
2/9

Housekeeping 50

Road Safety 50

Emergency Response 50

Grand Total 1525

Note: Marks are not co nsidered for elements w hich the project do n ot have.

Weakness Classification

Serious -S

High H

Medium - M

Low L

Positive Points - Observed

Area for Improvements

Attached separately

Suspend all activities

corrective action bef

activity.

Violation of Legal req

specifications. Action

immediate corrective

Non compliance of c

management system.

be completed within

Required for improve

point. Required to be

month. Action items

within a specified tim

during follow-up audi


3/9

PM-00-OB Rev 00

Date: 19.06.2012

Marks

Awarded

250

80

1010

60

10

97

50

15

10

45

10

20

15

2025

25

82

30

20

80

45

10

20

25

115

25

60

15

25


4/9

50

30

5

1389

91%

No. of

observatio

n

Action

and take immediate

re resuming normal work

uirements / client

items which need

action within 7 days

ntract HSE plan and HSE

. Action items that need to

15 days.

ment listed as improvement

implemented within one

hat need to be completed

e frame and will be reviewed

it or next audit.


5/9

No Description

Maximum

Marks

Marks

Awarded Remarks

Classifia

ction of

Hazard

1 Awareness & Display of EHS policies 25 25

2 Cluster head/ Country Head involvement in any of the EHS activity 30 30

3

Senior staff from Office related to the Project like Project Co ordinator involvement in any

of the EHS activity viz Executive Survey Report - - PM-00-CB 30 30

4 Has the site / country office declared HSE Objective & Target. Are they measured. 25 25

5 PM involvement in incident review and target setting. 25 25

7 PM heading the HSE meeting 30 30

8 PM Involving in Safety Inspection / Audits 30 30

9 Motivating employees on OHS 30 30

10 Empowering employees to stop work on OHS violation 25 25

Leadership & Commitment- TOTAL 250 250

Leadership & Commitment- SCORE 100.00%

1 Is HIRA done for all activities 30 30

2 IS the HIRA register maintained 15 15

3 Is HIRA reviewed periodically 15 154 Are the NCR, Incident learnings, inspection points considered in the review 20 20

HIRA - TOTAL 80 80

HIRA - SCORE 100.00%

1 Are the legal , client's and company's requirement filled in the register PM-00-EA 5 0

2 Are they being reviewed periodically 5 0

Legal & Other Requirments- TOTAL 10 0

Legal & Other Requirments- SCORE 0.00%

1 HSE personnel available at site, adequate 10 10

EHS Resource- TOTAL 10 10

EHS Resource- SCORE 100.00%

1 Competency Matrix for Employees made & followed 10 10

2 List of Third party Certification for Employees 10 10

3 Training Matrix 10 10

4 Are training conducted as per the Training Matrix 15 15

5 Is the Training & Drill Register maintained 5 0

6 Feed back Form of Training & Evaluation received for all trainings 5 0

7 Training Passport given to employees 20 0

8 Any campaign done by the project 15 15

Competence , Training & Awareness- TOTAL 90 60

Competence , Training & Awareness- SCORE 66.67%

Documentat ion

1 Are the client's, legal documents which to be referred listed out in the format PM-00-JA 5 0

2 Are they updated 5 0

Documentation- TOTAL 10 0Documentation- SCORE 0.00%

Performance Monitor ing and Measurement

1 Monthly HSE performance reported as per PM-00-LA 10 10

2 Monthly Activity plan done as per PM-00-LB 5 2

3 Monthly Project Safety Index is done 25 25

4 Whether Project KSPI meeting done & reported 25 25

5 Log sheet for Unsafe Acts & Conditions 25 25

6 Incident Potential Report 10 10

Performance Monitoring and Measurement- TOTAL 100 97

Performance Monitoring and Measurement- SCORE 97.00%

Inc idental Report ing, Invest igat ing & Analysis

1 Are all incidents reported & recorded 10 10

2 Is Preliminary Incident Report given 5 5

3 Are Non Injury, Injury & Health Incident Register maintained 5 5

4 Are the Incidents Investigated as per the guidelines 10 10

5 Have the Lesson Learnt for serious incidents circualted 5 5

6 Are Incidents both Injury & Health are Analysed , inferred and action taken 10 10

7 Are the findings updated in the HIRA 5 5

Incidental Reporting, Investigating & Analysis- TOTAL 50 50

Incidental Reporting, Investigating & Analysis- SCORE 100.00%

CAPA & Aud i ts

1 Is the CAPA Register maintained 5 5

Comp etence , Train ing & Aw areness

EHS Resource

HIRA

Legal & Other Requirments

Leadersh ip & Comm itment

HSE AUDIT SCORE CARD

Page 5 of 9


6/9

No Description

Maximum

Marks

Marks

Awarded Remarks

Classifia

ction of

Hazard

2 Are the Audit points closed 10 10

CAPA & Audits- TOTAL 15 15

CAPA & Audits- SCORE 100.00%

Projec t HSE Plan

1 Has the HSE Procedure Gap Analysis done 5 5

2 Project HSE Plan is prepared and adequate 5 5

Project HSE Plan- TOTAL 10 10

Project HSE Plan- SCORE 100.00%

Project HSE Meetings

1 Formation of Project HSE committee circular 5 5

Are the following meetings conducted:

2 HSE Committee meeting 10 10

3 Staff HSE meeting 10 10

4 Weekly HSE Meeting 10 10

5 Tool Box Talk or STA 10 10

Project HSE Meetings- TOTAL 45 45

Project HSE Meetings- SCORE 100.00%

Work Permit System

1 PTW for various activities followed 10 10Work Permit System- TOTAL 10 10

Work Permit System- SCORE 100.00%

PPE& Safety Devices Procurem ent & Inspection

1 Are the PPE bought as per specifications 5 5

2 Is there a PPE Matrix 5 5

3 Are PPE Inspected 10 10

PPE& Safety Devices Procurement & Inspection- TOTAL 20 20

PPE& Safety Devices Procurement & Inspection- SCORE 100.00%

Fire Prevention &Contro l

1 Fire Risk Assessment done 10 5

2 Fire Detection Equipment Inspected periodically 5 0

3 Fire extinguishers are inspected periodically 5 5

4 Fire Drill is conducted 5 05 Is the required quantity of fire fighting equipments/systems are available 5 5

Fire Prevention &Control- TOTAL 30 15

Fire Prevention &Control- SCORE 50.00%

HSE Select ion & Evaluation of Subcontractor s

1 Selection of Sub-contractor's done 10 10

2 Monthly HSE Evaluation of Sub Contractor - done 10 10

HSE Selection & Evaluation of Subcontractors- TOTAL 20 20

HSE Selection & Evaluation of Subcontractors- SCORE 100.00%

Management of HSE reward & reprimand

1 What are the Motivation Schemes establsihed 10 10

2 Is 2% of the workforce motivated 10 10

3 Any reprimand notices given 5 5

Management of HSE reward & reprimand- TOTAL 25 25

Management of HSE reward & reprimand- SCORE 100.00%

Chemical Management

1 All chemicals used at site are identified & its MSDS are available 5 5

2 Are COSHH Assessment done 5 0

3 Log of Hazardous Material done 5 0

4 Safety measures of the chemicals are establsihed which includes storing, use and emerge 10 10

5 Safety measures of the chemicals used is briefed to the employees who handle it. 15 10

Chemical Management- TOTAL 40 25

Chemical Management- SCORE 62.50%

Occupational Health

1 Health Risk are identified and recorded 10 5

2 List of Hospital Names & contact numbers made 5 5

3 First Aiders identified as per norms & listed out 5 2

4 Drinking water are inspected, labelled on the tank 5 55 Workmen camp Inspected periodically 5 5

6 Office Inspected periodically 5 5

7 Toilet log established 5 5

8 Toilet facilities adequate for number of personnel in site 5 5

9 Potable water maintained and available in work areas 5 5

10 Medical Facilities & First aid Box adequate 5 5

11 Medical Log book maintianed 5 5

12 Certified Doctor/ Male Nurse - adequate nos. available 5 5

13 Equipped Ambulance available 5 5 Available with client

14 Are Health incidences analysed and remedial action taken 5 5

Page 6 of 9


7/9

No Description

Maximum

Marks

Marks

Awarded Remarks

Classifia

ction of

Hazard

15 Enough Rest Shelter available 5 5

16 Labour Colony is maintianed well 5 5

17 Kitchen & mess maintained well 5 5

Occupational Health- TOTAL 90 82

Occupational Health- SCORE 91.11%

Envi ronment

1 Environmental Inspection done 5 5

2 Spill control & Proper Collection of Oil 4 4

3 Dust control measures adequate 4 4

4 Noise control measures adequate 4 4

5 Are the waste materials segregated and disposed off in designated place or re-used ? 4 4

6 Is the waste water discharged without harming surrounding environment? 4 4

7 Waste Management Data Sheet is maintained 5 5

Environment - TOTAL 30 30

Environment - SCORE 100.00%

HSE Inspections

1 Are HSE Inspection done as per PM/15 10 10

2 HSE Compliance Report for all Inspections done , monthly 10 10

HSE Inspections- TOTAL 20 20

HSE Inspections- SCORE 100.00%

Working At Height

1 Are competent person for scaffold identified 5 5

2 Ladder Inspection done 5 5

3 Scaffold Inspection done 10 10

4 If Man basket is used are they checked as per procedure 10 10

5 Is Safe access to work place is provided 10 10

6 Working platform made as per standards 10 10

7 Are the workmen screened for working at height 10 10

8 Adequate fall protection arrangement made (Static line, Double Lanyard harness, Fall Arre 10 10

9 Are hand tools and handling materials secured against accidental fall 5 5

10 Are height work area is cordoned and unauthorized entries are avoided 5 5

Working At Height- TOTAL 80 80

Working At Height- SCORE 100.00%

Radiography Safety

1 Compliant as per legal requirment 5 5

2 Are the following procedures established: 5 5

3 Radioactive Source Consignment Note 3 3

4 Daily Radiography Camera Checklist 3 3

5 Record For Radiation Level At Storage Pit 3 3

6 Personnel Daily Dose Record 3 3

7 Operational Safety Of X-Ray Unit Inclusive Of Crawler Unit (Daily Check) 3 3

8 PTW For Radiography 3 3

9 Radiography Inspection done 3 3

10 Isotopes stores properly 5 5

11 Warning signs are displayed on vehicles, storage area etc. 3 3

12 Radiogarphy employees are Trained and certified 3 3

13 Required PPE the Operators use 3 3

Radiography Safety- TOTAL 45 45Radiography Safety- SCORE 100.00%

Excavation Safety -NOT APPILICABLE

1 Whether appropriate slope / shoring system provided 5

2 Whether proper access & egress provided 5

3 Work permit system implemented where needed 5

4 Whether soil dumped sufficiently away from pit 5

5 Barricade & lighting arrangement 5

6 Gas Test Record 5

Excavation Safety -NOT APPILICABLE - TOTAL 30 0

Excavation Safety -NOT APPILICABLE - SCORE 0.00%

Abrasive Blast ing

1 Abrasive Operation Precaution taken & inspection establsihed 10 10

Abrasive Blasting - TOTAL 10 10Abrasive Blasting - SCORE 100.00%

Night Work

1 Procedure for Night Work established 10 10

2 PTW for Night work- established 10 10

Night Work- TOTAL 20 20

Night Work- SCORE 100.00%

Confined Space Work -NOT APPILICABLE

1 Confined Space Work & Entry Procedure established 5

Page 7 of 9


8/9

No Description

Maximum

Marks

Marks

Awarded Remarks

Classifia

ction of

Hazard

2 Confined Space Permit To Work 5

3 Gas Test Record 3

4 Confined Space Entry Inspection done 2

Confined Space Work -NOT APPILICABLE - TOTAL 15 0

Confined Space Work -NOT APPILICABLE - SCORE 0.00%

Pressure Testing

1 Precautions & Procedure for Pressure Testing established 25 25

Pressure Testing- TOTAL 25 25

Pressure Testing- SCORE 100.00%

H2S Safety -NOT APPILICABLE

1 Precautions for H2S Safety established and adequate 25

2 Adequate H2S PPEs , detection equipment available 15

H2S Safety -NOT APPILICABLE - TOTAL 40 0

H2S Safety -NOT APPILICABLE - SCORE 0.00%

Piling --NOT APPILICABLE

1 Are the lifting tools and tackles (Cranes/winch/slings/D-shackles) inspected by Competent 5

2 Is tagline used while handling piles/casings? 5

3 Are the moving and rotating parts of the piling system guarded? 5

Piling --NOT APPILICABLE - TOTAL 15 0Piling --NOT APPILICABLE - SCORE 0.00%

Blasting --NOT APPILICABLE

1 Does the permit for blasting operation implemented 5

2 Explosives stored, transported and used as per statutory requirements 3

3 Procedure for drilling, blasting & handling misfire meets statutory requirements 3

4 System of evacuation of people, warning & preventing re-entry adequate 4

Blasting --NOT APPILICABLE - TOTAL 15 0

Blasting --NOT APPILICABLE - SCORE 0.00%

Concreting -NOT APPILICABLE

1 Practice of checking formwork by supervisory personnel prior to starting concreting 5

2 Authorized banksmen available & effective communication established among the workme 5

3 Safety measures for concreting activity is followed 5

Concreting -NOT APPILICABLE - TOTAL 15 0Concreting -NOT APPILICABLE - SCORE 0.00%

Lifting Operation

1 Do all the lifts have method statement & HIRA done 25 25

2 Lifting machines/tools/tackles being used at site having test certificates? 20 20

3 Has the site identified the competent persons for Inspection & listed in the format 20 20

4 Lifting machines/tools/tackles inspected by competent person at specified intervals? 25 25

5 Storing of all lifting machines/tools/tackles done in a proper way & damaged lifting applianc 15 15

6 List of Third party Inspection of equipments register maintained 10 10

Lifting Operation- TOTAL 115 115

Lifting Operation- SCORE 100.00%

Plant & Machinery

1 System of equipment fitness certificate implemented 10 10

2 Regular Inspection of plant, machinery & vehicles conducted 10 10

3 Does all the operators / drivers have valid license 5 5

Plant & Machinery- TOTAL 25 25

Plant & Machinery- SCORE 100.00%

Electrical Safety

1 Sufficient no of qualified electrician (viz. 'B' license holder) available 5 5

2 Electrical connections routed through RCCB/ELCB 5 5

3 Whether ELCB is inspected periodically 10 10

4 Whether routing of cables meets the requirement 5 5

5 Earthing provided meets the specifications 5 5

6 Weather protection for Electrical Installations & equipments 5 5

7 Jointing of Cables & Usage of Plug tops 5 5

8 Portable power hand tools are in proper condition 5 5

9 Portable power hand tools are inspected regularly 10 10

10 Lock out tag out system adopted for any maintenance 5 5Electrical Safety- TOTAL 60 60

Electrical Safety- SCORE 100.00%

Grinding

1 Storage of grinding wheels as per requirement 5 5

2 Whether grinding operation is done as per safety norms 5 5

3 Wheels properly labeled, checked for expiry date & ring tested before use 5 5

Grinding- TOTAL 15 15

Grinding- SCORE 100.00%

Page 8 of 9


9/9

No Description

Maximum

Marks

Marks

Awarded Remarks

Classifia

ction of

Hazard

Welding & Gas cutting

1 Storage of gas cylinder meets the requirement 5 5

2 Cylinder transported in trolleys? 3 3

3 Flashback arresters provided? 5 5

4 Condition of welding cables, cable joints and cable termination? 5 5

5 Earthing of the welding equipment & routing of cables 3 3

6 Return Path for welding as per standards 4 4

Welding & Gas cutting- TOTAL 25 25

Welding & Gas cutting- SCORE 100.00%

Housekeeping

1 Project work areas are clean and free of excess trash, debris 15 15

2 Whether walkways and passageways clear 5 5

3 Whether separate storage & scarp yards identified 5 5

4 Are the Wastes are removed periodically 10 10

5 Are the materials are stacked properly & labelled 10 10

6 Whether dust bins & debris chute provided for collection of debris 5 5

Housekeeping- TOTAL 50 50

Housekeeping- SCORE 100.00%

Road Safety

1 Apporved Traffic flow plan 5 52 Warning Signs & speed limits diplayed at conspicous locations 5 5

3 Site Access sign displayed 5 5

4 Flag man tarined and posted adeqautely 5 5

5 Journey management establsihed 10 0

6 Drivers and operators trained and certified 5 5

7 Vehicles are fixed with IVMS & GPS 5 0

8 Appropriate records are mainatined 5 5

9 Emergency response plan is made & establsihed 5 0

Road Safety- TOTAL 50 30

Road Safety- SCORE 60.00%

Emergency Response

1 Is ERP prepared as per the guidelines of HSE Manual 5 0

2 Whether Emergency Committee formed? 10 0

3 Assembly points, Emergency Contacts are identified and communicated to all? 5 5

4 Are workmen trained on emergency response? 5 0

5 Whether mock drills conducted at regular intervals? 10 0

6 Is required rescue equipment made available? 5 0

7 Are the documents listed in PM/K maintained 10 0

Emergency Response - TOTAL 50 5

Emergency Response - SCORE 10.00%

Page 9 of 9

ohsas audit of site - scorecard

Documents