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IMS ISO Auditing Tool

The ISO Integrated Management System Auditing Tool is a comprehensive template designed for auditing Integrated Management Systems according to ISO 45001:2018, 14001:2015, and 9001:2015 standards. It includes features such as an audit checklist, summary, action plans, and compliance tracking. The tool simplifies the auditing and reporting process, ensuring adherence to ISO standards.

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0% found this document useful (0 votes)
70 views274 pages

IMS ISO Auditing Tool

The ISO Integrated Management System Auditing Tool is a comprehensive template designed for auditing Integrated Management Systems according to ISO 45001:2018, 14001:2015, and 9001:2015 standards. It includes features such as an audit checklist, summary, action plans, and compliance tracking. The tool simplifies the auditing and reporting process, ensuring adherence to ISO standards.

Uploaded by

Abdallah Ramadan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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ISO INTEGRATED MANAGEMENT SYSTEM AUDITING TOOL

ISO Integrated Management System Auditing Tool is a turnkey template


for conducting audit on Integrated Management System in accordance
with ISO 45001:2018, 14001:2015 and 9001:2015 standards.

⚙️Features include;

ISO Integrated Audit Checklist;


Audit Summary;
NC, CAPA & Action Plan;
Dashboard;
ISO IMS Compliance;
Compliance, NCs & OFIs;
Audit Findings;
Sub-Clauses Compliance

The integrated management system auditing and reporting in


accordance with ISO standards just got easier.

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#
TEM AUDITING TOOL

a turnkey template
tem in accordance CLICK HERE TO BEGIN
tandards.

eporting in

Password to relevant sheets and workbook:

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#
O BEGIN

sheqxelisoims

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#
# Table of Content
1 Approved List Click Here

2 Audit Scoring Criteria Click Here

3 ISO Integrated Audit Checklist Click Here

4 Audit Summary Click Here

5 NC, CAPA & Action Plan Click Here

6 Dashboard Click Here

7 ISO IMS Compliance Status Click Here

8 Compliance, NCs & OFIs Click Here

9 Audit Findings Click Here

10 Sub-Clauses Compliance Status Click Here

11 Action Open vs Closed Click Here

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#
APPROVED LIST
# Root Cause
Lack of Scope for QEHS Management System
Lack of Organizational Knowledge
Lack of Organizational Knowledge
Lack of Leadership and Commitment
Lack of Identification and Traceability
Lack of Documented Information
Lack of Customer Focus
Lack of Control of External Properties
Lack of Control of Design and Development Changes
Lack of Continual Improvement of QEHS System
Inadequately Determined Product and Services Requirements
Inadequate Support
Inadequate Review of Product and Services Requirements
Inadequate Quality Planning and Control
Inadequate Planning
Inadequate Organizational Context
Inadequate Operational Planning and Control
Inadequate Operational Planning and Control
Inadequate Monitoring and Measurement Resources
Inadequate Monitoring and Measurement
Inadequate Information with Service Providers
Inadequate External Control
Inadequate Evaluation
Inadequate Environmental Planning and Control
Inadequate Emergency Preparedness and Response
Inadequate Documented Information
Inadequate Design and Development Review
Inadequate Design and Development Planning
Inadequate Design and Development Output
Inadequate Design and Development Input
Inadequate Design and Development Control
Inadequate Control of Production and Service Provision
Inadequate Control of Nonconforming Products and Services
Inadequate Control of External Providers
Inadequate Consultation and Particpation
Inadequate Communication with External Providers

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Action Priority Action Status
High Open
Medium Closed
Low

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#
Finding
Compliant

OFI

Minor NC

Major NC

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#
Audit Scoring Criteria
Definition/Impact
Compliant means adherence with the requirements of the standard and
the IMS. The process is implemented and documented and records exist to
verify
A low this.
risk issue that offers an opportunity to improve current practice.
Processes may cumbersome or overly complex but meet their targets and
objectives. Unresolved OFIs may degrade over time to become non-
compliant.
A medium risk, minor non-conformance resulting in deviation from process
practice not likely to result in the failure of the management system or
result
A highin an major
risk, incident
non-conformance which directly impacts on
effectiveness of the management system and likely to result in an
incident.

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#
Audit Scoring Criteria
Score
100%

Not
Scored

50%

0%

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#
oring Criteria
Action/Mitigation
Continue to monitor trends/indicators.

Review and implement actions to improve the process(s). Monitor


trends/indicators to determine if improvement was achieved.

Investigate root cause(s) and implement corrective action by next


reporting period or next scheduled audit.
Implement immediate containment action, investigate root cause(s) and
apply corrective action. Re-audit in 4 weeks to verify correction.

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
4.1 4. Context Understanding the organization and its context 0 2 0 0
Defining internal and external issues relevant to
organization's purpose and the strategic direction
Has your organization determined external and internal issues relevant to its purpose and its
4.1q1 4. Context Q E HS and clarification of the strategic aims of the x There is no evidence on SWOT and PESTEL Analysis
strategic direction that affect its ability to achieve the intended result(s) of its IMS?
organization and determin any issues couls affect
these aims being acgieved
Monitoring and reviewing information about these There is no evidence on SWOT and PESTEL Analysis
4.1q2 4. Context Q E HS Does your organization monitor and review information about these external and internal issues? x
external and internal issues Registers
4.2 4. Context Understanding the needs and expectation of workers and other interested parties 0 4 0 0
Completeing and documenting stakeholder
Has your organization determined the interested parties and workers that are relevant to the
4.2q3a 4. Context Q E HS analysis to determine key stakeholders whom x There is no evidence on Stakeholder Analysis
IMS?
have an impact on therequirements of the IMS

Has your organization determined the needs and expectations of these interested parties and Considering stakeholders’ expectations for
4.2q3b 4. Context Q E HS x There is no evidence on Stakeholder Analysis
workers that are relevant to the IMS? incorporation into the IMS

Determining which of these needs and


Has your organization determined which of these needs and expectations could become legal
4.2q3c 4. Context Q E HS expectations could become legal requirement and x There is no evidence on Stakeholder Analysis
requirement and other requirement?
other requirement
Monitor and reviewing information about these
How do you monitor and review information about these interested parties and their relevant
4.2q4 4. Context Q E HS interested parties and their relevant needs and x There is no evidence on stakeholder registery
needs and expectations?
expectations
4.3 4. Context Determining the scope of the management system 0 10 0 0
Has the organization determined the boundaries and applicability of the IMS to establish its Determining the boundaries and applicability of
4.3q5 4. Context Q E HS x
scope? the IMS to establish its scope
When determining this scope, has your organization considered the external and internal issues Considering the external and internal issues in the
4.3q6a 4. Context Q E HS x
referred to in 4.1? scope statement
When determining this scope, has your organization considered the requirements of relevant Considering the requirements of relevant
4.3q6b 4. Context Q E HS x
interested parties referred to in 4.2? interested parties in the scope statement
Takening into account all relevant products,
When determining this scope, has the organization taken into account all relevant products,
4.3q6c 4. Context Q E HS services and work-related activities, functions and x
services and work-related activities, functions and physical boundaries to the IMS?
physical boundaries to the IMS
When determining this scope, has your organization considered its activities, products, services
and work-related activities and related product lifecycles, such as:

1. Raw material acquisition;


considering activities, services and work-related
4.3q7 4. Context Q E HS 2. Manufacture; x
activities and related product lifecycles
3. Packaging/Transport/Delivery;
4. Use; IMS Scope Statement is idntfied in IMS Manua, but not
5. End of life treatment; approved
6. Final disposal.
considering activities, and services over which it
has your organization considered its activities, products and services over which it has the
4.3q8 4. Context Q has the authority and to exercise control and x
authority and to exercise control and influence?
influence
Stating all the requirements of ISO 9001:2015, ISO
Has your organization applied all the requirements of ISO 9001:2015, ISO 14001:2015 and ISO
4.3q9 4. Context Q E HS 14001:2015 and ISO 45001:2018 if they are x
45001:2018 if they are applicable within the determined scope of the IMS?
applicable within the determined scope of the IMS
stating the types of products and services
Does the scope state the types of products and services covered, and provide justification for covered, and provide justification for any
4.3q10 4. Context Q any requirement of ISO 9001:2015 that your organization determines is not applicable to the requirement of ISO 9001:2015 that your x
scope of its IMS? organization determines is not applicable to the
scope of its IMS
considering and documenting ability and authority
When determining scope, has your organization considered and documented its ability and
4.3q11 4. Context E HS to control and influence factors relating to external x
authority to control and influence factors relating to external and internal issues?
and internal issues
Is the scope of your organization’s IMS available and maintained as documented information and
4.3q12 4. Context Q E HS Scope Statement x
available to interested parties and workers? (See 7.5.1a)
4.4 4. Context Integrated Management System 2 4 7 0
establishing, implementing, maintaining and
Has your organization established, implemented, maintained and continually improved its IMS, continually improving the processes needed and
4.4q13 4. Context Q E HS including the processes needed and their interactions, in accordance with the requirements of their interactions, in accordance with the x Process Maps and interactions are not approved
ISO 9001:2015, ISO 14001:2015 and ISO 45001:2018? requirements of ISO 9001:2015, ISO 14001:2015
and ISO 45001:2018

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Has your organization considered the knowledge and information obtained by 4.1 and 4.2 when Obtaining information by 4.1 and 4.2 when
4.4q14 4. Context Q E HS x Process Maps and interactions are not approved
implementing and operating it IMS? implementing and operating it IMS
Determining the process required for the IMS,
Has your organization determined the process required for the IMS, including their interactions, including their interactions, in accordance with
4.4q15 4. Context Q E HS x Process Maps & Intercations are not approved
in accordance with requirements and their application throughout the organization? requirements and their application throughout the
organization
Has your organization determined the inputs required and the outputs expected from these Determining the inputs required and the outputs
4.4q16 4. Context Q x Process Approach (ex. SIPOC Model) is not existing
processes? expected from these processes
Determining the sequence and interaction of these
4.4q17 4. Context Q Has your organization determined the sequence and interaction of these processes? x Process Maps & Intercations are not approved
processes
Determining and appling the criteria and methods
Has your organization determined and applied the criteria and methods (including monitoring, Processes are not approved, there are no criteria for
(including monitoring, measurements and related
4.4q18 4. Context Q measurements and related performance indicators) needed to ensure the effective operation and x the processes
performance indicators) needed to ensure the
control of these processes? Objectives of Each Process are not determined
effective operation and control of these processes
Resources Allocation:-
*Human Resources are defined in staff management
Has your organization determined the resources needed for these processes and ensure their Determining the resources needed for these
4.4q19 4. Context Q x plan
availability? processes and ensure their availability
*Physical Resources are determined in the asset
management plan
There is no evidence on assining responsibilities and
Assigning responsibilities and authorities for these
4.4q20 4. Context Q Has your organization assigned responsibilities and authorities for these processes? x authorities for these processes. RACI Matrix would be
processes
a best practice for this requirement
Has your organization addressed the risks and opportunities as determined in accordance with
Addressing the risks and opportunities as
4.4q21 4. Context Q x Processes Risks and Opportunities Analysis
the requirements of 6.1? determined in accordance with the requirements
Evaluating these processes and implementing any *There is no evidence on evaluting processes
Has your organization evaluated these processes and implement any changes needed to ensure
4.4q22 4. Context Q changes needed to ensure that these processes x *Internal Audit is on going
that these processes achieve their intended results?
achieve their intended results *There is no set objectives and targets for processes

4.4q23 4. Context Q Does your organization improve the processes and the IMS? Improving the processes and the IMS x There is no evidence on processes improvement pan
To the extent necessary, does your organization maintain documented information to support
4.4q24 4. Context Q Procedures for Mapped Processes x
the operation of its processes?
IMS Documents (Ongoing Process)
To the extent necessary, does your organization retain documented information to have
4.4q25 4. Context Q Records on Mapped Processes x
confidence that the processes are being carried out as planned?
5 5. Leadership Leadership, Commitment and Worker Participation
5.1 5. Leadership Leadership and Commitment
5.1.1 5. Leadership General 3 7 4 0
Strategic action plan is ongoing
Does Top Management demonstrated leadership and commitment to the IMS by taking Taking accountability for the effectiveness of your There is no evidence on Management Review
5.1.1q1a 5. Leadership Q E HS x
accountability for the effectiveness of your organization’s IMS? organization’s IMS No Dashborads available
No MoM for the required meetings
Ensuring that QHSE policies and objectives are
Does Top Management demonstrated leadership and commitment to the IMS by ensuring that *Quality policy is unapproved
established and documented, and are compatible
5.1.1q1b 5. Leadership Q E HS QHSE policies and objectives are established and documented, and are compatible your x *HSE plocy is approved
your organization’s goals (See 6.2) and its context
organization’s goals (See 6.2) and its context (See 4.0)? *QHSE Objectives are not defined
(See 4.0
Does Top Management demonstrated leadership and commitment to the IMS by ensuring that ensuring that QEHS requirements are integrated
5.1.1q1c 5. Leadership Q E HS x Processes Mapping and Interactions are not approved
QEHS requirements are integrated into your organization’s processes? into your organization’s processes
Processes Mapping (SIPOC) and SWOT Analysis for
Does Top management demonstrate leadership and commitment with respect to the IMS by Promoting the use of the process approach and each Key Function (Department) are not approved
5.1.1q1d 5. Leadership Q x
promoting the use of the process approach and risk-based thinking? risk-based thinking Departmental risk,Corporate risk,hazard log,risk
register

Resources Allocation:-
*Human Resources are defined in staff management
Has Top Management demonstrated leadership and commitment to the IMS by ensuring that ensuring that your organization has the required
5.1.1q1e 5. Leadership Q E HS x plan and Safety critical staff
your organization has the required resources to implement it? resources to implement it
*Physical Resources are determined in the asset
management plan

1-Training and awarness sessions are being


communicating the importance of effective
conducting but there is no plan or schadule as an
Does top management communicate the importance of effective quality, environmental and quality, environmental and health and safety
5.1.1q1f 5. Leadership Q E HS x evidence
health and safety management and of conforming to the QEHS management requirements? management and of conforming to the QEHS
2-Safety bulletins
management requirements
3-Safety meeting (monthly)

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Management Reviews are not implemented
5.1.1q1g 5. Leadership Q E HS Does Top management ensure that the IMS achieves its intended results? ensuring that the IMS achieves its intended results x
Monthly Data reviews are recorded in monthly reports
1-Training and awarness sessions are being
Does Top management demonstrate leadership and commitment with respect to the IMS by engaging, directing and supporting persons to conducting but there is no plan or schadule as an
5.1.1q1h 5. Leadership Q E HS x
engaging, directing and supporting persons to contribute to the effectiveness of the IMS? contribute to the effectiveness of the IMS evidence

Improvement Plan and Programs (eg. Lean Six Sigma,


Does Top management demonstrate leadership and commitment with respect to the IMS by Kizen, 5S,….)
5.1.1q1i 5. Leadership Q E HS promoting improvement x
promoting improvement? 5S project is being implemented but other
improvement rrequirements are not fulfilled
*Monthly meetings of progress review are being
Does Top management demonstrate leadership and commitment with respect to the IMS by supporting other relevant management roles to
conducting
5.1.1q1j 5. Leadership Q E HS supporting other relevant management roles to demonstrate their leadership as it applies to demonstrate their leadership as it applies to their x
*HSE Committee Meetinds are not conducted
their areas of responsibility? areas of responsibility
*Management Review Meetings are not being run

Does top management develop, lead, and promote a culture in the organization that supports promoting a culture in the organization that There is no evidence on Communication Participation
5.1.1q1k 5. Leadership HS x
the intended outcomes of the IMS? supports the intended outcomes of the IMS and Consultation Process

* Incident Investigation and Reporting Procedure is


Does top management protect workers from reprisals when reporting incidents, hazards, risks protecting workers from reprisals when reporting unapproved
5.1.1q1l 5. Leadership HS x
and opportunities? incidents, hazards, risks and opportunities - Hazard Log Review is approved
- Risk Register is unapproved

ensuring that the organization establishes and * There is no evidence on Communication


Does top management ensure that the organization establishes and implements a process(es)
5.1.1q1m 5. Leadership HS implements a process(es) for consultation and x Participation and Consultation Process
for consultation and participation of workers (see 5.4)?
participation of workers * Safety Committee is not implemented
* RQHSE Organization Chart is complete
Does top management support the establishment and functioning of health and safety establishment and functioning of health and safety there is no evidence on HSE Committee meetings and
5.1.1q1nn 5. Leadership HS x
committees, [see 5.4 e) 1]? committees actions as HSE Committee is the best practice to fulfill
this requirement
5.1.2 5. Leadership Customer Focus 2 1 0 0

Does Top management demonstrate leadership and commitment with respect to customer focus ensuring that customer and applicable statutory There is no evidence on listing customer, statutory
5.1.2q2 5. Leadership Q by ensuring that customer and applicable statutory and regulatory requirements are determined, and regulatory requirements are determined, x and regulatory requirements to be reviewed eg. Legal
understood and consistently met? understood and consistently met and other requirements register- customer feedback)

ensuring that the risks and opportunities that can


Does Top management demonstrate leadership and commitment with respect to customer focus
affect conformity of products and services and the there is no evidence on this requirement as SWOT
5.1.2q3 5. Leadership Q by ensuring that the risks and opportunities that can affect conformity of products and services x
ability to enhance customer satisfaction are Analysis Register
and the ability to enhance customer satisfaction are determined and addressed?
determined and addressed
* Customer Satisfaction and feedback surveys are
Procedure for Measuring Customer Satisfaction,
Does Top management demonstrate leadership and commitment with respect to customer focus being conducted.
5.1.2q4 5. Leadership Q Customer Satisfaction Index and Customer x
by ensuring that the focus on enhancing customer satisfaction is maintained? * Dashboards are not completed
Satisfaction Questionnaires
* Strategic action plan is implemeted
5.2 5. Leadership Management System Policy
5.2.1 5. Leadership Developing the Policy 0 6 0 0
Policy Statement including the nature, scale, and
Has top management established, implemented and maintained QEHS policy that is appropriate
environmental impacts of its activitities, products
to the purpose and organizational context and support its strategic direction; including the
or services, including a commitment to provide HSE Policy is approved and fulfills the requirement but
nature, scale, and environmental impacts of its activitities, products or services, including a
5.2q1a 5. Leadership Q E HS safe and healthy working conditions to prevent x Quality Policy is unapproved
commitment to provide safe and healthy working conditions to prevent work-related injury and ill
work-related injury and ill health and is IMS Policy has been drafted
health and is appropriate to the purpose and specific to the nature of our OH&S risks and OH&S
appropriate to the purpose and specific to the
opportunities
nature of our OH&S risks and OH&S opportunities
Policy Statement providing a framework for setting
Has top management established, implemented and maintained quality, environmental and HSE Policy is approved and fulfills the requirement but
5.2q1b 5. Leadership Q E HS the QEHS objectives x
health and safety policy that provides a framework for setting the QEHS objectives? Quality Policy is unapproved
Objectives on the IMS/PLan
Has top management established, implemented and maintained a QEHS policy that includes a Policy Statement includes a commitment to fulfil HSE Policy is approved and fulfills the requirement but
5.2q1c 5. Leadership Q E HS x
commitment to fulfil legal requirements and other requirements? legal requirements and other requirements Quality Policy is unapproved
Has top management established, implemented and maintained a QEHS policy that includes a Policy Statement includes a commitment to
HSE Policy is approved and fulfills the requirement but
5.2q1d/e 5. Leadership Q E HS commitment to protect the environment, prevent pollution, eliminate hazards and reduce OH&S protect the environment, prevent pollution, x
Quality Policy is unapproved
risks (see 8.1.2)? eliminate hazards and reduce OH&S risks

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Has top management established, implemented and maintained an QEHS policy that includes a Policy Statement includes a commitment to HSE Policy is approved and fulfills the requirement but
5.2q1f 5. Leadership Q E HS x
commitment to continual improvement of the IMS? continual improvement of the IMS Quality Policy is unapproved
Has top management established, implemented and maintained an OH&S policy that includes a Policy Statement includes a commitment to
HSE Policy is approved and fulfills the requirement but
5.2q1g 5. Leadership Q E HS commitment to consultation and participation of workers, and , where they exist workers consultation and participation of workers, and , x
Quality Policy is unapproved
representative? where they exist workers representative
5.2.2 5. Leadership Communicating the Policy 0 4 0 0
HSE Policy is approved and fulfills the requirement but
5.2.2q1a 5. Leadership Q E HS Is the QEHS policy available as documented information? Availability of QEHS policy x
Quality Policy is unapproved
Communicating QEHS policy within the HSE Policy is approved and fulfills the requirement as
5.2.2q1b 5. Leadership Q E HS Is the QEHS policy communicated within the organization? organization x it is Hanged on Walls, Published on Website but
orientation form for new comers Quality Policy is unapproved
HSE Policy is approved and fulfills the requirement as
5.2.2q1c 5. Leadership Q E HS Is the QEHS policy available to interested parties, as appropriate? Availability of QEHS policy to interested parties x it is Hanged on Walls, Published on Website but
Quality Policy is unapproved
*HSE Policy satatement is signed
5.2.2q1d 5. Leadership Q E HS Is the QEHS policy relevant and appropriate? Relevancy and appropriatness of QHSE Policy x
*Quality Policy is unapproved
5.3 5. Leadership Organizational Roles, Responsibilities and Authorities 0 7 0 0
Does top management ensure that the responsibilities and authorities for relevant roles within
Organization Chart, Job Description Organization Chart is unapproved and job descriptions
5.3q1 5. Leadership Q E HS the IMS are assigned and communicated at all levels within the organization and maintained as x
Acknowledgement and acknowledgement forms are not activated
documented information?
workers at each level of the organization aware of
Do workers at each level of the organization assume responsibility for those aspects of the IMS Organization Chart is unapproved and job descriptions
5.3q2 5. Leadership Q E HS responsibility for those aspects of the IMS over x
over which they have control? acknowledgement forms are not activated
which they have control
assigning the responsibility and authority for
Does top management assign the responsibility and authority for ensuring that the IMS conforms ensuring that the IMS conforms to the Organization Chart is unapproved and job descriptions
5.3q3 5. Leadership Q E HS x
to the requirements of ISO 9001:2015, ISO 14001:2015 and ISO 45001:2018? requirements of ISO 9001:2015, ISO 14001:2015 acknowledgement forms are not activated
and ISO 45001:2018
ssigning the responsibility and authority for
Does Top management assigned the responsibility and authority for ensuring that the processes Organization Chart is unapproved and job descriptions
5.3q4 5. Leadership Q ensuring that the processes are delivering their x
are delivering their intended outputs? acknowledgement forms are not activated
intended
assigningoutputs
the responsibility and authority for
Does top management assign the responsibility and authority for reporting on the performance Organization Chart is unapproved and job descriptions
5.3q5 5. Leadership Q E HS reporting on the performance of the IMS to top x
of the IMS to top management? acknowledgement forms are not activated
management
assigning the responsibility and authority for
Does Top management assign the responsibility and authority for ensuring the promotion of Organization Chart is unapproved and job descriptions
5.3q6 5. Leadership Q ensuring the promotion of customer focus x
customer focus throughout your organization? acknowledgement forms are not activated
throughout your organization
Does Top management assign the responsibility and authority for ensuring that the integrity of Organization Chart Job Description Organization Chart is unapproved and job descriptions
5.3q7 5. Leadership Q E HS x
the IMS is maintained when changes to it planned and implemented? Acknowledgement acknowledgement forms are not activated
5.4 5. Leadership Consultation and Participation of Workers and Contractors 0 20 0 0
Has your organization established, implemented and maintained a process(es) for consultation
Communication, Participation and Consultation
and participation of workers at all applicable levels and functions, and, where they exist, workers’ There is no Communication, Participation and
5.4q8 5. Leadership HS Procedure x
representatives, in the development, planning, implementation, performance evaluation and Consultation Procedure
Safety Committee
actions for improvement of the IMS? providing mechanisms, time, training and Consultation and participation process, and Awarness
Has your organization provided mechanisms, time, training and resources necessary for
5.4q9a 5. Leadership HS resources necessary for consultation and x Sessions are not existing eg. Participating in safety
consultation and participation?
participation committee meetings
Consultation and participation process, and Awarness
Has your organization provided timely access to clear, understandable and relevant information Provided timely access to clear, understandable
5.4q9b 5. Leadership HS x Sessions are not existing eg. Participating in safety
about the IMS? and relevant information about the IMS
determining and removing obstacles or barriers to committee meetings
Consultation and participation process, and Awarness
Has your organization determined and removed obstacles or barriers to participation and
5.4q10c 5. Leadership HS participation and minimize those that cannot be x Sessions are not existing eg. Participating in safety
minimize those that cannot be removed?
removed committee meetings
emphasizing the consultation of non-managerial
Has your organization emphasized the consultation of non-managerial workers on determining There is no evidence on Workers Participation in
5.4q11d1 5. Leadership HS workers on determining the needs and x
the needs and expectations of interested parties? (see 4.2) Stakeholder Analysis (Surveys)
expectations of interested parties
Has your organization emphasized the consultation of non-managerial workers on establishing emphasizing the consultation of non-managerial There is no evidence on Workers Participation in policy
5.4q11d2 5. Leadership HS x
the QEHS policy? (see 5.2) workers on establishing the QEHS policy reviews (Surveys)
emphasizing the consultation of non-managerial Consultation and participation process, and Awarness
Has your organization emphasized the consultation of non-managerial workers on assigning
5.4q11d3 5. Leadership HS workers on assigning organizational roles, x Sessions are not existing eg. Participating in safety
organizational roles, responsibilities and authorities, as applicable? (see 5.3)
responsibilities and authorities, as applicable committee meetings
emphasizing the consultation of non-managerial Consultation and participation process, and Awarness
Has your organization emphasized the consultation of non-managerial workers on determining
5.4q11d4 5. Leadership HS workers on determining how to fulfil legal x Sessions are not existing eg. Participating in safety
how to fulfil legal requirements and other requirements? (see 6.1.3)
requirements and other requirements committee meetings
emphasizing the consultation of non-managerial Consultation and participation process, and Awarness
Has your organization emphasized the consultation of non-managerial workers on establishing
5.4q11d5 5. Leadership HS workers on establishing QEHS objectives and x Sessions are not existing eg. Participating in safety
QEHS objectives and planning to achieve them? (see 6.2)
planning to achieve them committee meetings
emphasizing the consultation of non-managerial Consultation and participation process, and Awarness
Has your organization emphasized the consultation of non-managerial workers on determining
5.4q11d6 5. Leadership HS workers on determining applicable controls for x Sessions are not existing eg. Participating in safety
applicable controls for outsourcing, procurement and contractors? (see 8.1.4)
outsourcing, procurement and contractors committee meetings

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
emphasizing the consultation of non-managerial Consultation and participation process, and Awarness
Has your organization emphasized the consultation of non-managerial workers on determining
5.4q11d7 5. Leadership HS workers on determining what needs to be x Sessions are not existing eg. Participating in safety
what needs to be monitored, measured and evaluated? (see 9.1)
monitored, measured and evaluated committee meetings(MOM)
Consultation and participation process, and Awarness
Has your organization emphasized the consultation of non-managerial workers on establishing, Communication Participation and Consultation
5.4q11d8 5. Leadership HS x Sessions are not existing eg. Participating in safety
implementing and maintaining an audit programme(s)? (see 9.2.2) Procedure
committee meetings
Consultation and participation process, and Awarness
Has your organization emphasized the consultation of non-managerial workers on ensuring emphasizing the consultation of non-managerial
5.4q11d9 5. Leadership HS x Sessions are not existing eg. Participating in safety
continual improvement? (see 10.3) workers on ensuring continual improvement
committee meetings
emphasizing the participation non-managerial Consultation and participation process, and Awarness
Has your organization emphasized the participation non-managerial workers in determining the
5.4q12e1 5. Leadership HS workers in determining the mechanisms for their x Sessions are not existing eg. Participating in safety
mechanisms for their consultation and participation?
consultation and participation committee meetings
emphasizing the participation non-managerial
Has your organization emphasized the participation non-managerial workers in identifying MOM of doing risk Rigester and Dynamic Risk
5.4q12e2 5. Leadership HS workers in identifying hazards and assessing risks x
hazards and assessing risks and opportunities? (see 6.1.1 and 6.1.2) Assessment
and opportunities
emphasizing the participation non-managerial
Has your organization emphasized the participation non-managerial workers in determining MOM of doing risk Rigester and Dynamic Risk
5.4q12e3 5. Leadership HS workers in determining actions to eliminate x
actions to eliminate hazards and reduce OH&S risks? (see 6.1.4) Assessment
hazards and reduce OH&S risks
emphasizing the participation non-managerial there is no evidence on Workers survey on training
Has your organization emphasized the participation non-managerial workers in determining
5.4q12e4 5. Leadership HS workers in determining competence requirements, x needs
competence requirements, training needs, training and evaluating training? (see 7.2)
training needs, training and evaluating training Annual Appraisal (Recommend Training Needs)
emphasizing the participation non-managerial
Has your organization emphasized the participation non-managerial workers in determining what
5.4q12e5 5. Leadership HS workers in determining what needs to be x Leading and Lagging Indicators Signs (Tablues)
needs to be communicated and how this will be done? (see 7.4)
communicated and how this will be done
emphasizing the participation non-managerial Consultation and participation process, and Awarness
Has your organization emphasized the participation non-managerial workers in determining
5.4q12e6 5. Leadership HS workers in determining control measures and their x Sessions are not existing eg. Participating in safety
control measures and their effective implementation and use? (see 8.1, 8.1.3 and 8.2)
effective implementation and use committee meetings
emphasizing the participation non-managerial
Has your organization emphasized the participation non-managerial workers in investigating workers in investigating incidents and
5.4q12e7 5. Leadership HS x Incident Investigation and Reporting Procedure
incidents and nonconformities and determining corrective actions? (see 10.2) nonconformities and determining corrective
actions
6 6. Planning Planning
6.1 6. Planning General
6.1.1 6. Planning Actions to Address Risks and Opportunities 20 0 0 0

Has your organization established, implemented and maintained the processes needed to meet
6.1.1q1 6. Planning Q Procedure for Addressing Risks and Opportunities x There is no evidence on this requirement
the requirements for addressing risk and opportunities 6.1.1 and planning action 6.1.4?

considering the issues referred to in 4.1 (context),


Has the organization considered the issues referred to in 4.1 (context), the requirements referred Adressing Risks and opportunities process is not
6.1.1q1 6. Planning Q E HS the requirements referred to in 4.2 (interested x
to in 4.2 (interested parties) and 4.3 (the scope of its IMS)? defined as risk management plan is not approved
parties) and 4.3 (the scope of its IMS)
determining the risks and opportunities that need
Has the organization determined the risks and opportunities that need to be addressed to give There is no evidence on tackling risks and
6.1.1q2a 6. Planning Q E HS to be addressed to give assurance that the IMS x
assurance that the IMS can achieve its intended outcome(s)? opportunities
can achieve its intended outcome
determining the risks and opportunities that need
Has the organization determined the risks and opportunities that need to be addressed to to be addressed to prevent, or reduce, undesired Adressing Risks and opportunities process is not
6.1.1q2b 6. Planning Q E HS prevent, or reduce, undesired effects including the potential for external environmental effects including the potential for external x defined and There is no evidence on tackling risks
conditions to affect the organization? environmental conditions to affect the and opportunities
organization Adressing Risks and opportunities process is not
Has the organization determined the risks and opportunities that need to be addressed to determining the risks and opportunities that need
6.1.1q2c 6. Planning Q E HS x defined and There is no evidence on tackling risks and
achieve continual improvement? to be addressed to achieve continual improvement
When determining the risks and opportunities for the IMS and its intended outcomes that need to opportunities
There is no evidence on defining environmental
6.1.1q3 6. Planning E HS be addressed, does the organization take into account environmental aspects (See 6.1.2) and taking into account environmental aspects x
aspects and tackling risks and opportunities
hazards (See [Link]) Adressing Risks and opportunities process is not
When determining the risks and opportunities for the IMS and its intended outcomes that need to
6.1.1q4 6. Planning HS taking into account OH&S risks and other risks x defined and There is no evidence on tackling risks and
be addressed, does the organization take into account OH&S risks and other risks (see [Link])?
When determining the risks and opportunities for the IMS and its intended outcomes that need to opportunities
Adressing Risks and opportunities process is not
taking into account OH&S opportunities and other
6.1.1q5 6. Planning HS be addressed, does the organization take into account OH&S opportunities and other x defined and There is no evidence on tackling risks and
opportunities
opportunities
When (see [Link])?
determining the risks and opportunities for the IMS and its intended outcomes that need to opportunities
Adressing Risks and opportunities process is not
taking into account legal requirements and other
6.1.1q6 6. Planning HS be addressed, does the organization take into account legal requirements and other x defined and There is no evidence on tackling risks ans
requirements
requirements (see 6.1.3)? opportunities
Adressing Risks and opportunities process is not
determine and assess the risks and opportunities
In its planning process(es), does the organization determine and assess the risks and defined and There is no evidence on tackling risks
6.1.1q7 6. Planning HS associated with changes in the organization, its x
opportunities associated with changes in the organization, its processes or the IMS? and opportunities and legal and other requirements
processes or the IMS
register
Adressing Risks and opportunities process is not
In the case of planned changes, permanent or temporary, will this assessment be undertaken assessment be undertaken before the change is
6.1.1q8 6. Planning HS x defined and There is no evidence on tackling risks ans
before the change is implemented (see 8.1.3)? implemented
opportunities and change assessment

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#
Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
determining potential emergency situations,
Does the scope of the IMS demonstrate how the organization has determined potential There is no evidence on determining environmental
6.1.1q9 6. Planning E including those which might have an x
emergency situations, including those which might have an environmental impact? impacts and its related emergency situations
environmental impact
ensuring the action taken to address risks and
Adressing Risks and opportunities process is not
Does your organization ensure the action taken to address risks and opportunities is opportunities is proportionate to the potential
6.1.1q10 6. Planning E HS x defined and There is no evidence on tackling risks and
proportionate to the potential impacts on the conformity of products and services? impacts on the conformity of products and
opportunities
Does the organization maintain documented information on risks and opportunities that must be services
6.1.1q11 6. Planning E HS Procedure for Addressing Risks and Opportunities x There is no evidence on this requirement
addressed?
Has your organization maintained documented information of the processes needed in 6.1.1 to
6.1.1q12 6. Planning E HS Procedure for Addressing Risks and Opportunities x There is no evidence on this requirement
6.1.4, to the extent that they can be carried out as planned?
determining and assessing the risks and
The organization, in its planning process(es), shall determine and assess the risks and opportunities that are relevant to the intended Adressing Risks and opportunities process is not
6.1.1q13 6. Planning HS opportunities that are relevant to the intended outcomes of the OH&S management system outcomes of the OH&S management system x defined and There is no evidence on tackling risks ans
associated with changes in the organization, its processes or the OH&S management system. associated with changes in the organization, its opportunities and change assessment
processes or the OH&S management system
Adressing Risks and opportunities process is not
In the case of planned changes, permanent or temporary, this assessment shall be undertaken assessment shall be undertaken before the
6.1.1q14 6. Planning HS x defined and There is no evidence on tackling risks ans
before the change is implemented (see 8.1.3). change is implemented
opportunities and change assessment
Adressing Risks and opportunities process is not
6.1.1q15 6. Planning Q Does your organization plan actions to address risks and opportunities? planning actions to address risks and opportunities x defined and There is no evidence on tackling risks ans
opportunities
Adressing Risks and opportunities process is not
planning actions to integrate and implement the
6.1.1q16 6. Planning Q Does your organization plan actions to integrate and implement the actions into IMS processes? x defined and There is no evidence on tackling risks ans
actions into IMS processes
opportunities
Adressing Risks and opportunities process is not
ensuring the action taken to address risks and defined and There is no evidence on tackling risks ans
Does your organization ensure the action taken to address risks and opportunities is opportunities is proportionate to the potential opportunities but there is an audit plan being run to
6.1.1q17 6. Planning Q x
proportionate to the potential impacts on the conformity of products and services? impacts on the conformity of products and ensures the action taken to address risks and
services opportunities is proportionate to the potential impacts
on the conformity of products and services
6.1.2a 6. Planning Environmental Aspects 1 6 0 0
Determining the environmental aspects of the
When planning for the scope of the IMS, has your organization determined the environmental activities, products and services that it controls
There is no evidence on the identification of
6.1.2aq18 6. Planning E aspects of the activities, products and services that it controls and can influence, and their and can influence, and their associated x
environmental aspects
associated environmental impacts when considering the product lifecycle? environmental impacts when considering the
product lifecycle
When determining applicable environmental aspects, has your organization taken into account taking into account potential change, including
6.1.2aq19 6. Planning E potential change, including planned or new developments, and new or modified activities, planned or new developments, and new or x Change process is not existing
products and services? modified activities, products and services
When determining applicable environmental aspects, has your organization taken into account Taking into account potential abnormal conditions Emergency Response Plan fulfills this requirement but
6.1.2aq20 6. Planning E x
potential abnormal conditions and reasonably foreseeable emergency situations? and reasonably foreseeable emergency situations there are no environmental emergency scenarios
determining e aspects that may/pose a significant There is no evidence on the identification of
Has your organization determined those aspects that may pose a significant environmental
6.1.2aq21 6. Planning E environmental impact by using established x environmental aspects and impacts assessment
impact by using established assessment criteria?
assessment criteria process
communicating aspects that may/pose a
Has your organization communicated those aspects that may/pose a significant environmental There is no evidence on environmental training
6.1.2aq22 6. Planning E significant environmental impact throughout the x
impact throughout the various levels and functions of our organization? sessions
various levels and functions of organization
Procedure for Environmental Aspects and
Does your organization maintain documented information regarding its environmental aspects Procedure for Environmental Aspects
6.1.2aq23 6. Planning E x Environmental Impacts assessment procedure are not
and associated impacts? Environmental Impacts assessment procedure
existing
Does your organization maintain documented information regarding its significant
6.1.2aq24 6. Planning E Procedure for Environmental Aspects x Procedure for Environmental Aspects is not existing
environmental aspects?
6.1.2b 6. Planning Hazards identification and assessment of risks and opportunities
6.1.2b.1 6. Planning Hazard identification 15 1 0 0
Has the organization established, implemented and maintained a process(es) for hazard Procedure for Addressing Risks and Opportunities
6.1.2b1q11 6. Planning HS x
identification that is ongoing and proactive? and OH&S Hazards
taking into account how work is organized, social
Do the process(es) take into account how work is organized, social factors (including workload,
6.1.2b.1q12 factors (including workload, work hours,
6. Planning HS work hours, victimization, harassment and bullying), leadership and the culture in the x
a victimization, harassment and bullying),
organization?
leadership
taking intoand the culture
account routineinand
thenon-routine
organization
Do the process(es) take into account routine and non-routine activities and situations, including activities and situations, including hazards arising
6.1.2b.1q12
6. Planning HS hazards arising from infrastructure, equipment, materials, substances and the physical from infrastructure, equipment, materials, x
b1
conditions of the workplace? substances and the physical conditions of the
workplace

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
taking into account routine and non-routine
activities and situations, including hazards arising
Do the process(es) take into account routine and non-routine activities and situations, including
6.1.2b.1q12 from product and service design, research,
6. Planning HS hazards arising from product and service design, research, development, testing, production, x
b2 development, testing, production, assembly,
assembly, construction, service delivery, maintenance and disposal?
construction, service delivery, maintenance and
disposal
taking into account routine and non-routine
6.1.2b.1q12 Do the process(es) take into account routine and non-routine activities and situations, including
6. Planning HS activities and situations, including hazards arising x
b3 hazards arising from human factors?
from human factors
taking into account routine and non-routine
6.1.2b.1q12 Do the process(es) take into account routine and non-routine activities and situations, including
6. Planning HS activities and situations, including hazards arising x
b4 hazards arising from how the work is performed?
from how the work is performed
taking into account past relevant incidents,
6.1.2b.1q12 Do the process(es) take into account past relevant incidents, internal or external to the
6. Planning HS internal or external to the organization, including x
c organization, including emergencies, and their causes?
emergencies, and their causes
6.1.2b.1q12
6. Planning HS Do the process(es) take into account potential emergency situations? taking into account potential emergency situations x
d taking into account people, including consideration
6.1.2b.1q12 Do the process(es) take into account people, including consideration of those with access to the of those with access to the workplace and their
6. Planning HS x
e1 workplace and their activities, including workers, contractors, visitors and other persons? activities, including workers, contractors, visitors
and other persons
taking into account people, including consideration
6.1.2b.1q12 Do the process(es) take into account people, including consideration of those in the vicinity of
6. Planning HS of those in the vicinity of the workplace who can x
e2 the workplace who can be affected by the activities of the organization?
be affected by the activities of the organization
taking into account people, including consideration
6.1.2b.1q12 Do the process(es) take into account people, including consideration of workers at a location not
6. Planning HS of workers at a location not under the direct x
e3 under the direct control of our organization?
control of our organization
taking into account other issues, including
consideration of the design of work areas,
Do the process(es) take into account other issues, including consideration of the design of work
6.1.2b.1q12f processes, installations, machinery, equipment,
6. Planning HS areas, processes, installations, machinery, equipment, operating procedures and work x
1 operating procedures and work organization,
organization, including their adaptation to the needs and capabilities of the workers involved?
including their adaptation to the needs and
capabilities of the workers involved
taking into account other issues, including
Do the process(es) take into account other issues, including consideration of situations occurring
6.1.2b.1q12f consideration of situations occurring in the vicinity
6. Planning HS in the vicinity of the workplace caused by work-related activities under the control of our x
2 of the workplace caused by work-related activities
organization?
under the control of our organization
taking into account other issues, including
Do the process(es) take into account other issues, including consideration of situations not consideration of situations not controlled by the
6.1.2b.1q12f
6. Planning HS controlled by the organization and occurring in the vicinity of the workplace that can cause injury organization and occurring in the vicinity of the x
3
and ill health to persons in the workplace? workplace that can cause injury and ill health to
persons in the
taking into workplace
account actual or proposed changes in
6.1.2b.1q12 Do the process(es) take into account actual or proposed changes in organization, operations,
6. Planning HS organization, operations, processes, activities and x
g processes, activities and the IMS? (see 8.1.3)
the IMS
6.1.2b.1q12 taking into account changes in knowledge of, and
6. Planning HS Do the process(es) take into account changes in knowledge of, and information about hazards? x
h information about hazards
6.1.2b.2 6. Planning Assessment of OH&S risks and other risks to the IMS 4 0 0 0
6.1.2b.2q13 Has your organization established, implemented and maintained a process(es) to assess OH&S There is neither evidence on a process for adressing
6. Planning HS Procedure for Addressing Risks and Opportunities x
a risks from the identified hazards, while taking into account the effectiveness of existing controls? risks and opportunities nor a procedure
Has your organization established, implemented and maintained a process(es) to determine and
6.1.2b.2q13 There is neither evidence on a process for adressing
6. Planning HS assess the other risks related to the establishment, implementation, operation and maintenance Procedure for Addressing Risks and Opportunities x
b risks and opportunities nor a procedure
of the IMS?
Establishing criteria for the assessment of OH&S
Are your organization’s methodology(ies) and criteria for the assessment of OH&S defined with
6.1.2b.2q13 defined with respect to their scope, nature and There is neither evidence on a process for adressing
6. Planning HS respect to their scope, nature and timing to ensure they are proactive rather than reactive and x
c timing to ensure they are proactive rather than risks and opportunities nor a procedure
are used in a systematic way?
reactive and are used in a systematic way
6.1.2b.2q13 Has your organization maintained and retained documented information on the Procedure for Addressing Risks and Opportunities, There is neither evidence on a process for adressing
6. Planning HS x
d methodology(ies) and criteria? Risk Assessment Records risks and opportunities nor a procedure
6.1.2b.3 6. Planning Assessment of OH&S opportunities and other opportunities for the IMS 4 0 0 0
Has your organization established, implemented and maintained a process(es) to assess OH&S
6.1.2b.3q14 There is neither evidence on a process for adressing
6. Planning HS opportunities to enhance OH&S performance, while taking into account planned changes to the Procedure for Addressing Risks and Opportunities x
a risks and opportunities nor a procedure
organization, its policies, its processes or its activities?
6.1.2b.3q14 Has your organization established, implemented and maintained a process(es) to assess There is neither evidence on a process for adressing
6. Planning HS Procedure for Addressing Risks and Opportunities x
a1 opportunities to adapt work, work organization and work environment to workers? risks and opportunities nor a procedure
6.1.2b.3q14 Has your organization established, implemented and maintained a process(es) to assess There is neither evidence on a process for adressing
6. Planning HS Procedure for Addressing Risks and Opportunities x
a2 opportunities to eliminate hazards and reduce OH&S risks? risks and opportunities nor a procedure

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#
Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
6.1.2b.3q14 Has your organization established, implemented and maintained a process(es) to assess other There is neither evidence on a process for adressing
6. Planning HS Procedure for Addressing Risks and Opportunities x
b opportunities for improving the IMS? risks and opportunities nor a procedure
6.1.3 6. Planning Determination of legal requirements and other requirements 0 0 4 0
Has your organization established, implemented and maintained a process(es) to determine,
there is no evidence on Legal and Other Requirements
6.1.3q15a 6. Planning E HS and have access to up-to-date relevant compliance obligations related to its environmental Legal and Other Requirements Procedure x
Procedure
aspects and OHS hazards, risks and the IMS?
Has your organization determined how these compliance obligations and legal requirements there is no evidence on Legal and Other Requirements
6.1.3q15b 6. Planning E HS Legal and Other Requirements Register x
apply to your organization? Register
Has your organization take its compliance obligations, legal and other requirements into account taking compliance obligations, legal and other there is no evidence on Legal and Other Requirements
6.1.3q15c 6. Planning E HS x
when establishing, implementing, maintaining and continually improving its IMS? requirements into account Procedure and a register
Does the organization maintain and retain documented information on its legal requirements Legal and Other Requirements Procedure, Legal there is no evidence on Legal and Other Requirements
6.1.3q16 6. Planning E HS x
and other requirements and ensure that it is updated to reflect any changes? and Other Requirements Register Procedure and a register
6.1.4 6. Planning Planning Action 5 1 1 0
Does your organization plan to take actions to address its compliance obligations and legal taking actions to address its compliance There is no evidence on taking actions to address its
6.1.4q17a1 6. Planning E HS x
requirements? obligations and legal requirements compliance obligations and legal requirements
Does your organization plan to take actions to address its risks and opportunities identified in taking actions to address its risks and There is no evidence on taking actions to address its
6.1.4q17a2 6. Planning E HS x
6.1.1. opportunities identified in 6.1.1. risks and opportunities identified in 6.1.1.
Does your organization plan to take actions to prepare for and respond to emergency situations taking actions to prepare for and respond to
6.1.4q17a3 6. Planning E HS x Emergency Response Plan fulfills this requirement
(see 8.2)? emergency situations
planing how to integrate and implement the
Does the organization plan how to integrate and implement the actions into its IMS processes or
6.1.4q17b 6. Planning E HS actions into IMS processes or other business x There is no evidence on this requirement
other business processes?
processes
*Internal audit is on going
*HSE Inspections are being conducting
planning how to evaluate the effectiveness of
6.1.4q17c 6. Planning E HS Does the organization plan how to evaluate the effectiveness of these actions? x *HSE Performace Monitoring is not exisiting
these actions
*There is no certain tool being used to evaluate the
effectiveness of implemented actions
taking into account the hierarchy of controls (see
Does your organization take into account the hierarchy of controls (see 8.1.2) and outputs from There is no evidence on risk aseessment process to
6.1.4q17d 6. Planning E HS 8.1.2) and outputs from the IMS when planning to x
the IMS when planning to take action? be taken into consideration
take action best practices, technological options
considering
When planning its actions, does the organization consider best practices, technological options
6.1.4q17e 6. Planning E HS and financial, operational and business x There is no HSE management plan
and financial, operational and business requirements?
requirements
6.2 6. Planning QEHS objectives and planning to achieve them
6.2.1 6. Planning QEHS Objectives 0 0 10 0
establishing QEHS objectives at relevant functions
Has the organization established QEHS objectives at relevant functions and levels in order to
6.2.1q18 6. Planning Q E HS and levels in order to maintain and continually x There is no evidence on establishing QEHS objectives
maintain and continually improve the IMS and QEHS performance (see 10.3)?
improve the IMS and QEHS performance (see 10.3)
Consistency of QEHS objectives with the QEHS
6.2.1q19a 6. Planning Q E HS Are your organization’s QEHS objectives consistent with the QEHS policy (See 5.2)? x There is no evidence on establishing QEHS objectives
policy
6.2.1q19b 6. Planning Q E HS Are your organization’s QEHS objectives measurable (SMART), where practicable? objectives measurable (SMART) x There is no evidence on establishing QEHS objectives
taking into account account applicable
6.2.1q19c1 6. Planning Q E HS Do your organization's objectives take into account account applicable requirements? x There is no evidence on establishing QEHS objectives
requirements
Do your organization's objectives take into the results of the assessment of risks and taking into the results of the assessment of risks
6.2.1q19c2 6. Planning Q E HS x There is no evidence on establishing QEHS objectives
opportunities (see [Link] and [Link])? and opportunities
Do your organization's objectives take into the results of consultation with workers (see 5.4) and,
6.2.1q19c3 6. Planning Q E HS taking into the results of consultation with workers x There is no evidence on establishing QEHS objectives
where they exist, workers’ representatives?
6.2.1q19d 6. Planning Q E HS Are your organization’s QEHS objectives monitored? QEHS objectives monitored x There is no evidence on establishing QEHS objectives
6.2.1q19e 6. Planning Q E HS Are your organization’s QEHS objectives communicated? QEHS objectives communicated x There is no evidence on establishing QEHS objectives
6.2.1q19f 6. Planning Q E HS Are your organization’s QEHS objectives update as appropriate? QEHS objectives update as appropriate x There is no evidence on establishing QEHS objectives
Quality Management Plan and HSE Plan are not
6.2.1q19h 6. Planning Q E HS Are your organization’s QEHS objectives maintained as documented information (See 7.5)? QHSE Management Plan x
existing
6.2.2 6. Planning Planning to Achieve QEHS Objectives 0 0 7 0
When planning how to achieve its QEHS objectives, has your organization determined what will
6.2.2q20a 6. Planning Q E HS determining what will be done x There is no evidence on establishing QEHS objectives
be done?
When planning how to achieve its QEHS objectives, has your organization determined what
6.2.2q20b 6. Planning Q E HS determining what resources will be required x There is no evidence on establishing QEHS objectives
resources will be required?
When planning how to achieve its objectives, Has your organization determine who will be
6.2.2q20c 6. Planning Q E HS determining who will be responsible x There is no evidence on establishing QEHS objectives
responsible?
When planning how to achieve its objectives, Has your organization determine when it will be
6.2.2q20d 6. Planning Q E HS determining when it will be completed x There is no evidence on establishing QEHS objectives
completed?
determining how the results will be evaluated,
When planning how to achieve its objectives, Has your organization determine how the results
6.2.2q20e 6. Planning Q E HS including indicators for monitoring the progress of x There is no evidence on establishing QEHS objectives
will be evaluated, including indicators for monitoring the progress of achievement of objectives?
achievement of objectives
determining how the actions to achieve QEHS
When planning how to achieve its objectives, Has your organization determine how the actions to
6.2.2q20f 6. Planning Q E HS objectives is integrated into the organization’s x There is no evidence on establishing QEHS objectives
achieve QEHS objectives is integrated into the organization’s business processes?
business processes
Has your organization maintain and retain documented information on the QEHS objectives and QHSE Management Plan, Objetives and Targets
6.2.2gq21 6. Planning Q E HS x There is no evidence on establishing QEHS objectives
plans to achieve them? Records

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#
Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
6.2.3 6. Planning Planning for Change 0 5 0 0
There is no evidence on determining the need for
determining the need for changes to the IMS, are
When your organization determines the need for changes to the IMS, are the changes carried out changes to the IMS and assuring that the changes
6.2.3q22 6. Planning Q the changes carried out in a planned manner (see x
in a planned manner (see 4.4). carried out in a planned manner (see 4.4) eg. Change
4.4)
Action is
There Plan
no evidence on considering the purpose of
considering the purpose of the changes and their
6.2.3q23 6. Planning Q Does your organization consider the purpose of the changes and their potential consequences? x the changes and their potential consequences eg.
potential consequences
Change Risk Assessment
Does your organization consider and maintain the integrity of the IMS during the change considering and maintaining the integrity of the
6.2.3q24 6. Planning Q x Change management Process is not existing
process? IMS during the change process
There is no evidence on considering the availability of
considering the availability of resources during the
6.2.3q25 6. Planning Q Does your organization consider the availability of resources during the change process? x resources during the change process eg. Change
change process
Feasibility Study
there is no evidence on considering the allocation or
considering the allocation or reallocation of
Does your organization consider the allocation or reallocation of responsibilities and authorities reallocation of responsibilities and authorities during
6.2.3q26 6. Planning Q responsibilities and authorities during the change x
during the change process? the change process eg. Change Action Plan
process
Organization manual drafted
7 7. Support Support
7.1 7. Support Resources
7.1.1 7. Support General 2 1 0 0
Determining and proviinge the resources needed
Does your organization determine and provide the resources needed for the establishment, for the establishment, implementation, *Asset Management Plan – Cairo Metro Line 3
7.1.1q1 7. Support Q x
implementation, maintenance and continual improvement of the IMS? maintenance and continual improvement of the *Staffing Management Plan is existing
IMS SWOT analysis is the best practice to fulfill this
Does your organization consider the capabilities of, and constraints on existing internal considering the capabilities of, and constraints on
7.1.1q2 7. Support Q x requirement even then there is no evidence on this
resources? existing internal resources
requirement
Contracts with External Providers fulfill this
considering what needs to be obtained from requirement
7.1.1q3 7. Support Q Does your organization consider what needs to be obtained from external providers? x
external providers Request for Proposal
KPIs for external providors
7.1.2 7. Support People 0 1 0 0
determining and providing the staff necessary
*Staffing Management Plan is existing
Does your organization determine and provide the staff necessary resources for the effective resources for the effective implementation of its
7.1.2q4 7. Support Q x *Jobs Descriptions
implementation of its IMS and for the operation and control of its processes? IMS and for the operation and control of its
*Organization Chart
processes
7.1.3 7. Support Infrastructure 1 0 0 0
determining, providing and maintaining the
*Asset Management Plan – Cairo Metro Line 3
Does your organization determine, provide and maintain the infrastructure necessary for the infrastructure necessary for the operation of its
7.1.3q5 7. Support Q x *Corrective and preventive maintenance evidences
operation of its processes and to achieve conformity of products and services? processes and to achieve conformity of products
are existing
and services
7.1.4 7. Support Environment for the Operation of Processes 0 1 0 0
*Operating SOPs is existing
determining, providing and maintaining the
*Rulebook - Cairo Metro L3 is existing
Does organization determine, provide and maintain the environment necessary for the operation environment necessary for the operation of its
7.1.4q6 7. Support Q x *Workplace Ergonomics Work Instructions is not
of its processes and to achieve conformity of products and services? processes and to achieve conformity of products
existing
and service
*5S Project is not existing
7.1.5 7. Support Monitoring and Measuring Resources
[Link] 7. Support General 3 1 0 0
determining and providing the resources needed
Quality Control techniques eg. Quality Inspection
Does your organization determine and provide the resources needed to ensure valid and reliable to ensure valid and reliable results when
process is not existing
7.1.5.1q7 7. Support Q results when monitoring or measuring is used to verify the conformity of products and services to monitoring or measuring is used to verify the x
Mystery shopper is being conducting
requirements. conformity of products and services to
Internal Audit is being run
requirements
ensuring that the resources provided are suitable
Does your organization ensure that the resources provided are suitable for the specific type of Internal Audits are on going
7.1.5.1q8 7. Support Q for the specific type of monitoring and x
monitoring and measurement activities being undertaken; Mystery Shopper is being conducted
measurement activities being undertaken
Calibration Plan is existing
Does your organization ensure that the resources are maintained to ensure their continuing ensuring that the resources are maintained to
7.1.5.1q9 7. Support Q x Corrective and preventive maintenance plan and
fitness for their purpose? ensure their continuing fitness for their purpose
Reports are existing
Equipment Manuals Equipment Manuals are existing
Does your organization retain appropriate documented information as evidence of fitness for Calibration Certificates Calibration Certification is ongoing
7.1.5.1q10 7. Support Q x
purpose of the monitoring and measurement resources? Internal audit records Internal audit records are existing
Quality Inspection Records Mystery shopper records are existing
[Link] 7. Support Measurement Traceability 3 3 1 0
Equipment manuals are existing and define the
7.1.5.2q10 7. Support Q Is there a requirement for measurement traceability? Calibration Documents x
traceability requirements

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Where measurement traceability is a requirement, are measurement equipment calibrated or
7.1.5.2q11 7. Support Q Calibration Documents x Calibration plan
verified at specified interval or prior to use?
Is the calibration done against measurements standards traceable to national or international Equipment Manuals are existing and define calibration
7.1.5.2q12 7. Support Q Calibration Documents x
standards? requirements
Where no such standard is existing, are documented information retained for the basis used for Calibration Certification is ongoing
7.1.5.2q13 7. Support Q Calibration Documents x
calibration or verification? calibration process is drafted
calibration process is drafted
7.1.5.2q14 7. Support Q Are measuring equipment identified in order to determine their status? Calibration Documents x
Equipment Status Tags (calibrated or out of service )
Are measuring equipment safeguarded from adjustments, damage or deteriorated that would Equipment Safegards and storage are not identified in
7.1.5.2q15 7. Support Q Calibration Documents x
invalidate the calibration and subsequent measurement results? calibration process
Does the organization determine and take appropriate action if validity of pervious measurement
7.1.5.2q16 7. Support Q results have been adversely affected when measuring equipment is found to be unfit for its Calibration Documents x Calibration Procedure is draft
intended purpose?
7.1.6 7. Support Organizational knowledge 3 0 0 0
determining the knowledge necessary for the Work Instructions and Sops fulfill this requirement
Does the organization determine the knowledge necessary for the operation of its processes and
7.1.6q17 7. Support Q operation of its processes and to achieve x Rule book
to achieve conformity of product and services?
conformity of product and services Maintenance management Plan
Work Instructions and Sops fulfill this requirement
7.1.6q18 7. Support Q Does the organization maintain this knowledge and make it available to the extent necessary? Work Instructions, SOPs x Rule book
Maintenance management Plan
addressing changing needs and trends, does the
While addressing changing needs and trends, does the organization considers its current
organization considers its current knowledge and Websites Subscriptions, Standards or Learning
7.1.6q19 7. Support Q knowledge and determine how to acquire or access any necessary additional knowledge and x
determine how to acquire or access any necessary Material Purchase Orders, Equipment Manuals
required updates?
additional knowledge and required updates
7.2 7. Support Competence 0 3 2 0
determining the necessary competence of
Does your organization determine the necessary competence of person(s) doing work under its Employees Competencies are not identified
7.2q2a 7. Support Q E HS person(s) doing work under its control that affects x
control that affects the performance and effectiveness of the IMS? competence management
the performance and effectiveness of the IMS
ensuring that these persons are competent
Does your organization ensure that these persons are competent (including the ability to identify There is no evidence on Employees Competency
(including the ability to identify OHS hazards and
7.2q2b 7. Support Q E HS OHS hazards and environmental aspects) on the basis of appropriate education, training, or x Assurance
environmental aspects) on the basis of
experience? competence management
appropriate education,
determining the trainingtraining, or experience
needs associated with
Does your organization determine the training needs associated with mitigating its Environmental Training need analysis are not
7.2q2c 7. Support E mitigating its environmental aspects and x
environmental aspects and operating its IMS? conducting
operating its IMS
taking actions to acquire the necessary There is no evidence on Employees Competency
Does your organization where applicable, take actions to acquire the necessary competence, and
7.2q2d 7. Support Q E HS competence, and evaluate the effectiveness of the x Assurance
evaluate the effectiveness of the actions taken?
actions taken competence management
Does your organization retain appropriate documented information as evidence of competence? There are Certifications and Achievements records but
7.2q3 7. Support Q HS Certifications and Achievements records x
(See 7.5.1b) not for all required competencies
7.3 7. Support Awareness 0 7 1 0
ensuring that workers are aware of the QEHS HSE Policy Awarness Sessions are bring conducted
7.3q3 7. Support Q E HS Does your organization ensure that workers are aware of the QEHS policy? x
policy Quality policy is unapproved
ensuring workers are aware of the relevant
Does your organization ensure workers are aware of the relevant objectives, actual and potential objectives, actual and potential work-related
7.3q4 7. Support Q HS work-related aspects and their contribution to the IMS performance, including the benefits of aspects and their contribution to the IMS x HSE Awarness Sessions Schedule/Plan is draft
improved performance? performance, including the benefits of improved
performance?
ensuring that workers are aware of the relevant
Does your organization ensure that workers are aware of the relevant environmental aspects and
7.3q5 7. Support E environmental aspects and impacts associated x HSE Awarness Sessions Schedule/Plan is draft
impacts associated with their work?
with their work
ensuring that workers are aware of their Awarness Sessions are not being Conducted
Does your organization ensure that workers are aware of their contribution to the effectiveness
7.3q6 7. Support Q E HS contribution to the effectiveness of the IMS, x There is no evidence on Communication Participation
of the IMS, including the benefits of improved performance?
including the benefits of improved performance and Consultation Process
ensuring that workers are aware of the
Does your organization ensure that workers are aware of the implications of not conforming to implications of not conforming to the IMS
7.3q7 7. Support Q E HS x HSE Awarness Sessions Schedule/Plan is draft
the IMS requirements and not fulfilling the organization’s compliance objectives? requirements and not fulfilling the organization’s
compliance objectives
ensuring that workers are aware of incidents and
Does your organization ensure that workers are aware of incidents and the outcomes of
7.3q8 7. Support HS the outcomes of investigations that are relevant to x HSE Awarness Sessions Schedule/Plan is draft
investigations that are relevant to them?
them
ensuring that workers are aware of hazards, OH&S
Does your organization ensure that workers are aware of hazards, OH&S risks and actions
7.3q9 7. Support HS risks and actions determined that are relevant to x HSE Awarness Sessions Schedule/Plan is draft
determined that are relevant to them?
them

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
ensuring that workers are aware of the ability to
remove themselves from work situations that they
Does your organization ensure that workers are aware of the ability to remove themselves from
consider present an imminent and serious danger
7.3q10 7. Support HS work situations that they consider present an imminent and serious danger to their life or health, x HSE Awarness Sessions Schedule/Plan is draft
to their life or health, as well as the arrangements
as well as the arrangements for protecting them from undue consequences for doing so?
for protecting them from undue consequences for
doing so
7.4 7. Support Communcation
7.4.1 7. Support Communcation - General 3 4 3 0
determining the internal and external
Does your organization determine the internal and external communications relevant to the IMS, Communication Plan is not existing
7.4.1q4a 7. Support Q E HS communications relevant to the IMS, including x
including what it will communicate? Correspondance log is existing
what it will communicate
Does your organization determine the internal and external communications relevant to the IMS, Communication Plan is not existing
7.4.1q4b 7. Support Q E HS including when to communicate x
including when to communicate? Correspondance log is existing
Does your organization determine the internal and external communications relevant to the IMS, including with whom to communicate internally
including with whom to communicate internally among the various levels and functions of the among the various levels and functions of the Communication Plan is not existing
7.4.1q4c1 7. Support Q E HS x
organization, among contractors and visitors to the workplace and among other interested organization, among contractors and visitors to Correspondance log is existing
parties? the workplace and among other interested parties
Does your organization determine the internal and external communications relevant to the IMS, Communication Plan is not existing
7.4.1q4c2 7. Support Q E HS including how to communicate x
including how to communicate? Correspondance log is existing
* Communication Plan is not existing
Does your organization take into account its compliance obligations and legal requirements when taking into account its compliance obligations and * Safety Committee is not implemented
7.4.1q4c3 7. Support E HS x
establishing its communication process? legal requirements * Communication, Consultation and Participation
Procedure is not existing
ensuring that when environmental or health and * Communication Plan is not existing
Does your organization ensure that when environmental or health and safety information that is safety information that is communicated, it is * Safety Committee is not implemented
7.4.1q4d 7. Support E HS x
communicated, it is consistent with the information generated by the IMS is reliable? consistent with the information generated by the * Communication, Consultation and Participation
IMS is reliable Procedure is not existing
responding to relevant communications regarding
7.4.1q5 7. Support E HS Does your organization respond to relevant communications regarding its IMS? x correspondence Log is existing
its IMS
Does your organization retaining documented information as evidence of its communications as
7.4.1q6 7. Support E HS Communication Responds Records x correspondence Log is existing
appropriate?
taking into account diversity aspects (e.g. gender,
Does your organization take into account diversity aspects (e.g. gender, language, culture,
7.4.1q7 7. Support HS language, culture, literacy, disability) when x correspondence Log is existing
literacy, disability) when considering its communication needs?
considering its communication needs
ensuring that the views of external interested * Safety Committee is not implemented
Dos your organization ensure that the views of external interested parties are considered in
7.4.1q8 7. Support HS parties are considered in establishing its x * Communication, Consultation and Participation
establishing its communication process(es)?
communication process(es) Procedure is not existing
7.4.2 7. Support Communcation - Internal communication 1 0 1 0
internally communicating information relevant to
Does your organization internally communicate information relevant to the IMS including
7.4.1q9 7. Support E HS the IMS including changes to the IMS as x correspondence Log is existing
changes to the IMS as appropriate?
appropriate
ensuring that is communication process enables
Does your organization ensure that is communication process enables persons doing work under
7.4.1q10 7. Support E HS persons doing work under your organization’s x Communication Plan is not existing
your organization’s control to contribute to continual improvement?
control to contribute to continual improvement
7.4.3 7. Support Communcation - External communication 1 0 0 0
externally communicate information relevant to
Does your organization externally communicate information relevant to the IMS, via the
the IMS, via the communications process and as
7.4.3q11 7. Support E HS communications process and as required by the compliance obligations, legal requirements and x correspondence Log is existing
required by the compliance obligations, legal
other requirements?
requirements and other requirements
7.5 7. Support Documented Information
7.5.1 7. Support Documented Information - General 1 0 0 0
Does your organization’s IMS include documented information determined by your
7.5.1q13c 7. Support Q E HS The Processes x The Processes are ongoing
organization as being necessary for the effectiveness of the IMS?
7.5.2 7. Support Documented Information - Creating and Updating 3 0 0 0
When creating and updating documented information, does your organization ensure appropriate ensuring appropriate identification and description
7.5.2q14a 7. Support Q E HS x Document control Process fulfill this requirement
identification and description (e.g. a title, date, author, or reference number)? (e.g. a title, date, author, or reference number)
ensure appropriate format (e.g. language,
When creating and updating documented information, does your organization ensure appropriate
7.5.2q14b 7. Support Q E HS software version, graphics) and media (e.g. paper, x Document control Process fulfill this requirement
format (e.g. language, software version, graphics) and media (e.g. paper, electronic)?
electronic)
When creating and updating documented information, does your organization ensure appropriate ensuring appropriate review and approval for
7.5.2q14c 7. Support Q E HS x Document control Process fulfill this requirement
review and approval for suitability and adequacy? suitability and adequacy
7.5.3 7. Support Documented Information - Control 7 1 0 0
Is documented information (required by the QEHS and ISO 9001:2015, ISO 14001:2015 and ISO
ensuring it is available and suitable for use, where
7.5.3q15a 7. Support Q E HS 45001:2018) controlled to ensure it is available and suitable for use, where and when it is x Document control Process fulfill this requirement
and when it is needed
needed?

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Is documented information (required by the QEHS and ISO 9001:2015, ISO 14001:2015 and ISO
ensuring it is adequately protected from loss of
7.5.3q15b 7. Support Q E HS 45001:2018) controlled to ensure it is adequately protected from loss of confidentiality, improper x Document control Process fulfill this requirement
confidentiality, improper use, or loss of integrity
use, or loss of integrity?
For the control of documented information, does your organization address the distribution, addressing the distribution, access, retrieval and
7.5.3.2q16 7. Support Q E HS x Document control Process fulfill this requirement
access, retrieval and use? use
For the control of documented information, does your organization address storage and addressing storage and preservation, including
7.5.3.2q17 7. Support Q E HS x Document control Process fulfill this requirement
preservation, including preservation of legibility? preservation of legibility
For the control of documented information, does your organization address control of changes addressing control of changes (e.g. version
7.5.3.2q18 7. Support Q E HS x Document control Process fulfill this requirement
([Link]
For version control)?
control of documented information, does your organization address retention and control)
7.5.3.2q19 7. Support Q E HS addressing retention and disposition x Document control Process fulfill this requirement
disposition?
How does your organization ensure documented information of external origin is identified and ensuring documented information of external
7.5.3.2q20 7. Support Q E HS x Document control Process fulfill this requirement
controlled? origin is identified and controlled

Is documented information retained as evidence of conformity protected from unintended Archiving Hard Copies Sharepoint has access authority
7.5.3.2q21 7. Support Q E HS x
alterations? Sharepoint access permissions and authorities There is no hard copies archiving system

8 8. Operation Operation
8.1a 8. Operation Quality Planning & Control 3 7 0 0

Does your organization plan, implement and control the processes (see 4.4) needed to meet the
8.1aq1 8. Operation Q requirements for the provision of products and services, and to implement the actions Determining Service Requirements x Rulebook – Cairo Metro Line 3 fullfill the requirement
determined in Clause 6 by determining the requirements for the products and services? (Chapter one 'Compliance with regulations and
customer requirements' )
(Chapter two 'Duties and competence of operation
Does your organization plan, implement and control the processes (see 4.4) needed to meet the and maintenance workers')
8.1aq2 8. Operation Q requirements for the provision of products and services, and to implement the actions Establishing Criteria for Processes x Contracutal KPI's are not implemented
determined in Clause 6 by establishing criteria for the processes? Internal Company KPI's are ongoing
Does your organization plan, implement and control the processes (see 4.4) needed to meet the
8.1aq3 8. Operation Q requirements for the provision of products and services, and to implement the actions Establishing criteria for the acceptance of services x
determined in Clause 6 by establishing criteria for the acceptance of products and services?
The resources needed as minimum staffing
Does your organization plan, implement and control the processes (see 4.4) needed to meet the
requirements for each post and equipment are
requirements for the provision of products and services, and to implement the actions determining the resources needed to achieve
8.1aq4 8. Operation Q x mentioned in:
determined in Clause 6 by determining the resources needed to achieve conformity to product conformity to service requirements
Operations Management Plan, Rulebook, and Asset
and service requirements?
Management Plan
PTW Current Procedure
Normal Mode Standard Operating Procedures for
(Driver, CCP and Stations)
Does your organization plan, implement and control the processes (see 4.4) needed to meet the
Implementing control of the processes in Degraded Mode Standard Operating Procedures for
8.1aq5 8. Operation Q requirements for the provision of products and services, and to implement the actions x
accordance with the criteria (Driver, CCP and Stations)
determined in Clause 6 by implementing control of the processes in accordance with the criteria?
Emergency Mode Standard Operating Procedures for
(Driver, CCP and Stations)
PTW Procedure
Does your organization plan, implement and control the processes (see 4.4) needed to meet the Operations Management Plan
requirements for the provision of products and services, and to implement the actions Operations Plan
8.1aq6 8. Operation Q x
determined in Clause 6 by determining, maintaining and retaining documented information to Procedure for Auditing operation Operations Management Plan is Approved
the extent necessary to have confidence that the processes have been carried out as planned? Audit Records Operation Audit Reports are Unapproved
Does your organization plan, implement and control the processes (see 4.4) needed to meet the Operation Audit Plan and Reports are unapproved
requirements for the provision of products and services, and to implement the actions Operating Manual Railway Safety Audit Reports are unapproved
8.1aq7 8. Operation Q determined in Clause 6 by determining, maintaining and retaining documented information to Audit plan RDMC Operation x
the extent necessary to demonstrate the conformity of products and services to their Operation Audit Records
requirements?
Suitability of Planning process outputs for
8.1aq8 8. Operation Q Are the outputs of the planning process suitable for your organization’s operations? x
organization’s operations
control of planned changes and review the
Does your organization control planned changes and review the consequences of unintended Change Management Plan does not exist (Planned
8.1aq9 8. Operation Q consequences of unintended changes x
changes, taking action to mitigate any adverse effects, as necessary? Changes are not managed)
Change implementation plan

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization

* Contracts with External Providers


equest for proposal
8.1aq10 8. Operation Q Does your organization ensure that outsourced processes are controlled (see 8.4)? Ensure the control of outsourced processes x * Contract Review (Shall be covered inside Contracts)
* External Providers Evaluation Form and Renewal
Form are not approved

8.1b 8. Operation Environmental Planning & Control 3 3 6 0


Environmental Management Plan
Has the organization established, implemented, controlled and maintained the processes needed Environmental Aspects and Impacts have not been
8.1bq11 8. Operation E Procedure for Identification and Evaluation of x
to meet IMS requirements, and to implement the actions identified in Section 6.1? neither identified nor assessed
Environmental Aspects and Risks
Operational Control of Significant Environmental
Aspects as:-
- Emissions to air
- Releases to water
- Releases to land
- Uses of raw materials and natural resources
8.1bq12 8. Operation E Has the organization established operating criteria for each process? Operating criteria for each process x - Uses of energy
- Energy emission such as heat, radiation, or
vibrations
- Waste and by-products
- Physical attributes of the organization affecting the
environment)
Not identified
Operational Control of Significant Environmental
Aspects has not been identified:-
- Emissions to air
- Releases to water
- Releases to land
Has the organization implement control of the processes in accordance with the operating Implementing control of the processes in - Uses of raw materials and natural resources
8.1bq13 8. Operation E x
criteria? accordance with the operating criteria - Uses of energy
- Energy emission such as heat, radiation, or
vibrations
- Waste and by-products
- Physical attributes of the organization affecting the
environment)
control of planned changes and review the Change Management Plan does not exist (Planned
Does the organization control planned changes and review the consequences of unintended
8.1bq14 8. Operation E consequences of unintended changes x Changes are not managed)
changes, and taking action to mitigate any adverse effects?
Change implementation plan Emergency Response Plan

Contracts with External Providers


8.1bq15 8. Operation E Does your organization ensure that outsourced process are controlled and influenced? Controls of Outsourced Processes x
Procurement Procedure (Unapproved)

Operational Control of Significant Environmental


Aspects has not been identified:-
- Emissions to air
- Releases to water
- Releases to land
Does your organization define the extent of control or influence that it applies to each process Defining the extent of control or influence that it - Uses of raw materials and natural resources
8.1bq16 8. Operation E x
within the IMS? applies to each process within the IMS - Uses of energy
- Energy emission such as heat, radiation, or
vibrations
- Waste and by-products
- Physical attributes of the organization affecting the
environment)
establishing controls to ensure that its
Has your organization established controls to ensure that its environmental requirements are environmental requirements are addressed in the
Resources Consumption and Waste life Cycle have not
8.1bq17 8. Operation E addressed in the design and development process for the product or service as appropriate design and development process for the product x
been identified
considering each life cycle stage? or service as appropriate considering each life
cycle stage environmental requirements for the
determining Environmental Requirements for Procurement of
Does your organization determine environmental requirements for the procurement of products
8.1bq18 8. Operation E procurement of products and services as x products and services and Warehousing are not
and services as appropriate?
appropriate determined

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Contractors conditions Procedure hilights these
communicating the relevant environmental
Does your organization communicate the relevant environmental requirements to external requirement to contractors
8.1bq19 8. Operation E requirements to external providers and x
providers and contractors? there is no evidence on communicating environmental
contractors
requirement with external providers
providing information about potential significant
Does your organization consider the need to provide information about potential significant Environmental Impact Assessement is not
environmental impacts related to the
8.1bq20 8. Operation E environmental impacts related to the transportation, delivery, use, end of life treatment and final x implemented
transportation, delivery, use, end of life treatment
disposal of its products and services? Waste management Plan is Unapproved
and final disposal of its products and services
provide information about potential significant
Does your organization consider the need to provide information about potential significant Environmental Impact Assessement is not
environmental impacts related to the
8.1bq21 8. Operation E environmental impacts related to the transportation, delivery, use, end of life treatment and final x implemented
transportation, delivery, use, end of life treatment
disposal of its products and services? Waste management Plan is Unapproved
and final disposal of its products and services
Does the organization maintain documented information to the extent necessary to have Performance meaurement, monitoring and
8.1bq22 8. Operation E x Partially Implemented
confidence that its processes are carried out as planned? evaluation Procedure
8.1.1 8. Operation OH&S Operational Planning & Control - General 2 3 1 0
Has your organization planned, implemented, controlled and maintained the processes needed
8.1.1q1a 8. Operation HS to meet requirements of the IMS, and to implement the actions determined in Clause 6, by Safety Management Plan x Processes
establishing criteria for the processes?
Operational Control Procedure ((SOP for Chemical
Hazards- – SOP for Environmental and Physical
Hazards- SOP for Electrical Hazards - SOP for
Working on Height Hazards- SOP for Display
Has your organization planned, implemented, controlled and maintained the processes needed
Screens and Posture Hazards (Office Hazards)-
8.1.1q1b 8. Operation HS to meet requirements of the IMS, and to implement the actions determined in Clause 6, by x Partially Implemented
SOP For OPERATING HEAVY MACHINERY- SOP For
implementing control of the processes in accordance with the criteria?
RADIOACTIVE HAZARDS- SOP For ERGONOMIC
HAZARDS- SOP For PERSONAL PROTECTIVE
EQUIPMENT- Good Practice for Maintenance of
Tools and Machinery))
Has your organization planned, implemented, controlled and maintained the processes needed Performance Measurement and Monitoring
to meet requirements of the IMS, and to implement the actions determined in Clause 6, by Procedure
8.1.1q1c 8. Operation HS x Partially Implemented
maintaining and retaining documented information to the extent necessary to have confidence Performance Measurement and Monitoring
that the processes have been carried out as planned? Records (Monthly Report)
Operational Control Procedure ((SOP for Chemical
Hazards- – SOP for Environmental and Physical
Has your organization planned, implemented, controlled and maintained the processes needed
Hazards- SOP for Electrical Hazards - SOP for
8.1.1q1d 8. Operation HS to meet requirements of the IMS, and to implement the actions determined in Clause 6, by x Ergonomics and Job hazard analysis are not existing
Working on Height Hazards- SOP for Display
adapting work to workers?
Screens and Posture Hazards (Office Hazards)-
SOP For OPERATING HEAVY MACHINERY- Contractors conditions Procedure fulfills this
At multi-employer workplaces, does your organization coordinate the relevant parts of the IMS Contractors Conditions Procedure
8.1.1q2 8. Operation HS x requirement
with the other organizations? Contracts with External Providers
Contracts
Contracts with External Providers
8.1.1q3 8. Operation HS How does your organization ensure that outsourced processes are controlled (see 8.4)? ensuring that outsourced processes are controlled x
Procurement Procedure (Unapproved)
8.1.2 8. Operation Operation - Eliminating Hazards and Reducing OH&S Risks 0 0 1 0
Has the organization established, implemented and maintained a process(es) for the
elimination of hazards and reduction of OH&S risks using the hierarchy of controls below?
a) eliminate the hazard;
Risk management plan is unapproved
8.1.2q4 8. Operation HS b) substitute with less hazardous processes, operations, materials or equipment; Procedure for Addressing Risks and Opportunities x
there is no risk assessment procedure
c) use engineering controls and reorganization of work;
d) use administrative controls, including training;
e)use adequate personal protective equipment.
8.1.3 8. Operation Operation - Management of Change 0 0 5 0
Has the organization established a process(es) for the implementation and control of planned
changes that impact OH&S performance, including new and upgraded products, services and
processes??
Including:
There is no an established process(es) for the
8.1.3q5a 8. Operation HS - workplace locations and surroundings; Management of Change Process x
implementation and control of planned changes
- work organization;
- working conditions;
- equipment;
- work force;
Has the organization established a process(es) for the implementation and control of planned
There is no an established process(es) for the
8.1.3q5b 8. Operation HS changes that impact OH&S performance, including changes to legal requirements and other Management of Change Process x
implementation and control of planned changes
requirements?

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Has the organization established a process(es) for the implementation and control of planned
There is no an established process(es) for the
8.1.3q5c 8. Operation HS changes that impact OH&S performance, including changes in knowledge or information about Management of Change Process x
implementation and control of planned changes
hazards and OH&S risks?
Has the organization established a process(es) for the implementation and control of planned There is no an established process(es) for the
8.1.3q5d 8. Operation HS Management of Change Process x
changes that impact OH&S performance, including developments in knowledge and technology? implementation and control of planned changes
Does the organisation review the consequences of unintended changes, taking action to mitigate There is no an established process(es) for the
8.1.3q6 8. Operation HS Management of Change Process x
any adverse effects, as necessary? implementation and control of planned changes
8.1.4 8. Operation Operation - Procurement
[Link] 8. Operation Procurement - General 0 0 1 0
Has your organization established, implemented and maintained a process(es) to control the
8.1.4.1q7 8. Operation HS Procurement Procedure x Request for proposal is Unapproved
procurement of products and services in order to ensure their conformity to its IMS?
[Link] 8. Operation Procurement - Contractors 5 0 0 0
Does your organization coordinate its procurement process(es) with its contractors, in order to
Contractors conditions procedure fulfills this
8.1.4.2q8a 8. Operation HS identify hazards and to assess and control the OH&S risks arising from the contractors’ activities Control of Contractors x
requirement
and operations that impact the organization?
Does your organization coordinate its procurement process(es) with its contractors, in order to
Contractors conditions procedure fulfills this
8.1.4.2q8b 8. Operation HS identify hazards and to assess and control the OH&S risks arising from the organization’s Control of Contractors x
requirement
activities and operations that impact the contractors’ workers?
Does your organization coordinate its procurement process(es) with its contractors, in order to
Contractors conditions procedure fulfills this
8.1.4.2q8c 8. Operation HS identify hazards and to assess and control the OH&S risks arising from the contractors’ activities Control of Contractors x
requirement
and operations that impact other interested parties in the workplace? Contractors conditions procedure fulfills this
Does your organization ensure that the requirements of its IMS are met by contractors and their Contractor workers competencies and requirement
8.1.4.2q9 8. Operation HS x
workers? certifications Contractors
Contractors conditions
conditions checklist
procedurefulfills
fulfillsthis
this
Does your organization’s procurement process(es) define and apply occupational health and requirement
requirement
8.1.4.2q10 8. Operation HS Contractors selection criteria x
safety criteria for the selection of contractors? Contractors conditions checklist fulfills this
[Link] 8. Operation Procurement - Outsourcing 1 2 0 0 requirement
Contracts with External Providers
8.1.4.3q11 8. Operation HS Does your organization ensure that outsourced functions and processes are controlled? Ensure the control of outsourced processes x
Procurement Procedure (Unapproved)

Does your organization ensure that its outsourcing arrangements are consistent with legal Contracts with outsourced parties
8.1.4.3q12 8. Operation HS Evaluation of outsourced processes x
requirements and other requirements and with achieving the intended outcomes of the IMS? Outsourced Parties evaluation is not recorded

Is the type and degree of control applied to these functions and processes defined within the Applying Controls to functions and processes Contracts with External Providers
8.1.4.3q13 8. Operation HS x
IMS? defined within the IMS Procurement Procedure (Unapproved)
8.2a 8. Operation Emergency Preparedness & Response 6 6 5 0
Emergency Management Plan Cairo Line 3 and
Has your organization established, implemented and maintained process required to prepare Emergency Management Plan Cairo Line 3
8.2aq14 8. Operation E x Emergency Response Plan are fulfilling this
for and to respond to potential emergency situations identified in Section 6.1.1? Emergency Response Plan
requirement
Emergency Management Plan Cairo Line 3
Does your organization prepare and respond by planning actions to prevent or mitigate adverse
8.2aq15a 8. Operation E Emergency Response Plan x Emergancy Response Plans fulfill this requirement
impacts arising from emergency situations?
Incidents Scenarios
8.2aq15b 8. Operation E Does your organization respond to emergency situations? Respond to emergency situations x Emergancy Response Plans fulfill this requirement
Does your organization take action to prevent or mitigate the consequences of emergency
There is only one Emergency Response Record which
8.2aq15c 8. Operation E situations appropriate to the magnitude of the emergency and the potential environmental Environmental Emergency Scenarios records x
is not enough
impact?
There is only one Emergency Response Record which
8.2aq15d 8. Operation E Does your organization periodically test the planned responses where practicable? Emergency Scenarios Plan x
is not enough (not periodically)
Does your organization periodically review the planned responses, in particular, after an
8.2aq15e 8. Operation E Emergancy Analysis reports x There are no emergency analysis reports
emergency situation has occurred?
Does your organization provide relevant information and training related to emergency response There is only one Emergency Response Record which
8.2aq15f 8. Operation E Emergency Scenarios Drills x
and preparedness to relevant interested parties and staff? is not enough
Does the organization maintain documented information to the extent necessary to have Firefighting Performance Mangement Procedure Firefighting Performance Mangement Procedure
8.2aq15g 8. Operation E x
confidence that its processes are carried out as planned? Emergency Response Drills Emergency Response Drills are not existing
Has organization established, implemented and maintained process required to prepare for and
8.2aq16 8. Operation HS Emergency Response Plan x Emergency Response Plan fulfills this requirement
to respond to potential emergency situations identified in Section [Link]?
Has your organization established a planned response to emergency situations, including the
8.2aq17 8. Operation HS First aid x First Aid content Checklist (Unapproved)
provision of first aid?
There is only one Emergency Response Record which
8.2aq18 8. Operation HS Has your organization provided training for the planned response? Emergency Scenarios Drills x
is not enough
8.2aq19 8. Operation HS Has your organization periodically tested and exercised the planned response capability? Emergency Scenarios Plan x Emergency Scenarios Plan is not mentioned
Has your organization evaluated performance and, as necessary, revised the planned response,
8.2aq20 8. Operation HS Emergancy Analysis reports x There are no emergency analysis reports
including after testing and, in particular, after the occurrence of emergency situations?
Has your organization communicated and provided relevant information to all workers on their Emergency Response Plan
8.2aq21 8. Operation HS x Evacuation Plan is unapproved
duties and responsibilities? Evacuation Plan

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#
Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Has your organization communicated relevant information to contractors, visitors, emergency
8.2aq22 8. Operation HS Awareness and Induction Sessions x HSE Induction Sessions
response services, government authorities and, as appropriate, the local community?
Has your organization taken into account the needs and capabilities of all relevant interested
Interested parties involvement, as appropriate, in
8.2aq23 8. Operation HS parties and ensured their involvement, as appropriate, in the development of the planned x Emergancy Response Plan covers this requirement
the development of the planned response
response?
Emergency Response Plan
Does you organization maintain and retain documented information on the process(es) and on Emergency Response Plan
8.2aq24 8. Operation HS x There is only one Emergency Response Record which
the plans for responding to potential emergency situations? Emergency Scenarios records
is not enough
8.2b 8. Operation Requirements for Products and Services
8.2b.1 8. Operation Customer communication 5 0 0 0
Does communication with customers include providing information relating to products and Providing customers with information relating to Website, Social Media, RDMC Family Events, NAT
8.2b.1q5 8. Operation Q x
services? services Monthly Reports
Does communication with customers include handling enquiries, contracts or orders, including Handling enquiries, contracts or orders, including Website, Social Media, Subscription Signs, Contact
8.2b.1q6 8. Operation Q x
changes? changes with customers Channels Signs, RDMC Moile Application
Does communication with customers include obtaining customer feedback relating to products Handling customer feedback and complaints
8.2b.1q7 8. Operation Q x Customer Survey Reports
and services, including customer complaints? (Registry of Customer Complaints and feedback)
Communication on handling or controlling
8.2b.1q8 8. Operation Q Does communication with customers include handling or controlling customer property? x Correspondances
customer property
Does communication with customers include establishing specific requirements for contingency Communication on establishing specific Evacuation Plan
8.2b.1q9 8. Operation Q x
actions, when relevant? requirements for contingency actions Drills (Fire Fighting, …..)
8.2b.2 8. Operation Determining the requirements for products and services 3 0 0 0
When determining the requirements for the products and services to be offered to customers,
Rulebook and Operations Management Plan fulfill this
8.2b.2q10 8. Operation Q does your organization ensure that the requirements for the products and services are defined, Applicable statutory and regulatory requirements x
requirement
including any applicable statutory and regulatory requirements?
When determining the requirements for the products and services to be offered to customers,
Rulebook and Operations Management Plan fulfill this
8.2b.2q11 8. Operation Q does your organization ensure that the requirements for the products and services are defined, Organization Service Requirements x
requirement
including those considered necessary by your organization?
When determining the requirements for the products and services to be offered to customers,
8.2b.2q12 8. Operation Q does your organization ensure that your organization can meet the claims for the products and Dealing with claims for service x Customer Feedback and Compliants Questionnaires
services it offers?
8.2b.3 8. Operation Review of the requirements for products and services 10 0 0 0
Does your organization ensure that it has the ability to meet the requirements for products and
8.2b.3q13 8. Operation Q Identification of customer requirements x Mystery Shopper Reports fulfill this requirement
services to be offered to customers?
Does your organization conduct a review before committing to supply products and services to a
Operations Timetables and Maintenance Plan fulfill
8.2b.3q14 8. Operation Q customer, including requirements specified by the customer, including the requirements for Customer Requirement Review Checklist x
this requirement
delivery and post-delivery activities?
Review before committing to supply products and
Does your organization conduct a review before committing to supply products and services to a
services to a customer, including requirements not Operations Timetables and Maintenance Plan fulfill
8.2b.3q15 8. Operation Q customer, including requirements not stated by the customer, but necessary for the specified or x
stated by the customer, but necessary for the this requirement
intended use, when known?
specified or intended use
Review before committing to supply products and
Does your organization conduct a review before committing to supply products and services to a Operations Timetables and Maintenance Plan fulfill
8.2b.3q16 8. Operation Q services to a customer, including requirements x
customer, including requirements specified by your organization? this requirement
specified by organization
Does your organization conduct a review before committing to supply products and services to a
Operations Timetables and Maintenance Plan fulfill
8.2b.3q17 8. Operation Q customer, including statutory and regulatory requirements applicable to the products and Service Conformance Checklist x
this requirement
services?
Does your organization conduct a review before committing to supply products and services to a Operations Timetables and Maintenance Plan fulfill
8.2b.3q18 8. Operation Q Customer Requirement Review Checklist x
customer, including contract or order requirements differing from those previously expressed? this requirement
Does your organization ensure that contract or order requirements differing from those Operations Timetables and Maintenance Plan fulfill
8.2b.3q19 8. Operation Q Customer Requirement Review Checklist x
previously defined are resolved? this requirement
Are customer’s requirements confirmed by your organization before acceptance, when the Operations Timetables and Maintenance Plan fulfill
8.2b.3q20 8. Operation Q Customer Requirement Review Checklist x
customer does not provide a documented statement of their requirements? this requirement
Does your organization retain documented information, as applicable on the results of the Operations Timetables and Maintenance Plan fulfill
8.2b.3q21 8. Operation Q Customer Requirement Review Checklist/Record x
review? (See 7.5.1b) this requirement
Does your organization retain documented information, as applicable on any new requirements Operations Timetables and Maintenance Plan fulfill
8.2b.3q22 8. Operation Q Customer Requirement Review Checklist/Record x
for the products and services? (See 7.5.1b) this requirement
8.2b.4 8. Operation Changes to requirements for products and services 1 0 0 0
Does the organization ensure that the relevant documented information is amended and the
Notification to a Customer about Changes on his
8.2b.4q23 8. Operation Q relevant persons are made aware of the changed requirements, when the requirements for the x Correspondances with NAT
Property
products and services are changed?
8.3 8. Operation Design and development of products and services N/A
8.3.1 8. Operation General N/A ### ### ### ###
8.3.2 8. Operation Design and development planning N/A ### ### ### ###
8.3.3 8. Operation Design and Development inputs N/A ### ### ### ###
8.3.4 8. Operation Design and development controls N/A ### ### ### ###

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
8.3.5 8. Operation Design and Development outputs N/A ### ### ### ###
8.3.6 8. Operation Design and Development changes N/A ### ### ### ###
8.4 8. Operation Control of externally provided processes, products and services
8.4.1 8. Operation General 6 0 0 0
Does the organization ensure that the externally provided processes, products and services Ensuring conformity of externally provided
8.4.1q35 8. Operation Q x Coverd in Contracts with external providers
conform to the requirements? processes, products and services
Determining the controls needed when the
Does the organization determine the controls needed when the product and services from the product and services from the external providers
8.4.1q36a 8. Operation Q x Coverd in Contracts with external providers
external providers are incorporated into their own product and services? are incorporated into their own product and
services
Determining the controls needed when the
Does the organization determine the controls needed when the product and services from the product and services from the external providers
8.4.1q36b 8. Operation Q x Coverd in Contracts with external providers
external providers are provided directly to the customer by external providers? are provided directly to the customer by external
providers
Determining the controls needed when process or
Does the organization determine the controls needed when process or part of process is provided
8.4.1q36c 8. Operation Q part of process is provided by the external x Coverd in Contracts with external providers
by the external providers?
providers
Determining and appling the criteria for selection,
Has the organization determined and applied the criteria for selection, evaluation, monitoring of
8.4.1q37 8. Operation Q evaluation, monitoring of performance and re – x Coverd in Contracts with external providers
performance and re – evaluation of external providers?
evaluation of external providers
Has the organization retained the documented information of these activities and any action
8.4.1q38 8. Operation Q External Providers Evaluation Records x Coverd in Contracts with external providers
arising out or evaluation/re-evaluation?
8.4.2 8. Operation Type and extent of control 0 6 0 0
Ensuring that the externally provided processes,
Does the organization ensure that the externally provided processes, product and services do not
product and services do not adversely affect the
8.4.2q39a 8. Operation Q adversely affect the its ability to consistently deliver conforming products and services to the x
its ability to consistently deliver conforming
customers?
products and services to the customers
Does the organization ensure that the externally provided process remain within the control of its Ensuring that the externally provided process
8.4.2q39b 8. Operation Q x
QMS? remain within the control of its QMS
Has the organization defined the controls to be applied to external provider and its resulting Defining the controls to be applied to external
8.4.2q39c 8. Operation Q x
outputs? provider and its resulting outputs
Considering the potential impact of the
Has the organization taken into consideration the potential impact of the organization’s ability to organization’s ability to consistently meet
8.4.2q39c1 8. Operation Q x
consistently meet customer and applicable statutory and regulatory requirement? customer and applicable statutory and regulatory
requirement
Has the organization taken into consideration the effectiveness of the controls applied by the Considering the effectiveness of the controls
8.4.2q39c2 8. Operation Q x
external providers? applied by the external providers
Determining the verification or other activities,
Has the organization determined the verification or other activities, necessary to ensure that the necessary to ensure that the externally provided
8.4.2q39d 8. Operation Q x
externally provided processes, products and services meet requirements? processes, products and services meet
requirements
8.4.3 8. Operation Information for external providers 7 0 0 0
Does the organization ensure adequacy of requirements prior to their communication to the Ensuring adequacy of requirements prior to their
8.4.3q40 8. Operation Q x Lists of Approved Suppliers are not existing
external provider? communication to the external provider
communicating to the external providers its
Does the organization communicate to the external providers its requirements for the processes,
8.4.3q41a 8. Operation Q requirements for the processes, products and x
products and services required?
services required
communicating to the external providers its
Does the organization communicate to the external providers its requirements for the approval of
requirements for the approval of the product and
8.4.3q41b 8. Operation Q the product and services; methods, processes and equipment; the release of product and x
services; methods, processes and equipment; the
services?
release of product and services
communicating to the external providers its
Does the organization communicate to the external providers its requirements for competence
8.4.3q41c 8. Operation Q requirements for competence including any x
including any qualification of persons?
qualification oftopersons
communicate the external providers its
Does the organization communicate to the external providers its requirements for external
8.4.3q41d 8. Operation Q requirements for external provider’s interactions x
provider’s interactions with the organizations
with the organizations
communicate to the external providers its
Does the organization communicate to the external providers its requirements for control and requirements for control and monitoring of the
8.4.3q41e 8. Operation Q x
monitoring of the external providers’ performance to be applied by the organization? external providers’ performance to be applied by
the organizationto the external providers its
communicating
Does the organization communicate to the external providers its requirements for verification or requirements for verification or validation
8.4.3q41f 8. Operation Q validation activities that the organization or its customer intends to perform at the external activities that the organization or its customer x
providers’ premises? intends to perform at the external providers’
premises
8.5 8. Operation Production and Service provision
8.5.1 8. Operation Control of production and service provision 3 5 1 0
Implementing production and service provision Procedures Normal Mode – Cairo Metro Line 3 fulfills
8.5.1q35a 8. Operation Q Has the organization implemented production and service provision under controlled conditions? x
under controlled conditions this requirement

_x000D_ LIMITED SHARING


#
Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Procedures Normal Mode – Cairo Metro Line 3
defining the characteristics of the product,
Are there any documented information available that defines the characteristics of the product, Rulebook – Cairo Metro Line 3
8.5.1q35b 8. Operation Q services or activities to be performed and the x
services or activities to be performed and the results to be achieved? Operations Management Plan are fulfilling this
results to be achieved
requirement
* KPI's Sheet is ongoing
Availability of suitable monitoring and measuring * Calibration Log (Measuring Devices Monitoring) is
8.5.1q35c 8. Operation Q Are any suitable monitoring and measuring resources available? Are they being used? x
resources not complete
* Myster Shopper Surveys are implemented
Performing monitoring and measuring activitiesat *Calibration Log (Measuring Devices Monitoring) is not
8.5.1q35d 8. Operation Q Are monitoring and measuring activities being performed at appropriate stages? x
appropriate stages complete
Appointing competent persons (including
8.5.1q35e 8. Operation Q Are competent persons (including qualification) being appointed? x Competency and training evidence are not existing
qualification)
Using suitable infrastructure and environment for Asset Management Plan is approved
8.5.1q35f 8. Operation Q Is the infrastructure and environment being used suitable for operation of processes? x
operation of processes Ergonomics Work Instructions is not approved
1-Equipment Status Tag is ongoing
Implementing any actions to prevent human error
2- Calibration Tag is ongoing
8.5.1q35g 8. Operation Q Has the organization implemented any actions to prevent human error? (Gage Repeatability and Reproducibility (Gage R & x
3- Machine Guarding Instructions is not implemented
R), Poka yoka)
4- Poka Yoke still under disscussion
Implementing any release, delivery and post-
8.5.1q35h 8. Operation Q Has the organization implemented any release, delivery and post-delivery activities? x Customer feedback Surveys are implemented
delivery activities
Where resulting output cannot be verified by subsequent monitoring or measurement, has the
Process Review is not implemented
8.5.1q35i 8. Operation Q organization conducted validation and periodic revalidation of the process for production and Service Conformance Records x
Control of document Procedure is approved
service provision?
8.5.2 8. Operation Identification and traceability 0 4 0 0
Useing any suitable means to identify output when
Has the organization used any suitable means to identify output when it is necessary to ensure
8.5.2q36 8. Operation Q it is necessary to ensure the conformity of x Calibration Documents are being drafted
the conformity of products and services?
products and services
Identifying status of outputs with respect to
Has the status of outputs with respect to monitoring and measuring requirements throughout the
8.5.2q37 8. Operation Q monitoring and measuring requirements x Calibration Documents are being drafted
production and service provision being identified by the organization?
throughout the production and service provision
Has the organization controlled the unique identification of the outputs when traceability is a Controlling the unique identification of the outputs
8.5.2q38 8. Operation Q x Calibration Documents are being drafted
requirement? when traceability is a requirement
Has the organization retain the documented information necessary to enable traceability, when
8.5.2q39 8. Operation Q Records of traceability x Calibration Documents are being drafted
traceability is a requirement?
8.5.3 8. Operation Property belonging to customers or external providers 3 0 0 0
exercising adequate care about property
When property belonging to customers or external providers is under the organization’s control
8.5.3q40 8. Operation Q belonging to customers or external providers is x Outgoing Letters Process is approved
or being used being used by the organization, does the organization exercise adequate care?
under the organization’s control
Does the organization identify, verify, protect and safeguard customers’ or external providers’ Identifying , verifing, protecting and safeguard
8.5.3q41 8. Operation Q x Outgoing Letters Process is approved
property? customers’ or external providers’ property
When the property or the customer or external provider is lost, damaged or otherwise fount to be
8.5.3q42 8. Operation Q unsuitable for use, does the organization report this to the customer or external provider? Does Incidents corrospondences records x Outgoing Letters Process is approved
the organization retain documented information on what has occurred?
8.5.4 8. Operation Preservation 0 0 0 0
preserving the outputs during production and
Does the organization preserve the outputs during production and service provision, to the Maintenance Plan and Asset Management Report are
8.5.4q43 8. Operation Q service provision, to the extent necessary to
extent necessary to ensure conformity to requirements? implemented
ensure conformity to requirements
8.5.5 8. Operation Post-delivery activities 2 0 0 0
Does the organization meet requirements for post-delivery activities associated with the product meeting requirements for post-delivery activities Customer Complaints and feedback Surveysand
8.5.5q44 8. Operation Q x
and services? associated with the product and services Customer satisfaction Surveys are implemented
considering the statutory & regulatory
In determining the extent of post-delivery activities does the organization considers the statutory requirements; the potential undesired
& regulatory requirements; the potential undesired consequences associated with its product consequences associated with its product and Customer Complaints and feedback Surveysand
8.5.5q45 8. Operation Q x
and services; customer requirement & feedback; the nature, use and intended lifetime of its services; customer requirement & feedback; the Customer satisfaction Surveys are implemented
product and services? nature, use and intended lifetime of its product
and services
8.5.6 8. Operation Control of change 0 0 2 0
Reviewing and controlling changes for production
Does the organization conduct review and control changes for production or service provision to
8.5.6q46 8. Operation Q or service provision to ensure continuing x System does not enhance Change Management
ensure continuing conformity with requirements?
Does the organization retain documented information describing the results of the review of conformity with requirements
change assessment record and Change
8.5.6q47 8. Operation Q changes, the person(s) authorizing the change and any necessary actions arising from the x System does not enhance Change Management
implementation action plan
review?
8.6 8. Operation Release of products and services 4 0 0 0
implementing planned arrangements, at
Has the organization implemented planned arrangements, at appropriate stages, to verify that Daily Reports are implemented for operations,
8.6q48 8. Operation Q appropriate stages, to verify that the product and x
the product and service requirements have been met? maintenance and RQHSE
service requirements have been met

_x000D_ LIMITED SHARING


#
Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
ensuring that the release of product and service
Does the organization ensure that the release of product and service proceed only after the
proceed only after the planned arrangement is Daily Reports are implemented for operations,
8.6q49 8. Operation Q planned arrangement is satisfactorily completed or approved by relevant authority and as x
satisfactorily completed or approved by relevant maintenance and RQHSE
applicable by the customer?
authority and as applicable by the customer
Has the organization retained documented information on the release of products and services Daily Reports are implemented for operations,
8.6q50a 8. Operation Q Service conformance records x
which includes evidence of conformity with the acceptance criteria? maintenance and RQHSE
Has the organization retained documented information on the release of products and services Daily Reports are implemented for operations,
8.6q50b 8. Operation Q Traceability of service records x
which includes traceability to the person(s) authorizing the release? maintenance and RQHSE
8.7 8. Operation Control of nonconforming outputs 0 6 0 0
*Mystery shopper reports are implemented
ensuring that the outputs which do not conform to
Does the organization ensure that the outputs which do not conform to their requirements are *Strategic Action Plan is implemented
8.7.1q51 8. Operation Q their requirements are identified and controlled to x
identified and controlled to prevent their unintended use or delivery? Non-conformity Reports
prevent their unintended use or delivery
Treatment Plans
*Mystery shopper reports are implemented
Ensuring that action appropriate to the nature of
Is the action appropriate to the nature of the nonconformity and its effect on the conformity of *Strategic Action Plan is implemented
8.7.1q52 8. Operation Q the nonconformity and its effect on the conformity x
product and services? Non-conformity Reports
of product and services
Treatment Plans
*Mystery shopper reports are implemented
considering nonconforming product and services
Do the organization also consider nonconforming product and services detected after delivery of *Strategic Action Plan is implemented
8.7.1q53 8. Operation Q detected after delivery of products, during and x
products, during and after provision of services? Non-conformity Reports
after provision of services
Treatment Plans
taking correction action and/or segregation,
*Mystery shopper reports are implemented
When non-conforming product and services is detected does the organization take correction containment, return or suspension of provision of
*Strategic Action Plan is implemented
8.7.1q54 8. Operation Q action and/or segregation, containment, return or suspension of provision of product & services product & services and/or informing the customer x
Non-conformity Reports
and/or informing the customer and/or obtaining authorization for acceptance under concession? and/or obtaining authorization for acceptance
Treatment Plans
under concession
*Mystery shopper reports are implemented
Has the organization verified conformity to the requirements when nonconforming outputs are verifing conformity to the requirements when *Strategic Action Plan is implemented
8.7.1q55 8. Operation Q x
corrected? nonconforming outputs are corrected Non-conformity Reports
Treatment Plans
*Mystery shopper reports are implemented
Does the organization retain documented information that describes the nonconformity;
*Strategic Action Plan is implemented
8.7.2q56 8. Operation Q describes the actions taken; describes any concession obtained; identifies the authority deciding CAR/PAR Actions records x
Non-conformity Reports
the action in respect of the nonconformity?
Treatment Plans
9 9. Evaluation Performance Evaluation
9.1 9. Evaluation Performance Evaluation - Monitoring, Measurement, Analysis and Evaluation
9.1.1 9. Evaluation Monitoring, Measurement, Analysis and Evaluation - General 0 14 0 0
RQHSE Monthly Reports are implemented
Has your organization established, implemented and maintained a process(es) for monitoring, HSE Performance Measurement and Monitoring
9.1.1q1 9. Evaluation E HS x KPI's still ongoing
measurement, analysis and performance evaluation? Procedure
Dashboard still ongoing
RQHSE Monthly Reports are implemented
Determining what needs to be monitored and
9.1.1q2a 9. Evaluation Q E HS Does your organization determine what needs to be monitored and measured? x KPI's still ongoing
measured
Dashboard still ongoing
RQHSE Monthly Reports are implemented
Does the extent of your organization's monitoring and measurement include the extent to which Fulfilling legal requirements and other
9.1.1aq2a1 9. Evaluation HS x KPI's still ongoing
legal requirements and other requirements are fulfilled? requirements
Dashboard still ongoing
RQHSE Monthly Reports are implemented
Does the extent of your organization's monitoring and measurement include its activities and including activities and operations related to
9.1.1aq2a2 9. Evaluation HS x KPI's still ongoing
operations related to identified hazards, risks and opportunities? identified hazards, risks and opportunities
Dashboard still ongoing
RQHSE Monthly Reports are implemented
Does the extent of your organization's monitoring and measurement include progress towards including progress towards achievement of the
9.1.1aq2a3 9. Evaluation HS x KPI's still ongoing
achievement of the organization’s OH&S objectives? organization’s OH&S objectives
Dashboard still ongoing
RQHSE Monthly Reports are implemented
Does the extent of your organization's monitoring and measurement include the effectiveness of including the effectiveness of operational and
9.1.1aq2a4 9. Evaluation HS x KPI's still ongoing
operational and other controls? other controls
Dashboard still ongoing
RQHSE Monthly Reports are implemented
Does your organization determine the methods for monitoring, measurement, analysis and methods for monitoring, measurement, analysis
9.1.1q2b 9. Evaluation Q E HS x KPI's still ongoing
evaluation needed to ensure valid results? and evaluation needed to ensure valid results
Dashboard still ongoing

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
RQHSE Monthly Reports are implemented
9.1.1q2c 9. Evaluation Q E HS Does your organization determine when monitoring and measuring is performed ? when monitoring and measuring is performed x KPI's still ongoing
Dashboard still ongoing
Criteria against which evaluation of environmental
Does your organization determine the criteria against which the organization evaluates its RQHSE Monthly Reports are implemented
performance and appropriate indicators and the
9.1.1q2d 9. Evaluation E HS environmental performance and appropriate indicators and the criteria against which the x KPI's still ongoing
criteria against which the organization will
organization will evaluate its OH&S performance? Dashboard still ongoing
evaluate its OH&S performance
determining when the results from monitoring and RQHSE Monthly Reports are implemented
Does your organization determine when the results from monitoring and measurement are
9.1.1q2e 9. Evaluation Q E HS measurement are analysed, evaluated and x KPI's still ongoing
analysed, evaluated and communicated?
communicated Dashboard still ongoing
RQHSE Monthly Reports are implemented
evaluating the performance and the effectiveness
9.1.1q3 9. Evaluation Q E HS Does your organization evaluate the performance and the effectiveness of the IMS? x KPI's still ongoing
of the IMS
Dashboard still ongoing
RQHSE Monthly Reports are implemented
Does your organization ensure that calibrated or verified monitoring and measurement Maintenance and Calibration Records
9.1.1q4 9. Evaluation E HS x KPI's still ongoing
equipment is used and maintained as required? Plan for Preventive Maintenance of Equipment
Dashboard still ongoing
Communicating relevant environmental
Does your organization internally and externally communicate relevant environmental RQHSE Monthly Reports are implemented
performance information as required by its
9.1.1q5 9. Evaluation E performance information as required by its communication process and its compliance x KPI's still ongoing
communication process and its compliance
obligations? Dashboard still ongoing
obligations
Inspection Procedure
Does your organization maintain documented information as evidence of monitoring, RQHSE Monthly Reports are implemented
Calibration Procedure (Calibration of measuring
9.1.1q6 9. Evaluation E HS measurement, analysis and evaluation of results, and results of calibration or verification of x KPI's still ongoing
equipment, Software validation, Measuring
measuring equipment? Dashboard still ongoing
equipment storage)
9.1.2a 9. Evaluation Customer Satisfaction 2 0 0 0
Monitoring customers’ perceptions of the degree Mystery Shopper Audits are being conducting but
Does your organization monitor customers’ perceptions of the degree to which their needs and
9.1.2aq7 9. Evaluation Q to which their needs and expectations have been x Customer Satisfaction Survey and Customer
expectations have been fulfilled?
fulfilled Satisfaction Index are not existing as records
Does your organization determine the methods for obtaining, monitoring and reviewing this methods for obtaining, monitoring and reviewing Mystery Shopper Audits and records analysis
9.1.2aq8 9. Evaluation Q x
information? this information Customer Surveys analysis are not exisiting
9.1.2b 9. Evaluation Monitoring, Measurement, Analysis and Evaluation - Evaluation of Compliance 0 0 5 0
Has your organization established implemented and maintained processes to evaluate the
There is no evidence on Evaluation of Compliance
9.1.2bq6 9. Evaluation E HS fulfilment of its compliance obligations and to establish compliance with legal and other Evaluation of Compliance Procedure x
Register
requirements? There is no evidence on Evaluation of Compliance
9.1.2bq7a 9. Evaluation E HS Has your organization determined the frequency that compliance is evaluated? frequency that compliance is evaluated x
Register
There is no evidence on Evaluation of Compliance
9.1.2bq7b 9. Evaluation E HS Does your organization evaluate compliance and take action where required? taking action where required x
Register
There is no evidence on Evaluation of Compliance
9.1.2bq7c 9. Evaluation E HS Does your organization maintain knowledge and understanding of its compliance status? Evaluation of Compliance Procedure x
Register
There is no evidence on Evaluation of Compliance
9.1.2bq7d 9. Evaluation HS Does your organization retain documented information of the compliance evaluation results? Evaluation of Compliance Record x
Register
9.1.3 9. Evaluation Analysis & Evaluation 0 3 5 0
*There is no process of analyzing and evaluating data
and information arising from monitoring and
Does your organization analyse and evaluate appropriate data and information arising from Analyzing and evaluating data and information
9.1.3q9 9. Evaluation Q x measurement
monitoring and measurement. arising from monitoring and measurement
*Monthly Data Statistics Analysis is being run but
without a framework
Mystery Shopper Reports shows the extent od service
Does your organization ensure that the results of analysis are used to evaluate conformity of conformity
9.1.3q10a 9. Evaluation Q evaluating conformity of products and services x
products and services? Internal Audit Plan is ongoing but Car/Par Actions
Record are not existing
Does your organization ensure that the results of analysis are used to evaluate the degree of
9.1.3q10b 9. Evaluation Q evaluation of the degree of customer satisfaction x Customer Satisfaction Questionnaires are not exisiting
customer satisfaction?
Does your organization ensure that results of analysis are used to evaluate the evaluating the performance/effectiveness of the Performance Evaluation Records are not existing
9.1.3q10c 9. Evaluation Q x
performance/effectiveness of the IMS? IMS Internal Auit Plan and Reports are ongoing

Does your organization ensure that the results of analysis are used to evaluate if planning has evaluating if planning has been implemented
9.1.3q10d 9. Evaluation Q x Performance Evaluation Records are not existing
been implemented effectively? effectively

Does your organization ensure that the results of analysis are used to evaluate the effectiveness evaluating the effectiveness of actions taken to There is no any evidence on ensure the effectiveness
9.1.3q10e 9. Evaluation Q x
of actions taken to address risks and opportunities? address risks and opportunities of implemented actions

Does your organization ensure that the results of analysis are used to evaluate the performance There are no evidence on external providers
9.1.3q10f 9. Evaluation Q evaluating the performance of external providers x
of external providers? evaluation
Does your organization ensure that the results of analysis are used to evaluate the need for
9.1.3q10g 9. Evaluation Q evaluate the need for improvements to the IMS x There are no evidence on improvement action plans
improvements to the IMS?
9.2 9. Evaluation Performance Evaluation - Internal Audit
9.2.1 9. Evaluation Performance Evaluation - Internal Audit - General 3 0 0 0

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
conducting internal audits at planned intervals to
Does your organization conduct internal audits at planned intervals to provide information on
9.2.1q8 9. Evaluation Q E HS provide information on whether the IMS conforms x Internal audit plan is approved and is ongoing
whether the IMS conforms to your organization’s own requirements for its IMS?
to your organization’s own requirements for its IMS
Does your organization conduct internal audits at planned intervals to provide information on providing information on whether the IMS
9.2.1q9a 9. Evaluation Q E HS whether the IMS conforms to the requirements of ISO 9001:2015, ISO 14001:2015 and ISO conforms to the requirements of ISO 9001:2015, x Internal audit plan is approved and is ongoing
45001:2018? ISO 14001:2015 and ISO 45001:2018
Does your organization conduct internal audits at planned intervals to provide information on providing information on whether the IMS is
9.2.1q9b 9. Evaluation Q E HS x Internal audit plan is approved and is ongoing
whether the IMS is effectively implemented and maintained? effectively implemented and maintained
9.2.2 9. Evaluation Performance Evaluation - Internal Audit Programme 2 0 4 0
Does your organization plan, establish, implement and maintain EHQMS audit programme(s)
including the frequency, methods, responsibilities, planning requirements and reporting, which
9.2.2q10a 9. Evaluation Q E HS Internal Audit Procedure x Internal Audit Procedure is unapproved
take into consideration the importance of the processes concerned, changes affecting your
organization, and the results of previous audits?
Each conducted audit scope and criteria are
9.2.2q10b 9. Evaluation Q E HS Does your organization define the audit criteria and scope for each audit? defining the audit criteria and scope for each audit x
mentioned in audits reports, checklists and reports
select auditors and conduct audits to ensure
Does your organization select auditors and conduct audits to ensure objectivity and the
9.2.2q10c 9. Evaluation Q E HS objectivity and the impartiality of the audit x Internal Audit Procedure is unapproved
impartiality of the audit process?
process
Does your organization ensure that the results of the audits are reported to relevant ensuring that the results of the audits are reported Internal Audit reports are not approved to be sent to
9.2.2q10d 9. Evaluation Q E HS x
management? to relevant management relevant management
Corrective actions are written in the audit reports but
taking appropriate correction and corrective
9.2.2q10e 9. Evaluation Q E HS Does your organization take appropriate correction and corrective actions without undue delay? x they are not approved to be reviewing actions
actions without undue delay
estimated and actual dates
Does your organization retain documented information as evidence of the implementation of the
9.2.2q10f 9. Evaluation Q E HS Internal Audit Records x Internal audit reports and checklists
audit programme and the audit results? (See 7.5.1b)
9.3 9. Evaluation Performance Evaluation - Management Review 0 0 16 0
Reviewing IMS, at planned intervals, to ensure its
Does Top management review your organization’s IMS, at planned intervals, to ensure its
continuing suitability, adequacy, effectiveness and Mangement Review Meetings have not been
9.3q11 9. Evaluation Q E HS continuing suitability, adequacy, effectiveness and alignment with the strategic direction of your x
alignment with the strategic direction of your conducted yet
organization?
organization
Is the management review planned and carried out taking into consideration the status of actions Considering the status of actions from previous Mangement Review Meetings Agenda and actions
9.3q12a 9. Evaluation Q E HS x
from previous management reviews? management reviews follow-up is not existing
Is the management review planned and carried out taking into consideration changes in external
and internal issues that are relevant to the IMS? Including:

1. Changes in external and internal issues; there is no evidence on top management review MOM
9.3q12b 9. Evaluation Q E HS Top management review MOM and Reports x
2. Changes in the needs and expectation of interested parties, compliance with obligations and and Reports
legal requirements;
3. Changes in its significant environmental aspects;
4. The effectiveness of actions taken to address risks and opportunities.

Is the management review planned and carried out taking into consideration information on the
performance and effectiveness of the IMS, including trends in:

1. Customer satisfaction;
2. Feedback from relevant interested parties;
3. Incidents, nonconformities, corrective actions and continual improvement;
4. Monitoring and measurement results; there is no evidence on top management review MOM
9.3q12c 9. Evaluation Q E HS Top management review MOM and Reports x
5. Results of evaluation of compliance with legal and other requirements; and Reports
6. Audit results;
7. Consultation and participation of workers;
8. Risks and opportunities;
9. Performance of external providers;
10. Process performance and conformity of products and services;
11. The extent to which QEHS objectives have been met.

Is the management review planned and carried out taking into consideration the adequacy of there is no evidence on top management review MOM
9.3q12d 9. Evaluation Q E HS considering the adequacy of resources x
resources? and Reports
Is the management review planned and carried out taking into consideration the effectiveness of considering the effectiveness of actions taken to there is no evidence on top management review MOM
9.3q12e 9. Evaluation Q E HS x
actions taken to address risks and opportunities (see 6.1)? address risks and opportunities and Reports
Is the management review planned and carried out taking into consideration opportunities for there is no evidence on top management review MOM
9.3q12f 9. Evaluation Q E HS considering opportunities for improvement x
improvement? and Reports
Do the outputs of the management review include decisions and actions related to opportunities
there is no evidence on top management review MOM
9.3q12g 9. Evaluation Q E HS for improvement and the continuing suitability, adequacy and effectiveness of the IMS in Top management review MOM and Reports x
and Reports
achieving its intended outcomes?
Do the outputs of the management review include decisions and actions related to any need for there is no evidence on top management review MOM
9.3q13 9. Evaluation Q E HS Top management review MOM and Reports x
changes to the IMS? and Reports

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
Do the outputs of the management review include decisions and actions related to resource there is no evidence on top management review MOM
9.3q14 9. Evaluation Q E HS Top management review MOM and Reports x
needs? and Reports
Do the outputs from the management review include decisions related to continual improvement there is no evidence on top management review MOM
9.3q15 9. Evaluation Q E HS Top management review MOM and Reports x
opportunities? and Reports
Do the outputs from the management review include decisions relating to the need for changes there is no evidence on top management review MOM
9.3q16 9. Evaluation Q E HS Top management review MOM and Reports x
to the IMS, including resources? and Reports
Do the outputs from the management review include the actions necessary when objectives are there is no evidence on top management review MOM
9.3q17 9. Evaluation Q E HS Top management review MOM and Reports x
not achieved? and Reports
Do the outputs from the management review include the opportunities to improve the integration there is no evidence on top management review MOM
9.3q18 9. Evaluation Q E HS Top management review MOM and Reports x
of the IMS with other business processes as required? and Reports
Do the outputs from the management review include the implications for the organization’s there is no evidence on top management review MOM
9.3q19 9. Evaluation Q E HS Top management review MOM and Reports x
strategic direction? and Reports
Does your organization retain documented information as evidence of the results of
9.3q20 9. Evaluation Q E HS Management Review MOM/ Reports x There is no evidence on Management Review Records
management reviews? (See 7.5.1b)
10 10. Improvement Improvement
10.1 10. Improvement Improvement - General 0 0 5 0
determining and selecting opportunities for
Does your organization determine and select opportunities for improvement and implement any improvement and implement any necessary There is no evidence on improvement action plans or
10.1q1 10. Improvement Q E HS x
necessary actions to meet customer requirements and enhance customer satisfaction? actions to meet customer requirements and projects
enhance customer
determining satisfaction
and selecting opportunities for
Does your organization determine and select opportunities for improvement and implement any improvement and implement any necessary There is no evidence on improvement action plans or
10.1q2 10. Improvement E HS x
necessary actions to achieve the intended outcomes of its IMS? actions to achieve the intended outcomes of its projects
Does your organization determine and select opportunities for improvement and implement any IMS improving products and services to meet
There is no evidence on improvement action plans or
10.1q3 10. Improvement Q E HS necessary actions to improving products and services to meet requirements as well as to address requirements as well as to address future needs x
projects
future needs and expectations? and expectations
*Internal audit plan is approved and is ongoing
Does your organization determine and select opportunities for improvement and implement any implement any necessary actions to correcting,
10.1q4 10. Improvement Q E HS x *HSE inspection plan is not approved
necessary actions to correcting, preventing or reducing undesired effects? preventing or reducing undesired effects
*Mystery Shopper inspections are being conducted
Does your organization determine and select opportunities for improvement and implement any improving the performance and effectiveness of There is no evidence on improvement action plans or
10.1q5 10. Improvement Q E HS x
necessary actions to improving the performance and effectiveness of the IMS? the IMS projects
10.2 10. Improvement Improvement - Incident, Nonconformity and Corrective Action 0 3 11 0
When an incident or nonconformity occurs, including any arising from complaints, does your process for corrective and preventive actions drafted
10.2q2 10. Improvement Q E HS Car/PAR Action Plans x
organization react to the non-conformity take action to control and correct it? Treatment Plan drafted
When an incident or nonconformity occurs, including any arising from complaints, does your process for corrective and preventive actions drafted
10.2q3a1 10. Improvement Q E HS Car/PAR Action Plans x
organization react to the non-conformity deal with the consequences? Treatment Plan drafted
When an incident or nonconformity occurs, including any arising from complaints, does your
organization evaluate, with the participation of workers (see 5.4) and the involvement of other Incident investigation process (defining root causw
process for corrective and preventive actions drafted
10.2q3a1 10. Improvement Q E HS relevant interested parties, the need for corrective action to eliminate the root cause(s) of the analysis) x
Treatment Plan drafted
incident or nonconformity, in order that it does not recur or occur elsewhere, by investigating the Car/PAR Actions
incident or reviewing the nonconformity?
When an incident or nonconformity occurs, including any arising from complaints, does your evaluating, with the participation of workers (see
organization evaluate, with the participation of workers (see 5.4) and the involvement of other 5.4) and the involvement of other relevant
There is no process for incident investigation and
10.2q3b1 10. Improvement Q E HS relevant interested parties, the need for corrective action to eliminate the root cause(s) of the interested parties, the need for corrective action x
involving workers and interested parties in it
incident or nonconformity, in order that it does not recur or occur elsewhere, by determining the to eliminate the root cause(s) of the incident or
cause(s) of the incident or nonconformity? nonconformity
When an incident or nonconformity occurs, including any arising from complaints, does your evaluating, with the participation of workers (see
organization evaluate, with the participation of workers (see 5.4) and the involvement of other 5.4) and the involvement of other relevant
There is no process for incident investigation and
10.2q3b2 10. Improvement Q E HS relevant interested parties, the need for corrective action to eliminate the root cause(s) of the interested parties, the need for corrective action x
involving workers and interested parties in it
incident or nonconformity, in order that it does not recur or occur elsewhere, by determining if to eliminate the root cause(s) of the incident or
similar incidents have occurred, if nonconformities exist, or if they could potentially occur? nonconformity
When an incident or nonconformity occurs, including any arising from complaints, does your
implementing any needed and review existing
10.2q3b3 10. Improvement Q E HS organization implement any needed and review existing assessments of OH&S risks and other x There is no risks review process
assessments of OH&S risks and other risks
risks, as appropriate (see 6.1)?
When non-conformities occur, including any arising from complaints, does your organization reviewing the effectiveness of any corrective There is no process for corrective and preventive
10.2q3c 10. Improvement Q E HS x
review the effectiveness of any corrective action taken? action taken actions to be addressed
updating risks and opportunities determined
When non-conformities occur, including any arising from complaints, does your organization
during planning, if necessary, as well as assessing There is no process for corrective and preventive
10.2q3d 10. Improvement Q E HS update risks and opportunities determined during planning, if necessary, as well as assessing x
OH&S risks that relate to new or changed hazards, actions to be addressed
OH&S risks that relate to new or changed hazards, prior to taking action?
prior to taking
determine and action
implement any action needed,
When non-conformities occur, including any arising from complaints, does your organization
including corrective action, in accordance with the There is no process for corrective and preventive
10.2q3e 10. Improvement HS determine and implement any action needed, including corrective action, in accordance with the x
hierarchy of controls (see 8.1.2) and the actions to be addressed
hierarchy of controls (see 8.1.2) and the management of change (see 8.1.3)?
management of change
When non-conformities occur, including any arising from complaints, does your organization Applying changes resulted from Corrective and There is no process for corrective and preventive
10.2q3f 10. Improvement Q E HS x
makes changes to the IMS as necessary? preventive actions actions to be addressed

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Audit Findings

ISO

ISO
14001:2015

45001:2018
ISO 9001:2015

Compliant

Minor NC

Major NC
Clause No. Main Clauses ISO Integrated Audit Questions Objective Evidence Audit Evidence & Notes

OFI
4 4. Context Context of the Organization
ensuring that corrective actions are appropriate to
Does your organization ensure that corrective actions are appropriate to the effects of the There is no process for corrective and preventive
10.2q3g 10. Improvement Q E HS the effects of the incident or nonconformity x
incident or nonconformity encountered? actions to be addressed
encountered
Does your organization retain documented information as evidence of the nature of the incident Incident investigation records including root cause
10.2q14 10. Improvement Q E HS x There is no evidence on incident investigation records
or nonconformity and any subsequent actions taken? (See 7.5.1b) analysis
Does your organization retain documented information as evidence of the nature of the results
10.2q15 10. Improvement Q E HS CAR/PAR Actions Records x There is no evidence on CAR/PAR records
of any corrective action? (See 7.5.1b)
communicating this documented information to
There is no process for cmmunicating incident
Does your organization communicate this documented information to relevant workers, and, relevant workers, and, where they exist, workers’
10.2q16 10. Improvement Q E HS x investigation and involving workers and interested
where they exist, workers’ representatives, and other relevant interested parties? representatives, and other relevant interested
parties in it
parties
10.3 10. Improvement Continual Improvement 0 1 6 0
Does your organization continually improve the suitability, adequacy and effectiveness of the improving the suitability, adequacy and there is no evidence on implementing improvement
10.3q17 10. Improvement Q E HS x
IMS? effectiveness of the IMS for QHSE system
Does your organization consider the results of analysis and evaluation, and the outputs from outputs from management review, to determine if
10.3q18 10. Improvement Q E management review, to determine if there are needs or opportunities that can be addressed as there are needs or opportunities that can be x There is no a management review report
part of continual improvement? addressed as part of continual improvement
Does your organization continually improve the suitability, adequacy and effectiveness of the There is no evidence on actions to enhance QHSE
10.3q19a 10. Improvement Q E HS enhancing QEHS performance x
management system, by enhancing QEHS performance? performance
Does your organization continually improve the suitability, adequacy and effectiveness of the training and awarness sessions are being conducting
10.3q19b 10. Improvement HS promoting a culture that supports an IMS x
management system, by promoting a culture that supports an IMS? but there is no plan or schadule as an evidence
Does your organization continually improve the suitability, adequacy and effectiveness of the promoting the participation of workers in
There is no evidence on communication and workers
10.3q19c 10. Improvement HS management system, by promoting the participation of workers in implementing actions for the implementing actions for the continual x
participation process
continual improvement of the IMS? improvement of the IMS
Does your organization continually improve the suitability, adequacy and effectiveness of the communicating the relevant results of continual
There is no evidence on communication and workers
10.3q19d 10. Improvement HS management system, by communicating the relevant results of continual improvement to improvement to workers, and, where they exist, x
participation process
workers, and, where they exist, workers’ representatives? workers’ representatives
Does your organization continually improve the suitability, adequacy and effectiveness of the
Continuous Improvement Procedure
10.3q19e 10. Improvement HS management system, by maintaining and retaining documented information as evidence of x There is no evidence on theses requirements
Continuous Improvement Plan
continual improvement?

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Opportunities For Improvement
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Defining all these resources for


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Service acceptance criteria are not


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if there is a procedure for the


Control of outsourcing highlighting
the process of auditing outsourced
processes this will sustain the
ensurance process

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100

100

50

50

100

50

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Audit 0 Entries yet to be entered
Score 0 Errors

Status % Error Checking Summary

50

50

50

100

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Audit 0 Entries yet to be entered
Score 0 Errors

Status % Error Checking Summary

100

100

50

50

50

50

100

100

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Audit 0 Entries yet to be entered
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Status % Error Checking Summary

100

100

100

100

100

50

50

100

100

100

100
50

50

100
50
50
0
0

50

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Status % Error Checking Summary

100

100

50

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

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Status % Error Checking Summary

100

100

100

100

100

100

50

50

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50

50

50

100

100

100

100

100

100

100

100

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Status % Error Checking Summary

100

50

50
0
50

50

100

50

50

50

50

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100

100

100

100

100

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100

100

100

50

50

50

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50

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50

50

50

50

50

50

50

100

100

0
0
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50

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Clause No. Sub Clause
Understanding the organization and its
4.1 context
Understanding the needs and expectation
4.2 of workers and other interested parties
Determining the scope of the
4.3 management system
4.4 Integrated Management System
5.1.1 General
5.1.2 Customer Focus
5.2.1 Developing the Policy
5.2.2 Communicating the Policy
Organizational Roles, Responsibilities and
5.3 Authorities
Consultation and Participation of Workers
5.4 and Contractors
Actions to Address Risks and
6.1.1 Opportunities
6.1.2a Environmental Aspects
6.1.2b.1 Hazard identification
Assessment of OH&S risks and other risks
6.1.2b.2 to the IMS
Assessment of OH&S opportunities and
6.1.2b.3 other opportunities for the IMS
Determination of legal requirements and
6.1.3 other requirements
6.1.4 Planning Action
6.2.1 QEHS Objectives
6.2.2 Planning to Achieve QEHS Objectives
6.2.3 Planning for Change
7.1.1 General
7.1.2 People
7.1.3 Infrastructure
Environment for the Operation of
7.1.4 Processes
[Link] General
[Link] Measurement Traceability
7.1.6 Organizational knowledge
7.2 Competence
7.3 Awareness
7.4.1 Communcation - General
7.4.2 Communcation - Internal communication
7.4.3 Communcation - External communication
7.5.1 Documented Information - General
Creating and
7.5.2 Updating
7.5.3 Documented Information - Control

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8.1a Quality Planning & Control
8.1b Environmental
OH&S Operational Planning & Control
Planning & Control -
8.1.1 General
Operation - Eliminating Hazards and
8.1.2 Reducing OH&S Risks
8.1.3 Operation - Management of Change
[Link] Procurement - General
[Link] Procurement - Contractors
[Link] Procurement - Outsourcing
8.2a Emergency Preparedness & Response
8.2b.1 Customer communication
Determining the requirements for
8.2b.2 products and services
Review of the requirements for products
8.2b.3 and services
Changes to requirements for products
8.2b.4 and services
8.3.1 General
8.3.2 Design and development planning
8.3.3 Design and Development inputs
8.3.4 Design and development controls
8.3.5 Design and Development outputs
8.3.6 Design and Development changes
8.4.1 General
8.4.2 Type and extent of control
8.4.3 Information
Control for external
of production andproviders
service
8.5.1 provision
8.5.2 Identification and traceability
Property belonging to customers or
8.5.3 external providers
8.5.4 Preservation
8.5.5 Post-delivery activities
8.5.6 Control of change
8.6 Release of products and services
8.7 Control of nonconforming outputs
Monitoring, Measurement, Analysis and
9.1.1 Evaluation - General
9.1.2a Customer Satisfaction
Monitoring, Measurement, Analysis and
9.1.2b Evaluation - Evaluation of Compliance
9.1.3 Analysis & Evaluation
Performance Evaluation - Internal Audit -
9.2.1 General
Performance Evaluation - Internal Audit
9.2.2 Programme

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Performance Evaluation - Management
9.3 Review
10.1 Improvement - General
Improvement - Incident, Nonconformity
10.2 and Corrective Action
10.3 Continual Improvement

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Audit Find
Thematic Area Main Clause Compliant
4.1 Organizational Context 4. Context 0

4.2 Relevant Interested Parties 4. Context 0

4.3 Management System Scope 4. Context 0


4.4 QEHS Management System 4. Context 2
5.1.1 General 5. Leadership 3
5.1.2 Customer Focus 5. Leadership 2
5.2.1 Developing the Policy 5. Leadership 0
5.2.2 Communicating the Policy 5. Leadership 0

5.3 Roles, Responsibilities and Authority 5. Leadership 0

5.4. Consultation
6.1.1 and Participation
Action to Address Risk and 5. Leadership 0
Opportunities 6. Planning 20
6.1.2a Environmental Aspects 6. Planning 1
6.1.2b.1 Hazard Identification 6. Planning 15
6.1.2b.2 Assessment of OH&S risks and
Other Risks 6. Planning 4
6.1.2b.3 Assessment of OH&S Opportunities
and Other Opportunities 6. Planning 4

6.1.3 Determining Legal Requirements 6. Planning 0


6.1.4 Planning Actions 6. Planning 5
6.2.1 QEHS Objectives 6. Planning 0
6.2.2 Objectives & Planning to Achieve Them 6. Planning 0
6.2.2 Planning for Change 6. Planning 0
7.1.1 General 7. Support 2
7.1.2 People 7. Support 0
7.1.3 Infrastructure
7.1.4 Environment for the Operation of 7. Support 1
Processes 7. Support 0
[Link] General 7. Support 3
[Link] Measurement Traceability 7. Support 3
7.1.6 Organizational knowledge 7. Support 3
7.2 Competence 7. Support 0
7.3 Awareness 7. Support 0
7.4.1 Communcation - General 7. Support 3
7.4.2 Internal communication 7. Support 1
7.4.3 External communication 7. Support 1
7.5.1 Documented Information 7. Support 1
7.5.2 Creating and Updating 7. Support 3
7.5.3 Documented Information - Control 7. Support 7

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8.1a Quality Planning & Control 8. Operation 3
8.1b Environmental Planning & Control 8. Operation 3
8.1.1 OH&S Operational Planning & Control 8. Operation 2
8.1.2 Operation - Eliminating Hazards and
Reducing OH&S Risks 8. Operation 0
8.1.3 Operation - Management of Change 8. Operation 0
[Link] Procurement - General 8. Operation 0
[Link] Procurement - Contractors 8. Operation 5
[Link] Procurement - Outsourcing 8. Operation 1
8.2a Emergency Preparedness & Response 8. Operation 6
8.2b.1 Customer communication 8. Operation 5
8.2b.2 Determining the requirements for
products and services 8. Operation 3
8.2b.3 Review of the requirements for
products and services 8. Operation 10
8.2b.4 Changes to requirements for products
and services 8. Operation 1
8.3.1 General 8. Operation
8.3.2 Design and development planning 8. Operation
8.3.3 Design and Development inputs 8. Operation
8.3.4 Design and development controls 8. Operation
8.3.5 Design and Development outputs 8. Operation
8.3.6 Design and Development changes 8. Operation
8.4.1 General 8. Operation 6
8.4.2 Type and extent of control 8. Operation 0
8.4.3 Information for external providers
8.5.1 Control of production and service 8. Operation 7
provision 8. Operation 3
8.5.2 Identification and traceability 8. Operation 0
8.5.3 Property belonging to customers or
external providers 8. Operation 3
8.5.4 Preservation 8. Operation 0
8.5.5 Post-delivery activities 8. Operation 2
8.5.6 Control of change 8. Operation 0
8.6 Release of products and services 8. Operation 4
8.7 Control of nonconforming outputs 8. Operation 0
9.1.1 Monitoring, Measurement, Analysis
and Evaluation - General 9. Evaluation 0
9.1.2a Customer Satisfaction 9. Evaluation 2
9.1.2b Monitoring, Measurement, Analysis
and Evaluation - Evaluation of Compliance 9. Evaluation 0
9.1.3 Analysis & Evaluation 9. Evaluation 0
9.2.1 Performance Evaluation - Internal
Audit - General 9. Evaluation 3
9.2.2 Performance Evaluation - Internal
Audit Programme 9. Evaluation 2

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9.3 Performance Evaluation - Management
Review 9. Evaluation 0
10.1 Improvement - General 10. Improvement 0
10.2 Improvement - Incident, Nonconformity
and Corrective Action 10. Improvement 0
10.3 Continual Improvement 10. Improvement 0

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Audit Findings
Minor NC Major NC OFI % Compliance Target
2 0 0 50% 100%

4 0 0 50% 100%

10 0 0 50% 100%
4 7 0 31% 100%
7 4 0 46% 100%
1 0 0 83% 100%
6 0 0 50% 100%
4 0 0 50% 100%

7 0 0 50% 100%

20 0 0 50% 100%
0 0 0 100% 100%
6 0 0 57% 100%
1 0 0 97% 100%

0 0 0 100% 100%

0 0 0 100% 100%

0 4 0 0% 100%
1 1 0 79% 100%
0 10 0 0% 100%
0 7 0 0% 100%
5 0 0 50% 100%
1 0 0 83% 100%
1 0 0 50% 100%
0 0 0 100% 100%
1 0 0 50% 100%
1 0 0 88% 100%
3 1 0 64% 100%
0 0 0 100% 100%
3 2 0 30% 100%
7 1 0 44% 100%
4 3 0 50% 100%
0 1 0 50% 100%
0 0 0 100% 100%
0 0 0 100% 100%
0 0 0 100% 100%
1 0 0 94% 100%

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7 0 0 65% 100%
3 6 0 38% 100%
3 1 0 58% 100%

0 1 0 0% 100%
0 5 0 0% 100%
0 1 0 0% 100%
0 0 0 100% 100%
2 0 0 67% 100%
6 5 0 53% 100%
0 0 0 100% 100%

0 0 0 100% 100%

0 0 0 100% 100%

0 0 0 100% 100%

0 0 0 100% 100%
6 0 0 50% 100%
0 0 0 100% 100%
5 1 0 61% 100%
4 0 0 50% 100%

0 0 0 100% 100%
0 0 0 0% 100%
0 0 0 100% 100%
0 2 0 67% 100%
0 0 0 100% 100%
6 0 0 50% 100%

14 0 0 50% 100%
0 0 0 100% 100%

0 5 0 0% 100%
3 5 0 19% 100%

0 0 0 100% 100%

0 4 0 33% 100%

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0 16 0 0% 100%
0 5 0 0% 100%

3 11 0 11% 100%
1 6 0 7% 100%

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This shape represents a table
slicer. Table slicers are not
supported in this version of
Excel.

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Excel 2007 or earlier, the
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4.2q3b

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4.3q6b

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4.3q7

4.3q8

4.3q9

4.3q10

4.3q11

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4.4q14

4.4q15

4.4q16

4.4q17

4.4q18

4.4q19

4.4q20

4.4q21

4.4q22

4.4q23

5.1.1q1a

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5.1.1q1b

5.1.1q1c

5.1.1q1d

Err:508

5.1.1q1g

5.1.1q1i

5.1.1q1j

5.1.1q1k

5.1.1q1l

5.1.1q1m

5.1.1q1n

5.1.2q2

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5.2q1b

5.2q1c

5.2q1d/e

5.2q1f

5.2q1g

5.2.2q1a

5.2.2q1b

5.2.2q1c

5.2.2q1d

5.3q1

5.3q2

5.3q3

5.3q4

5.3q5

5.3q6

5.3q7

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5.4q8

5.4q9a

5.4q9b

5.4q10c

5.4q11d1

5.4q11d2

5.4q11d3

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5.4q11d6

5.4q11d7

5.4q11d8

5.4q11d9

5.4q12e1

5.4q12e2

5.4q12e3

5.4q12e4

5.4q12e5

5.4q12e6

5.4q12e7

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6.1.2aq1

6.1.2aq1

6.1.2aq2

6.1.2aq2

6.1.2aq2

6.1.2aq2

6.1.2b1q

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6.1.3q15

6.1.3q15

6.1.3q15c

6.1.3q16

6.1.4q17

6.1.4q17

6.2.1q18

6.2.1q19

6.2.1q19

6.2.1q19

6.2.1q19

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6.2.1q19

6.2.1q19

6.2.1q19

6.2.1q19f

6.2.1q19

6.2.2q20

6.2.2q20

6.2.2q20c

6.2.2q20

6.2.2q20

6.2.2q20f

6.2.2gq2

6.2.3q22

6.2.3q23

6.2.3q24

6.2.3q25

6.2.3q26

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7.1.1q2

7.1.2q4

7.1.4q6

7.1.5.1q7

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7.1.5.2q1

7.1.5.2q1

7.1.5.2q1

7.1.5.2q1

7.2q2a

7.2q2b

7.2q2c

7.2q2d

7.2q3

7.3q3

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7.3q4

7.3q5

7.3q6

7.3q7

7.3q8

7.3q9

7.3q10

7.4.1q4a

7.4.1q4b

7.4.1q4c1

7.4.1q4c2

7.4.1q4c3

7.4.1q4d

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7.4.1q8

7.4.1q10

Err:508

Err:508

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7.5.3.2q2

8.1aq1

8.1aq2

8.1aq3

8.1aq6

8.1aq7

8.1aq9
8.1aq10

8.1bq11

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8.1bq12
8.1bq13

8.1bq14

8.1bq15

8.1bq16

8.1bq17

8.1bq21

8.1bq22

8.1.1q1a

8.1.1q1b

8.1.1q1c

8.1.1q1d

8.1.2q4

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8.1.3q5a

8.1.3q5b

8.1.3q5c

8.1.3q5d

8.1.3q6

8.1.4.1q7

8.1.4.3q1

8.1.4.3q1

8.2aq15c
8.2aq15d

8.2aq15e

8.2aq15f

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8.2aq15g

8.2aq17

8.2aq18
8.2aq19

8.2aq20

8.2aq21

8.2aq24

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#REF!
Err:508
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Err:508
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8.4.2q39
8.4.2q39
8.4.2q39c

8.4.2q39

8.4.2q39

8.4.2q39

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8.5.1q35c
8.5.1q35
8.5.1q35
8.5.1q35f
8.5.1q35

8.5.1q35i

8.5.2q36

8.5.2q37
8.5.2q38

8.5.2q39

8.5.6q46

8.5.6q47

8.7.1q51

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8.7.1q52

8.7.1q53

8.7.1q54
8.7.1q55

8.7.2q56

9.1.1q1
9.1.1q2a

9.1.1aq2

9.1.1aq2

9.1.1aq2

9.1.1aq2

9.1.1q2b
9.1.1q2c

9.1.1q2d

9.1.1q2e
9.1.1q3

9.1.1q4

9.1.1q5

9.1.1q6

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9.1.2bq6
9.1.2bq7
9.1.2bq7
9.1.2bq7c
9.1.2bq7

9.1.3q9

9.1.3q10

9.1.3q10

9.1.3q10c

9.1.3q10

9.1.3q10

9.1.3q10f

9.1.3q10

9.2.2q10

9.2.2q10c
9.2.2q10
9.2.2q10

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9.3q11

9.3q12a

9.3q12b

9.3q12c

9.3q12d

9.3q12e
9.3q12f

9.3q12g

9.3q13
9.3q14

9.3q15

9.3q16
9.3q17

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9.3q18
9.3q19

9.3q20

10.1q1

10.1q2

10.1q3

10.1q4

10.1q5

10.2q2

10.2q3a1

10.2q3a1

10.2q3b1

10.2q3b2

10.2q3b3

10.2q3c

10.2q3d

10.2q3e

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10.2q3f

10.2q3g

10.2q14

10.2q15

10.2q16

10.3q17

10.3q18

10.3q19a

10.3q19b

10.3q19c

10.3q19d

10.3q19e

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This shape represents a table
slicer. Table slicers are not NC, CAPA & Action Plan
supported in this version of
Excel.

If the shape was modified in Audit Question


an earlier version of Excel, or
if the Has
workbook
yourwas saved in
organization determined external and internal issues relevant to its purpose and
Excel 2007 or earlier, the
slicer its
can'tstrategic
be used. direction that affect its ability to achieve the intended result(s) of its IMS?
Does your organization monitor and review information about these external and internal
issues?

Has your organization determined the interested parties and workers that are relevant to
the IMS?
Has your organization determined the needs and expectations of these interested parties
and workers that are relevant to the IMS?
Has your organization determined which of these needs and expectations could become
legal requirement and other requirement?
How do you monitor and review information about these interested parties and their
relevant needs and expectations?

Has the organization determined the boundaries and applicability of the IMS to establish its
scope?
When
When determining
determining this
this scope,
scope, has
has your
your organization
organization considered
considered the external and
its activities, internal
products,
issues referred
services to in 4.1? activities and related product lifecycles, such as:
and work-related
When determining this scope, has your organization considered the requirements of
1. Raw material
relevant acquisition;
interested parties referred to in 4.2?
2. Manufacture;
When determining this scope, has the organization taken into account all relevant products,
3. Packaging/Transport/Delivery;
services
4. Use; and work-related activities, functions and physical boundaries to the IMS?
5. End of life treatment;
6. Final disposal.
has your organization considered its activities, products and services over which it has the
authority and to exercise control and influence?
Has your organization applied all the requirements of ISO 9001:2015, ISO 14001:2015 and
ISO
Does45001:2018 if they
the scope state are
the applicable
types withinand
of products theservices
determined scopeand
covered, of the IMS?justification
provide
for any requirement of ISO 9001:2015 that your organization determines is not applicable to
the scope of its IMS?
When determining scope, has your organization considered and documented its ability and
authority to control and influence factors relating to external and internal issues?

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Is the scope of your organization’s IMS available and maintained as documented
information and available to interested parties and workers? (See 7.5.1a)

Has your organization established, implemented, maintained and continually improved its
IMS, including the processes needed and their interactions, in accordance with the
requirements of ISO 9001:2015, ISO 14001:2015 and ISO 45001:2018?
Has your organization considered the knowledge and information obtained by 4.1 and 4.2
when implementing
Has your and
organization operating the
determined it IMS?
process required for the IMS, including their
interactions, in accordance with requirements and their application throughout the
organization?
Has your organization determined the inputs required and the outputs expected from these
processes?

Has
Has your
your organization
organization determined
determined the
and sequence and
applied the interaction
criteria of these(including
and methods processes?
monitoring, measurements and related performance indicators) needed to ensure the
effective operation and control of these processes?
Has your organization determined the resources needed for these processes and ensure
their availability?

Has your organization assigned responsibilities and authorities for these processes?
Has your organization addressed the risks and opportunities as determined in accordance
with the requirements of 6.1?
Has your organization evaluated these processes and implement any changes needed to
ensure that these processes achieve their intended results?

Does your organization improve the processes and the IMS?

Does Top Management demonstrated leadership and commitment to the IMS by taking
accountability for the effectiveness of your organization’s IMS?

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Does Top Management demonstrated leadership and commitment to the IMS by ensuring
that QHSE policies and objectives are established and documented, and are compatible
your organization’s goals (See 6.2) and its context (See 4.0)?
Does Top Management demonstrated leadership and commitment to the IMS by ensuring
that QEHS requirements are integrated into your organization’s processes?
Does Top management demonstrate leadership and commitment with respect to the IMS by
promoting the use of the process approach and risk-based thinking?

Does Top management ensure that the IMS achieves its intended results?

Does Top management demonstrate leadership and commitment with respect to the IMS by
promoting improvement?
Does Top management demonstrate leadership and commitment with respect to the IMS by
supporting other relevant management roles to demonstrate their leadership as it applies
to their areas of responsibility?
Does top management develop, lead, and promote a culture in the organization that
supports the intended outcomes of the IMS?
Does top management protect workers from reprisals when reporting incidents, hazards,
risks and opportunities?
Does top management ensure that the organization establishes and implements a
process(es) for consultation and participation of workers (see 5.4)?
Does top management support the establishment and functioning of health and safety
committees, [see 5.4 e) 1]?

Does Top management demonstrate leadership and commitment with respect to customer
focus by ensuring that customer and applicable statutory and regulatory requirements are
determined, understood and consistently met?

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Has top management established, implemented and maintained QEHS policy that is
appropriate to the purpose and organizational context and support its strategic direction;
including the nature, scale, and environmental impacts of its activitities, products or
services, including a commitment to provide safe and healthy working conditions to prevent
work-related injury and ill health and is appropriate to the purpose and specific to the
nature of our OH&S risks and OH&S opportunities
Has top management established, implemented and maintained quality, environmental and
health and safety policy that provides a framework for setting the QEHS objectives?
Has top management established, implemented and maintained a QEHS policy that
includes a commitment
Has top management to fulfil legal
established, requirements
implemented andand other requirements?
maintained a QEHS policy that
includes a commitment to protect the environment, prevent pollution, eliminate hazards
and reduce OH&S risks (see 8.1.2)?
Has top management established, implemented and maintained an QEHS policy that
includes a commitment
Has top management to continualimplemented
established, improvement of the
and IMS?
maintained an OH&S policy that
includes a commitment to consultation and participation of workers, and , where they exist
workers representative?

Is the QEHS policy available as documented information?

Is the QEHS policy communicated within the organization?

Is the QEHS policy available to interested parties, as appropriate?

Is the QEHS policy relevant and appropriate?

Does top management ensure that the responsibilities and authorities for relevant roles
within the IMS are assigned and communicated at all levels within the organization and
maintained as documented information?
Do workers at each level of the organization assume responsibility for those aspects of the
IMS over which they have control?
Does top management assign the responsibility and authority for ensuring that the IMS
conforms to the requirements of ISO 9001:2015, ISO 14001:2015 and ISO 45001:2018?
Does Top management assigned the responsibility and authority for ensuring that the
processes are delivering their intended outputs?
Does top management assign the responsibility and authority for reporting on the
performance of the IMS to top management?
Does Top management assign the responsibility and authority for ensuring the promotion of
customer focus throughout your organization?
Does Top management assign the responsibility and authority for ensuring that the
integrity of the IMS is maintained when changes to it planned and implemented?

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Has your organization established, implemented and maintained a process(es) 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 IMS?
Has your organization provided mechanisms, time, training and resources necessary for
consultation and participation?
Has your organization provided timely access to clear, understandable and relevant
information about the IMS?
Has your organization determined and removed obstacles or barriers to participation and
minimize those that cannot be removed?
Has your organization emphasized the consultation of non-managerial workers on
determining the needs and expectations of interested parties? (see 4.2)
Has your organization emphasized the consultation of non-managerial workers on
establishing the QEHS policy? (see 5.2)
Has your organization emphasized the consultation of non-managerial workers on assigning
organizational roles, responsibilities and authorities, as applicable? (see 5.3)
Has your organization emphasized the consultation of non-managerial workers on
determining how to fulfil legal requirements and other requirements? (see 6.1.3)
Has your organization emphasized the consultation of non-managerial workers on
establishing QEHS objectives and planning to achieve them? (see 6.2)
Has your organization emphasized the consultation of non-managerial workers on
determining applicable controls for outsourcing, procurement and contractors? (see 8.1.4)
Has your organization emphasized the consultation of non-managerial workers on
determining what needs to be monitored, measured and evaluated? (see 9.1)
Has your organization emphasized the consultation of non-managerial workers on
establishing, implementing and maintaining an audit programme(s)? (see 9.2.2)
Has your organization emphasized the consultation of non-managerial workers on ensuring
continual improvement? (see 10.3)
Has your organization emphasized the participation non-managerial workers in determining
the mechanisms for their consultation and participation?
Has your organization emphasized the participation non-managerial workers in identifying
hazards and assessing risks and opportunities? (see 6.1.1 and 6.1.2)
Has your organization emphasized the participation non-managerial workers in determining
actions to eliminate hazards and reduce OH&S risks? (see 6.1.4)
Has your organization emphasized the participation non-managerial workers in determining
competence requirements, training needs, training and evaluating training? (see 7.2)
Has your organization emphasized the participation non-managerial workers in determining
what needs to be communicated and how this will be done? (see 7.4)
Has your organization emphasized the participation non-managerial workers in determining
control measures and their effective implementation and use? (see 8.1, 8.1.3 and 8.2)
Has your organization emphasized the participation non-managerial workers in
investigating incidents and nonconformities and determining corrective actions? (see 10.2)

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When planning for the scope of the IMS, has your organization determined the
environmental aspects of the activities, products and services that it controls and can
influence, and their associated environmental impacts when considering the product
lifecycle?
When determining applicable environmental aspects, has your organization taken into
account potential change, including planned or new developments, and new or modified
activities, products and services?
When determining applicable environmental aspects, has your organization taken into
account potential abnormal conditions and reasonably foreseeable emergency situations?

Has your organization communicated those aspects that may/pose a significant


environmental impact throughout the various levels and functions of our organization?
Does your organization maintain documented information regarding its environmental
aspects and associated impacts?
Does your organization maintain documented information regarding its significant
environmental aspects?

Has the organization established, implemented and maintained a process(es) for hazard
identification that is ongoing and proactive?

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Has your organization established, implemented and maintained a process(es) to
determine, and have access to up-to-date relevant compliance obligations related to its
environmental aspects and OHS hazards, risks and the IMS?
Has your organization determined how these compliance obligations and legal
requirements apply to your organization?
Has your organization take its compliance obligations, legal and other requirements into
account when establishing, implementing, maintaining and continually improving its IMS?
Does the organization maintain and retain documented information on its legal
requirements and other requirements and ensure that it is updated to reflect any changes?

Does your organization plan to take actions to address its compliance obligations and legal
requirements?

When planning its actions, does the organization consider best practices, technological
options and financial, operational and business requirements?

Has the organization established QEHS objectives at relevant functions and levels in order
to maintain and continually improve the IMS and QEHS performance (see 10.3)?

Are your organization’s QEHS objectives consistent with the QEHS policy (See 5.2)?

Are your organization’s QEHS objectives measurable (SMART), where practicable?

Do your organization's objectives take into account account applicable requirements?


Do your organization's objectives take into the results of the assessment of risks and
opportunities (see [Link] and [Link])?

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Do your organization's objectives take into the results of consultation with workers (see 5.4)
and, where they exist, workers’ representatives?

Are your organization’s QEHS objectives monitored?

Are your organization’s QEHS objectives communicated?

Are your organization’s QEHS objectives update as appropriate?

Are your organization’s QEHS objectives maintained as documented information (See 7.5)?

When planning how to achieve its QEHS objectives, has your organization determined what
will be done?
When planning how to achieve its QEHS objectives, has your organization determined what
resources will be required?
When planning how to achieve its objectives, Has your organization determine who will be
responsible?
When planning how to achieve its objectives, Has your organization determine when it will
be completed?
When planning how to achieve its objectives, Has your organization determine how the
results will be evaluated, including indicators for monitoring the progress of achievement of
objectives?
When planning how to achieve its objectives, Has your organization determine how the
actions to achieve QEHS objectives is integrated into the organization’s business
processes?
Has your organization maintain and retain documented information on the QEHS objectives
and plans to achieve them?

When your organization determines the need for changes to the IMS, are the changes
carried out in a planned manner (see 4.4).
Does your organization consider the purpose of the changes and their potential
consequences?
Does your organization consider and maintain the integrity of the IMS during the change
process?

Does your organization consider the availability of resources during the change process?
Does your organization consider the allocation or reallocation of responsibilities and
authorities during the change process?

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Does your organization consider the capabilities of, and constraints on existing internal
resources?

Does your organization determine and provide the staff necessary resources for the
effective implementation of its IMS and for the operation and control of its processes?

Does organization determine, provide and maintain the environment necessary for the
operation of its processes and to achieve conformity of products and services?

Does your organization determine and provide the resources needed to ensure valid and
reliable results when monitoring or measuring is used to verify the conformity of products
and services to requirements.

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Where no such standard is existing, are documented information retained for the basis used
for calibration or verification?

Are measuring equipment identified in order to determine their status?


Are measuring equipment safeguarded from adjustments, damage or deteriorated that
would invalidate
Does the the calibration
organization determineand
andsubsequent measurement
take appropriate action if results?
validity of pervious
measurement results have been adversely affected when measuring equipment is found to
be unfit for its intended purpose?

Does your organization determine the necessary competence of person(s) doing work under
its control that affects the performance and effectiveness of the IMS?

Does your organization ensure that these persons are competent (including the ability to
identify OHS hazards and environmental aspects) on the basis of appropriate education,
training, or experience?
Does your organization determine the training needs associated with mitigating its
environmental aspects and operating its IMS?
Does your organization where applicable, take actions to acquire the necessary
competence, and evaluate the effectiveness of the actions taken?
Does your organization retain appropriate documented information as evidence of
competence? (See 7.5.1b)

Does your organization ensure that workers are aware of the QEHS policy?

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Does your organization ensure workers are aware of the relevant objectives, actual and
potential work-related aspects and their contribution to the IMS performance, including the
benefits of improved performance?
Does your organization ensure that workers are aware of the relevant environmental
aspects and impacts associated with their work?

Does your organization ensure that workers are aware of their contribution to the
effectiveness of the IMS, including the benefits of improved performance?

Does your organization ensure that workers are aware of the implications of not conforming
to the IMS requirements and not fulfilling the organization’s compliance objectives?
Does your organization ensure that workers are aware of incidents and the outcomes of
investigations that are relevant to them?
Does
Does your
your organization
organization ensure
ensure that
that workers
workers are
are aware
aware of
of hazards,
the abilityOH&S risks and
to remove actions
themselves
determined that are relevant
from work situations that theytoconsider
them? present an imminent and serious danger to their life
or health, as well as the arrangements for protecting them from undue consequences for
doing so?

Does your organization determine the internal and external communications relevant to the
IMS, including what it will communicate?
Does
Does your
your organization
organization determine
determine the
the internal
internal and
and external
external communications
communications relevant
relevant to
to the
the
IMS,
IMS, including
including when to communicate?
with whom to communicate internally among the various levels and functions
of the organization, among contractors and visitors to the workplace and among other
interested parties?
Does your organization determine the internal and external communications relevant to the
IMS, including how to communicate?
Does your organization take into account its compliance obligations and legal requirements
when establishing its communication process?
Does your organization ensure that when environmental or health and safety information
that is communicated, it is consistent with the information generated by the IMS is reliable?

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Dos your organization ensure that the views of external interested parties are considered in
establishing its communication process(es)?

Does your organization ensure that is communication process enables persons doing work
under your organization’s control to contribute to continual improvement?

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Is documented information retained as evidence of conformity protected from unintended
alterations?

Does your organization plan, implement and control the processes (see 4.4) needed to
meet the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by determining the requirements for the products and
services?
Does your organization plan, implement and control the processes (see 4.4) needed to
meet the requirements for the provision of products and services, and to implement the
actions determined
Does your in Clause
organization 6 by establishing
plan, implement criteria
and control thefor the processes?
processes (see 4.4) needed to
meet the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by establishing criteria for the acceptance of products and
services?

Does your organization plan, implement and control the processes (see 4.4) needed to
meet the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by determining, maintaining and retaining documented
information to the extent necessary to have confidence that the processes have been
carried out as planned?
Does your organization plan, implement and control the processes (see 4.4) needed to
meet the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by determining, maintaining and retaining documented
information to the extent necessary to demonstrate the conformity of products and services
to their requirements?

Does your organization control planned changes and review the consequences of
unintended changes, taking action to mitigate any adverse effects, as necessary?
Does your organization ensure that outsourced processes are controlled (see 8.4)?

Has the organization established, implemented, controlled and maintained the processes
needed to meet IMS requirements, and to implement the actions identified in Section 6.1?

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establishedcontrol
Has the organization implement operating criteria
of the for each
processes process?
in accordance with the operating
criteria?
Does the organization control planned changes and review the consequences of unintended
changes, and taking action to mitigate any adverse effects?

Does your organization ensure that outsourced process are controlled and influenced?
Does your organization define the extent of control or influence that it applies to each
process
Has yourwithin the IMS?established controls to ensure that its environmental requirements
organization
are addressed in the design and development process for the product or service as
appropriate considering each life cycle stage?

Does your organization consider the need to provide information about potential significant
environmental impacts related to the transportation, delivery, use, end of life treatment
and final disposal of its products and services?
Does the organization maintain documented information to the extent necessary to have
confidence that its processes are carried out as planned?

Has your organization planned, implemented, controlled and maintained the processes
needed to meet requirements of the IMS, and to implement the actions determined in
Clause 6, by establishing criteria for the processes?
Has your organization planned, implemented, controlled and maintained the processes
needed to meet requirements of the IMS, and to implement the actions determined in
Clause 6, by implementing control of the processes in accordance with the criteria?
Has your organization planned, implemented, controlled and maintained the processes
needed to meet requirements of the IMS, and to implement the actions determined in
Clause 6, by maintaining and retaining documented information to the extent necessary to
have confidence
Has your that the
organization processes
planned, have beencontrolled
implemented, carried out as maintained
and planned? the processes
needed to meet requirements of the IMS, and to implement the actions determined in
Clause 6, by adapting work to workers?

Has the organization established, implemented and maintained a process(es) for the
elimination of hazards and reduction of OH&S risks using the hierarchy of controls below?
a) eliminate the hazard;
b) substitute with less hazardous processes, operations, materials or equipment;
c) use engineering controls and reorganization of work;
d) use administrative controls, including training;
e)use adequate personal protective equipment.

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Has the organization established a process(es) for the implementation and control of
planned changes that impact OH&S performance, including new and upgraded products,
services and processes??
Including:
- workplace locations and surroundings;
- work organization;
- working conditions;
- equipment;
-Has
work
theforce;
organization established a process(es) for the implementation and control of
planned changes that impact OH&S performance, including changes to legal requirements
and other
Has requirements?
the organization established a process(es) for the implementation and control of
planned changes that impact OH&S performance, including changes in knowledge or
information about hazards
Has the organization and OH&S
established risks?
a process(es) for the implementation and control of
planned changes that impact OH&S performance, including developments in knowledge
and technology?
Does the organisation review the consequences of unintended changes, taking action to
mitigate any adverse effects, as necessary?

Has your organization established, implemented and maintained a process(es) to control


the procurement of products and services in order to ensure their conformity to its IMS?

Does your organization


Does your organization ensure
ensure that
that outsourced functions
its outsourcing and processes
arrangements are controlled?
are consistent with legal
requirements and other requirements and with achieving the intended outcomes of the
IMS?

Does your organization take action to prevent or mitigate the consequences of emergency
situations appropriate to the magnitude of the emergency and the potential environmental
impact?
Does your organization periodically test the planned responses where practicable?
Does your organization periodically review the planned responses, in particular, after an
emergency situation has occurred?
Does your organization provide relevant information and training related to emergency
response and preparedness to relevant interested parties and staff?

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Does the organization maintain documented information to the extent necessary to have
confidence that its processes are carried out as planned?

Has your organization established a planned response to emergency situations, including


the provision of first aid?

Has your organization provided training for the planned response?


Has your
Has your organization
organization periodically tested and exercised
evaluated performance the planned
and, as necessary, response
revised capability?
the planned
response, including after testing and, in particular, after the occurrence of emergency
situations?
Has your organization communicated and provided relevant information to all workers on
their duties and responsibilities?

Does you organization maintain and retain documented information on the process(es) and
on the plans for responding to potential emergency situations?

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Does the organization ensure that the externally provided processes, product and services
do not adversely affect the its ability to consistently deliver conforming products and
services
Does theto the customers?
organization ensure that the externally provided process remain within the control
of itsthe
Has QMS?
organization defined the controls to be applied to external provider and its resulting
outputs?
Has the organization taken into consideration the potential impact of the organization’s
ability to consistently meet customer and applicable statutory and regulatory requirement?
Has the organization taken into consideration the effectiveness of the controls applied by
the external providers?
Has the organization determined the verification or other activities, necessary to ensure
that the externally provided processes, products and services meet requirements?

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Are any suitable monitoring and measuring resources available? Are they being used?
Are monitoring and measuring activities being performed at appropriate stages?
Are competent persons (including qualification) being appointed?
Is the infrastructure and environment being used suitable for operation of processes?
Has the organization implemented any actions to prevent human error?

Where resulting output cannot be verified by subsequent monitoring or measurement, has


the organization conducted validation and periodic revalidation of the process for
production and service provision?

Has the organization used any suitable means to identify output when it is necessary to
ensure the conformity of products and services?
Has the status of outputs with respect to monitoring and measuring requirements
throughout
Has the production
the organization and service
controlled provision
the unique being identified
identification by the when
of the outputs organization?
traceability is
a requirement?
Has the organization retain the documented information necessary to enable traceability,
when traceability is a requirement?

Does the organization conduct review and control changes for production or service
provision
Does to ensure continuing
the organization conformity information
retain documented with requirements?
describing the results of the review of
changes, the person(s) authorizing the change and any necessary actions arising from the
review?

Does the organization ensure that the outputs which do not conform to their requirements
are identified and controlled to prevent their unintended use or delivery?

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Is the action appropriate to the nature of the nonconformity and its effect on the conformity
of product and services?

Do the organization also consider nonconforming product and services detected after
delivery of products, during
When non-conforming andand
product after provision
services of services?
is detected does the organization take
correction action and/or segregation, containment, return or suspension of provision of
product & services and/or informing the customer and/or obtaining authorization for
acceptance
Has under concession?
the organization verified conformity to the requirements when nonconforming outputs
are corrected?
Does the organization retain documented information that describes the nonconformity;
describes the actions taken; describes any concession obtained; identifies the authority
deciding the action in respect of the nonconformity?

Has your organization established, implemented and maintained a process(es) for


monitoring, measurement, analysis and performance evaluation?
Does your organization determine what needs to be monitored and measured?
Does the extent of your organization's monitoring and measurement include the extent to
which legal requirements and other requirements are fulfilled?
Does the extent of your organization's monitoring and measurement include its activities
and operations related to identified hazards, risks and opportunities?
Does the extent of your organization's monitoring and measurement include progress
towards achievement of the organization’s OH&S objectives?
Does the extent of your organization's monitoring and measurement include the
effectiveness of operational and other controls?
Does your organization determine the methods for monitoring, measurement, analysis and
evaluation needed to ensure valid results?
Does your organization determine when monitoring and measuring is performed ?
Does your organization determine the criteria against which the organization evaluates its
environmental performance and appropriate indicators and the criteria against which the
organization will evaluate its OH&S performance?
Does your organization determine when the results from monitoring and measurement are
analysed, evaluated and communicated?
Does your organization evaluate the performance and the effectiveness of the IMS?
Does your organization ensure that calibrated or verified monitoring and measurement
equipment is used and maintained
Does your organization as externally
internally and required? communicate relevant environmental
performance information as required by its communication process and its compliance
obligations?
Does your organization maintain documented information as evidence of monitoring,
measurement, analysis and evaluation of results, and results of calibration or verification of
measuring equipment?

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Has your organization established implemented and maintained processes to evaluate the
fulfilment of its compliance obligations and to establish compliance with legal and other
requirements?
Has your organization determined the frequency that compliance is evaluated?
Does your organization evaluate compliance and take action where required?
Does your organization maintain knowledgeinformation
retain documented and understanding of its compliance
of the compliance status?
evaluation
results?

Does your organization analyse and evaluate appropriate data and information arising from
monitoring and measurement.
Does your organization ensure that the results of analysis are used to evaluate conformity
of products and services?
Does your organization ensure that the results of analysis are used to evaluate the degree
of customer satisfaction?
Does your organization ensure that results of analysis are used to evaluate the
performance/effectiveness of the IMS?
Does your organization ensure that the results of analysis are used to evaluate if planning
has been implemented effectively?
Does your organization ensure that the results of analysis are used to evaluate the
effectiveness of actions taken to address risks and opportunities?
Does your organization ensure that the results of analysis are used to evaluate the
performance of external providers?
Does your organization ensure that the results of analysis are used to evaluate the need for
improvements to the IMS?

Does your organization plan, establish, implement and maintain EHQMS audit
programme(s) including the frequency, methods, responsibilities, planning requirements
and reporting, which take into consideration the importance of the processes concerned,
changes affecting your organization, and the results of previous audits?

Does your organization select auditors and conduct audits to ensure objectivity and the
impartiality
Does of the audit ensure
your organization process?
that the results of the audits are reported to relevant
management?
Does your organization take appropriate correction and corrective actions without undue
delay?

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Does Top management review your organization’s IMS, at planned intervals, to ensure its
continuing suitability, adequacy, effectiveness and alignment with the strategic direction of
your organization?
Is the management review planned and carried out taking into consideration the status of
actions from previous management reviews?

Is the management review planned and carried out taking into consideration changes in
external and internal issues that are relevant to the IMS? Including:

1. Changes in external and internal issues;


2. Changes in the needs and expectation of interested parties, compliance with obligations
and legal requirements;
3. Changes in its significant environmental aspects;
4. The effectiveness of actions taken to address risks and opportunities.

Is the management review planned and carried out taking into consideration information on
the performance and effectiveness of the IMS, including trends in:

1. Customer satisfaction;
2. Feedback from relevant interested parties;
3. Incidents, nonconformities, corrective actions and continual improvement;
4. Monitoring and measurement results;
5. Results of evaluation of compliance with legal and other requirements;
6. Audit results;
7. Consultation and participation of workers;
8. Risks and opportunities;
9. Performance of external providers;
10. Process performance and conformity of products and services;
11. The extent to which QEHS objectives have been met.
Is the management review planned and carried out taking into consideration the adequacy
of resources?
Is the management review planned and carried out taking into consideration the
effectiveness of actions
Is the management taken
review to address
planned risks and
and carried outopportunities (see 6.1)? opportunities
taking into consideration
for improvement?
Do the outputs of the management review include decisions and actions related to
opportunities for improvement and the continuing suitability, adequacy and effectiveness of
the IMS in achieving its intended outcomes?
Do the outputs of the management review include decisions and actions related to any
need
Do thefor changes
outputs of to
thethe IMS?
management review include decisions and actions related to resource
needs?
Do the outputs from the management review include decisions related to continual
improvement opportunities?
Do the outputs from the management review include decisions relating to the need for
changes
Do to the from
the outputs IMS, including resources?
the management review include the actions necessary when objectives
are not achieved?

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Do the outputs from the management review include the opportunities to improve the
integration
Do of the
the outputs IMSthe
from with other business
management processes
review includeas required?
the implications for the organization’s
strategic direction?
Does your organization retain documented information as evidence of the results of
management reviews? (See 7.5.1b)

Does your organization determine and select opportunities for improvement and implement
any necessary actions to meet customer requirements and enhance customer satisfaction?
Does your organization determine and select opportunities for improvement and implement
any necessary actions to achieve the intended outcomes of its IMS?
Does your organization determine and select opportunities for improvement and implement
any necessary actions to improving products and services to meet requirements as well as
to address future needs and expectations?
Does your organization determine and select opportunities for improvement and implement
any necessary actions to correcting, preventing or reducing undesired effects?
Does your organization determine and select opportunities for improvement and implement
any necessary actions to improving the performance and effectiveness of the IMS?

When an incident or nonconformity occurs, including any arising from complaints, does your
organization react to the non-conformity take action to control and correct it?
When an incident or nonconformity occurs, including any arising from complaints, does your
organization react to the non-conformity deal with the consequences?
When an incident or nonconformity occurs, including any arising from complaints, does your
organization react to the non-conformity deal with the consequences?
When an incident or nonconformity occurs, including any arising from complaints, does your
organization evaluate, with the participation of workers (see 5.4) and the involvement of
other relevant interested parties, the need for corrective action to eliminate the root
cause(s) of the incident or nonconformity, in order that it does not recur or occur elsewhere,
by determining the cause(s) of the incident or nonconformity?
When an incident or nonconformity occurs, including any arising from complaints, does your
organization evaluate, with the participation of workers (see 5.4) and the involvement of
other relevant interested parties, the need for corrective action to eliminate the root
cause(s) of the incident or nonconformity, in order that it does not recur or occur elsewhere,
by determining if similar incidents have occurred, if nonconformities exist, or if they could
potentially occur? or nonconformity occurs, including any arising from complaints, does your
When an incident
organization implement any needed and review existing assessments of OH&S risks and
other risks, as appropriate (see 6.1)?
When non-conformities occur, including any arising from complaints, does your organization
review the effectiveness of any corrective action taken?
When non-conformities occur, including any arising from complaints, does your organization
update risks and opportunities determined during planning, if necessary, as well as
assessing OH&S risks that relate to new or changed hazards, prior to taking action?
When non-conformities occur, including any arising from complaints, does your organization
determine and implement any action needed, including corrective action, in accordance
with the hierarchy of controls (see 8.1.2) and the management of change (see 8.1.3)?

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When non-conformities occur, including any arising from complaints, does your organization
makes changes to the IMS as necessary?

Does your organization ensure that corrective actions are appropriate to the effects of the
incident or nonconformity encountered?
Does your organization retain documented information as evidence of the nature of the
incident or nonconformity and any subsequent actions taken? (See 7.5.1b)
Does your organization retain documented information as evidence of the nature of the
results of any corrective action? (See 7.5.1b)

Does your organization communicate this documented information to relevant workers,


and, where they exist, workers’ representatives, and other relevant interested parties?
Does your organization continually improve the suitability, adequacy and effectiveness of
the IMS?
Does your organization consider the results of analysis and evaluation, and the outputs
from management review, to determine if there are needs or opportunities that can be
addressed as part of continual improvement?

Does your organization continually improve the suitability, adequacy and effectiveness of
the management system, by enhancing QEHS performance?

Does your organization continually improve the suitability, adequacy and effectiveness of
the management system, by promoting a culture that supports an IMS?
Does your organization continually improve the suitability, adequacy and effectiveness of
the management system, by promoting the participation of workers in implementing
actions for the continual improvement of the IMS?
Does your organization continually improve the suitability, adequacy and effectiveness of
the management system, by communicating the relevant results of continual improvement
to workers,
Does and, where they
your organization exist, workers’
continually improve representatives?
the suitability, adequacy and effectiveness of
the management system, by maintaining and retaining documented information as
evidence of continual improvement?

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Type of Non-
Main Clause Sub-clause
compliance

Minor NC
4. Context
Management Review MOM Minor NC
4. Context Strategic Action Plan
Stakeholders Engagement and
interface Management Plan
(Interested
Stakeholdersparties can be and
Engagement
documented in the
interface Management formPlan
of a Minor NC
4. Context map)
(Interested parties can be and
Stakeholders Engagement
documented in the formPlan
interface Management of a Minor NC
4. Context map)
(Interested parties can be
documented in the form of a Minor NC
4. Context map)

Minor NC
4. Context Stakeholder Table

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

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Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Minor NC
4. Context

Major NC
4. Context

Minor NC
4. Context

Major NC
4. Context

Major NC
4. Context

Major NC
4. Context

Major NC
4. Context

Major NC
4. Context

Major NC
4. Context

Major NC
5. Leadership

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Minor NC
5. Leadership

Major NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Major NC
5. Leadership

Minor NC
5. Leadership

Major NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

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Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

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Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

Minor NC
5. Leadership

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Minor NC
6. Planning Process Aspect Chart Register

Minor NC
6. Planning

Minor NC
6. Planning

Minor NC
6. Planning Environmental Training Planand
Procedure for Identification
Evaluation of Environmental Minor NC
6. Planning Aspects and Risks

Minor NC
6. Planning

Minor NC
6. Planning

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Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Minor NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

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Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Major NC
6. Planning

Minor NC
6. Planning

Minor NC
6. Planning

Minor NC
6. Planning

Minor NC
6. Planning

Minor NC
6. Planning

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Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

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Minor NC
7. Support

Minor NC
7. Support

Major NC
7. Support

Minor NC
7. Support

Major NC
7. Support

Major NC
7. Support
1- Employees Apraisal Minor NC
7. Support 2- Environmental Training Plan

Minor NC
7. Support
1- Jobs Descriptions Minor NC
7. Support 2- Training Records

Minor NC
7. Support

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Minor NC
7. Support

Minor NC
7. Support

Major NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Minor NC
7. Support

Major NC
7. Support

Major NC
7. Support

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#
Major NC
7. Support

Major NC
7. Support

Err:508

Err:508

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7. Support Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC
8. Operation Minor NC

HSE Management Plan


Procedure for Identification and
Evaluation of Environmental
8. Operation Aspects and Risks Major NC

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Operational Control of
Significant Environmental
8. Operation Aspects Procedure Major NC
8. Operation Major NC
Change Management Plan
8. Operation Emergency Response
Contracts with Plan
External Minor NC
Providers
Procurement and control of
8. Operation external providers
Operational ControlProcedure
of Minor NC
Significant Environmental
8. Operation Aspects Procedure Major NC

8. Operation Waste Management Plan Major NC

Environmental Impact
Assessement
8. Operation Waste management Plan Major NC
KPI's
8. Operation Dashboard Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Major NC

8. Operation Major NC

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8. Operation Major NC

8. Operation Major NC

8. Operation Major NC

8. Operation Major NC

8. Operation Major NC

8. Operation Major NC

8. Operation Minor NC

8. Operation Minor NC

Environmental Emergency
8. Operation Scenarios Drills Minor NC
8. Operation Emergency Scenarios Plan Major NC

8. Operation Emergancy Analysis reports Major NC

8. Operation Emergency Scenarios Drills Minor NC

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Firefighting Performance
Mangement Procedure
8. Operation Emergency Response Drills Major NC

8. Operation Minor NC

8. Operation Minor NC
8. Operation Major NC

8. Operation Major NC

8. Operation Minor NC

8. Operation Minor NC

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#
#REF!
Err:508
#REF!
Err:508

Err:508
Err:508
Err:508
Err:508
Err:508
Err:508
Err:508
Err:508

Err:508
#REF!
Err:508

Err:508
Err:508
Err:508
Err:508
Err:508

Err:508
Err:508
Err:508
#REF!
Err:508
Err:508

Err:508
Err:508
Err:508

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#
Err:508
#REF!
Err:508

Err:508
Err:508
Err:508
Err:508
#REF!
Err:508
Err:508

8. Operation Minor NC
8. Operation Minor NC
8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC

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8. Operation Minor NC
8. Operation Minor NC
8. Operation Major NC
8. Operation Minor NC
8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC
8. Operation Minor NC

8. Operation Minor NC

8. Operation Major NC

8. Operation Major NC

8. Operation Minor NC

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#
8. Operation Minor NC

8. Operation Minor NC

8. Operation Minor NC
8. Operation Minor NC

8. Operation Minor NC

9. Evaluation Minor NC
9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Minor NC
9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Minor NC
9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Minor NC

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9. Evaluation Major NC
9. Evaluation Major NC
9. Evaluation Major NC
9. Evaluation Major NC
9. Evaluation Major NC

9. Evaluation Minor NC

9. Evaluation Minor NC

9. Evaluation Major NC

9. Evaluation Minor NC

9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC
9. Evaluation Major NC
9. Evaluation Major NC

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#
9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC
9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC
9. Evaluation Major NC

9. Evaluation Major NC

9. Evaluation Major NC
9. Evaluation Major NC

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9. Evaluation Major NC
9. Evaluation Major NC

9. Evaluation Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Minor NC

10. Improvement Minor NC

10. Improvement Minor NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

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#
10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Minor NC

10. Improvement Major NC

10. Improvement Major NC

10. Improvement Major NC

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Root Cause

Inadequate
Organizational Context

Inadequate
Organizational Context

Inadequate
Organizational Context

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#
Inadequate
Organizational Context

Inadequate
Organizational Context

Lack of Leadership and


Commitment

_x000D_ LIMITED SHARING


#
Lack of Leadership and
Commitment
Lack of Leadership and
Commitment

_x000D_ LIMITED SHARING


#
Lack of Leadership and
Commitment

Lack of Leadership and


Commitment

_x000D_ LIMITED SHARING


#
Lack of Leadership and
Commitment
Lack of Leadership and
Commitment

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#
Inadequate Planning

Inadequate Planning

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#
Inadequate Planning

_x000D_ LIMITED SHARING


#
_x000D_ LIMITED SHARING
#
Inadequate Planning

_x000D_ LIMITED SHARING


#
Inadequate Planning

Inadequate Planning

Inadequate Planning

_x000D_ LIMITED SHARING


#
Inadequate Support

Inadequate Support

Inadequate Support

_x000D_ LIMITED SHARING


#
Inadequate Support

Inadequate Support

Inadequate Support

Inadequate Support

_x000D_ LIMITED SHARING


#
Inadequate Support

Inadequate Support

Inadequate Support

Inadequate Support

_x000D_ LIMITED SHARING


#
Inadequate Support

Inadequate Support

Inadequate Support

Inadequate Support

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#
Inadequate Support

Inadequate Support

Inadequate Quality
Planning and Control

Inadequate Quality
Planning and Control

Inadequate Quality
Planning and Control

Inadequate Quality
Planning and Control

Inadequate Quality
Planning and Control
Inadequate Quality
Planning and Control

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Inadequate
Environmental Planning
and Control

Inadequate
Environmental Planning
and Control

Inadequate Operational
Planning and Control

_x000D_ LIMITED SHARING


#
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Inadequate Emergency
Preparedness and
Response
Inadequate Emergency
Preparedness and
Response

Inadequately
Determined Product
and Services
Requirements

Inadequate Review of
Product and Services
Requirements

Inadequate Review of
Product and Services
Requirements

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#
Inadequate Review of
Product and Services
Requirements

Inadequate Control of
Production and Service
Provision

Inadequate Design and


Development Review

Inadequate
Documented
Information

Inadequate Design and


Development Input

Inadequate Design and


Development Input

Inadequate Design and


Development Control

_x000D_ LIMITED SHARING


#
Inadequate Design and
Development Output

Inadequate External
Control
Inadequate External
Control

Inadequate Control of
Production and Service
Provision

Inadequate
Communication with
External Providers

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#
Inadequate Monitoring
and Measurement
Resources

Inadequate Control of
Production and Service
Provision

Lack of Identification
and Traceability

Lack of Identification
and Traceability

Lack of Organizational
Knowledge

_x000D_ LIMITED SHARING


#
Inadequate Control of
Nonconforming
Products and Services

Lack of Documented
Information

Inadequate Evaluation

Inadequate Evaluation

Inadequate Evaluation

Inadequate Evaluation

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#
Inadequate Evaluation
Inadequate Evaluation
Inadequate Evaluation

Inadequate Evaluation

Inadequate Evaluation

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#
Inadequate Evaluation

Inadequate Evaluation

Inadequate Evaluation

Inadequate Evaluation

Inadequate Evaluation

_x000D_ LIMITED SHARING


#
Lack of Continual
Improvement of QEHS
System

_x000D_ LIMITED SHARING


#
Lack of Continual
Improvement of QEHS
System

Lack of Continual
Improvement of QEHS
System

Lack of Continual
Improvement of QEHS
System
Lack of Continual
Improvement of QEHS
System

_x000D_ LIMITED SHARING


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Corrective Action and Preventive Action

Organization must monitor and review information about these external and internal
issues?

Organization must determined the interested parties and workers that are relevant to
the QEHS management system

Organization must apply all the requirements of ISO 9001:2015, ISO 14001:2015 and
ISO 45001:2018 if they are applicable within the determined scope of the QEHS
management system?

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Organization must determine the resources needed for these processes and ensure
their availability

Organization must retain documented information to have confidence that the


processes are being carried out as planned

Ensure top management demonstrate leadership and commitment to the QEHS


management system by taking accountability for the effectiveness of your
organization’s QEHS management system

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Ensure top management demonstrate leadership and commitment to the QEHS
management system by ensuring that your organization’s environmental policies and
objectives are established and documented, and are compatible your organization’s
goals
Ensure(See
top 6.2) and its context
management (See 4.0)leadership and commitment to the QEHS
demonstrated
management system by ensuring that QEHS requirements are integrated into your
organization’s processes

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Make QEHS policy available to interested parties, as appropriate

Ensure the QEHS policy relevant and appropriate

Ensure Top management assigns the responsibility and authority for ensuring that the
processes are delivering their intended outputs

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Ensure the organization emphasizes the participation non-managerial workers in
determining control measures and their effective implementation and use? (see 8.1,
8.1.3 and 8.2)
Ensure the organization emphasizes the participation non-managerial workers in
investigating incidents and nonconformities and determining corrective actions? (see
10.2)

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When determining the risks and opportunities for the QEHS management system and
its intended outcomes that need to be addressed, the organization must take into
account legal requirements and other requirements (see 6.1.3)

Organization must ensure the action taken to address risks and opportunities is
proportionate to the potential impacts on the conformity of products and services

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#
Organization must plan actions to integrate and implement the actions into QEHS
management system processes

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The organization's objectives must take into the results of the assessment of risks and
opportunities (see [Link] and [Link])

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The organization's objectives must take into the results of consultation with workers
(see 5.4) and, where they exist, workers’ representatives?

When planning how to achieve its objectives, your organization must determine when it
will be completed

Your organization must consider and maintain the integrity of the QEHS management
system during the change process

_x000D_ LIMITED SHARING


#
Your organization must determine and provide the staff necessary resources for the
effective implementation of its QEHS management system and for the operation and
control of its processes

Organization must determine, provide and maintain the environment necessary for the
operation of its processes and to achieve conformity of products and services

Organization must ensure that the resources provided are suitable for the specific type
of monitoring and measurement activities being undertaken;

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#
Where no such standard is existing, documented information must be retained for the
basis used for calibration or verification

Organization must maintain this knowledge and make it available to the extent
necessary

Organization must ensure that these persons are competent (including the ability to
identify OHS hazards and environmental aspects) on the basis of appropriate
education, training, or experience

Organization must retain appropriate documented information as evidence of


competence? (See 7.5.1b)

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Organization must ensure workers are aware of the relevant objectives, actual and
potential work-related aspects and their contribution to the QEHS management system
performance, including the benefits of improved performance.

Organization must ensure that workers are aware of the implications of not conforming
to the QEHS management system requirements and not fulfilling the organization’s
compliance objectives

Organization must determine the internal and external communications relevant to the
QEHS management system, including how to communicate
Organization must take into account its compliance obligations and legal requirements
when establishing its communication process

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#
Organization must internally communicate information relevant to the QEHS
management system including changes to the QEHS management system as
appropriate

Organization must externally communicate information relevant to the QEHS


management system, via the communications process and as required by the
compliance obligations, legal requirements and other requirements

Organization’s QEHS management system must include documented information as


evidence of communication as required by ISO 9001:2015, ISO 14001:2015 and ISO
45001:2018
Organization’s QEHS management system must include documented information
determined by your organization as being necessary for the effectiveness of the QEHS
management system

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#
For the control of documented information, organization must address retention and
disposition
Organization must ensure documented information of external origin is identified and
controlled

Organization must plan, implement and control the processes (see 4.4) needed to meet
the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by determining the requirements for the products and
services
Organization must plan, implement and control the processes (see 4.4) needed to meet
the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by establishing criteria for the processes
Organization must plan, implement and control the processes (see 4.4) needed to meet
the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by establishing criteria for the acceptance of products
and services
Organization must plan, implement and control the processes (see 4.4) needed to meet
the requirements for the provision of products and services, and to implement the
actions determined in Clause 6 by implementing control of the processes in accordance
with the criteria

Ensure that the outputs of the planning process suitable for your organization’s
operations
Organization must control planned changes and review the consequences of
unintended changes, taking action to mitigate any adverse effects, as necessary

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#
Organization must control planned changes and review the consequences of
unintended changes, and taking action to mitigate any adverse effects

Organization must communicate the relevant environmental requirements to external


providers and contractors

Organization must plan, implement, control and maintain the processes needed to
meet requirements of the QEHS management system, and to implement the actions
determined in Clause 6, by establishing criteria for the processes

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#
Organization must establish a planned response to emergency situations, including the
provision of first aid
Organization must provide training for the planned response

When determining the requirements for the products and services to be offered to
customers, the organization must ensure that the requirements for the products and
services are defined, including those considered necessary by your organization

Organization must conduct a review before committing to supply products and services
to a customer, including requirements specified by the customer, including the
requirements for delivery and post-delivery activities

Organization must conduct a review before committing to supply products and services
to a customer, including requirements specified by your organization

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#
Customer’s requirements must be confirmed by your organization before acceptance,
when the customer does not provide a documented statement of their requirements

Organization must ensure that the relevant documented information is amended and
the relevant persons are made aware of the changed requirements, when the
requirements for the products and services are changed

In determining the stages and controls for design and development, the organization
must take into consideration the required process stages including design and
development reviews

In determining the stages and controls for design and development, the organization
must take into consideration the documented information needed to demonstrate that
design and development requirement have been met

The organization must consider functional and performance requirements

The organization must ensure that the inputs are adequate for design and development
purpose, complete and unambiguous

The organization must conduct the verification to ensure that design and development
meet input requirements

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#
The organization must ensure that design and development outputs are adequate for
the subsequent processes for provision of product and services

The organization must ensure that the externally provided process remain within the
control
The of its QMS must define the controls to be applied to external provider and its
organization
resulting outputs

The organization must communicate to the external providers its requirements for the
approval of the product and services; methods, processes and equipment; the release
of product and services

The organization must communicate to the external providers its requirements for
control and monitoring of the external providers’ performance to be applied by the
organization

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Ensure suitable monitoring and measuring resources available and are used

The organization must implemented any release, delivery and post-delivery activities

Ensure the status of outputs with respect to monitoring and measuring requirements
throughout the production and service provision being identified by the organization

The organization must retain the documented information necessary to enable


traceability, when traceability is a requirement

The organization must ensure that the release of product and service proceed only
after the planned arrangement is satisfactorily completed or approved by relevant
authority and as applicable by the customer

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#
The organization must also consider nonconforming product and services detected
after delivery of products, during and after provision of services

The organization must retain documented information that describes the


nonconformity; describes the actions taken; describes any concession obtained;
identifies the authority deciding the action in respect of the nonconformity

The organization must determine what needs to be monitored and measured

The organization must determine the criteria against which the organization evaluates
its environmental performance and appropriate indicators and the criteria against
which the organization will evaluate its OH&S performance

The organization must ensure that calibrated or verified monitoring and measurement
equipment is used and maintained as required

Organization must monitor customers’ perceptions of the degree to which their needs
and expectations have been fulfilled

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#
Organization must establish, implement and maintain processes to evaluate the
fulfilment of its compliance obligations and to establish compliance with legal and other
requirements
Organization must determine the frequency that compliance is evaluated
Organization must evaluate compliance and take action where required

Does your organization ensure that the results of analysis are used to evaluate the
degree of customer satisfaction?

Does your organization ensure that the results of analysis are used to evaluate the
need for improvements to the QEHS management system?

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#
Does Top management review your organization’s QEHS management system, at
planned intervals, to ensure its continuing suitability, adequacy, effectiveness and
alignment with the strategic direction of your organization?
Ensure management review is planned and carried out taking into consideration the
status of actions from previous management reviews
Ensure management review is planned and carried out taking into consideration
changes in external and internal issues that are relevant to the QEHS management
system? Including:

1. Changes in external and internal issues;


2. Changes in the needs and expectation of interested parties, compliance with
obligations and legal requirements;
3. Changes in its significant environmental aspects;
4. The effectiveness of actions taken to address risks and opportunities.

Ensure management review is planned and carried out taking into consideration the
adequacy of resources
Ensure management review is planned and carried out taking into consideration the
effectiveness of actions taken to address risks and opportunities (see 6.1)

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#
When non-conformities occur, including any arising from complaints, your organization
must update risks and opportunities determined during planning, if necessary, as well
as assessing OH&S risks that relate to new or changed hazards, prior to taking action

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#
Organization must ensure that corrective actions are appropriate to the effects of the
incident or nonconformity encountered

Organization must communicate this documented information to relevant workers, and,


where they exist, workers’ representatives, and other relevant interested parties?

Organization must continually improve the suitability, adequacy and effectiveness of


the management system, by enhancing QEHS performance

Organization must continually improve the suitability, adequacy and effectiveness of


the management system, by promoting a culture that supports an QEHS management
system

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#
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#
Action
Responsible Target date Days Due Priority
Status

High
HSE Manager 30-Jun -1538 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May Closed

High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
High

HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
High
HSE Manager 31-May Closed

High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
High

HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
_x000D_ LIMITED SHARING
#
High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

_x000D_ LIMITED SHARING


#
High
HSE Manager 31-May Closed

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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High
HSE Manager 31-May -1568 Open

High

HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May Closed

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open
High
HSE Manager 31-May -1568 Open

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High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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High
HSE Manager 31-May -1568 Open
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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High
HSE Manager 31-May -1568 Open

HSE Manager 31-May -1568 High Open


HSE Manager 31-May -1568 High Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

HSE Manager 31-May -1568 High Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open
HSE Manager 31-May -1568 High Open
HSE Manager 31-May -1568 High Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open
High
HSE Manager 31-May -1568 Open

High

HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open
High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open

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#
High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

High
HSE Manager 31-May -1568 Open

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#
Open

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I S O I M S AU D

No. Audit Questions ISO IMS Compliance

433
55% 58% 74%
45%
No. Compliant t t
se ex ip g
or

155 sh in
lau t r n p
C on e lan up
n C ad .P
S
ai 4 .
L e
6 7.
M
5.

No. Major NC

115
Data Column C

ISO IMS Compliance, NC a

163
No. Minor NC
0
22
0
4 13 0
8
0 22
7 45 49
20 28
2 5
se t p g t
ex sh
i in or
au
0
l t r n p
No. OFI C on e la
n up
n C ad .P
S
ai 4 .
L e
6 7.
M
5.

Data Column C Column D

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I S O I M S AU D I T & C O M P L I A N C E D A S H B O A R D

ISO IMS Compliance

55% 58% 74% 65% 43%


6%
p ng rt n n t
hi ni po io tio en
rs at a
la
n up r
al
u em
P S pe ov
6 . 7. . O Ev p r
8 9. m
.I
10

Data Column C

ISO IMS Compliance, NC and OFIs


0
22
0 42
22
0
4 13 0
8 0
22 64 30
45 49 0
28 17 22
5 7 4
0
p g t n n t
h i in or tio tio en
rs n p a a
la
n up r
al
u em
S pe ov
6 .P 7. . O Ev r
p
8 9. Im
.
10

Data Column C Column D Column E

D A S H B O A R D

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S H B O A R D

This shape represents a slicer.


Audit Score Slicers are supported in Excel 2010
or later. Total High Priority

If the shape was modified in an


earlier version of Excel, or if the
workbook was saved in Excel 2003
or earlier, the slicer cannot be used.

59%

_x000D_ LIMITED SHARING


#
shape represents a slicer.
rs are supported in Excel 2010
er. Total High Priority

e shape was modified in an


er version of Excel, or if the
book was saved in Excel 2003
rlier, the slicer cannot be used.

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#
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Data
Main Clause Average of Target Average of % Compliance
4. Context 100% 45%
5. Leadership 100% 55%
6. Planning 100% 58%
7. Support 100% 74%
8. Operation 100% 65%
9. Evaluation 100% 43%
10. Improvement 100% 6%
Total Result 100% 59%

45% 5

se t
ex h
lau t rs
C on e
n .C ad
ai 4 Le
M
5.

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#
ISO IMS Compliance

45% 55% 58% 74% 65% 43% 6%

t ip t
ex ng or io
n
tio
n
en
t
t r sh ni p at a
on e n p r u em
.C ad la Su pe al
ov
4 L e
6 .P 7. . O Ev r
p
5. 8 9. m
.I
10

Data Column C

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#
This shape represents a slicer.
Slicers are supported in Excel
2010 or later.

If the shape was modified in an


earlier version of Excel, or if the
workbook was saved in Excel
2003 or earlier, the slicer cannot
be used.

6%

t
en
m
ve
ro

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#
59% 41%

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COMPANY LOGO AUDIT REPORT REV:

Company Date of Audit

Auditor Audit Standard(s)

Audit Summary:

Auditor to attach supporting documents e.g. Checklists, evidence of compliance, etc)


Attendees:

Summary of Non Conformities Raised

Summary of Observations Raised

Summary of OFI Raised

Noteworthy Efforts

Comments of Auditee:

The attached NCR’s and observations are all noted and their content, basic cause and corrective/preventative action agreed with.

Signed__________________________________________ Auditee

(Signature confirms acceptance of findings raised and that results of the audits have been brought to the attention of all personnel having
responsibility in the area involved)

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# C
COMPANY LOGO AUDIT REPORT REV:

Signed :_________________________________________ Auditor

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# C
COMPANY LOGO AUDIT REPORT REV:

Audit Number:

Department

nce, etc)

ause and corrective/preventative action agreed with.

udits have been brought to the attention of all personnel having


ea involved)

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# C
COMPANY LOGO AUDIT REPORT REV:

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# C
Data
Main Clause Sum of CompSum of MinoSum of MajoSum of OFI 140
4. Context 2 20 7 0
5. Leadership 5 45 4 0
120
6. Planning 49 13 22 0
7. Support 28 22 8 0
8. Operation 64 42 22 0 100

9. Evaluation 7 17 30 0
10. Improvement 0 4 22 0 80
Total Result 155 163 115 0
60

40

0
7
20
20

0 2
Main Clause 4. Context

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#
ISO IMS Compliance Status

22

0 42

22

13 0
0
4 8 0

22 30
64
0 45
7 49 0

28 17 22
20

2 5 7 4
0
lause 4. Context 5. Leadership 6. Planning 7. Support 8. Operation 9. Evaluation 10. Improvement

Data Column C Column D Column E

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#
This shape represents a slicer. Slicers
are supported in Excel 2010 or later.

If the shape was modified in an


earlier version of Excel, or if the
workbook was saved in Excel 2003
or earlier, the slicer cannot be used.

22

4
0
10. Improvement

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#
Thematic Area
4.1 Organizational Context
4.2 Relevant Interested Parties
4.3 Management System Scope
6.2.2 Objectives & Planning to Achieve Them
7.2 Competence
7.3 Awareness
7.4.2 Internal communication
7.4.3 External communication
7.5.3 Documented Information - Control
[Link] Procurement - General
9.1.1 Monitoring, Measurement, Analysis and Evaluation - General
5.1.1 General
5.1.2 Customer Focus
5.2.1 Developing the Policy
5.2.2 Communicating the Policy
5.3 Roles, Responsibilities and Authority
5.4. Consultation and Participation
6.1.1 Action to Address Risk and Opportunities
6.1.2a Environmental Aspects
6.1.2b.1 Hazard Identification
6.1.2b.2 Assessment of OH&S risks and Other Risks
6.1.2b.3 Assessment of OH&S Opportunities and Other Opportunities
6.1.3 Determining Legal Requirements
6.1.4 Planning Actions
6.2.1 QEHS Objectives
6.2.2 Planning for Change
7.1.1 General
7.1.2 People
7.1.3 Infrastructure
7.1.4 Environment for the Operation of Processes
[Link] General
[Link] Measurement Traceability
7.1.6 Organizational knowledge
7.4.1 Communcation - General
7.5.2 Creating and Updating
8.1a Quality Planning & Control
8.1b Environmental Planning & Control
8.1.2 Operation - Eliminating Hazards and Reducing OH&S Risks
8.1.3 Operation - Management of Change
[Link] Procurement - Contractors
[Link] Procurement - Outsourcing
8.2a Emergency Preparedness & Response
8.2b.1 Customer communication

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8.2b.2 Determining the requirements for products and services
8.2b.3 Review of the requirements for products and services
8.2b.4 Changes to requirements for products and services
8.3.1 General
8.3.2 Design and development planning
8.3.3 Design and Development inputs
8.3.4 Design and development controls
8.3.5 Design and Development outputs
8.3.6 Design and Development changes
8.4.1 General
8.4.2 Type and extent of control
8.4.3 Information for external providers
8.5.1 Control of production and service provision
8.5.2 Identification and traceability
8.5.3 Property belonging to customers or external providers
8.5.4 Preservation
8.5.5 Post-delivery activities
8.5.6 Control of change
8.6 Release of products and services
8.7 Control of nonconforming outputs
9.1.2a Customer Satisfaction
9.1.2b Monitoring, Measurement, Analysis and Evaluation - Evaluation of Complian
9.1.3 Analysis & Evaluation
9.2.1 Performance Evaluation - Internal Audit - General
9.2.2 Performance Evaluation - Internal Audit Programme
9.3 Performance Evaluation - Management Review
10.1 Improvement - General
10.2 Improvement - Incident, Nonconformity and Corrective Action
10.3 Continual Improvement
4.4 QEHS Management System
7.5.1 Documented Information
8.1.1 OH&S Operational Planning & Control
Total Result

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#
Average of % Compliance This shape represents a slicer.
50% Slicers are supported in Excel
50% 2010 or later.
50%
If the shape was modified in an
0% earlier version of Excel, or if the
30% workbook was saved in Excel
44% 2003 or earlier, the slicer cannot
50% be used.
100%
94%
0%
50%
46%
83%
50%
50%
50%
50%
100%
57%
97%
100%
100%
0%
79%
0%
50%
83%
50%
100%
50%
88%
64%
100%
50%
100%
65%
38%
0%
0%
100%
67%
53%
100%

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#
100%
100%
100%

100%
50%
100%
61%
50%
100%
0%
100%
67%
100%
50%
100%
0%
19%
100%
33%
0%
0%
11%
7%
31%
100%
58%
59%

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#
Action Status Count of Action Status
Closed 4
Open 85
(empty)
Total Result 89

4
Closed

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#
Action Open vs Closed

89
85

4
Closed Open (empty) Total Result

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#
This shape represents a slicer.
Slicers are supported in Excel
2010 or later.

If the shape was modified in an


earlier version of Excel, or if the
workbook was saved in Excel
2003 or earlier, the slicer cannot
be used.

_x000D_ LIMITED SHARING


#

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