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GROUP OF INDUSTRIES Plant : Page: of DEPT : AUDIT PERIOD : AUDIT NO : Processes to be audited : SR NO CHECK POINT AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR MINOR NCR MAJOR NCR OBSERVATION 1 Is policy communicated & understood to all. 4.2 2 4.3.3 3 4.3.3 4 Is procedure available for identification of aspects ? 4.3.1 5 4.3.1 6 Specify any point NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE : F-MR-10, Issue/Rev 2/0 INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS) Date & Time: APPLICABLE CLAUSE/ PROCESS REF NO. Pl tick appropriate from below as per QSP-MR-04 Are Objectives & target for OHSAS Identified & auditee aware of it? Are Objectives & target for EMS identified.Auditee aware of it ? How do you evaluate the impact?Have you identified aspects of non routine activities?
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Page 1: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : Page: of

DEPT : AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MAJOR NCR OBSERVATION

1 Is policy communicated & understood to all. 4.2

2 Are Objectives & target for OHSAS Identified & auditee aware of it? 4.3.3

3 Are Objectives & target for EMS identified.Auditee aware of it ? 4.3.3

4 Is procedure available for identification of aspects ? 4.3.1

5 4.3.1

6 Specify any point

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MINOR NCR

How do you evaluate the impact?Have you identified aspects of non routine activities?

Page 2: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : Page: of

DEPT : AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR MAJOR NCR OBSERVATION

1 Is policy communicated & understood to all. EMS/OHSAS 4.2

2 Their should not be any Hazardous waste open to sky, check ? EMS 4.3.1

3 Is Form 3 in use for inter department handling of Hazardous Waste. EMS 4.3.2

4

Are Objectives & target for EMS identified.Auditee aware of it ? EMS 4.3.3

5

Check record available for Consumption of Oil,Thinner,Acids etc EMS 4.5.1

6

Whether Resistance of Earthing Pit has checked. EMS 4.5.1

7

EMS 4.5.1

8 Whether resistance of Earthing pit is measured as per electrical law. EMS 4.3.2

9 EMS 4.3.1

10 EMS/OHSAS 4.3.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

At DG set chimney should have Sampling port & ladder for sampling inspection .

Whether ,Method of disposal is decided in case of waste batteries of Stackers

Check compliance to Legal and other EMS/OHSAS applicable requirements for Electricity rules- defined clearly

Page 3: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : Page: of

DEPT : AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR MAJOR NCR OBSERVATION

11 EMS/OHSAS 4.5.1

12

Are Auditee aware of the Document Location. EMS/OHSAS 4.4.5

13Verify list of documents with it's revision status ? EMS/OHSAS 4.4.5

14 EMS/OHSAS4.4.6

15 Check 1S,2S at Cable chember ? EMS/OHSAS4.4.6

16 Is auditee is aware of the Document Location. EMS/OHSAS 4.4.5

17 Retaintion period for the documents is defined EMS/OHSAS 4.5.4

18 OHSAS 4.3.2

19 OHSAS 4.3.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

Whether monitoring & measuring instruments, Check for Calibration of dB Meter and Lux Meter.

There should not any Plastic sheet/Grass raised in MSEB metering cubicle area.

Check the evidence for testing of compressor available as per FA1948 section 31 MFR 65-

As per FA 1948 section 21 & 22- while working near or on machinery in motion compliance for gaurds and clothing should not availble.

Page 4: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : RAPLII Page: of

DEPT : AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR MAJOR NCR OBSERVATION

20 OHSAS 4.5.2

21 OHSAS 4.5.2

22 OHSAS 4.3.2

23Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS 4.3.3

24OHSAS 4.5.1

25Check for, there should not any unsafe tool in use ? OHSAS 4.4.6

26Verify Calibration records for Lux meter and dB meter OHSAS 4.5.1

27Is all pressure vessels hydro test records, available ? OHSAS 4.3.2

28OHSAS 4.3.2

29Testing certificates of Chain pulley block to be verified. OHSAS 4.5.1

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

As per FA 1948 section 13 MFR No 22-A - verify ventilation & temperature and compliance for circulation of air.

Lighting as per FA 1948 section no 17 , MF rule no 35 -- Check whether Lux level is monitored.

Whether Form 12 is available? Check traceability & identity on certificates. (Crane, wires etc.), with certification number.

Whether monitoring of Noise level is done & in case of non compliance actions are taken to reduce or stabilize the confirming noise levels.

Is Form 12 available with traceability & identity on certificates. (Crane, wires etc.),

Page 5: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : RAPLII Page: of

DEPT : AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR MAJOR NCR OBSERVATION

30Are Cranes/Hoists/Stackers are reviewed for SWL OHSAS 4.5.1

31Whether Rubber mats are provided below the panel of presses. OHSAS 4.3.2

32Rubber Mats are to be available in front of electrical panel ? OHSAS 4.3.2

33Is Electricity permits being taken to electrical contractor. OHSAS 4.4.6

34 Verify that Compressed air balancing is done. OHSAS4.5.1

35 Check Testing certificates of air receiver ? OHSAS4.5.1

36 Check SWL is displayed on each crane ? OHSAS4.3.2

37 Check there should no laddle near by Live Busbar. OHSAS4.4.6

38 Lux Intensity monitoring record available ? OHSAS 4.5.4

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

Page 6: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant Page: of

DEPT : PURCHASE AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

1 Is policy communicated & understood to all. 4.2

2 Is the Environmental policy is communicated to suppliers (interested pa 4.2

34.5.2

44.3.2

5Their should not be any Hazardous waste open to sky, check ?

4.3.2

64.3.3

7 Is auditee is aware of the Document Location. 4.4.5

8 Retaintion period for the documents is defined 4.5.4

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR

As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-- Check compliance for PUC certificates for vehicles.

Check PPE's analysis w.r.t. IS standard & involvement, list is available for all PPE's.

Are Objectives & target for EMS/OHSAS Identified & auditee aware of it ?

Page 7: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant Page: of

DEPT : STORES AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

1 Is policy communicated & understood to all. 4.2

2 Is the Environmental policy is communicated to suppliers (interested pa 4.2

34.5.2

4Whether Weigh calibration form is available ?

4.5.1

5Their should not be any Hazardous waste open to sky, check ?

4.3.2

6Is Form 3 in use for inter department handling of Hazardous Waste.

4.3.2

74.3.3

8 Check record available for Consumption of Oil,Thinner,Acids etc 4.5.1

9 Is auditee is aware of the Document Location. 4.4.5

10 Retaintion period for the documents is defined 4.5.4

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR

As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-- Check compliance for PUC certificates for vehicles.

Are Objectives & target for EMS/OHSAS Identified & auditee aware of it ?

Page 8: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant: Page: of

DEPT : MR AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

1 Is the QEHS Policy in complince with Clause 4.2. ? EMS/OHSAS 4.2

2 Is the list of locations where policy displayed available? EMS/OHSAS 4.2

3 Evidences of assign of MR for the system. EMS/OHSAS 4.4.1

4 Annual audit yearly plan is available ? EMS/OHSAS 4.5.5

5 List of Internal auditor is available ? EMS/OHSAS 4.5.5

6Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS

4.3.3

7Are Objectives & target for EMS identified.Auditee aware of it ? EMS

4.3.3

8OHSAS

4.3.2

9OHSAS 4.5.1

10 Verify list of documents with it's revision status ? EMS/OHSAS 4.4.5

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR

Check PPE's analysis w.r.t. IS standard & involvement, list is available for all PPE's.

Whether Severity, Frequency & Incident rate are monitored & trend is available .

Page 9: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant: Page: of

DEPT : MR AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

11 Are Auditee aware of the Document Location. EMS/OHSAS 4.4.5

12 Monitoring & trend of all air, water, parameters against targets. EMS/OHSAS 4.5.1

13 Retaintion period for the documents is defined EMS/OHSAS 4.5.4

14 Sampling Inspection reports/ TC are available ? EMS/OHSAS 4.5.1

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR

Page 10: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant : Page: of

DEPT : Production/QA AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR OBSERVATION

1 Verify that Policy is dispayed in the cell/Shopfloor EMS/OHSAS 4.2

2 Is policy communicated & understood to all. EMS/OHSAS 4.2

3 In Aspect/Impact register specific Legal requirements are addressed ? EMS 4.3.1

4 EMS 4.3.2

5Are applicable Legal requirements are known to all ? EMS

4.3.2

6Notification for Hazardous waste display board is displayed ? EMS

4.3.2

7Their should not be any Hazardous waste open to sky, check ? EMS

4.3.2

8Is Form 3 in use for inter department handling of Hazardous Waste. EMS

4.3.2

9EMS

4.3.2

10EMS

4.3.2/4.4.6

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MAJOR NCR

Is their any area identified for seprate collection of Hazardous waste at source.

Whether Seprate area for collection of waste is identified ( Cotton waste/Plastic/Paper etc.)

Whether ,Method of disposal is decided in case of waste batteries of Stackers

Page 11: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant : Page: of

DEPT : Production /QA AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR OBSERVATION

11 Is the QEHS policy is displayed at main gate. EMS/OHSAS 4.2

12 EMS4.4.5

13 Are Significant aspects get monitored EMS 4.3.1

14EMS

4.3.3

15EMS

4.3.3

16Are Objectives & target for EMS identified.Auditee aware of it ? EMS

4.3.3

17EMS/OHSAS

4.3.3

18Are Traning records available for the traning to BCA & WCA ? EMS/OHSAS

4.4.2

19SOP training record / Work procedure training records are available? EMS/OHSAS

4.4.2

20Method of training need is available? EMS/OHSAS

4.4.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MAJOR NCR

Whether Register of Statutory And Regulatory Requirements is available with Revision Number.

Trends of Organisation's environmental objectives and targets are available.

As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-- Check compliance for PUC certificates for vehicles.

As per FA 1948 section 13 MFR No 22-A - verify ventilation & temperature and compliance for circulation of air.

Page 12: Internal Audit Checksheet EMS-OHSAS

F-MR-10, Issue/Rev 2/0

Page 13: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant : Page: of

DEPT : Production /QA AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR OBSERVATION

21 Is HIRA updated with all accidents which are taken place. OHSAS 4.2

22 Is safety instructions are displayed on machines as per HIRA OHSAS 4.2

23 In HIRA register specific Legal requirements are addressed ? OHSAS4.3.1

24OHSAS

4.3.2

25OHSAS

4.3.3

26List of training heads? EMS/OHSAS

4.4.2

27Training index per person? Safety training Hours? EMS/OHSAS

4.4.2/4.3.2

28 Are Auditee aware of the Document Location. EMS/OHSAS4.4.4

29 Verify list of documents with it's revision status ? EMS/OHSAS4.4.5

30 Is auditee is aware of the Document Location. EMS/OHSAS4.4.5

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MAJOR NCR

Whether Safety commitee is formed within organization (Frequency of meeting is decided)

As per the Explosives Act 1884 & Gas Cylinder rules 1981 -rule No17 , 18 , 36 - check for complaince of handling of cylinders.

Page 14: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant : Page: of

DEPT : Production /QA AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR OBSERVATION

31OHSAS

4.3.3

32OHSAS

4.3.3

33OHSAS

4.3.3

34OHSAS

4.3.3

35OHSAS

4.3.3

36Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS

4.3.3

37OHSAS

4.4.6

38Verify Near miss accident register is available at specified location ? OHSAS

4.4.6

39Whether actions are taken in case of near miss situations ? OHSAS

4.4.6

40OHSAS

4.5.1

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MAJOR NCR

As per the Explosives Act 1884 & Gas Cylinder rules 1981 -rule No 9 - Labelling of cylinders- check complaince of checklist of unloading cylinders is available.

As per FA 1948, section 88 , MFR 115 -Notice of certain accident - check complaince for form no 24 and 30.

As per FA 1948 section 21 & 22- while working near or on machinery in motion compliance for gaurds and clothing should not availble.

As per FA 1948 , 2 verify that employees are wearing PPE's like, mask, ear plug, gloves, safety shoes etc.

Lighting as per FA 1948 section no 17 , MF rule no 35 -- Check whether Lux level is monitored.

Whether Safety points are covered in agreement done with labour contractor ?

Whether Severity, Frequency & Incident rate are monitored & trend is available .

Page 15: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant : Page: of

DEPT : Production /QA AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR OBSERVATION

41 OHSAS 4.3.2

42 Verify that Chain Guarding provided for Gas cylinders ? OHSAS4.3.2

43 Verify High Noise level is identified ? OHSAS4.3.2

44Check for, there should not any unsafe tool in use ? OHSAS

4.4.6

45 Fire extinguisher are at accessible height, verify ? OHSAS4.4.6

46 Place to be assigned for Gas Cylinders. OHSAS4.4.6

47 Emergency contact numbrers are displayed ? OHSAS4.4.7

48 OHSAS4.4.7

49 Check Safety instructions are dispalyed at workplace. OHSAS4.4.7

50 OHSAS4.6

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MAJOR NCR

All stored Gas cylinders need to be have protected by providing Caps ?

Whether Fire buckets are accessible in case of emergency situations ?

Accident register updated with target dates for actions & it's completion date.

Page 16: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant : Page: of

DEPT : Production AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR OBSERVATION

1 Verify that Policy is dispayed in the cell/Shopfloor 4.2

2 Is policy communicated & understood to all. 4.2

3 Are Significant aspects get monitored 4.3.1

4 In Aspect/Impact register specific Legal requirements are addressed ? 4.3.1

5Are applicable Legal requirements are known to all ?

4.3.2

6Disposal of Hazardous waste has carried out by authorised agency.

4.3.2

7 Is form 9 or 13 had used for disposal Hazardous Waste.4.3.2

84.3.2/4.4.6

9Their should not be any Hazardous waste open to sky, check ?

4.3.2

104.3.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MAJOR NCR

Whether ,Method of disposal is decided in case of waste batteries of Stackers

Whether Form 13 is submitted to MPCB after each disposal of Hazardous waste to MEPL

Page 17: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant : Page: of

DEPT : Production AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR MINOR NCR OBSERVATION

114.3.2

12Are Objectives & target for OHSAS Identified & auditee aware of it ?

4.3.3

13Are Objectives & target for EMS identified.Auditee aware of it ?

4.3.3

14 Are Auditee aware of the Document Location.4.4.4

154.4.5

16 Check Safety instructions are dispalyed at workplace.4.4.7

174.6

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MAJOR NCR

Whether Seprate area for collection of waste is identified ( Cotton waste/Plastic/Paper etc.)

Whether Register of Statutory And Regulatory Requirements is available with Revision Number.

Accident register updated with target dates for actions & it's completion date.

Page 18: Internal Audit Checksheet EMS-OHSAS

F-MR-10, Issue/Rev 2/0

Page 19: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : Page: of

DEPT : HR AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR OBSERVATION

1 Is policy communicated & understood to all. EMS/OHSAS 4.2

2 EMS 4.5.2

3 EMS 4.5.2

4 EMS 4.5.2

5 Is Green area figure is displayed EMS 4.3.2

6 Notification for Hazardous waste display board is displayed ? EMS 4.3.2

7 Water consumption-IS 1172 std. is available ? EMS 4.3.2

8 Check Stability certificates for the buildings ? EMS 4.3.2

9 Are Objectives & target for EMS identified.Auditee aware of it ? EMS 4.3.3

10 EMS 4.4.5

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MINOR NCR

MAJOR NCR

As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-- Check compliance for PUC certificates for vehicles.As per water act 1977 section no 5 CESS rule 1978 rule no 4-- Whether CESS return records are available.

As per wateract 1974 (prevention and control of pollution) ammendment 1988 section 25,26- Check compliance are avilable for monitoring of sewage of effluents.

Whether Register of Statutory And Regulatory Requirements is.available with Revision Number.

Page 20: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : Page: of

DEPT : HR AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR OBSERVATION

11 Whether Water balance report is available ? EMS 4.5.1

12 Check for Drainage line & water drain is shown in layout. EMS 4.4.7

13 EMS 4.3.2

14 EMS/OHSAS 4.3.2

15 EMS/OHSAS 4.3.2

16 EMS/OHSAS 4.3.2

17 EMS/OHSAS 4.3.2

18 EMS/OHSAS 4.3.2

19 Acknowledgement copy of I-factory license is available? EMS/OHSAS 4.3.2

20 SOP training record / Work procedure training records are available? EMS/OHSAS 4.4.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MINOR NCR

MAJOR NCR

Check Consent to operate is renewed for declaration of Haz.wastes. & material consumption.

Check compliance to Legal and other EMS/OHSAS applicable requirements under Public Liability Act for Insurance.

Check compliance to Legal and other EMS/OHSAS applicable requirements for Planting of Trees.

Check compliance to Legal and other EMS/OHSAS applicable requirements of information of accidents to factory inspector is given.

Check compliance to Legal and other EMS/OHSAS applicable requirements for PUC, Employee Health check-up is carried out.

As per FA 1948 Rule 1963,Section 6-Rule1-Clause a ,Check for approved factory Plan.

Page 21: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES Date & Time:

Plant : Page: of

DEPT : HR AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR OBSERVATION

21 Method of training need is available? EMS/OHSAS 4.4.2

22 List of training heads? EMS/OHSAS 4.4.2

23 Training index per person? Safety training Hours? EMS/OHSAS 4.4.2

24 Are Auditee aware of the Document Location. EMS/OHSAS 4.4.5

25 Verify list of documents with it's revision status ? EMS/OHSAS 4.4.5

26 Is auditee is aware of the Document Location. EMS/OHSAS 4.4.5

27 Retaintion period for the documents is defined EMS/OHSAS 4.5.4

28 Are Traning records available for the traning to BCA & WCA ? EMS/OHSAS 4.4.2

29 OHSAS 4.5.1

30 OHSAS 4.3.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MINOR NCR

MAJOR NCR

Whether inspection of Drinking water carried out as per defined frequency.

As per F. A. 1948 Sect. no.41-C Specific responsibility of the occupier in relation to hazardous processes, check compliance to Maintain accurate health records of worker

Page 22: Internal Audit Checksheet EMS-OHSAS

RELIABLE GROUP OF INDUSTRIES Date & Time:

Plant : Page: of

DEPT : HR AUDIT PERIOD : AUDIT NO :

Processes to be audited : CHECK POINT EMS/OHSAS AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKS

NO NCR OBSERVATION

31 OHSAS 4.3.2

32 Water tank cleaning records for overheads tanks is available ? OHSAS 4.5.1

33 OHSAS 4.5.1

34 OHSAS 4.4.6

35 OHSAS 4.4.6

36 Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS 4.3.3

37 Linkage of Hazardous point addressed in documentation control. OHSAS 4.4.5

38 Accident register updated with target dates &completion date. OHSAS 4.4.5

39 Verify PUC,Healh chk records are available. OHSAS 4.5.1

40 Verify First Aid box for availability of listed Medicines, with expiry date. OHSAS 4.5.1

41 Verify that Ambulance drivers are assigned in each shift OHSAS 4.4.7

42 Check the Building Stability certificate for plant building ? OHSAS 4.3.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

SR NO

APPLICABLE CLAUSE/PROCESS REF NO.

Pl tick appropriate from below as per QSP-MR-04

MINOR NCR

MAJOR NCR

As per FA 1948, section 88 , MFR 115 -Notice of certain accident - check complaince for form no 24 and 30.

Verify that Water testing is done as follows:Chemical analysis for one locations, Physiological analysis for each locations.

Whether Confined place is defined for water tank cleaning & check for work permit is given.

Whether Safety points are covered within agreement done with labour contractor ?

Page 23: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant: Page: of

DEPT : Safety AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

1 Verify Near miss accident register is available at specified location ? 4.5.1

2 Whether actions are taken in case of near miss situations ? 4.5.1

3 4.5.1

4 4.5.1

5 For Fire extinguisher numbering/identification is available ? 4.4.6

6 4.3.1

7 Work permit can not be issued for more than 2 days, check ? 4.4.6

8 Verify Completion records for work permit given ? 4.4.6

9 Whethe Mock Audit is conducted ? Response time get measured ? 4.3.2

10 4.3.2

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR

Whether Severity, Frequency & Incident rate are monitored & trend is available .

Whether monitoring of Noise level is done & in case of non compliance actions are taken to reduce or stabilize the confirming noise levels.

Whether safety Instructions are provided in case of slippery surface at office area or shop floor to avoid any accident.

In Health Check-up " Vibration induced white figure" disease to be get checked

Page 24: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant: Page: of

DEPT : Safety AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

11 Are Auditee aware of the Document Location. 4.4.5

12 Verify list of documents with it's revision status ? 4.4.5

13 Whether Register of Statutory And Regulatory Requirements is availab 4.4.5

14 Linkage of Hazardous point addressed in documentation control. 4.4.5

15 Accident register updated with target dates &completion date. 4.4.5

16 Is Emergency preparedness register is available ? 4.3.2/4.4.7

17 Whether safety squad members are formed in case of emergency ? 4.4.7

18 4.4.7

19 4.4.7

20 Verify test record of Safety shoes for electrical safety. 4.4.6

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR

Does Mockdrill had conducted for handling emergency situations.

Is Emergency assembly point identified in case of emergency situations.

Page 25: Internal Audit Checksheet EMS-OHSAS

F-MR-10, Issue/Rev 2/0

Page 26: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant: Page: of

DEPT : Safety AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

21 4.3.2

22 Are Fire extinguisher are checked for pressure tests. 4.3.2

23 Sand within Fire buckets needs to have in loose condition. 4.3.2

24 Check for Work place monitoring records ? 4.3.2/4.5.1

25 Whether Ventilation study done ? 4.5.1

26 Near miss accident register have format number. 4.5.3

27 4.5.3

28 Whether root cause analysis is done in case of any accident. 4.5.3

29 4.5.2

30 4.4.7

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR

Fire extinguishers are need to be tested with defined frequency, also need to be specify with Sr. No. & location on Map.

Verifiy, Near miss accidents register for updatation & related actions are taken ?

Check awareness about immergency assembly point,incase of emergency like fire.

On the Factory plan/Layout : Assy. Point, emergency, emergency exists are identifed.

Page 27: Internal Audit Checksheet EMS-OHSAS

F-MR-10, Issue/Rev 2/0

Page 28: Internal Audit Checksheet EMS-OHSAS

GROUP OF INDUSTRIES

Plant: Page: of

DEPT : Safety AUDIT PERIOD : AUDIT NO :

Processes to be audited : SR NO CHECK POINT AUDIT FINDINGS

OBJECTIVE EVIDENCE/REMARKSNO NCR OBSERVATION

31 Reporting media/ information flow of Accident is prepared ? 4.4.7

32 Method of calculating accident rate ? 4.3.2

33 Is auditee is aware of the Document Location. 4.4.5

34 Retaintion period for the documents is defined 4.5.4

35 Monitoring & trend of all air, water, parameters against targets. 4.5.1

NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

F-MR-10, Issue/Rev 2/0

INTERNAL AUDIT CHECKSHEET(EMS/ OHSAS)

Date & Time:

APPLICABLE CLAUSE/

PROCESS REF NO.

Pl tick appropriate from below MINOR

NCRMAJOR

NCR