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Information:: Yellow

This document provides instructions for conducting an inspection to verify compliance with health, safety, and environmental requirements. The inspection involves checking 6 points: 1) employee awareness of incident reporting, 2) accurate recording of incidents, 3) trained investigators for incidents, 4) meeting requirements for actions from incidents, 5) implementing learnings from incidents, and 6) operationalizing learnings. The inspector is to sample relevant documents and interview employees to check adherence to processes for incident identification, reporting, investigation, and applying learnings to continuously improve health, safety, and environmental performance.

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Akhosh Krishna
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55 views

Information:: Yellow

This document provides instructions for conducting an inspection to verify compliance with health, safety, and environmental requirements. The inspection involves checking 6 points: 1) employee awareness of incident reporting, 2) accurate recording of incidents, 3) trained investigators for incidents, 4) meeting requirements for actions from incidents, 5) implementing learnings from incidents, and 6) operationalizing learnings. The inspector is to sample relevant documents and interview employees to check adherence to processes for incident identification, reporting, investigation, and applying learnings to continuously improve health, safety, and environmental performance.

Uploaded by

Akhosh Krishna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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INFORMATION:

1- Fill in sheet Checks only.

2- Sheet (Final L3 Report) is formulated and protected.

3- Critical (Go-No-Go) requirements are highlighted in

4- In tab "2- Checks" Hover over column cells to see reference


YELLOW
is made available, for more references refer back to relevant
Specification/Procedure.

5- Result of L3 assurance is auto assessed following this Risk


assessment matrix (RAM)"
Inspection Date:
Inspection Location:
Contractor Name: if included
Contract Number: if included
Area Supervisor: Name & Ref. Ind.

Point Assurance on How / What to check


Check awareness package if it covers topics on:1.HSE
Incident identification and 2. Reporting process.
Employee aware to identify and
1
report HSE incidents. Randomly select 5 employees and check evidence if
awareness session was attended.

Collect contractors incident register to compare if all


incidents are recorded in PIM (2 years record)

HSE incidents are correctly & timely Sample 4 closed incidents to verify if below fields &
2 recorded in PDO incident attachments were accurate in PIM:
management (PIM) tool. a) Contract number. (if contractors involved)b) Incident
Type, subtype & Flags.c) Investigation report attached.
d)Action from invetigation report put in PIM?
e) Reported within 24 hours?

Check form sampled incidents (Point 2) if Lead


investigator have:
Reported HSE incidents are a) HSE INCIDENT INVESTIGATION COURSE.
3 investigated by trained & (Check training matrix)
competent investigators.
b) Skill level HSE competency in incident investigation.

Action party and post action verifier Sample 6 closed action statement in PIM & review if:
4 ensures that Action "taken" are Evidences attached are meeting requirement of action
meeting requirements of action. taken.

a) Formal LFI process in place?


b) Latest LFI awareness slide from PDO received ?
Learning from incident (LFI) process c) LFI communicated to affected parties
5
is implemented d) Management self-audit from LFI implemented?
(Sample evidences of two question from any LFI
received)

Visit appropriate ongoing work activity to verify:


a) Select actions or use Actions sampled in Point 4 to
verify implementation
Actions/learnings from incidents
6
operationalized b) Cross check with workers if they have received
sampled LFI (sample maximum 5 workers)
c) Check if lessons learned implemnted on site ? (Sample
3)
Inspector (Lead): Name & Ref. Ind.
Name & Ref. Ind.
Inspection Team: Name & Ref. Ind.
Name & Ref. Ind.

YES/NO STATUS Comments

Not checked

Not checked

Not checked

Not checked

Not checked

Not checked
HSE Tracker

* Verification of compliance to requirements and procedures in processes.


No. Requirement Status Comments Mandatory action

14/01/2019 V.03 Page 5 of 5

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