NO NCR MINOR

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 How do you evaluate the impact?Have you identified aspects of non
routine activities?
4.3.1
6 Specify any point
DEPT :
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
Plant : Page: of
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
Processes to be audited :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
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
At DG set chimney should have Sampling port & ladder for
sampling inspection .
EMS 4.5.1
8 Whether resistance of Earthing pit is measured as per electrical law. EMS 4.3.2
9
Whether ,Method of disposal is decided in case of waste batteries of
Stackers
EMS 4.3.1
10
Check compliance to Legal and other EMS/OHSAS applicable
requirements for Electricity rules- defined clearly
EMS/OHSAS 4.3.2
EMS/OHSAS
Processes to be audited :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
DEPT :
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
NO NCR MINOR NCR MAJOR NCR OBSERVATION
11
Whether monitoring & measuring instruments, Check for Calibration of
dB Meter and Lux Meter.
EMS/OHSAS 4.5.1
12
Are Auditee aware of the Document Location. EMS/OHSAS 4.4.5
13
Verify list of documents with it's revision status ? EMS/OHSAS 4.4.5
14
There should not any Plastic sheet/Grass raised in MSEB
metering cubicle area.
EMS/OHSAS
4.4.6
15 Check 1S,2S at Cable chember ? EMS/OHSAS
4.4.6
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
Check the evidence for testing of compressor available as per FA1948
section 31 MFR 65-
OHSAS 4.3.2
19
As per FA 1948 section 21 & 22- while working near or on machinery in
motion compliance for gaurds and clothing should not availble.
OHSAS 4.3.2
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
EMS/OHSAS
Pl tick appropriate from below
as per QSP-MR-04
DEPT :
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS
F-MR-10, Issue/Rev 2/0
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.
OHSAS 4.5.2
21
Lighting as per FA 1948 section no 17 , MF rule no 35 -- Check whether
Lux level is monitored.
OHSAS 4.5.2
22
Whether Form 12 is available? Check traceability & identity on
certificates. (Crane, wires etc.), with certification number.
OHSAS 4.3.2
23
Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS 4.3.3
24
Whether monitoring of Noise level is done & in case of non compliance
actions are taken to reduce or stabilize the confirming noise levels.
OHSAS 4.5.1
25
Check for, there should not any unsafe tool in use ? OHSAS 4.4.6
26
Verify Calibration records for Lux meter and dB meter OHSAS 4.5.1
27
Is all pressure vessels hydro test records, available ? OHSAS 4.3.2
28
Is Form 12 available with traceability & identity on certificates.
(Crane, wires etc.),
OHSAS 4.3.2
29
Testing certificates of Chain pulley block to be verified. OHSAS 4.5.1
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
EMS/OHSAS
DEPT :
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
GROUP OF INDUSTRIES Date & Time:
Plant : RAPLII Page: of
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
NO NCR MINOR NCR MAJOR NCR OBSERVATION
30
Are Cranes/Hoists/Stackers are reviewed for SWL OHSAS 4.5.1
31
Whether Rubber mats are provided below the panel of presses. OHSAS 4.3.2
32
Rubber Mats are to be available in front of electrical panel ? OHSAS 4.3.2
33
Is Electricity permits being taken to electrical contractor. OHSAS 4.4.6
34 Verify that Compressed air balancing is done. OHSAS
4.5.1
35 Check Testing certificates of air receiver ? OHSAS
4.5.1
36 Check SWL is displayed on each crane ? OHSAS
4.3.2
37 Check there should no laddle near by Live Busbar. OHSAS
4.4.6
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
GROUP OF INDUSTRIES Date & Time:
Plant : RAPLII Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
AUDIT NO :
DEPT :
AUDIT PERIOD :
Processes to be audited :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
EMS/OHSAS
NO NCR MINOR
NCR
MAJOR
NCR
OBSERVATION
1 Is policy communicated & understood to all. 4.2
2 Is the Environmental policy is communicated to suppliers (interested parties) 4.2
3 As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141--
Check compliance for PUC certificates for vehicles. 4.5.2
4
Check PPE's analysis w.r.t. IS standard & involvement, list is
available for all PPE's.
4.3.2
5
Their should not be any Hazardous waste open to sky, check ?
4.3.2
6 Are Objectives & target for EMS/OHSAS Identified & auditee aware of
it ?
4.3.3
7 Is auditee is aware of the Document Location. 4.4.5
8 Retaintion period for the documents is defined 4.5.4
DEPT : PURCHASE
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
Plant Page: of
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
Processes to be audited :
SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
NO NCR MINOR
NCR
MAJOR
NCR
OBSERVATION
1 Is policy communicated & understood to all. 4.2
2 Is the Environmental policy is communicated to suppliers (interested parties) 4.2
3 As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141--
Check compliance for PUC certificates for vehicles. 4.5.2
4
Whether Weigh calibration form is available ?
4.5.1
5
Their should not be any Hazardous waste open to sky, check ?
4.3.2
6
Is Form 3 in use for inter department handling of Hazardous Waste.
4.3.2
7 Are Objectives & target for EMS/OHSAS Identified & auditee aware of
it ?
4.3.3
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
Processes to be audited :
SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
DEPT : STORES
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
Plant Page: of
NO NCR MINOR
NCR
MAJOR
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
6
Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS
4.3.3
7
Are Objectives & target for EMS identified.Auditee aware of it ? EMS
4.3.3
8
Check PPE's analysis w.r.t. IS standard & involvement, list is
available for all PPE's. OHSAS
4.3.2
9 Whether Severity, Frequency & Incident rate are monitored & trend is
available . OHSAS 4.5.1
10 Verify list of documents with it's revision status ? EMS/OHSAS 4.4.5
Processes to be audited :
SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
DEPT : MR
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES Date & Time:
Plant: Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
EMS/OHSAS
NO NCR MINOR
NCR
MAJOR
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
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
GROUP OF INDUSTRIES Date & Time:
Plant: Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
EMS/OHSAS SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
DEPT : MR
NO NCR MINOR NCR MAJOR
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
Is their any area identified for seprate collection of Hazardous waste
at source.
EMS 4.3.2

5
Are applicable Legal requirements are known to all ? EMS
4.3.2
6
Notification for Hazardous waste display board is displayed ? EMS
4.3.2
7
Their should not be any Hazardous waste open to sky, check ? EMS
4.3.2
8
Is Form 3 in use for inter department handling of Hazardous Waste. EMS
4.3.2
9
Whether Seprate area for collection of waste is identified ( Cotton
waste/Plastic/Paper etc.) EMS
4.3.2
10
Whether ,Method of disposal is decided in case of waste batteries of
Stackers EMS
4.3.2/4.4.6
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
Processes to be audited :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
EMS/OHSAS
DEPT : Production/QA
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
NO NCR MINOR NCR MAJOR
NCR
OBSERVATION
11 Is the QEHS policy is displayed at main gate. EMS/OHSAS 4.2
12
Whether Register of Statutory And Regulatory Requirements is
available with Revision Number.
EMS
4.4.5
13 Are Significant aspects get monitored EMS 4.3.1
14 Trends of Organisation's environmental objectives and targets are
available. EMS
4.3.3
15
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
16
Are Objectives & target for EMS identified.Auditee aware of it ? EMS
4.3.3
17 As per FA 1948 section 13 MFR No 22-A - verify ventilation &
temperature and compliance for circulation of air. EMS/OHSAS
4.3.3
18
Are Traning records available for the traning to BCA & WCA ? EMS/OHSAS
4.4.2
19
SOP training record / Work procedure training records are available? EMS/OHSAS
4.4.2
20
Method of training need is available? EMS/OHSAS
4.4.2
F-MR-10, Issue/Rev 2/0
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
EMS/OHSAS
DEPT : Production /QA
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
NO NCR MINOR NCR MAJOR
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 ? OHSAS
4.3.1
24 Whether Safety commitee is formed within organization (Frequency
of meeting is decided) OHSAS
4.3.2
25 As per the Explosives Act 1884 & Gas Cylinder rules 1981 -rule No17
, 18 , 36 - check for complaince of handling of cylinders. OHSAS
4.3.3
26
List of training heads? EMS/OHSAS
4.4.2
27
Training index per person? Safety training Hours? EMS/OHSAS
4.4.2/4.3.2
28 Are Auditee aware of the Document Location. EMS/OHSAS
4.4.4
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
4.4.5
F-MR-10, Issue/Rev 2/0
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
EMS/OHSAS
DEPT : Production /QA
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
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
4.3.3
32 As per FA 1948, section 88 , MFR 115 -Notice of certain accident -
check complaince for form no 24 and 30. 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. OHSAS
4.3.3
35 Lighting as per FA 1948 section no 17 , MF rule no 35 -- Check
whether Lux level is monitored. OHSAS
4.3.3
36
Are Objectives & target for OHSAS Identified & auditee aware of it ? OHSAS
4.3.3
37 Whether Safety points are covered in agreement done with labour
contractor ? OHSAS
4.4.6
38
Verify Near miss accident register is available at specified location ? OHSAS
4.4.6
39
Whether actions are taken in case of near miss situations ? OHSAS
4.4.6
40 Whether Severity, Frequency & Incident rate are monitored & trend is
available . OHSAS
4.5.1
F-MR-10, Issue/Rev 2/0
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
EMS/OHSAS
DEPT : Production /QA
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
NO NCR MINOR NCR MAJOR
NCR
OBSERVATION
41
All stored Gas cylinders need to be have protected by providing Caps
?
OHSAS
4.3.2
42 Verify that Chain Guarding provided for Gas cylinders ? OHSAS
4.3.2
43 Verify High Noise level is identified ? OHSAS
4.3.2
44
Check for, there should not any unsafe tool in use ? OHSAS
4.4.6
45 Fire extinguisher are at accessible height, verify ? OHSAS
4.4.6
46 Place to be assigned for Gas Cylinders. OHSAS
4.4.6
47 Emergency contact numbrers are displayed ? OHSAS
4.4.7
48
Whether Fire buckets are accessible in case of
emergency situations ?
OHSAS
4.4.7
49 Check Safety instructions are dispalyed at workplace. OHSAS
4.4.7
50
Accident register updated with target dates for actions &
it's completion date.
OHSAS
4.6
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
EMS/OHSAS
DEPT : Production /QA
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
F-MR-10, Issue/Rev 2/0
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
NO NCR MINOR NCR MAJOR
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
5
Are applicable Legal requirements are known to all ?
4.3.2
6
Disposal 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
8
Whether ,Method of disposal is decided in case of waste batteries of
Stackers
4.3.2/4.4.6
9
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
4.3.2
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
Processes to be audited :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
DEPT : Production
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
Plant : Page: of
NO NCR MINOR NCR MAJOR
NCR
OBSERVATION
11 Whether Seprate area for collection of waste is identified ( Cotton
waste/Plastic/Paper etc.)
4.3.2
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 ?
4.3.3
14 Are Auditee aware of the Document Location.
4.4.4
15
Whether Register of Statutory And Regulatory Requirements is
available with Revision Number.
4.4.5
16 Check Safety instructions are dispalyed at workplace.
4.4.7
17
Accident register updated with target dates for actions &
it's completion date.
4.6
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
DEPT : Production
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
F-MR-10, Issue/Rev 2/0
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
Plant : Page: of
NO NCR MINOR
NCR
MAJOR
NCR
OBSERVATION
1 Is policy communicated & understood to all. EMS/OHSAS 4.2
2 As per Central Motor Vehicle Rule 1989 rule no 25 ,48 ,5,62,116,141--
Check compliance for PUC certificates for vehicles.
EMS 4.5.2
3 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 As per wateract 1974 (prevention and control of pollution)
ammendment 1988 section 25,26- Check compliance are avilable for
monitoring of sewage of effluents.
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 Whether Register of Statutory And Regulatory Requirements is.
available with Revision Number.
EMS 4.4.5
DEPT : HR
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Processes to be audited :
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
EMS/OHSAS
NO NCR MINOR
NCR
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.
EMS 4.3.2
14 Check compliance to Legal and other EMS/OHSAS applicable
requirements under Public Liability Act for Insurance.
EMS/OHSAS 4.3.2
15 Check compliance to Legal and other EMS/OHSAS applicable
requirements for Planting of Trees.
EMS/OHSAS 4.3.2
16 Check compliance to Legal and other EMS/OHSAS applicable
requirements of information of accidents to factory inspector is given.
EMS/OHSAS 4.3.2
17 Check compliance to Legal and other EMS/OHSAS applicable
requirements for PUC, Employee Health check-up is carried out.
EMS/OHSAS 4.3.2
18 As per FA 1948 Rule 1963,Section 6-Rule1-Clause a ,Check for
approved factory Plan.
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
Plant : Page: of
AUDIT PERIOD : AUDIT NO :
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
GROUP OF INDUSTRIES Date & Time:
DEPT : HR
Processes to be audited :
F-MR-10, Issue/Rev 2/0
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
EMS/OHSAS
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
NO NCR MINOR
NCR
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
in relation to hazardous processes, check compliance to Maintain
accurate health records of worker
OHSAS 4.3.2
DEPT : HR
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
F-MR-10, Issue/Rev 2/0
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
EMS/OHSAS
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
NO NCR MINOR
NCR
MAJOR
NCR
OBSERVATION
31 As per FA 1948, section 88 , MFR 115 -Notice of certain accident -
check complaince for form no 24 and 30.
OHSAS 4.3.2
32 Water tank cleaning records for overheads tanks is available ? OHSAS 4.5.1
33 Verify that Water testing is done as follows:Chemical analysis for one
locations, Physiological analysis for each locations.
OHSAS 4.5.1
34 Whether Confined place is defined for water tank cleaning & check for
work permit is given.
OHSAS 4.4.6
35 Whether Safety points are covered within agreement done with labour
contractor ?
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
F-MR-10, Issue/Rev 2/0
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
DEPT : HR
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
RELIABLE GROUP OF INDUSTRIES Date & Time:
Plant : Page: of
SR
NO
CHECK POINT APPLICABLE
CLAUSE/
PROCESS
REF NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
as per QSP-MR-04
EMS/OHSAS
NO NCR MINOR
NCR
MAJOR
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 Whether Severity, Frequency & Incident rate are monitored & trend
is available .
4.5.1
4 Whether monitoring of Noise level is done & in case of non
compliance actions are taken to reduce or stabilize the confirming
noise levels.
4.5.1
5 For Fire extinguisher numbering/identification is available ? 4.4.6
6 Whether safety Instructions are provided in case of slippery surface
at office area or shop floor to avoid any accident.
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 In Health Check-up " Vibration induced white figure" disease
to be get checked
4.3.2
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
DEPT : Safety
AUDIT PERIOD : AUDIT NO :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
Plant: Page: of
Processes to be audited :
SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
NO NCR MINOR
NCR
MAJOR
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 available with Revision Number. 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 Does Mockdrill had conducted for handling emergency
situations.
4.4.7
19 Is Emergency assembly point identified in case of
emergency situations.
4.4.7
20 Verify test record of Safety shoes for electrical safety. 4.4.6
Plant: Page: of
DEPT : Safety
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
NO NCR MINOR
NCR
MAJOR
NCR
OBSERVATION
21 Fire extinguishers are need to be tested with defined frequency, also
need to be specify with Sr. No. & location on Map.
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 Verifiy, Near miss accidents register for updatation & related
actions are taken ?
4.5.3
28 Whether root cause analysis is done in case of any accident. 4.5.3
29 Check awareness about immergency assembly point,incase of
emergency like fire.
4.5.2
30 On the Factory plan/Layout : Assy. Point, emergency, emergency
exists are identifed.
4.4.7
Plant: Page: of
DEPT : Safety
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below
NAME/SIGN OF THE AUDITOR : NAME/SIGN OF THE AUDITEE :
F-MR-10, Issue/Rev 2/0
NO NCR MINOR
NCR
MAJOR
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
Plant: Page: of
DEPT : Safety
AUDIT PERIOD : AUDIT NO :
Processes to be audited :
GROUP OF INDUSTRIES INTERNAL AUDIT CHECKSHEET
(EMS/ OHSAS)
Date & Time:
SR NO CHECK POINT APPLICABLE
CLAUSE/
PROCESS REF
NO.
AUDIT FINDINGS
OBJECTIVE EVIDENCE/REMARKS Pl tick appropriate from below