; Subject: Inventory list of the
regulated materials for July 2021.
1.3. Email dt. 15-06-2021; From Greenline-Third party contractor for the maintenance of fire fighting systems; Subject:
Prevention and safety procedures for buildings.
Participation and consultation detailed in section 7.4.2 of the manual; Procedure for communication, participation and
consultation doc. no. PCI-ICEOH-IMS-06.
1. Methods of communication are through: Email, HSE meetings, Toolbox talks, Emails, Induction training.
1.1. Email dt. 07-11-2021; From Mr. Soumajit Das-Quality Manager to all the employees; Subject: IMS system documentation.
1.2. Management review meeting 31-10-2021.
1.3. Quarterly HSE Committee meeting dt. 29-07-2021.
1.4. Monthly gate meeting dt. 09-07-2021.
1.5. Induction training dt. 04-11-2021; By Mr. Achi Darlington-HSE Supervisor; Attended by Mr. Abdullah-Plumber-Sunrise
1.6. Toolbox talk dt. 28-10-2021; By Mr. Soumajit Das-QC Manager; Topic: Radiation hazard; Attended by Mr. K. Satheesh-Lab

Chemist.
Control of documented information detailed in section 7.5.3 of the manual; Procedure for control of documents doc. no. PCI-
COD-IMS-01; Procedure for control of records doc. no. PCI-CQR-IMS-02.
1. QHSE documents: Manual, Procedures, Work instructions, Standard operating procedures; Prepared by: QHSE Team and
approved by: Mr. Biswarup Kumar-Plant Manager.
3. Only 1 hard copy-Master copy for IMS documents; Maintained by Hard copy maintained and controlled by Mr. Achi
Darlington-HSE Supervisor.
4. Master list of documents; Maintained in the doc. no. CDR-P01-F01; Details: Document number, description and revision
number.
5. Retention period for the records is 3 years; Detailed in section 7 of the Procedure for control of records doc. no. PCI-CQR-
IMS-02.
The integrated management system and its processes are detailed in section 4.4 of the manual.
1. Integrated management system manual doc. no. PCI-IMS-QHSE-01.
2. Determining the scope of integrated management system detailed in section 4.3 of the manual:
2.1. "Manufacturing and Distribution of OPC, SRC, PLC Cement and GGBFS"
3. Process interaction detailed in the Annexure-E of the manual.
Communication of IMS documents:

Emergency Preparedness and Response - ISO 14001 / (BS) OHSAS 18001 / ISO 45001
Process(es) needed to prepare for and respond to potential emergency situations (including the provision
Yes
of first aid - ISO 45001) continue to be implemented by the organisation?
Emergency plans and response actions have been periodically tested, reviewed and revised if necessary,
Yes
in particular after the occurrence of emergency situations and after tests?
Interested parties (e.g. contractors, visitors, emergency services, government authorities, local community
as appropriate) are made aware of relevant arrangements (and where necessary trained if they are Yes
required to participate in the emergency response)?
Workers are informed of their duties and responsibilities in emergency situations? Yes
Documented information is maintained and retained on the emergency response process and plans for
Yes
responding to potential emergency situations?
Note: Discrepancy found during the audit of the emergency plans or any incident which occurred during an emergency or drill has to be considered as a
nonconformity in the system, and appropriate corrective actions have to be taken in order to prevent recurrence.
Emergency preparedness and response - Audit findings and supporting evidence seen
Emergency preparedness and response detailed in section 8.8 of the manual; Procedure for emergency preparedness and
response doc. no. PCI-ERP-IMS-10.
1. Detailed in section 5.1.12; The potential emergencies identified are:
1.1 Heavy downpour of rain

1.2. Sand storm
1.3. Electric shock
1.4. Fall of heavy equipment
1.5. Fire
1.6. Collapse of stockpiles
1.7. Cutting of conveyor belts
1.8. Chocking of silos
1.9. Kiln abnormalities.
2. Emergency response plan and layout; Evacuation routes with Emergency exits, Primary & secondary evacuation routes,
Locations of fire extinguishers, Fire alarm pull stations location, Assembly points;
2.1. Communicated through gate meeting.
2.2. Communicated through Notice boards and other areas of work.
2.3. Email dt. 03-05-2020; From Mr. Krishnendu-Projects Coordinator to all the employees.
3. Emergency contact numbers in the event of any emergency:
3.1. Civil Defense-997, Ambulance-998, Police-999, FANR-00 971 2 0000000, Nearest hospital-00 971 6 0000000; Emergency
response team: Mr. Achi Darlington-HSE Supervisor-054 0000000, Mr. Rajeshmon-Male nurse-058 0000000, QC Manager-058
0000000.
4. Drill reports:
4.1. Dt. 04-11-2021; Scenario: Emergency drill, Time taken: 25 minutes including evacuation, headcount and briefing.
4.2. Dt. 02-11-2021; Scenario: Spill drill.
Witnessed during the visit:

1. Facilities are provided with enough fire extinguishers, smoke detectors, a fire alarm system, drip trays provided for the diesel
storage tank, first aid box.
3. Emergency response team details communicated through notice board.
3. First aid room with male nurses and trained first aiders.
4. Rest area, adequate washrooms, PPEs provided, drinking water facility-water station, portable water coolers.
5. Awareness posters in different languages: English, Hindi & Arabic.
6. There are 3 assembly points identified with green color; 1 in the parking of the admin building, 1 near the QC lab/raw mill area
and 1 near the stores' area.
7. Rest area with pantry and furniture.
8. First aid facility with a full-time male nurse.
Actions were taken to control COVID-19:

1. Adequate face mask, hand sanitizers provided in offices and different locations in the sites.
2. Awareness posters in different languages are posted in the site office and areas of work.
3. Temperature monitoring before entering all the facilities.
4. Isolation rooms arranged for any suspected cases.
5. Weekly disinfection carried out for vehicles, accommodation, office and rest areas.
6. COVID-19 management meeting dt. 30-06-2021; Attended by HSE, HR & Admin, Security; The action taken is communicated
to the employees through gate meeting dt. 18-07-2021.
7. Email dt. 21-05-2021; Between Group Office and Pioneer Cements; Subject: Daily COVID-19 stats monitoring for the country
and Raysut Group including Pioneer Cement.
8. Risk assessment for COVID-19; 10 risks identified.
8.1. Hazard: COVID-19 virus; Affect persons: Employees, contractors and visitors; Details of MOH/WHO guidelines: What the
risks are-the symptoms and how the virus spreads, Personal control measures to minimize the spread of the virus-Do's &
Don'ts, WHO provides information and a free 3-hour online training course for emergency respiratory virus including COVID-19;
New control measures: Temperature monitoring for all persons entering the facility, Trained personnel on screening, Specific
guidance documents, Advice on symptoms and control measures passed to employees through mobile clinic awareness
sessions; Responsibility: Male nurse.
Evaluation of Compliance

The organisation has evaluated compliance with legal and other requirements at determined frequencies,
has taken action(s) as required and maintains knowledge and understanding of its compliance status? The Yes
evaluation(s) have been conducted according to the implemented process(es)?
The organisation retains documented information as evidence of the compliance evaluation results? Yes
Note: auditors are not expected to conduct legal compliance audits. It is expected that auditors evaluate that the organisations processes are effective in
ensuring such compliance by the organisation with legal and other requirements. It should be noted that legal compliance audits are not required by ISO 45001 or
ISO 14001. For further guidance please refer to EA-7/04 M:2017
Evaluation of Compliance - Audit findings and supporting evidence seen

Evaluation of compliance detailed in section 9.4 of the manual; Procedure for evaluation of compliance doc. no. PCI-EOC-
IMS-08.
1. Legal register doc. no. Legal/01; Updated on May 2021:
1.1. Federal Law no. 08 of 1980-Labor Law
1.2. Article 122,123,124,125 of Government Human Resources Law of Ras Al Khaimah-Free Zones Regulations.
Example:
Clause/Article/Reference: Article 21 of Labor Law mo. 8 of 1980; Requirement/obligation: Before a juvenile is employed, the
employer shall obtain the documents from him/her and keep them in the file: A birth certificate or an official extract thereof an
age estimation certificate issued by a competent medical officer and endorsed by the competent health authorities. A certificate
issued by a competent medical officer and duly attested to the effect that the juvenile concerned is medically fit for the job. A
written consent signed by the juvenile's guardian or custodian; Compliance: Yes. No juveniles appointed.
Performance Evaluation
Internal audit programme(s) are available which indicate the frequency, methods, responsibilities, planning
Yes
requirements and reporting of internal audits?
The organisation has completed internal audits as required by the programme and documented information
Yes
is available as evidence of implementation of the audit programme and the audit results?
ISO 45001 Internal audits: Are relevant internal audit results reported to workers and where they exist
Yes
workers representatives and other relevant interested parties?
Top management has reviewed the organisations management system(s) at planned intervals to ensure its
continuing suitability, adequacy and effectiveness? Management review includes consideration of all the Yes
items (inputs and outputs) required by the applicable management system standard?
The organisations internal audit and management review(s) includes evaluations of compliance of legal and
other requirements and related results to ensure that top management are aware of the risks of potential or
Yes
actual non-compliance and have taken appropriate steps to meet the organisations commitment to fulfil
compliance obligations with legal and other requirements (14001/ 45001)?
The organisation has determine opportunities for improvement and implement any necessary actions to
Yes
achieve the intended outcomes of its management system (and enhance customer satisfaction)
Performance Evaluation - Audit findings and supporting evidence seen

The internal audit is detailed in section 9.5 of the manual; Procedure for internal audit doc. no. PCI-IA-IMS-03.
1. Frequency for internal audit is at least once twelve months; Detailed in section 6.1.1 of the procedure.

2. Records of the internal audit reports; For the internal audit carried out dt. 24,25,26,27-10-2021; Covering all the activities.
Example:
2.1. Internal audit ref. no. 10/2021/HR, dt. 28-10-2021; Auditor: Mr. Achi Darlington-HSE Supervisor; Auditee: Mr. Tony
Thomas-HR & Admin.
2.2. Internal audit ref. no. 10/2021/P, dt. 24-10-2021; Auditor: Mr. Achi Darlington-HSE Supervisor; Auditee: Mr. Subbarao-
Production.
2.3. Internal audit ref. no. 10/2021/Mkt, dt. 27-10-2021; Auditor: Mr. Rajeev-Sr. Instrumentation Engineer; Auditee: Mr. Rabbani-
Sales & Marketing.
2.4. Internal audit ref. no. 10/2021/PR, dt. 27-10-2021; Auditor: Mr. Rajeev-Sr. Instrumentation Engineer; Auditee: Mr. Jaffer-
Purchasing.
2.5. Internal audit ref. no. 10/2021/QC, dt. 24-10-2021; Auditor: Mr. Rajeev-Sr. Instrumentation Engineer; Auditee: Mr.
Satheesh-QC.
2.6. Internal audit ref. no. 10/2021/M, dt. 28-10-2021; Auditor: Mr. Achi Ddarlington-HSE Supervisor; Auditee: Mr. Ayyavaru
Reddy-Mechanical.
2.7. Internal audit ref. no. 10/2021/E&I, dt. 26-10-2021; Auditor: Mr. Niyauddin-Dy. Chief Mechanical Engineer; Auditee: Mr.
GVSN Raju-Electrical.
2.8. Internal audit ref. no. 10/2021/HSE, dt. 25-10-2021; Auditor: Mr. Satheesh-QC; Auditee: Mr. Achi Darlington-HSE
Supervisor.
3. No NCRs raised during the internal audit.
4. A total of 4 Internal Auditors available;
Example:
4.1. Third-party training certificate ref. no. QRS-TRG-21-074, dt. 18-02-2021; By Quality Registrar systems; Topic: ISO
45001:2018 Internal audit training; Attended by Mr. Achi Darlington.
Communication of internal audit:

4. Outcome of the internal audit discussed and reviewed during the HSE Committee meeting dt. 29-07-2021.
5. Discussed during the closing meeting after the internal audit with the concerned persons.
Management review detailed in section 9.6 of the manual; Procedure for management review meeting doc. no. PCI-MR-IMS-13.
1. Frequency is at least once in twelve months; Detailed in section 5.0 of the procedure.
2. Evidenced and verified the minutes of the meeting for the management review meeting dt. 31-10-2021.
3. Meeting chaired by Mr. Biswarup Kumar-Plant Manager; Presented by Mr. Achi Darlington-HSE Supervisor and Mr. Soumajit
Das-QC Manager; Attended by all the Department Heads.
4. Topics discussed during the management review meeting:
4.1. OHSMS system: Soft copies of IMS documents are updated and available on the server, last email dt. 07-11-2021.
4.2. Results of internal audit: Internal audit covering all activities carried out dt. 24,25,26,27-10-2021, with no NCRs raised.
4.3. Risk and opportunities: Detailed in the QP#22, reviewed and found satisfactory.
4.4. Changes affecting management system: No changes to the Management and processes.
4.5. QHSE objectives & targets: Discussed the final values of achievements FY2020, reviewed the achievement of objectives
FY2021 till September 2021, discussed the draft objectives FY2022.
Communication of management review meeting:

1. Email dt. 01-11-2021; From Mr. Soumajit Das-Quality Manager to all the employees; Subject: Minutes of the management
review meeting.
OH&S Incident management

In accordance with the implemented process the organisation records, investigates, actions and analyses
incidents. Documented information is retained as evidence of the nature of incidents and subsequent Yes
actions taken?
Incident management - Audit findings and supporting evidence seen

Procedure for incident reporting and investigation doc. no. PCI-IRI-IMS-12; Control of nonconformances, corrective actions doc.
no. PCI-NCP-IMS-04.
1. Total of 2 incidents recorded: 1 LTI and 1 property damage; For the period: January to October 2021.
1.1. Accident & incident report ref. no. PCIL/Accdnt/Invetgtn/02, dt. 02-02-2021; Category: LTI; Description: Rigger in the
mechanical department with 15 years of work experience in Pioneer Cement was undertaking the job of cleaning the bending
roller of the BC20 due to some coal coating. He had already signaled the local control panel operator who is his supervisor to
stop the belt, it had been turned off from the local control panel. When turning the equipment off from the local control panel it
takes time for the equipment to run down to a stop. During the running down of the equipment, the IP tried to clean the roller
resulting in a small laceration to his hand, tissue and muscle damage to the arm. This was the first time the IP had carried out
his work; Immediate action: Evacuated the IP from the area and shifted to the nearest hospital; Root cause: High moisture in the
delivered coal. The moisture content cannot be analyzed as the coal was fed directly to the coal hopper. If the coal delivered
has little moisture, it will not stick to the drums that resulting in manual cleaning by employees. The IP was unaware of the
hazards and risks associated with the task; Corrective action is taken: Review risk assessment permits and procedures. Root
cause analysis to be conducted and findings presented to Plant Manager and action plan to be rolled out as per the instructions
from Plant Manager. Coal analysis is to be undertaken by the QC department to ensure moisture content meets QC standards.
Undertake conveyor survey for similar hazards in the plant-lime stone conveyor. Conduced TBT to all employees on the topic-
conveyor safety; Status: Closed out dt. 15-02-2021.
1.2. Accident & incident report ref. no. PCIL/Investigation/01, dt. 29-01-2021; Category: Property damage; Description: The
sample boy-Mr. Idrish was undertaking the task of shifting molds in the sample area. He had already picked up the molds on
both sides of his hands from the chamber in the chemical room and was on his way to the gaging room. The iron mold on the
left side of his hand accidentally hit the glass door at the entrance of the gaging room, the glass door instantly got shattered. No
injury was sustained; Immediate action: Barricaded the area and cleaned of the area; Root cause: Improper handling of the
materials; Corrective action taken: Instruction/toolbox provided to the sample boy on proper handling of materials. Reviewed the
requirement/need for the glass door in that area and decided to remove it; Status: Closed out dt. 29-01-2021.
2. No NCRs raised during the internal audit.

Operation - ISO 45001
ISO 45001 Operational planning and control: Does the organisation plan, implement and control its
operational processes by establishing operating criteria? Does the organisation implement control of the
processes in accordance with the operating criteria? Yes
Important: If the organisation operates on sites where multiple employers are operating the organisation must co-ordinate the
relevant parts of its OHSMS with the other organisations on site?
ISO 45001 Operational planning and control: If the organisation operates on sites where multiple
employers are operating is evidence available to demonstrate that the organisation co-ordinates the Yes
relevant parts of its OHSMS with the other organisations on site?
ISO 45001 Operational planning and control: Is documented information maintained and retained to the
Yes
extent necessary to have confidence that the processes are carried out as planned?

ISO 45001 Eliminating hazards and reducing OH&S risks: Has the organisation established and
implemented processes for the elimination of hazards and reduction of OH&S risks using the hierarchy of
controls? Yes
Note: In many countries the provision of personal protection equipment at no cost to workers is a legal requirement. While this is not
a requirement of ISO 45001, it is a practice that could enhance OH&S performance.
ISO 45001 Management of change: Has the organisation established a process(es) for the
implementation and control of planned temporary and permanent changes that impact OH&S performance
including:
Yes
• New products, services and processes or changes to existing products, services and processes
• Changes to legal and other requirements
• Changes in knowledge or information about hazards and OH&S risks
• Developments in knowledge and technology.
ISO 45001 Procurement: Has the organisation established and implemented a process(es) to control the
procurement of products and services in order to ensure their conformity to the OHSMS? Does the
Yes
organisations procurement process(es) define and apply occupational health and safety criteria for the
selection of contractors?
ISO 45001 Contractors: Does the organisation coordinate its procurement process(es) with its contractors
in order to identify hazards and to assess and control the OH&S risks arising from:
a. The contractors activities and operations that impact the organisation

b. The organisations activities and operations that impact the contractors workers Yes
c. The contractors activities and operations that impact other interested parties in the workplace
Does the organisation ensure that the requirements of the OHSMS are met by contractors and their
workers?
Operational / Process Audit Trails and Audit Findings
+ -
Process / activity
audited Operational control / Monitoring and measurement
Audit trails, findings and supporting evidence seen related to the process / activity audited
Operational planning and control are detailed in section 8.1 of the manual; Procedure for operational control doc. no. PCI-OPC-
IMS-09.
1. Civil Defense approved annual maintenance contract ref. no. 2021-6-1277180, dt. 06-06-2021; Between Pioneer Cement
Industries and Greenline Safety Systems LLC; For the maintenance of fire fighting and suppression system.
Control of externally provided products and services is detailed in section 8.4 of the manual.
Supplier performance evaluation dt. 29-07-2021; For the supplier-Top Clean Environmental Services for the supply of STP
cleaning services; Verified in section 3-Health safety & environment-8 parameters.
The planning of changes is detailed in section 6.3 of the manual.

1. Any changes will be communicated through email, notice boards, toolbox talks, HSE meetings.
2. However, no changes to the activities, processes and Management of Pioneer Cement, except the migration of ISO
45001:2018 during January 2021.

3. Email dt. 20-04-2021; From Mr. Soumajit Das-QC Manager to all the Department Manager; Subject: Success migration of
OHSAS 18001:2007 to ISO 45001:2018.
Monitoring, measurement, analysis and evaluation are detailed in section 9.1 of the manual.
1. AMC report no. 02, dt. 23-09-2021; By Greenline Safety Systems; For the inspection and maintenance of the firefighting and
suppression systems.
2. Quarterly plant general inspection area-specific checklist; By Mr. Achi Darlington-HSE Supervisor; At clinker silo, clinker
shed, gypsum shed & hopper; cement mills, cement silo, workshop, auto garage, packing plant, bags storage sheds, raw mill
silo, preheater area, kiln, cooler, CCR; Each section covers with 13 checkpoints.
3. Monthly accommodation inspection by Department Heads & Mr. Achi Darlington-HSE Supervisor; dt. 04-11-2021; Details:
General area, emergency, kitchen, bedroom, toilet & bathroom.
4. Permit to work ref. no. PCI/IMS/PTW/E&I/005, dt. 18-10-2021; Activity: VFD modules racking out and maintenance.
5. Kiln section weekly checklist by Mr. Raju-E&I Asst. Manager, dt. 05-11-2021.
6. Kiln section daily checklist by Mr. Raju-E&I Asst. Manager, dt. 02-11-2021; for the electrical parts.
7. Monthly HSE inspection checklist at QC laboratory, dt. 28-10-2021; By Mr. Satheesh-QC Chemist; Details: Layout, work
environment, manual tasks, emergency preparedness.
8. Daily HSE inspection dt. 31-08-20212; By Mr. Achi Darlington-HSE Supervisor; Observations, unsafe acts, unsafe conditions,
good practices, housekeeping; Attached with photographs.
9. Monthly internal ambient air quality monitoring report; dt. 05-08-2021; Within the limit.
10. Quarterly TLD dose report dt. 24-10-2021; From Pioneer Cement to FANR; Subject: The data from the TLD badges used
during the X-ray operation; Remarks-Very minimal than the approved limit.
11. Monthly HSE statistics: October 2021; Details:
Toolbox talks: 25
Trainings: 16
Accident & incident: 0
Near miss: 0
LTI: 0
Medical injury: 0
First aid: 0
YTD incident & accident: 2.
Activities witnessed:
1. Raw material weighbridge: Registration number 110000100690, dt. 10-11-2021, Transporter name: Al Ain Rocks Crusher,
Material: Crushed limestone, check-in weight: 108.690ton, Weighbridge no: 01.
2. Raw mill area: The grinding process of the raw materials.
3. Kiln area: Production of OPC clinker; Mr. Venkatesh-Operator; recording the kiln log sheet of the parameters.
4. QC Lab area: Mr. Madhu carries the total carbonates for the samples from raw mill and kiln feed.
5. Packing area: Loading to the truck as per the delivery note ref. no. 8559343, dt. 10-11-2021, Item: Cement bulk-OPC, qty.
20.23MT.
6. Workshop & maintenance area: Technicians working for the preventive maintenance of the loader.
Use of certification marks and/or any other reference to certification
The client is correctly using and controlling the BM TRADA certification marks and/or references to
Yes
certification?
Use of certification marks and/or any other reference to certification - Samples reviewed, findings and conclusions
Auditee: Mr. Soumajit Das-QC Manager and Mr. Achi Darlington-HSE Supervisor; Evidenced the BM TRADA logo used in
Letterhead
Business card.

Opening and Closing Meeting Attendees
Reminder: OHSMS Audits - The organization shall be requested to invite the management legally responsible for occupational health and
safety, personnel responsible for monitoring employees' health and the employees' representative(s) with responsibility for occupational health
and safety to attend the closing meeting. Justification in case of absence shall be recorded.
Were the required OH&S representatives present at the closing meeting? Yes ✔ No
+ -
Opening Closing
Name Job Title
meeting meeting
Mento Manjiyil Lead Auditor - BM TRADA ✔ ✔
Mr. Soumajit Das QC Manager ✔ ✔
Mr. Satheesh QC Chemist ✔ ✔
Mr. Achi Darlington HSE Supervisor ✔ ✔
Mr. Subbarao Chief Engineer-Production ✔ ✔
Mr. Asheeshan Weighbridge Operator ✔ ✔
Mr. Mohammed Saif Mechanical Engineer & Worker Representative ✔ ✔
Mr. Rasheed Asst. Procurement Manager ✔ ✔
Mr. KKV Ramakrishna Rao Chief Engineer-Mechnical ✔ ✔
Mr. Ravi Kumar Chief Engineer-Electrical ✔ ✔

Confirmation of Certificate Details
You have indicated that the client requires a (revised) certificate. It is crucial that the certificate that is issued to the client contains
the correct information. Therefore please ensure that you clearly indicate the certificate information below and review this with the
client and get their agreement that the information is correct. The information below will be displayed on the clients certificate.
Type of Certificate Required
Certificate format required: Electronic certificate ✔ Hard copy certificate ✔
Certificate per location

Type of certificate required: Single site certificate ✔ Multisite certificate
(Multisite only)
Reissue due to client
Reason for issue of certificate: Initial certification Recertification ✔ changes
Reissue due to transition / migration audit
Certificate details
Client name: Pioneer Cement Industries

(Member of Raysut Cement Co. Group Sultanate of Oman)
Client address: P.O. Box 4423

(If multi-site this is the central Al Ghail Industrial Park
office address) Ras Al Khaimah
Scope of certification: Manufacturing and Distribution of OPC, SRC, PLC Cement and GGBFS
If multi-site certification, please

provide details of all site
addresses to be specified on NA
the clients certificate:
Note: If the client has more than five sites to be included on the certificate and the site address details are available on alternative
documentation please submit.
Additional information /
instructions regarding the NA
clients certificate:
Name of client representative

who confirmed certificate Mr. Soumajit Das-QC Manager
details as above as correct:

Audit Objectives and Guidance on BM TRADA Nonconformities
Recertification Audit Objectives
The purpose of the recertification audit is to confirm the continued conformity and effectiveness of the management system as a
whole, and its continued relevance and applicability for the scope of certification. Recertification audits are conducted on-site.
The objectives of the recertification audit are as follows:
a) To review the performance of the clients management system over the most recent certification cycle
b) To review and ensure that the audit programme for the most recent certification cycle has been achieved, and any required
adjustments to the audit programme for the new certification cycle are made
c) To determine the ability of the clients management system to ensure the client continues to meet applicable statutory,
regulatory and contractual requirements. Note: A management system audit is not a legal compliance audit
d) To determine the effectiveness of the management system to ensure the client has and can continue to reasonably expect to
achieve its specified objectives
e) To identify areas for potential improvement of the management system
f) To review and document significant changes to the client organisation and their management system
g) To review the effectiveness of actions taken to address any nonconformities issued at the previous audit
h) To review progress of planned activities aimed at continual improvement
Guidance on BM TRADA nonconformities and time scales for action
A nonconformity is issued when objective evidence during the audit demonstrates non-fulfilment of a standard requirement.
All nonconformities are issued on separate nonconformity reports, one report per nonconformity. Each nonconformity must be
recorded against a specific standard requirement and must contain a clear statement of the nonconformity identifying in detail the
objective evidence on which the nonconformity is based. All nonconformities must have been discussed with you, the client
during the audit to ensure that the evidence is accurate and that the nonconformities issued are all understood. The auditor must
not suggest the cause of the nonconformity or its solution.
BM TRADA issue two categories of non-conformities, Major nonconformity and Minor nonconformity.
Major Nonconformity
A major nonconformity is a nonconformity that affects the capability of the management system to achieve the intended results. A
major nonconformity could be issued for example if there is a significant doubt that effective process control is in place, or that
products or services will not meet specified requirements or is a number of minor nonconformities associated with the same
requirements or issue could demonstrate a significant failure and thus constitute a major nonconformity.
Time scale for closure of Major nonconformities issued at the stage two audit
Major nonconformities issued at the recertification audit must be actioned by the client and closed by the auditor prior to the
expiry of the existing certificate. Failure to close any major nonconformities prior to the expiration of certification will result in the
certification becoming invalid, which can not be extended. Following expiration of certification BM TRADA can restore certification
within 6 months providing the major nonconformities are closed. After 6 months a new stage one and stage two audit will be
required.
Minor Nonconformity
A minor nonconformity is a nonconformity that does not affect the capability of the management system to achieve the intended
results.

Time scale for closure of Minor nonconformities issued at the recertification audit
Minor nonconformities issued at the recertification audit must either be actioned and closed or have (planned) correction and
corrective actions accepted by the auditor prior to the expiry of the existing certificate. Failure to action and respond any minor
nonconformities prior to the expiration of certification will result in the certification becoming invalid, which can not be extended.
Following expiration of certification BM TRADA can restore certification within 6 months providing the major nonconformities are
closed. After 6 months a new stage one and stage two audit will be required.
Any minor nonconformities that are responded to with planned action, must be verified and closed within 12 months from the
issue date. Failure to close the minor nonconformities within the 12 month month deadline will result in the minor nonconformity
being escalated to a major nonconformity.
Process for responding to BM TRADA Nonconformities
For each nonconformity issued bmtrada require the client organisation to analyse the cause and describe the specific
correction and corrective action(s) taken (or planned to be taken - Minor nonconformities only) to eliminate the detected
nonconformance within the above time frames.
Root cause analysis must be completed to detail the causes of the detected nonconformity. identifying the root cause is the first
step in preventing the cause(es) of the detected nonconformity from recurring. There are many root cause analysis techniques
including the five-whys and fish bone. Whichever technique is applied it is important that the analysis goes far enough to ensure
that no "why" questions remain and all factors are considered. All causes should be verified.
Corrective action must describe the solution, action(s) required to address the identified root causes, so that the detected
nonconformity does not recur. Corrective action must be supported by evidence to support the action taken and its effectiveness.
Once correction, root cause analysis and corrective action has been taken and documented the nonconformity response must be
submitted to the local bmtrada Office with a copy sent to the auditor. Upon receipt the auditor will review the corrections, identified
causes and corrective actions and evidence submitted to determine if they are acceptable. The auditor will then either:
- Close the nonconformity, if acceptable

- Accept the planned actions to be taken, the nonconformity will be open for verification and closure at the next audit (minor
nonconformities only)
- Require additional information / supporting evidence / special visit to verify the effectiveness of action taken
- Reject the response and request additional information / supporting evidence as required
The client organisation will be informed of the result of the auditor review. During the next audit the auditor will follow-up all
previous nonconformities to verify the effectiveness of the actions taken.
Additional Information

A copy of this report shall be distributed to the client and to bmtrada.
The ownership of this audit report is maintained by bmtrada, who shall keep confidential all information relating to this audit and
your organisation and shall not disclose such information to any third party except as required by law or by Accreditation Bodies.
bmtrada assumes no responsibility (legal or otherwise) or accepts no liability to any person(s) for any loss, damage or expense
caused by reliance on information provided in this audit report.
The audit is conducted to include evidence gathering techniques including document review interview and observation of
activities. The audit is based upon a representative sampling process of the available information with the objective to evaluate to
evaluate the fulfilment of the audited requirements of the relevant management system standard and other normative
documentation to confirm the conformity and effectiveness of the management system and its continued relevance and
applicability for the scope of certification.
As this audit was based upon a representative sample of the available information if no findings are raised it does not necessarily
mean that no nonconformities exist within the management system and if findings are raised it does not necessarily mean that
these are the only nonconformities within the system.
The bmtrada standard terms of business, certification services annex clause 3.1.1.8 require that bmtrada be informed of all
relevant regulatory noncompliance or serious incidents that require notification to any regulatory authority. Acceptance of this
report by the client signifies that all such issues have been disclosed as part of the audit process and agreement that any such
noncomploance or incidents occurring after this audit will be notified to bmtrada as soon as practical after the event.

BMT SV Recert Audit Report (V8 May 2021) - Recertification-Pioneer Cement-ISO 45001-Client

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

BMT SV Recert Audit Report (V8 May 2021) - Recertification-Pioneer Cement-ISO 45001-Client

Uploaded by

Copyright:

Available Formats

Management Systems Certification Audit Report for:

Pioneer Cement Industries

Certificate Number 615

Report author: Mento Manjiyil

Report issue date: 17-11-2021

Date(s) of next audit: October 2022

Number of major NCRs issued at Number of minor NCRs issued at

BMTC-F-83 V8 May 2021 Page 1 of 30

ISO 9001:2015 ISO 14001:2015 (BS) OHSAS 18001:2007 ISO 22301:2014

ISO 50001:2011 SSIP ISO 27001:2013

ISO 50001:2018 ISO 44001:2017 ISO 45001:2018 ✔ NHSS

Scope Extension / Special

ISO 50001:2018 ISO 45001:2018

Onsite / Remote Audit: On-site audit ✔ Remote Audit (Covid-19)

Integrated / Combined / Integrated systems Not applicable

The audit deviated from the audit plan? No

Sites Audited and Audit Dates

Site Address Audited Audit date(s)

BMTC-F-83 V8 May 2021 Page 2 of 30

Mento Manjiyil Lead Auditor

Total number of sites included in the

Number of shifts operated by the organisation: 3

Does the organisation provide services at another organisation's premises? No

BMTC-F-83 V8 May 2021 Page 3 of 30

Manufacturing and Distribution of OPC, SRC, PLC Cement and GGBFS

Details of any Changes to the Client Organisation

If yes please specify details of all changes below

BMTC-F-83 V8 May 2021 Page 4 of 30

Areas for consideration to be covered during the next audit

BMTC-F-83 V8 May 2021 Page 5 of 30

Nonconformities identified at this Audit

NIL NIL NIL

Opportunities for Improvement

Status of any Previous Audit Findings

Audit Summary and Conclusions

The audit objectives have been fulfilled? Yes

BMTC-F-83 V8 May 2021 Page 6 of 30

Auditor comments and conclusions

Surveillance / Recertification Recommendation

Recommends Continued Certification - No Nonconformities Raised

BMTC-F-83 V8 May 2021 Page 7 of 30

These people shall be clearly indicated in the field below.

Mr. Abdul Hamid-HR Manager

Covid-19 Management System Impact Assessment

Is the organisation functioning normally?

Is the organisation manufacturing /

Has the organisation been required to use

Does existing client inventory still meet

BMTC-F-83 V8 May 2021 Page 8 of 30

Has the client conducted any impact

Did the audit identify any significant risks

To what extent has implementation and

Please confirm any elements of the clients

Is evidence available to demonstrate that

BMTC-F-83 V8 May 2021 Page 9 of 30

BMTC-F-83 V8 May 2021 Page 10 of 30

ISO 45001 Interested parties: Has the organisation determined:

Note: Relevant interested parties must include workers

Context - Audit findings and supporting evidence seen

2. Identified 14 external factors:

Communication of context of the organization:

BMTC-F-83 V8 May 2021 Page 11 of 30

A. Provide safe and healthy working conditions?