5 Star Safety & Health Management System Internal Audit Protocol

(Update 2015)

Section 1: Premises & Housekeeping

CONDITION SCORE
OBSERVATION (GUIDE) VERIFICATION
COMMENTS (0=Low 5=High)

1.1 Buildings and Floors (max score 25) Element Total Score=
Obvious unrepaired damage to buildings visual

Unsafe condition of floors, Carpets, Roadways, Record and check safety reps
visual
Walkways, Elevated platforms reports

Have these deviations been reported? Reporting system

Correction actions taken in timely manner Documented proof. Requested, current Check date recorded, & date of
(quick response) & completed work orders work order requested

Premises divided into areas and delegated to Safety Plan Are all areas covered by Safety
Representatives/Supervisions/HSE's (on plan or in writing) 100% coverage Reps?

1.2 Good Lighting: Natural and Artificial (max score 30) Element Total Score=
Sample of lights out visual Especially in hazardous/high
Poorly lit areas visual risk areas

Reporting of lights out by safety Example of report, Emergency light What system is there to report
checklist report defective lighting?
reps/supervisions/HSE's monthly
Lighting survey and monitoring of light intensities Survey, all areas covered, min, max Detailed, Professional &
based on SEC standards Complete report?
Have survey results and recommendations been Notice signs, lighting
enhancement/downgrade requests for
actioned / applied? areas above/below standard
Safety glass or similar used in hazardous areas Visual and survey report Hazardous areas identified

1.3 Ventilation: Natural and Artificial (max score 25) Element Total Score=
Study done for ventilation problems Study copy, all areas covered, min, max Detailed, Professional &
based on SEC standards Complete report?
Have study results and recommendations been System enhancement / modification
requests for areas above/below
actioned / applied? standard
Confined space area identified, study done? Study copy, all expected CS covered?

Ventilation/extractions provided and maintained Maintenance program Including FMD reports

Environmental monitoring/ heat stress / Sampling Documents

Outdoor Max. working Temp
<50 degree Celsius

1.4 Plant Hygiene Facilities (max score 20) Element Total Score=
Facilities in a clean hygienic state visual

No food in unauthorized areas e.g. lockers, tool- Examine, toilets, kitchens,

visual
boxes lunch rooms, refrigerators,
Regular monthly inspections Monthly or weekly microwaves.

Checklist used, signed, monitored & kept Completed checklists

1.5 Pollution: Air, Ground & Water (max score 30) Element Total Score=
Study to determine whether a pollution problem
Copy of study
exists
Have study results and recommendations been e.g. work orders, new equipment /
actioned / applied? procedures

Hazardous wastes identified? List of all HAZ wastes

Obvious pollution/ uncontrolled fuel/oil leakages, or

Visual
HAZ wastes?
Is the problem being dealt with? Documents

Regular & controlled disposal of Hazardous wastes Decontamination, schedules

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)

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5 Star Reactive Factors Proactive Factors

mplementation FFR LTIFR RA WP LOTO SWP PJO
91-100% 0 0.1 91-100% 91-100% 91-100% 91-100% 91-100%
75-90% 0.1 0.5 75-90% 75-90% 75-90% 75-90% 75-90%
61-74% 0.5 2 61-74% 61-74% 61-74% 61-74% 61-74%
51-60% 1 3 51-60% 51-60% 51-60% 51-60% 51-60%
40-50% 2 4 40-50% 40-50% 40-50% 40-50% 40-50%
40 >2 >4 40% 40% 40% 40% 40%
result of work related accidents).
frequency rate (as a result of work related accidents).
Star Element # 2.8).
r Element # 5.21 and 5.21.1).
(5Star Element # 2.2).
res (5Star Element # 5.19).
vations (5Star Element # 5.20).
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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)

1.6 Aisles and Storage Demarcated (max score 20) Element Total Score=
Floors demarcated as per standard Copy of standard

Uniform demarcation code used Check for demarcation outside

Demarcation adhered to and in all areas

Demarcation under electrical/mechanical equipment

1.7 Good Stacking and Storage Practices (max score 20) Element Total Score=
Stacking: neat, stable & controlled
Storage in cupboards, on shelves neat and tidy
Unsafe conditions related to stacking an storage is
reported & Action taken
No stacking on top of windowsills, cabinets, etc.

1.8 Housekeeping - Factory & Yard (max score 20) Element Total Score=
Under roof areas free of junk and materials
Outside areas free of junk and materials
Safety representatives/appointees/HSE's controlling Copies of recent checklists Is housekeeping being checked
on checklist?
areas by reporting (general good housekeeping)
Correction actions taken Check system

1.9 Scrap and Refuse Bins Removal System (max score 20) Element Total Score=
Scrap bins provided/color coded or labeled
Regular, controlled removal Removal schedule

Separate bins for rags, oily materials, scrap, etc. Is it used as per categorization?

Bin locations demarcated

1.10 Color Coding: Plant & Pipelines (max score 15) Element Total Score=
Uniform color code applied throughout Copy of Standard

Color keyboard (legend) displayed

Knowledge of colors (AU's own code is acceptable) Ask an employee

Section 1: Premises & Housekeeping

Total Score = ....
MAX SCORE (225)

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)

Section 2: Mechanical, Electrical & Personnel Safeguarding

SCORE
CONDITION
OBSERVATION (GUIDE) VERIFICATION (0=Low 5=High)
COMMENTS

2.1 Machine/Hazardous Equipment Guarding (max score 15) Element Total Score=
All hazardous moving machine/electrical parts within Guards must offer 100% protection
normal reach completely guarded/fenced/enclosed
All guards installed are listed, checked and Guards checked at least bi-annually
maintained
Inspection of guards/front/back/back of panels Checklist

2.2 Lock-System & Usage "LOTO" (max score 55) Element Total Score=
Written procedure available, updated and applied Copy of Standard

One key, one lock, and one authorized person is No master keys, no unauthorized lock
applied whenever LOTO is required cutting

Are tags and locks being used correctly? Tags with full information?

Are there task specific procedures available? Clear for all employees when to use
LOTO
Are all affected staff trained? certificates
Ask employee/supervisor how
to lock a critical valve
Locks numbered and all use locks are recorded on Check old and current permits and
permit locks were/being used

All equipment can be isolated & locked (including where Follow System, check equipment and
fuses are drawn or valves in chemical lines, etc.) valves

LOTO is monitored, supervised and controlled by Assigned in writing by AU

Check system, ask employees using manager?
competent and authorized person/ LOTO station LOTO
available and well arranged
Do field activities match AU policy and procedures? Check current jobs

Type, Quality and condition of LOTO tools and parts Proper type is used for LOTO
e.g. Isolated tools/parts used
for electrical LOTO
Removal of all locks and tags after job is finished is No old locks/tags on equipment after
controlled and monitored job is done

2.3 Labeling of Switches, Isolators and Valves (max score 20) Element Total Score=
All isolators/switches/circuits/cables and contact Switches, CB's, valves, etc.
breakers labeled/standardized system used
Are there emergency stop buttons? Red colored?
Arc Flash labelling done? Fully detailed arc flash info. stickers & signs

Are all critical isolators/valves identified (natural gas, Map of critical valves
main water supply, process emergency shut off, etc.)?

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)

2.4 Ladders, Stairs, Walkways (Scaffolding) (max score 30) Element Total Score=
Condition of ladders, stairs, walkways, scaffolds, etc. visual

Ladders (portable/fixed)and scaffolds numbered, on Ladder checklist

register
Are ladders inspected periodically for deficiencies and Broken/poor condition ladders are Replacement/ maintenance
does supervisors ensure corrective actions are taken? marked and banned reports

Stairway landings, open-end platforms, etc. toe-boards.

Storage on offices, etc., handrail toe-board and access
Stairways: four or more risers require handrail.

2.5 Lifting Gear and Records (max score 30) Element Total Score=
Condition of cranes/man baskets/hook/chains/slings etc. visual

Lifting gear identified and recorded in register Register, checks

Safe Work Load marked On equipment and beams Including contractors'

equipment, lifting gears and
Operator/driver trained and licensed employees

Safety latches on all hooks where practicable

Storage and inspection of lifting tackle

2.6 Compressed Gas Cylinders: Pressure Vessels & Records (max score 15) Element Total Score=
Pressure vessels on register, tests and inspections Register, inspections
registers correctly filled in and
carried out (Test pressure 1,3 (not 1,5) x MSWP) up-to-date

Relief valves locked or sealed Red line on pressure gauge

Are all gas cylinder stored properly? and used in a
Check storage area & procedures
safe manner?

2.7 Hazardous Substances Control (max score 20) Element Total Score=
Alphabetical list of all substances List or online
Who coordinates this program?
Up-to-date?
Has a hazardous substance risk assessment & analysis
All HAZ substances covered?
been conducted based on an alphabetical list?
Person designated to coordinate the list of MSD's
MSDS sheets available in dept., by buyer and First Aider MSD's

2.8 Risk Assessment (HIRA) (max score 55) Element Total Score=
Assessors have attended Risk assessment workshops Certification

Hazard Identification done covering all possible hazards Document

using proper analysis techniques(audit, HAZOP, FMEA, etc.)
Risk Register for all workplace activities kept Copy of register

Risk assessments completed as per standard Copies

Probability, severity and frequency considered

All expected risks in the work place are assessed Percentage of completion
especially in High Risk areas RA reports

Quality of hazard Identification and risk assessment reports. Completed reports, , action taken, endorsed by manager?
Effective analysis, evaluation and control measure
Action plans and follow up compiled All top rated risks have plans to be
treated
All hazards and risks have been dealt with (Treated,
(Documentation & Visual)
Tolerated, Terminated, or Transferred)
Re-assessment of the risks after correction actions applied document proof
Is the risk after correction
actions applied ALARP?
Hazard Identification and Risk Assessment awareness Certificates, workshops attendance list,
(Tool Box Talks, Training, knowledge share and publicity) posters

2.9 Motorized Equipment: Checklist, Licensing (max score 40) Element Total Score=

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)
Condition of vehicles/ equipment/ seatbelt use Monitor seat belt usage

Daily checklist completed by driver/operator Test system, Reports completed?

Driving cab / load area clean and tidy No unsafe storage

Employees attended & passed defensive driving course 50% of employees = 5 pts, 40% = 4 pts,
30% = 3 pts, 20% = 2 pts, 10% = 1
Driver/operator training-syllabus
Internal licensing Copy of docs

Identification of drivers/operators
Validity of Government licenses

2.10 Portable Electrical Equipment (max score 15) Element Total Score=
Condition of all cords, plugs, switches, etc.

All portable equipment identified, checked and register

kept (All equipment fed through a flexible cable from a Register or checklist
plug point 110, 220, 380 or 500V)
Are faulty items marked/tagged & removed from use?

2.11 Electrical Equipment Maintenance (max score 15) Element Total Score=
List of all high risk electrical equipment and maintenance Clear and comprehensible
schedules
Records of maintenance available HV and MV equipment only

Report to management on completed maintenance Record kept

2.12 General Electrical Installation and Flameproof (max score 20) Element Total Score=
Electrical installations safe/ Earth Leakage, GFCI
Substations/ panels/ DB's/ faceplates locked or closed

Is there any unsafe temporary wiring? or any damaged

or faulty switches, plugs, joints, fuse boxes or
distribution boards, etc.?
Flameproof equipment annual checks and record of If applicable - register
checks, e.g. log-book

2.13 Hand tools (max score 20) Element Total Score=

Condition of hand tools
Regular checks by supervisor
Storage of tools (Includes hammers, chisels, files
brooms, mops, spades, wheelbarrows, handcarts,
etc.)
Are damaged items marked/tagged & removed?

2.14 Ergonomics (max score 25) Element Total Score=

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)
Survey carried out using a checklist covering all
Filled checklist
premises, furniture and jobs.
Developed checklists as per standard Covers -Work At Height,
-body posture, -Repetitive and excessive motion,
-Excessive Force jobs, -Fatigue and Static Load,
-Over Reaching, -Areas clearances
Operators comfortable
Seating/computer & work stations
Accessibility valves, switches, levers, etc.
Heat stress workload
Ergonomics Committee formed and top 10 hazards in
current year identified
Follow-up action/surveys as required Applied correction actions?

2.15 Head Protectors (max score 10) Element Total Score=

Risk assessment done/signs posted Risk Assessment

Provided and worn where necessary

2.16 Eye and Face Protection (max score 10) Element Total Score=
Risk assessment done/signs posted Risk Assessment

Eye protection provided and worn

2.17 Footwear (max score 15) Element Total Score=

Risk assessment done/signs posted Risk Assessment

Safety footwear provided

Safe footwear being worn and in good condition

2.18 Protective Clothing (max score 20) Element Total Score=

Risk assessment done/signs posted Risk Assessment

Protective clothing provided and maintained

Arc Flash PPE/levels defined/worn
All clothing worn: adequate, clean and in good repair Arc flash clothes not modified

2.19 Respiratory Equipment (max score 15) Element Total Score=

Risk assessment done/signs posted Risk Assessment

Correct types provided, used checked and controlled

Personnel trained in use of respiratory equipment

2.20 Hearing Conservations (max score 20) Element Total Score=

Noise survey conducted and areas zoned Noise Risk Assessment Professional & Complete report?

Reduction of noise at source Applied correction actions?

Hearing acuity testing 6-monthly Audiograms

Approved hearing protectors provided and worn

2.21 Safety Harness (max score 20) Element Total Score=

Fall protection risk assessment done/signs posted Risk Assessment

Safety harnesses provided and used

Condition and regular checks Training proof

Training in use of safety harness given

2.22 Hand Protection (max score 10) Element Total Score=

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)
Risk assessment done/signs posted Risk Assessment

Gloves, barrier creams, etc. provided and worn/used

2.23 Control of Usage, Issue maintenance & Record of Personal

Element Total Score=
Protective Equipment (max score 20)
Commitment obtained from wearer accepting
Statement
conditions & requirement to wear PPE/Arc Flash PPE
Regular checks by supervisor
Are damaged items marked, listed & removed
Records, lists, logs
immediately from service?
Record of equipment issued

2.24 Notices and Signs: Electrical, Mechanical Protective

Element Total Score=
Equipment, Symbolic Safety Signs (max score 15)
Standardized signs posted where required - in good
condition
Display of signs for information and training Training?

Electrical warming notices /live conductors and sub-

stations

Section 2: Mechanical, Electrical & Personnel

Total Score = ....
Safeguarding MAX SCORE (530)

Section 3: Fire Protection and Prevention Protection

SCORE
CONDITION
OBSERVATION (GUIDE) VERIFICATION (0=Low 5=High)
COMMENTS

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)

3.1 Fire Extinguishing Equipment (max score 15) Element Total Score=
Fire risks identified and assessed for all areas Fire Risk Assessment Professional & Complete fire RA?

Action plans to correct deviations? All correction actions applied?

Adequate number of correct types of fire extinguishing

equipment provided and correctly located

3.2 Locations Marked, Floor Clear (max score 10) Element Total Score=
Equipment location uniformly marked Keep Clear
areas demarcated and maintained
Equipment unobstructed

3.3 Maintenance of Equipment (max score 10) Element Total Score=

All fire extinguishing equipment numbered/ Clearly identifying location,
Register
identified on register and checked monthly type & capacity?

Maintenance at least annually Ask to test a fire hose reel

3.4 Storage of flammable & Explosive Material (max score 20) Element Total Score=
Storage provided with suitable doors, windows (if
any), ventilation, bund, etc.
Store/magazine neat, tidy and clean/bonding
List of all flammables, precautions & storage capacity
displayed?
Spill control/secondary containment

3.5 Alarm System (max score 20) Element Total Score=

Independent alarm
Back-up alarm
Is there test alarm? Schedule and records showing date & time At least once every 3 months

Employees know sound of alarm

3.6 Fire-Fighting Drill and Instruction (max score 25) Element Total Score=
Fire teams adequate to risk as determined by fire RA
Team available on all shifts
Fire drills minimum once a year Proof Complete reports?

At least one evacuation drill per year (where not

possible, at least publicized plan)
Someone in each department, other than fire team,
Proof of training
trained in the use of fire extinguishers

3.7 Security System (max score 15) Element Total Score=

Control of entry and exit of persons, vehicles, etc.
Security staff reporting unsafe practices/conditions Copies of report

One person per shift trained on 5-Star Safety

workshop

3.8 Emergency Planning (max score 25) Element Total Score=

Emergency plans available, updated, & Signed Copy of Plan, emergency call chart Does it cover all scenarios?

Separate first-aid and services teams trained and

included in emergency drills
Coordinator trained to take control
Employee training on site emergency plans Training proof, event reports

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)
Control Centre/Emergency equipment

3.9 Fire Prevention and Protection Coordinator (max score 10) Element Total Score=
Appointed in writing, duties defined Appointment letter

Minimum training FPA one week course or similar Training proof

Section 3: Fire Protection and Prevention

Total Score = ....
Protection MAX SCORE (150)

Section 4: Accident Recording and Investigation

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)

SCORE
CONDITION
OBSERVATION (GUIDE) VERIFICATION (0=Low 5=High)
COMMENTS

4.1 Occupation Injury/Disease Record (max score 20) Element Total Score=
Official record/register/record of injuries as required by Records
legislation or claimed from GOSI (Workmens Comp)
Description of accident in register Records

Reportable accidents being reported to authorities Records

Minor injuries being recorded Records

4.2 Internal Accident/Near Miss Reporting & Investigation

Element Total Score=
(Occupational injury and/or disease) (max score 25)
Internal report of all injuries/diseases/near miss incidents Accident record

Investigation by designated investigator Appointment of A/I

Causes identified/basic/immediate Inv. forms

Effective recommendations Are they effective?

Action taken/Signed by manager Reasonable time?

4.3 Injury/Disease/Near Miss Statistics (max score 25) Element Total Score=
Progressive statistical data: monthly and 12 months Graph

Graphic display of experience/graph/bar chart Graph

Analysis of injuries, part of body, department, etc. Chart

Statistics circulated to top managers and discussed at

Proof of this
safety committee meetings
Statistics displayed on notice boards Visual proof

4.4 internal Accident / Reporting and Investigation (Damage,

Element Total Score=
and other) (max score 25)
Internal report damage and other Damage record

Investigation: designated investigator Appointment of AI

Causes identified/basic/immediate Inv. forms

Effective recommendations Are they effective?

Action taken/signed by manager Reasonable time

4.5 Accident (Damage) Statistics Kept (max score 15) Element Total Score=
Monthly and progressive 12 months Charts

Estimated and/or actual costs Costing

Statistics circulated to top managers Proof of this

4.6 Cost of Risks: Apportioning of Costs (max score 15) Element Total Score=
Estimated costs of injuries and damage
Graph circulated to managers monthly
Other insurance claims compared to premiums

4.7 Near Miss Incident and Accident Recall (max score 10) Element Total Score=
Talks by foreman/supervisors used in conjunction
Attendance sheets
with safety talks, meetings

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 5 Star Safety & Health Management System Internal Audit Protocol
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Review of previous events/ accidents black book Proof

Section 4: Accident Recording and

Total Score = ....
Investigation MAX SCORE (135)

Section 5: Safety Organization

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 5 Star Safety & Health Management System Internal Audit Protocol
(Update 2015)

SCORE
CONDITION
OBSERVATION (GUIDE) VERIFICATION (0=Low 5=High)
COMMENTS

5.1 Manager Designated as Responsible for Safety and Health Element Total Score=
(max score 20)
Designation of Chief Executive (AU) Manager
Designation of subordinate mgr.(s)
All managers and employees signed authority,
responsibility and accountability for OSH
commitment
Endorsement of pertinent program documents (e.g.
inspection reports, committee minutes and accident Proof of involvement
investigations) visible Felt Leadership?

5.2 Person(s) Appointed for Safety and/or Occupational Hygiene Element Total Score=
Coordination (max score 20)
Appointed in writing (whether full or part time) Appointment

Duties and responsibilities defined Duties This is the Safety Coordinator

Safety Training: 5-Star System Training workshops? Training record not the Safety Rep.

Safety System Inspecting & Auditing Course /NEBOSH 1 wk. Auditors certificate

5.3 Designation of Safety Representatives in Accordance With Element Total Score=

SEC Requirements (max score 20)
Written appointment of Safety Representatives (10%) Appointment

Routine discussion of duties Proof of this

Monthly inspections of work areas using a checklist for Completed checklists

reporting back
Training: Safety Rep. Course/Acc. Investigation / other Certificates
Workshops

5.4 Safety Committees (max score 25) Element Total Score=

Safety committees established as per standard Safety reps are part of committee? Committees must have met 10
Are all departments/divisions/sections represented? times to qualify for full points

Meetings once a month Copy of Minutes

Minutes kept, detailing action to be taken and responsibility Action taken

for the action
Endorsed by Management and chairman of the safety Signed off Manager chaired all meetings?
committee

5.5 Other Communication Systems (max score 10) Element Total Score=
Toolbox talks related to possible hazards applicable
Attendance lists
to task in hand
Small Group Activity Systems (Productivity/Quality
Proof of this
Control Circles)

5.6 First-Aider and Facilities (max score 5) Element Total Score=

Facilities to meets SEC requirements (Full time nurse check for box content and treatment
/ first aider employed with first-aid center, full marks) records

5.7 First-Aid Training (max score 5) Element Total Score=

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 5 Star Safety & Health Management System Internal Audit Protocol
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Five percent of complete staff to be trained or
retrained to at least general level of first-aid pa. List of F/Aiders 5%
(Points allocated proportionally to % trained, e.g. Valid certificate
5%=5, 4%=4, etc.

5.8 Posters, Bulletins, Newsletters, Safety Films and Internal

Element Total Score=
Competitions, etc. (max score 20)
Posters displayed at specified display points rotated
at least once weekly and explained
Safety newsletter/bulletin 3 monthly Copy of this

Safety videos/DVD's screened all to see Attendance register

Internal safety competition

5.9 Safety & Star Grading Board (max score 15) Element Total Score=
Up-to-date Safety Notice board policy / standards, etc.
Star grading board and display of stars
Board promoting Road Safety

5.10 Suggestion Scheme (max score 10) Element Total Score=

Formal / through safety committees Suggestions received

Record of suggestions and acknowledgements

5.11 Safety Reference Library (max score 5) Element Total Score=

Safety Manual, Health & Safety System booklet,
black book, " Material Safety Data Sheets, 5-Star List of books / magazines
Standards, etc.

5.12 Annual Report Safety Achievements (max score 5) Element Total Score=
Annual achievements publicized (report by AU
Copy of annual report
manager on KPI's, etc.)

5.13 Induction and Job Safety Training (max score 15) Element Total Score=
Safety rules for all employees Proof of rules issued to employees

Induction includes safety instruction Proof of induction

Job/Task training includes the safety aspects of the job Proof of this

5.14 Approved Safety Training Courses (max score 5) Element Total Score=
Five 5% of staff, incl. mgmt., trained each year (Points to
All HSE Training,
be allocated proportionately to percentage of staff 5% trained in current year
trained)

5.15 Medical Examinations (max score 15) Element Total Score=

Pre-employment medical all employees
Man-job specification available to medico
Regular medicals e.g. scheduled substances food
handlers, senior managers, equipment operators

5.16 Plant Inspection: Safety Reps (max score 20) Element Total Score=

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 5 Star Safety & Health Management System Internal Audit Protocol
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Monthly inspections by Safety Reps or appointees Inspection reports
submitting reports All areas covered monthly?
Checklist based on the 5-Star system being used
Correction actions taken - follow up and monitoring of Status list of all observations
un corrected / uncompleted observations
Reports considered and actioned/signed by Management

5.17 Management Self-Audits (max score 20) Element Total Score=

Audit by team including Management Complete report

Each element of the 5-Star Safety System given Self-audits

consideration Does the AU conduct its own
internal audits?
At least 6-monthly self-audits 6 monthly

Follow-up action taken Action plan

5.18 Safety Specifications: Purchasing & Engineering Control Element Total Score=
New Plant and Contractors (max score 35)
Safety specifications for purchasing/new plant: machine
guarding; color coding; lock-out requirements
Pre-commissioning/pre-acceptance inspection,
deviations corrected
Pre-bid documents completed and filled by all contractors
Contractors to comply with 5-Star safety rules, work Inspections of contractors' sites
area inspected, and deviations corrected inspection reports
Contractors reporting injuries and fatalities Statistical report for each contractor?

AU follow up on deviations recorded and correction Status report for each contractor?
actions applied
After submission, all contactors' evaluations kept Evaluation reports?
All contractors have been
including safety program evaluated?

5.19 Written Safe Work Procedures (max score 70) Element Total Score=
Critical Tasks identified and listed as per standard Standard followed, Critical Task
Electrical safety procedures?
Inventory used
CT identification carried by Trained person(s) CTI attendance/ certification document

Critical Task safety analysis completed Analysis available

Have all departments / divisions / sections within the AU

been covered?
Have all CT been discussed with the subject / job experts Names of subject matter experts
participated in that specific subject
to get input before being finalized?
/analysis
All CT analysis documents kept for future revisions
Safe work procedures written as per standard and Check procedures, ask employee where Reference library?
available (JSP's) to get written safe procedure Online directory?
Do the SWP include the tools, equipment and
PPE/clothing needed to perform the task?
Adoption of AU manager/Sector Manager/Business line VP If used sector wide, it should be
adopted by sector manager, etc.
SWP is used and shared Ask technicians, or workers
check for knowledge share with
employees, contractors & other
business units
SWP readily accessible Available for all workers on sites
Categorized according to the work
related to each section or division
Are the procedures written in a simple, easy to read and Check SWPs documents & revision
understandable format? Reviewed Annually? history
Improvement suggestions, annual revision and workers
feedback, is documented and reflected in SWP
SWP checklists developed, used and monitored Samples of finished & current jobs

5.20 Planned Job Observations (max score 45) Element Total Score=
All PJ observations have been planned Schedule with time and dates for all
SWPs

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 5 Star Safety & Health Management System Internal Audit Protocol
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Are all supervisors in possession of the JSP's for their Section's Specific JSP available in each
Check for SWP in sections
where critical tasks are carried
sections? Division
out
Planned job observations carried out as per schedule Observations proof

Planned job observations carried out by trained Signed by direct supervisor

supervisor or senior personnel Supervisor, SWP training certificate
All task safe work procedures have been covered
Quality of schedule and observations reports Date, time, location, job carried out,
observers names, notes,
workers feedback,
job team members
recommendations
History of corrections made to SWPs Dates, names, type of change all Register attached with each
recorded SWP showing changes made
Action taken to correct deviations/ update job
procedures
Changes shared and updated SWPs used

5.21 Work Permits (max score 50) Element Total Score=

Areas / jobs identified where permits required Completed permits, All See 5 permits, check high risk jobs
hazardous/critical tasks covered & CTs identified in (2.8) & (5.19)
Issuers Identified Issuing WPs is limited, certified issuers

Unified permits system used in all sites Check system

Permits used and displayed where required displayed at the work-site

Isolation points clearly written on / attached with WP

Locks numbers used in task clearly written on WP Check current and old WPs

Permits completed and fully filled Check current and old permits

WP system quality Used by everybody, record kept,

Check system
renewal of permits if job not finished
Finished Jobs & equipment release are covered by Check current and old permits
issuers, forms signed and site checked
Permits issued/received/signed off by responsible Check signatures Check all details
persons

5.22 Off-The-Job Safety (max score 20) Element Total Score=

Off-the-job safety propaganda used Examples

Off-the-job (road or other) accidents reported Copies

Propaganda, training and education directed at the

identified causes
Families & Friends safety competitions At least once a year

5.23 Safety Policy: Mgmt. Involvement (max score 20) Element Total Score=
Policy signed and publicized Is the policy displayed?

Manager(s) taking ownership, active participation in Safety coordinator is not doing all the
Non-relevant questions &
discussions from manager(s) =
safety activities and accountability work
no involvement & ownership
Employees familiar with policy Ask employee

AU management involved, e.g. attending Ask about involvement

evaluation/grading, make presentations, acc. inv. etc.

Section 5: Safety Organization

Total Score = ....
MAX SCORE (475)

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