GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below as per QSP-MR-04 MINOR NCR MAJOR NCR OBSERVATION

Is policy communicated & understood to all.

4.2

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

4.3.3

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

4.3.3

Is procedure available for identification of aspects ?

4.3.1

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

4.3.1

NAME/SIGN OF THE AUDITOR :

NAME/SIGN OF THE AUDITEE :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

Is policy communicated & understood to all.

EMS/OHSAS

4.2

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

EMS

4.3.1

Is Form 3 in use for inter department handling of Hazardous Waste. Are Objectives & target for EMS identified.Auditee aware of it ?

EMS EMS

4.3.2 4.3.3

4 Check record available for Consumption of Oil,Thinner,Acids etc 5 Whether Resistance of Earthing Pit has checked. 6 At DG set chimney should have Sampling port & ladder for sampling inspection . EMS 4.5.1 EMS 4.5.1 EMS 4.5.1

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

EMS

4.3.2

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

EMS

4.3.1

10

EMS/OHSAS

4.3.2
NAME/SIGN OF THE AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

11

Whether monitoring & measuring instruments, Check for Calibration of dB Meter and Lux Meter. Are Auditee aware of the Document Location.

EMS/OHSAS EMS/OHSAS

4.5.1 4.4.5

12 Verify list of documents with it's revision status ? 13 There should not any Plastic sheet/Grass raised in MSEB metering cubicle area. Check 1S,2S at Cable chember ? 4.4.6 EMS/OHSAS 4.4.6 15 EMS/OHSAS EMS/OHSAS 4.4.5

14

16

Is auditee is aware of the Document Location.

EMS/OHSAS

4.4.5

17

Retaintion period for the documents is defined Check the evidence for testing of compressor available as per FA1948 section 31 MFR 65As per FA 1948 section 21 & 22- while working near or on machinery in motion compliance for gaurds and clothing should not availble.

EMS/OHSAS

4.5.4

18

OHSAS

4.3.2

19

OHSAS

4.3.2
NAME/SIGN OF THE AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant : RAPLII

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

20

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

OHSAS

4.5.2

21

OHSAS

4.5.2

22

OHSAS OHSAS

4.3.2 4.3.3

23 Whether monitoring of Noise level is done & in case of non compliance actions are taken to reduce or stabilize the confirming noise levels. Check for, there should not any unsafe tool in use ? 25 Verify Calibration records for Lux meter and dB meter 26 Is all pressure vessels hydro test records, available ? 27 Is Form 12 available with traceability & identity on certificates. (Crane, wires etc.), Testing certificates of Chain pulley block to be verified. 29
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :

OHSAS

4.5.1

24

OHSAS

4.4.6

OHSAS

4.5.1

OHSAS

4.3.2

OHSAS

4.3.2

28

OHSAS

4.5.1

GROUP OF INDUSTRIES Plant : RAPLII

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

Are Cranes/Hoists/Stackers are reviewed for SWL 30 Whether Rubber mats are provided below the panel of presses. 31 Rubber Mats are to be available in front of electrical panel ? 32 Is Electricity permits being taken to electrical contractor. 33

OHSAS

4.5.1

OHSAS

4.3.2

OHSAS

4.3.2

OHSAS

4.4.6

4.5.1 34 Verify that Compressed air balancing is done. OHSAS 4.5.1 35 Check Testing certificates of air receiver ? OHSAS 4.3.2 36 Check SWL is displayed on each crane ? OHSAS 4.4.6 37 Check there should no laddle near by Live Busbar. OHSAS

38

Lux Intensity monitoring record available ?

OHSAS

4.5.4
NAME/SIGN OF THE AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : PURCHASE Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

1 2 3 4 5 6

Is policy communicated & understood to all.

4.2

Is the Environmental policy is communicated to suppliers (interested parties) 4.2 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. Their should not be any Hazardous waste open to sky, check ? 4.3.3 Are Objectives & target for EMS/OHSAS Identified & auditee aware of it ? Is auditee is aware of the Document Location. 4.4.5

4.5.2 4.3.2 4.3.2

Retaintion period for the documents is defined

4.5.4
NAME/SIGN OF THE AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : STORES Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

1 2 3 4 5 6 7

Is policy communicated & understood to all.

4.2

Is the Environmental policy is communicated to suppliers (interested parties) 4.2 As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-Check compliance for PUC certificates for vehicles. Whether Weigh calibration form is available ? 4.3.2 Their should not be any Hazardous waste open to sky, check ? 4.3.2 Is Form 3 in use for inter department handling of Hazardous Waste. 4.3.3 Are Objectives & target for EMS/OHSAS Identified & auditee aware of it ? Check record available for Consumption of Oil,Thinner,Acids etc 4.5.1

4.5.2 4.5.1

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 AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant:

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : MR Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

1 2 3 4

Is the QEHS Policy in complince with Clause 4.2. ? Is the list of locations where policy displayed available? Evidences of assign of MR for the system. Annual audit yearly plan is available ?

EMS/OHSAS EMS/OHSAS EMS/OHSAS EMS/OHSAS

4.2 4.2 4.4.1 4.5.5

5 6 7 8 9

List of Internal auditor is available ?

EMS/OHSAS

4.5.5 4.3.3

Are Objectives & target for OHSAS Identified & auditee aware of it ? Are Objectives & target for EMS identified.Auditee aware of it ? Check PPE's analysis w.r.t. IS standard & involvement, list is available for all PPE's.

OHSAS 4.3.3 EMS 4.3.2 OHSAS

Whether Severity, Frequency & Incident rate are monitored & trend is available . OHSAS Verify list of documents with it's revision status ? EMS/OHSAS

4.5.1 4.4.5
NAME/SIGN OF THE AUDITEE :

10

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant:

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : MR Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

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 AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Production/QA Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

1 2 3 4

Verify that Policy is dispayed in the cell/Shopfloor Is policy communicated & understood to all.

EMS/OHSAS EMS/OHSAS

4.2 4.2 4.3.1 4.3.2 4.3.2

In Aspect/Impact register specific Legal requirements are addressed EMS ? Is their any area identified for seprate collection of Hazardous waste at source. EMS

5 Are applicable Legal requirements are known to all ? 6 Notification for Hazardous waste display board is displayed ? 7 Their should not be any Hazardous waste open to sky, check ? 8 9 10 Is Form 3 in use for inter department handling of Hazardous Waste. 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 EMS 4.3.2 EMS 4.3.2 EMS 4.3.2/4.4.6 EMS
NAME/SIGN OF THE AUDITEE :

EMS 4.3.2 EMS 4.3.2

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Production /QA Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

11

Is the QEHS policy is displayed at main gate. Whether Register of Statutory And Regulatory Requirements is available with Revision Number. Are Significant aspects get monitored

EMS/OHSAS

4.2 4.4.5

12

EMS

13

EMS

4.3.1 4.3.3

14

15

Trends of Organisation's environmental objectives and targets are available. EMS As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-- Check compliance for PUC certificates for vehicles. EMS

4.3.3

4.3.3 16 Are Objectives & target for EMS identified.Auditee aware of it ? 17 As per FA 1948 section 13 MFR No 22-A - verify ventilation & temperature and compliance for circulation of air. EMS 4.3.3 EMS/OHSAS 4.4.2 18 Are Traning records available for the traning to BCA & WCA ? 19 SOP training record / Work procedure training records are available? EMS/OHSAS 4.4.2 20 Method of training need is available?
NAME/SIGN OF THE AUDITOR :

EMS/OHSAS 4.4.2

EMS/OHSAS
NAME/SIGN OF THE AUDITEE :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Production /QA Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

21 22

Is HIRA updated with all accidents which are taken place. Is safety instructions are displayed on machines as per HIRA

OHSAS OHSAS

4.2 4.2 4.3.1

23

In HIRA register specific Legal requirements are addressed ?

OHSAS 4.3.2

24

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

OHSAS 4.3.3

25

As per the Explosives Act 1884 & Gas Cylinder rules 1981 -rule No17 , 18 , 36 - check for complaince of handling of cylinders. OHSAS 4.4.2

26 List of training heads? 27 Training index per person? Safety training Hours? 28 Are Auditee aware of the Document Location. EMS/OHSAS 4.4.4 EMS/OHSAS 4.4.5 29 Verify list of documents with it's revision status ? EMS/OHSAS 4.4.5 30 Is auditee is aware of the Document Location. EMS/OHSAS
NAME/SIGN OF THE AUDITEE :

EMS/OHSAS 4.4.2/4.3.2

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Production /QA Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

31

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

4.3.3

4.3.3 32 OHSAS 4.3.3 33 As per FA 1948 section 21 & 22- while working near or on machinery in motion compliance for gaurds and clothing should not availble. OHSAS 4.3.3 34 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. OHSAS 4.3.3 35 OHSAS 4.3.3 36 Are Objectives & target for OHSAS Identified & auditee aware of it ? 37 Whether Safety points are covered in agreement done with labour contractor ? OHSAS 4.4.6 OHSAS 4.4.6 38 Verify Near miss accident register is available at specified location ? 39 Whether actions are taken in case of near miss situations ? 40 OHSAS 4.5.1 Whether Severity, Frequency & Incident rate are monitored & trend is available . OHSAS
NAME/SIGN OF THE AUDITEE :

OHSAS 4.4.6

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Production /QA Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

41 42

All stored Gas cylinders need to be have protected by providing Caps OHSAS ? Verify that Chain Guarding provided for Gas cylinders ? OHSAS

4.3.2 4.3.2

4.3.2 43 Verify High Noise level is identified ? OHSAS 4.4.6 44 Check for, there should not any unsafe tool in use ? 45 Fire extinguisher are at accessible height, verify ? OHSAS 4.4.6 OHSAS 4.4.6 46 Place to be assigned for Gas Cylinders. OHSAS 4.4.7 47 Emergency contact numbrers are displayed ? Whether Fire buckets are accessible in case of emergency situations ? Check Safety instructions are dispalyed at workplace. Accident register updated with target dates for actions & it's completion date. OHSAS 4.4.7 OHSAS 4.4.7 49 OHSAS 4.6 OHSAS
NAME/SIGN OF THE AUDITEE :

48

50

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Production Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

1 2

Verify that Policy is dispayed in the cell/Shopfloor Is policy communicated & understood to all.

4.2 4.2

Are Significant aspects get monitored

4.3.1

4 5 6 7 8 9

In Aspect/Impact register specific Legal requirements are addressed ?

4.3.1 4.3.2

Are applicable Legal requirements are known to all ? 4.3.2 Disposal of Hazardous waste has carried out by authorised agency. Is form 9 or 13 had used for disposal Hazardous Waste. Whether ,Method of disposal is decided in case of waste batteries of Stackers 4.3.2 4.3.2/4.4.6 4.3.2 Their should not be any Hazardous waste open to sky, check ? 4.3.2

10

Whether Form 13 is submitted to MPCB after each disposal of Hazardous waste to MEPL
NAME/SIGN OF THE AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Production Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below as per QSP-MR-04 NO NCR MINOR NCR MAJOR NCR OBSERVATION

4.3.2 11 Whether Seprate area for collection of waste is identified ( Cotton waste/Plastic/Paper etc.) 4.3.3 12 Are Objectives & target for OHSAS Identified & auditee aware of it ? 4.3.3 13 Are Objectives & target for EMS identified.Auditee aware of it ? 4.4.4 14 Are Auditee aware of the Document Location. Whether Register of Statutory And Regulatory Requirements is available with Revision Number. Check Safety instructions are dispalyed at workplace. Accident register updated with target dates for actions & it's completion date. 4.6 4.4.5

15

4.4.7 16

17

NAME/SIGN OF THE AUDITOR :

NAME/SIGN OF THE AUDITEE :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : HR Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR MINOR NCR Pl tick appropriate from below as per QSP-MR-04 MAJOR NCR OBSERVATION

Is policy communicated & understood to all.

EMS/OHSAS

4.2

2 3

As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141-- EMS 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. EMS

4.5.2 4.5.2

4 5 6 7 8

As per wateract 1974 (prevention and control of pollution) EMS ammendment 1988 section 25,26- Check compliance are avilable for monitoring of sewage effluents. Is Green area figure isof displayed EMS Notification for Hazardous waste display board is displayed ? Water consumption-IS 1172 std. is available ? Check Stability certificates for the buildings ? EMS EMS EMS

4.5.2 4.3.2 4.3.2 4.3.2 4.3.2

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

EMS

4.3.3

10

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

EMS

4.4.5

NAME/SIGN OF THE AUDITOR :

NAME/SIGN OF THE AUDITEE :

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : HR Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR MINOR NCR Pl tick appropriate from below as per QSP-MR-04 MAJOR 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

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.

EMS

4.3.2

14

EMS/OHSAS

4.3.2

15

EMS/OHSAS

4.3.2

16

Check compliance to Legal and other EMS/OHSAS applicable EMS/OHSAS 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. Acknowledgement copy of I-factory license is available? EMS/OHSAS

4.3.2

17

4.3.2

18

EMS/OHSAS

4.3.2

19

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

GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : HR Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR MINOR NCR Pl tick appropriate from below as per QSP-MR-04 MAJOR 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

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

OHSAS

4.5.1

30

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

4.3.2

NAME/SIGN OF THE AUDITOR :

NAME/SIGN OF THE AUDITEE :

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

RELIABLE GROUP OF INDUSTRIES Plant :

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : HR Processes to be audited :

SR NO CHECK POINT EMS/OHSAS APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR MINOR NCR Pl tick appropriate from below as per QSP-MR-04 MAJOR NCR OBSERVATION

31

As per FA 1948, section 88 , MFR 115 -Notice of certain accident check complaince for form no 24 and 30. Water tank cleaning records for overheads tanks is available ?

OHSAS

4.3.2

32

OHSAS

4.5.1

33

Verify that Water testing is done as follows:Chemical analysis for one OHSAS locations, Physiological analysis for each locations. Whether Confined place is defined for water tank cleaning & check for OHSAS work permit is given. Whether Safety points are covered within agreement done with labour OHSAS contractor ? Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS

4.5.1

34

4.4.6

35

4.4.6

36

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

GROUP OF INDUSTRIES Plant:

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Safety Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

1 2 3

Verify Near miss accident register is available at specified location ? Whether actions are taken in case of near miss situations ? 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. For Fire extinguisher numbering/identification is available ? Whether safety Instructions are provided in case of slippery surface at office area or shop floor to avoid any accident. Work permit can not be issued for more than 2 days, check ? Verify Completion records for work permit given ? Whethe Mock Audit is conducted ? Response time get measured ? In Health Check-up " Vibration induced white figure" disease to be get checked

4.5.1 4.5.1 4.5.1

4 5 6

4.5.1 4.4.6 4.3.1

7 8 9 10

4.4.6 4.4.6 4.3.2 4.3.2

NAME/SIGN OF THE AUDITEE :

NAME/SIGN OF THE AUDITOR :

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

GROUP OF INDUSTRIES Plant:

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Safety Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

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 available with 4.4.5 Revision Number.

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

Does Mockdrill had conducted for handling emergency situations. Is Emergency assembly point identified in case of emergency situations. Verify test record of Safety shoes for electrical safety.

4.4.7

19

4.4.7

20

4.4.6

NAME/SIGN OF THE AUDITOR :

NAME/SIGN OF THE AUDITEE :

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

GROUP OF INDUSTRIES Plant:

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Safety Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

21

Fire extinguishers are need to be tested with defined frequency, also need to be specify with Sr. No. & location on Map. Are Fire extinguisher are checked for pressure tests.

4.3.2

22

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

Verifiy, Near miss accidents register for updatation & related actions are taken ? Whether root cause analysis is done in case of any accident.

4.5.3

28

4.5.3

29

Check awareness about immergency assembly point,incase of emergency like fire. On the Factory plan/Layout : Assy. Point, emergency, emergency exists are identifed.

4.5.2

30

4.4.7

NAME/SIGN OF THE AUDITOR :

NAME/SIGN OF THE AUDITEE :

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

GROUP OF INDUSTRIES Plant:

INTERNAL AUDIT CHECKSHEET (EMS/ OHSAS)

AUDIT PERIOD :

Date & Time: Page: of

DEPT : Safety Processes to be audited :

SR NO CHECK POINT APPLICABLE CLAUSE/ PROCESS REF NO.

AUDIT NO :

AUDIT FINDINGS OBJECTIVE EVIDENCE/REMARKS NO NCR Pl tick appropriate from below MINOR MAJOR OBSERVATION NCR NCR

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