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HSE auditTemplate Introduced May 2010

DRAFTCONFIDENTIAL

PDO Level 1 HSE MS Audit (PDO Level 1 HSE MS Audit)------ Directorate

Audit Dates

Report No:

Audit team:

Document HistoryDateIssueReason for ChangeAuthorApproved by

1 Summary and Conclusion1.1 Practices worth replicating1.2 Room for Improvement1.3 Overall Assessment1.4 Control Acceptability Matrix (CAM)

2 Audit Objectives and Scope

3 Description of Operation

4 Findings and Recommendations

APPENDIX A Terms of ReferenceAPPENDIX B Audit scheduleAPPENDIX C Distribution

1 Summary and Conclusion

1.1 Practices worth replicating

1.2 Room for Improvement

1.3 Overall Assessment

The Control Acceptability matrix and reference table provide an overall summary picture of the state of control of the key Risk areas and Common controls ([footnoteRef:1]). The assessments of the risk control areas are shown via a colour indication with explanations and definitions below. [1: Key Risk areas are: Health, Process Safety, Personal Safety, Contractor HSE, Projects, Environment, Security, Transport, Social PerformanceThe Common Controls are: Risk Management, Organisation and Competence, Management of Change, Permit to Work, Emergency response, Monitoring and incident investigation and reporting, Management review and Assurance, Leadership and HSSE culture]

1.4 Control Acceptability Matrix (CAM)All findings are denoted by higher case F with a number or an alphanumeric identifier followed by the rating (S= Serious, H=High, M=Medium). Taking the actions for all findings rated M, H or S is mandatory.have been assessed as controls acceptable (green).Eg:

FindingRatingDescription

F1High

F2High

F3High

F6Medium

F7Medium

F8Medium

2 Audit Objectives and Scope

3 Description of Operation

4 Findings and Recommendations

F1FINDING (PROCESS SAFETY) Asset Integrity

IMPLICATION

RANKINGHigh

RECOMMENDATIONS

1

2

3

4

ACTIONACTION PARTYDUE DATE

F1-1

F1-2

F1-3

F2FINDING (ROAD SAFETY & CONTRACTOR HSE) Road Safety

IMPLICATION

RANKING

RECOMMENDATIONS

1

2

3

ACTIONACTION PARTYDUE DATE

F2-1

F2-2

F2-3

F3FINDING (COMMON HSSE&SP) Management of Change

IMPLICATION

RANKINGHigh

RECOMMENDATIONS

1

2

3

ACTIONACTION PARTYDUE DATE

F3-1

F3-2

F3-3

APPENDIX A Terms of Reference

APPENDIX B Audit schedule

APPENDIX C DistributionAudit No.2