HSE AUDIT CHECKLIST FOR Rev. No.

1
GENERAL HSE ISSUES
Page 1 of 2
Date of Audit :

हममां YES/ उदद्देशय

श समकशय/OBJECTIVE EVIDENCE
क्रमममांक/
जममांच ससचच/CHECK POINTS नहहमां NO/
(अनपन मलन कक समां./नमसनन कक समां./ टटिपपणच
श /REMARKS
S. NO. लमगस नहहमां/ N.A
No. of compliance/ No. of samples)
Implementation of recommendations/suggestions identified in last
1.
internal HSE audit report.
Implementation of recommendations/suggestions identified in last
2.
External/surveillance HSE audit report.
Awareness about HSE Management System and Corporate
3.
Documentation
Awareness of HIRAC (Hazard Identification Risk Assessment and
4.
controls) record register of HO/Other locations
Awareness of Environmental aspects, impacts assessment and
5.
controls record register of HO/Other locations
Awareness of Emergency Preparedness and Response Plan of
6.
HO/Other locations
Preparation of HIRAC (Hazard Identification Risk Assessment and
7. controls) record register of HO/Other locations as per procedure 5-
0000-1001
Preparation of Environmental aspects, impacts assessment and
8. controls record register of HO/Other locations as per procedure 5-0000-
1002
Preparation of Emergency Preparedness and Response Plan of
9.
HO/Other locations as procedure 9-4241-0001
Preparation of Model Plan for Project HSE Management as per
10.
Document No.2-0000-1101
11. HSE Checklist prepared/ approved in the Format No.3-0000-1001

12. Filling of HSE Checklist by respective groups

13. Evidence of compliance of HSE Checklist

14. Records pertaining to HSE Checklists are maintained.

15. HSE inputs to Marketing/HSE group provided, if applicable.

 HSE AUDIT CHECKLIST FOR Rev. No.1
GENERAL HSE ISSUES
Page 2 of 2
Date of Audit :

हममां YES/ उदद्देशय

श समकशय/OBJECTIVE EVIDENCE
क्रमममांक/
जममांच ससचच/CHECK POINTS नहहमां NO/
(अनपन मलन कक समां./नमसनन कक समां./ टटिपपणच
श /REMARKS
S. NO. लमगस नहहमां/ N.A
No. of compliance/ No. of samples)

Compliance to HSE contractual, statutory requirements done as per job

16.
requirement, Occupational Health and Environmental issues etc.

Quarterly HSE meeting conducted Data required

17.
Agenda points as per check list (Document No.LL-0000-1008).

19. Awareness on HSE objectives

20. Actions taken on MRC (HSE) resolutions

HSE Objectives prepared and monitored as per Guideline No.8-0000-
21.
1001
22. Awareness on incident investigation, corrective & preventive actions
Incident Reporting and investigation done as per procedure 5-0000-
23.
1008
24. Awareness/Training on HSE to all employees provided.

हसत
स‍ ताक्षर/Signature ________________________________ ततथथ/Date: ___________________
(टटीम‍लटीडर‍Team Leader/आडडीटर Auditor)
ननोट/Note: भरटी‍हहई‍एवव‍हसत
स‍ ताक्षररत‍जतावच‍सच
स डी‍आडडट‍ररपनोटर ‍कक‍सताथ‍लगताई‍जताए/Filled & signed checklist to be attached with audit report.