EHS Documentation Template

The following EHS document templates (toolkits) are provided totally complimentary, free of charge to use as a starting point for ISO 14001:2015 and 45001:2018 compliance. These are the actual EMS documents currently in use for compliance with ISO 14001:2015 and 45001:2018 requirements. As each business is different, additional EHS documents or revisions would be required to meet your organization’s specific needs, requirements, context, risk profile, etc. ​​If after reading through all of these documents, you feel like you still need a consulting partner to help you develop your new EHS documents – Contact Us. We’re always looking for interesting new clients and projects.

Aspects And Impacts Analysis Register

Overriding Criteria Criteria Total Activity
Sr.No. Activity Aspect (R – O   – A) LC IPC Impact SC SE Du De P ( S* SE*P*DU *DE) Significant or Non-Significant Proposed Controls

HAZARDS  AND RISKS ANALYSIS REGISTER

Activity No. Process / Activity Nature  Of Activity R/NR/E Hazard Likely Hazardous Incidence/ Situation Risk Involved Current Risk Control System Risk Analysis Risk  Factor (AXB) Is Risk Tolerable If No, Proposed Risk Control System
Likelihood  Of Occur  (A) Severity Of  Consequence   (B)

SIGNIFICANT ASPECTS AND IMPACTS ANALYSIS REGISTER

Overriding Criteria
Sr.No. Activity Aspect (A-O-P-R-C) LC IPC Impact Controls
.
.
.
.
.
.
.
.
.

SIGNIFICANT HAZARDS AND RISKS ANALYSIS REGISTER

Nature  Of Activity R/NR/E Hazard Likely Hazardous Incidence/ Situation Risk Involved Current Risk Control System Is Risk Tolerable If No, Proposed Risk Control System

Targets and Objectives

Sr No Description of Objectives EHSMP Description MP No, Rev No & Date Present Status Set Target Time Frame Derived From

Training Plan for the year 2019

Sr. No  Training Topic  Target Group  Jan19 Feb19 Mar19 Apr19 May19 Jun19 Jul19 Aug19 Sep19 Oct19 Nov19 Dec19
1 Awareness Training on EOHS Management System. All employees
2 Awareness Training on EOHS Policy All employees & Workers
3 Awareness Training on Environmental Legal & Other requirements Core Team Members
4 Awareness Training on OH&S Legal & Other requirements. Core Team Members
5 Identification of Aspects & Impact & Evaluation of Environmental aspects. Core Team Members
6 Awareness Training on Significant Aspects Core Team Members
7 Identification of Hazard, Risk & Risk assessment Core Team Members
8 Awareness of Significant Hazard Core Team Members
9 Awareness of EOHS Objectives. All employees & Workers
10 Roles, responsibility & authority for effective implementation of EOHS Management System. Core Team Members
11 Communication with Interested parties Security
12 Awareness Training on Operational Control procedure. Respective personnel from all areas
13 Awareness training on Mock Drill All employees including workers & Interested Parties
14 Awareness training on safety requirement in shop floor during handling of product & Specific requirements Employees & Workers
15 Fire Fighting ERT
16 First Aid ERT
17 Emergency Preparedness & response ERT
18 Awareness of Handling Chemicals & Oils including Haz waste Respective personnel
19 Awareness of Material safety data sheet. Respective personnel
20 Hazardous waste Handling, storage & disposal Personnel involved in Haz waste handling
21 Waste Management Workers
22 Storage of oil barrels & used oils. Workers
23 Spillage management ERT
24 Identification of environmental Non-conformities. Supervisors / ERT
25 EOHS Internal Auditors Training Core Team Members
26 Fork Lift Maintenance Maintenance
27 Machine maintenance & Handling of different waste Maintenance
28 Scrap Handling, storage & Maintenance of scrap. Workers

Master List of waste

Non-Hazardous Waste ( General Waste) Hazardous Waste
Sr. No Category Name of Waste Department Sr. No Category Name of Waste Department
1 Paper Corrugated Boxes QA, PDN, PUR Oil All type of Used Oil PDN, QA, MNT,
2 Toilet Paper Admin Used coolant PDN, Tool Room, SNS, PAD/MFD Machine Shop
3 Old Records All Depts. Grease Maint, Production
4 Waste paper & carbon All Depts. Oil soaked Gunny Bags Maint, Production
5 Packing boxes etc. QA, PDN, PUR Oil soaked cotton waste & hand gloves, Cotton Rags All Depts
6 Plastic Packing material of welding rods Tool Room Oil filters Maint
7 Plastic  Articles, Cans All depts. Empty oil  container MNT, STR, QA, SNS, Tool Room
8 Empty water bottle ALL Paint Cans Shipping, Maintenance, QA, Prod
9 Waste PP belt of packing PDN, Used Brushes Production, Maintenance, TRM, QA
10 Broken  Plastic Bins STR Oil Soaked Scrap Maintenance, Production, QA, HT
11 Ferrous Metal Flash Production Phosphating Chemicals Production, QA
12 Metal End Pieces SNS Empty paint  marker, permanent marker etc. STR,PDN,QA
13 Forgings QA
14 Turning Burr & Boring Burr Tool Room, SNS
15 Welding rods Tool Room
16 Used tooling Tool Room, Maint
17 Maintenance scrap
18 Non Ferrous Gun Metal Parts Maintenance
19 EDM Wire Tool Room
20 Stainless Steel Metal Flash Production HCL Acid QA Lab
21 Metal End Pieces SNS Ceramic Wool HT
22 Forgings QA Choke, Ultra violate lamp, Tube light, all types of bulb, Cells All Depts
23 Turning Burr & Boring Burr Tool Room, SNS Carbon paper, Printing ribbon, Toner cartridge All Depts
24 Maintenance scrap Maintenance Magnaflux Powder QA, Production
25 HRC Trays Heat Treatment Oil Based Die Lubricant Production
26 Wood Waste boxes of waste packing material PDN, PUR Water Based Die Lubricant Production
27 Garden Waste Admin
28 Waste packing material PDN, QA

HSE INDUCTION TRAINING

General Information
Inductee Name: Position: Induction Date:

Topics to be discussed

S/N Description Yes No Remarks
1 Project Description
2 Company HSE Policy
3

Induction of Key Personnel

4

Site Layout and Welfare Facility

5

Site Rules (e.g. Drugs, alcohol & smoking policy, different signage’s, wearing PPE’s, avoid wearing pieces of jewelry, etc.)

6

Site Specific Hazards/ Risks/ Near Miss

7 Risk Assessment
8

Responsibility for accident prevention and the maintenance of a safe & healthful work environment

9 Work Permits
10 Environment and Waste Disposal
11

Emergency Procedures (alarm system, first aid box, assembly point, evacuation plan, escape routes, fire warden, first aider)

12

Employee and Supervisor for Reporting Accident

13

Vehicle on Site (Traffic Management)

14

Relevant and Applicable Laws

INCIDENT REPORT AND INVESTIGATION

Contract No Project Name Location
Prepared by [HSE Rep]: Report No: Date of Report:
TYPE OF INCIDENT (check all that apply)
 Injury/ Illness  Vehicle Damage  High Potential (Near Miss)  Quality  Fire
 Spill/ Release  Property Loss/ Damage  Permit or equivalent. Exceed  Security  Other
GENERAL INFORMATION
Company or subcontractor Name (s):
Date of incident: Day of Week: Time:
Supervisor on duty: Phone: Supv. On Scene?  Yes/No
Location of incident:
Weather/ Lighting Conditions:
DESCRIBE WHAT HAPPENED (step by step, use additional pages if necessary)
1. What was the employee doing, or what was happening, just before the incident occurred? Describe the activity, as well as the equipment, tools, or materials in use. Be specific, e.g., “Climbing a ladder while carrying tools” or “Driving near the parking area.”
2. What happened? What was the contact or event and how did it occur? E.g., “When the ladder slipped on the wet floor, the employee fell 20 feet” or “was distracted by a bee, swerved off the right side of the road and struck the stop sign”
IMMEDIATE CORRECTIVE ACTIONS (use additional pages if necessary)
 
AFFECTED EMPLOYEE INFORMATION (include injured person or employees whose activities resulted in the incident)
Name:  Male/Female Company:
Home Address:
Date of Birth: Home Phone#:
Job Classification: Years in job classification:
Time Employee began work: Date of Hire:
Did the incident relate to routine task for job Classification?  Yes  No
INJURY/ ILLNESS INFORMATION
Nature of the injury or illness (Body part affected and how it was affected, e.g. strained back):
Object/ Equipment/ Substance causing harm:
First Aid Provided:  Yes/No If Yes, Where?  On-Site  Off Site
If Yes, who provide first aid?
Will the injury/ Illness result in:  Restricted Duty  Lost Time  Unknown
TREATMENT OR EVALUATION INFORMATION (Attach Provider’s Report/Statement)
Was the treatment or evaluation provided?  Yes /No First Aid        Evaluation Medical Treatment
If yes, where? On-Site  Dr.’s Office Hospital        Others:
Name of persons (S) Providing treatment or evaluation:
Address where treatment or evaluation was provided:
Type of treatment or evaluation:
Was the employee hospitalized overnight? Yes/No
PROPERTY LOSS OR DAMAGE  INFORMATION
Property or Vehicle involved?    Yes/No
Description of loss or damage:
Estimated KWD Lost:
SPILL OR RELEASE INFORMATION
Substance spilled or released: From Where: To Where:
Estimated quantity/Duration:
The reportable quantity (RQ):
RQ Exceeded?  Yes/ No
Released to Water of State?   Yes/No
CERCLA Hazardous Substance?  Yes.No
Response action is taken:
PERSONS PREPARING REPORT (Employee and Supervisor to Complete Report)
Employee’s Name: Signature: Date:
Employee’s Name: Signature: Date:
Employee’s Name: Signature: Date:
PERSONNEL NOTIFIED (Notify Health and Safety Representative Immediately)
ORGANIZATION NAME (S) DATE/TIME
 HS Department Head
 Project Manager
Received by [HS Rep] : Date/Time:
Serious Incidents require immediate notification to the Corporate Safety Department. Fatalities or hospitalization (admittance) of three or more individuals requires notification to OSHA within 8 hours. Contact the Safety Manager to make the notification. If unavailable, the senior operations person on site should make the notification.
INCIDENT SKETCH
Write in street names and, if possible, the points of the compass.
If a sketch appears on a police report or insurance form, this need not be completed. Attach the other report.
GENERAL INFORMATION
Company: Date of Incident: Date of Investigation Report:
Incident Cost: Estimated: KWD Actual: KWD
OSHA Recordable:  Yes/No # Restricted days: # Days away from work:
Was the activity addressed in an AHA? :  Yes (attach a copy)  No
CAUSE ANALYSIS
IMMEDIATE CAUSE- What actions and conditions contributed to this event? (See examples on next pages)
BASIC CAUSES- What specific personal or job factors contributed to this event? (See examples on next pages, use SCAT chart for guidance)
ACTION PLAN
REMEDIAL ACTIONS- What has been and/ should be done to control the causes listed? If applicable, include management program (see attached list) for control of incidents.
ACTION PERSON RESPONSIBLE TARGET DATE DATE COMPLETED VERIFIED BY
PERSONNEL PERFORMING INVESTIGATION
Name: (Print) Signature: Date:
Name: (Print) Signature: Date:
Name: (Print) Signature: Date:
Name: (Print) Signature: Date:
REVIEW AND APPROVAL
HS Dept. Head: Signature: Date:
Comments:
Project Manager: Signature: Date:
Comments:
Operations Manager: Signature: Date:
Comments:
NOTE: Attach additional information as necessary, i.e. pictures, statements, etc.
EXAMPLES OF IMMEDIATE CAUSES
Substandard Actions Substandard Conditions
1.Operating equipment without authority

2.        Failure to warn

3.        Failure to secure

4.        Operating at an improper speed

5.        Making safety devices inoperable

6.        Using defective equipment

7.        Failure to use PPE properly

8.        Improper loading

9.        Improper placement

10.     Improper lifting

11.     Improper position for the task

12.     Servicing equipment in operation

13.     Horseplay

14.     Under the influence of alcohol/drugs

15.     Using equipment improperly

16.     Failure to follow the procedure

17.     Failure to identify hazard/risk

18.     Failure to check/monitor

19.     Failure to react/correct

1.        Inadequate guards or barriers

2.        Inadequate or improper protective equipment

3.        Defective tools, equipment, or materials

4.        Congestion or restricted action

5.        Inadequate warning system

6.        Fire and explosion hazards

7.        Poor housekeeping/disorder

8.        Noise exposure

9.        Exposure to radiation

10.     Exposure to temperature extremes

11.     Inadequate or excess illumination

12.     Inadequate ventilation

13.     Presence of harmful substances

14.     Inadequate instructions/procedures

15.     Inadequate information/data

16.     Inadequate preparation/planning

17.     Inadequate support/assistance

18.     Inadequate communications hardware/software/process

19.     Road conditions

20.     Weather conditions

EXAMPLES OF BASIC CAUSES
Personal Factors Job Factors
1.        Inadequate physical/physiological capability

2.        Inadequate mental/physical capability

3.        Physical or psychological stress

4.        Mental or psychological stress

5.        Inadequate training or lack of knowledge

6.        Lack of skill or qualifications

7.        Improper motivation

8.        Abuse or misuse

1.        Inadequate leadership/supervision

2.        Inadequate engineering

3.        Inadequate purchasing

4.        Inadequate maintenance or calibration

5.        Inadequate tools/equipment

6.        Inadequate work standards or procedural controls

7.        Excessive wear and tear

8.        Inadequate communications

MANAGEMENT PROGRAMS FOR CONTROL OF INCIDENTS
1.        Leadership and administration

2.        Management training

3.        Planned inspections and maintenance

4.        Task analysis and procedures

5.        Task observation

6.        Emergency preparedness

7.        Rules and work permits

8.        Accident/incident analysis

9.        Personal protective equipment

10.     Health control

11.     Program audits

12.     Engineering and change management

13.     Personal communications

14.     Group communications

15.     General promotions/awareness

16.     Hiring and placement

17.     Purchasing controls

18.     Off-the-job safety

EHS Management Program

A. Significant Environmental Aspect/Hazard: 
1. Objective(s):

 

2. Target(s): 

 

3. Reason for Significance: 

 

4. Legal or Other Requirements:

 

5. Program Description, Budget, and Responsibility:

Sr. No. Action Responsibility Timeline Budget Remark
6. Other Documents Related to this EMP (Operational Control or Procedure):

 

7. Records and Documents:  Person Responsible and Location:

 

 

8. Person(s) Responsible for Program Management:

 

 

 

 

List of Safety Committee/CFT/Fire fighting team/First aid team

Sr. No. Name of the person Designation Status Department Contact number

HOUSEKEEPING INSPECTION CHECKLIST

General Information
Area/Location: Date:
Conducted by [HS Rep]: Signature:
Description
S/N ITEM EVALUATION REMARKS

(Corrective action and recommendations)

YES NO N/A
1 Proper signage’s posted on the fence, lay-down area and around the offices?
2

Roads in good condition and dust control are maintained?

3

No water accumulation and floors are dry?

4

Clear and safe access to work areas?

5

All stairways, passageways, gangways, and access ways shall be kept free of materials, supplies, and obstructions at all times.

6

Tools, materials, extension cords, hoses, or debris shall not cause tripping or other hazards.

7

Form and scrap lumber and debris shall be cleared formwork areas and access ways

8

Site office and the site area in general cleanliness and orderliness?

9

Construction waste and debris collected in the designated area?

10

Adequate rubbish container and rubbish removed daily?

11

Old timber de-nailed and all protruding steel bars are capped?

12

Material stacking and any loose materials had been properly stored?

13

Site in general cleanliness and orderliness?

Note: Corrective and recommended actions must be implemented immediately. ( references in parenthesis)
Reviewed by [HS Dept]:
POSITION NAME SIGNATURE DATE
Distribution and acknowledgment:
Project Manager Construction Manager QA/QC Engineer Site Engineer

PPE INSPECTION CHECKLIST (PERSONAL PROTECTIVE EQUIPMENT)

General Information
Area/Location: Date:
Conducted By [HSE Rep]: Signature:
Description
S/N ITEM EVALUATION
YES NO N/A
1

Are PPE used as required?

2

Minimum PPE (i.e. helmet, safety boots, hi-visibility vest, safety glasses) provided to all employees and records maintained?

REMARKS

(Corrective action and recommendations)

3

A copy of the PPE manufacturer manual is available?

 
4

Users trained on using, maintenance and storage of PPE?

5

Additional PPE have been provided as appropriate for those who are executing critical activities (e.g. fully body harness for working at height, full face mask breathing apparatus, etc.)?

6

PPE correctly selected based on the task risk assessment?

7

Regularly inspected, cleaned and maintained and replace when deemed necessary?

8

Safety glass complies with ANSI standard?

9 Protective (cover) glass used for the person using eyeglasses?
10

Hearing protection being used for workers exposed to noise?

11

Head protection being used on hardhat area?

12

Are protective head gears in compliance with ANSI standard?

13 Is protective footwear being used?
14

Do protective footwear meets the ASTM F2412?

15

Are high visibility vest being used on site? )

16

Are high visibility vest complies with ANSI standards?

Note: Corrective and recommended actions must be implemented immediately.
Reviewed by [HS Dept]:
POSITION NAME SIGNATURE DATE
Distribution and acknowledgment:
Project Manager Construction Manager QA/QC Engineer Site Engineer

VISITORS SITE BRIEFING CHECKLIST

Visitors name:
Area/Location: Date:
Conducted By [HSE Rep]: Signature:
Topics to be discussed
S/N Description EVALUATION REMARKS

 

YES NO N/A
1 SITE SAFETY TOOLS
2 PPE
Smoking  
4 Consumption of Food and Drinks
5 Access and Safe Walk Area
6

Vehicle Speed Limit

7

Safety and Advisory Sign

8 SITE HAZARDS
9 Ongoing Activity
10 Vehicle Movement
11 SITE MAP
12 Site Offices
13 Welfare Facility
14 Emergency Muster Station
Signature and Remarks

Visitor’s Signature

Remark:
Conducted by: Job Title: Signature:
Reviewed by [HS Dept]:
POSITION NAME SIGNATURE DATE
Note: Corrective and recommended actions must be implemented immediately. (EM385-1-1 references in parenthesis)

 

Sample Environment, Health, and Safety Policy

Kalyani Forge Limited’s EHS Policy

We, at Kalyani Forge Limited, are committed for continual improvement to achieve Safe, Healthy and Environmental friendly working conditions
Through…..

  • Creating awareness amongst the employees for safe working practices
  • Inculcating in all employees, a sense of responsibility for Safety, Health & Environment not only at the workplace but also in society at large
  • Complying with relevant legislation, regulations and other requirements for Environmental Management System, Occupational Health & Safety
  • Conservation of natural resources and prevention of pollution, prevention of ill health & injuries
  • Effective recycling and minimizing waste generation

METAL PRODUCTS COMPANY’s IMS Policy

METAL PRODUCTS COMPANY is committed to:

  • The satisfaction of our customers in all respects by supplying high-quality products, complying to the relevant standards, always on time
  • Fulfill our commitment through total involvement of all at METAL PRODUCTS COMPANY and with continual improvement in our integrated management system.
  • Identify, prevent, control and minimize adverse environmental impacts associated with our operational activities.
  • Comply with all quality, environmental, Health & Safety requirements.
  • Develop and maintain a highly motivated and trained workforce for effective management of the quality, environment, and Health & Safety issues.
  • Communicate our environmental commitment to clients, employees and other interested parties.
  • Strive to continually improve our quality, environmental and Health & Safety performance keeping in view the regulatory requirements, Health & Safety requirements, environmental requirements, community concerns, and technological advancements. Establish & maintain a healthy work environment.
  • Comply with applicable legal requirements.
  • Adopt the best practice of operations to prevent ill health & injuries

WEEKLY SAFETY REPORT

Contract No Project Name Location Date
From: To:
Description
JOB SAFETY ACTIONS/SAFETY INSPECTIONS CONDUCTED REMARKS
YES NO N/A
Was the Job Safety Meeting Held?
Were there lost time Accidents? Reported to:
Miscellaneous Incidents? IR Submitted:
Trench/Excavations: Competent Person daily inspection performed?
Scaffolding: Competent Person daily inspection performed?
Confined Space: Competent Person pre-entry inspection performed?
Safety/QC Meetings/Inspections Conducted (List):
 

 

 

Field Activities:
Safety Findings & Corrective Actions:
Safety Findings Corrective Actions
Prepared by [HSE Rep]: Reviewed by [HS Dept]:
Signature: Signature:
For Head Office use only:
Operations Manager Project Director Others

Risk Register

Risk description

“Likelihood
(L)”

“Severity
(S)”

 “Risk level
(L * S)”

Risk Mitigation

Responsibility

Deadline

Evaluation date

Evaluation result

Opportunity Register

Opportunity description

“Likelihood
(L)”

“Benefit 
(B)”

 “Opportunity Factor
(L * B)”

Opportunity Pursuit Plan

Responsibility

Deadline

Evaluation date

Evaluation result

Noncompliance Notice

Employee Information

Employee Name: Job Title: Date:
Organization: Supervisor Name:

Type of Notice

First Notice Second Notice Final Notice

Classification

Failure to use PPE Properly Inadequate Guards/Barriers Inadequate Warning System
Defective tools/Equipment/Materials Poor Housekeeping/Disorder Violation of Safety Rules
Other:

Details

Description of Noncompliance:

Non-Compliance Picture:

Violation Photo

Immediate Action Taken:

Close-Out Picture:

Correction Photo

Recommended Corrective Action:

Acknowledgment:

By signing this form, you confirm that you understand the information in this warning. You also confirm that you and your Supervisor have discussed the issue and a plan for improvement. Signing this form does not necessarily indicate that you agree with this warning.
Employee Name Signature                    Date
Supervisor Name Signature                    Date

Witness Name & Signature (if the employee understands warning but refuses to sign)

                   Date

Prepared by [HS Dept]:

Job Title: Name: Signature:

TOOLS INSPECTION CHECKLIST

General Information
Area/Location: Type of Tools:
Conducted By: Signature: Date:
Description
S/N ITEM EVALUATION REMARKS

(Corrective action and recommendations)

YES N/A
1 Tools checked and inspected before use?
2

Guards are fitted, adjusted, and tools in good condition?

3

Nonsparkling tools used near source ignition area?

4

No loose and frayed clothing while working with power tools?

5

Are floor and bench mounted power tools anchored or securely clamped to a firm foundation?

6

Grinder and abrasive machinery with the guard?

7

Damaged or cracked abrasive wheel?

8

Has circular saw equipped with guard and kickback device?

9

Are safety clips and retainers installed and maintained on pneumatic tools?

10

Is the explosive actuated tool operator trained and qualified?

11

Is proper safekeeping power actuated tool being followed?

12

Is manufacturer instruction is available and being followed?

13

All hoses, coupling, and fittings of the correct rating and inspected and maintained regularly?

14

Tools secured to the hose by positive means to prevent disconnection?

15

Air supply line protected from drainage, maintained and inspected regularly?

16

The safety device is provided for air hose with large diameter?

17

Home-made tools are not used and tools being used fit for the job?

18

Suitable PPE provided for any type of job using portable tools?

Reviewed by [HS Dept]:
POSITION NAME SIGNATURE DATE
Distribution and acknowledgment:
Project Manager Construction Manager QA/QC Engineer Site Engineer

JOB HAZARD / SAFETY ANALYSIS

Job Hazard/Safety Analysis (JHA/JSA) REVIEWS
Reviewed & Approved by: Reviewed & Approved by: Reviewed & Approved by:
Signature & date: Signature & date: Signature & date:
All signature blocks completed indicate authorization to perform identified Activity’s.
Drawings Attached:   Yes    No
Definable Work Activity:    Revision No:   Date:  
Work Task Potential Hazard(s) Control Measure (s), Required Training, -required Permits or Plans, and Competent Person (s)
Equipment to be Used Required Inspections Required Training
JHA REVIEW/Pre-Job Brief attendance roster
By signing below, I agree to the following:
§   I agree to follow the work steps and implement the controls as written.
§   I agree to stop work when conditions or hazards change or when I encounter unexpected conditions during the execution of work, or when work cannot be performed as written, or instructions become unclear during execution.
§   I confirm that I am authorized, qualified and fit to perform the work.
Name Signature Date Name Signature Date

Instruments Calibration history chart

Description: Location:
Identification no: Specification:
Acceptance criteria: Cal. Frequency:
Sr no.  Calibration Date Calibration.Agency Certificate. No. Calibration Status Cal.Due On Inspected By Approved By REMARKS

Calibration Schedule

Sr.No     Device ID NO. Description Calibration  Frequency Calibration Done on  (Date) Next  Calibration Due on  (Date) REMARKS

Lessons Learnt log

ID Date Entered By Subject Situation Recommendations & Comments

Communication Plan

Communications   item  what  Who Who Attends When When Format

TRAINING NEEDS IDENTIFICATION

TRAINING NEEDS IDENTIFICATION FOR THE YEAR Jan-2018 TO Dec-2018
DEPARTMENT:
Sr.No. Name of Employee Emp No Training Topics
NOTE – MARK ” √ ” if particular employee needs training of specified topic
                                                                                                                                                                                                                                         HOD Name & Signature:

SERVICING OF FIRE EXTINGUISHER

Sr. No F.E.
No
Location Type of Fire Extinguisher Capacity H.P.
tested on
H.P test due date Refilled on Refilling Due date: Defect / Required spare Remarks/ Corrective action
                                                                                                                                                                 VERIFIED BY: Dept Head                                                     CHECKED BY: HR. IR & ADMIN

TRAINING ATTENDANCE SHEET

Theme :
Trainer / Faculty : Date :
Venue : Time :
Sr.No Name of Employee Emp .No Sign.
1
2
3
4
5
6

Document Matrix

Sr.No. Document Name and Identification Location Responsibility Revision Document Type Protection Retrieval Retention Time Disposition
(Soft/ Hard/ Both)

Example of Report of Mock drill

Scenario: Oily rags used in the shop floor are removed outside and thrown in the storage area where they catch fire due to welding activity. Dried grass present around gets ignited resulting in a wildfire.

11:00 am: Smoke coming out from the back of the Press shop is seen by the security guard Mr. P. P. Deshmukh who was on a patrol round.

11:02 am: Mr. P. P. Deshmukh immediately reached on the spot to find that there was a fire in an incipient stage due to the welding activity going around and the sparks flying out of it.

11:03 am: Mr. P. P. Deshmukh immediately stopped the welding activity and alerted the contractor person working around who did not keep any water or sand bucket or any water fire extinguisher with him while working.

11:04 am: Mr. P. P. Deshmukh immediately called up Gate office/Emergency Control Centre and Security supervisor Mr. M. N. Jorvekar who in turn called up Asst. Safety Manager Mr. Santosh Kasalkar, Site Controller Mr. Sunilkumar Shinde and Incident Controller Mr. J. G. Swami.

11:05 am: Mr. Kasalkar and Mr. Jorvekar rushed to the spot to find that the fire had grown wild due to the surrounding dry grass. Mr. Kasalkar immediately informed Mr. Sunilkumar Shinde about the situation who inturn declared it an emergency and ordered the Main Gate to be closed and the wailing emergency siren to be sounded.

11:07 am: Fire fighting team members rushed on to the spot with ABC fire extinguishers and the garden pipe was also started.
One of the operators Mr. Gangadhar Suryawanshi got injured while trying to rush to the spot with the extinguisher. Communication Officer Mr. Padghan immediately called the Ambulance which took him away to the medical dispensary for first aid. In the meanwhile, all the operators working inside rushed out and gathered at the safe assembly point. A head count was taken to check for any missing person.

11:10 am: Fire was completely extinguished with the help of ABC fire extinguishers and the garden hose. The all-clear siren was sounded.
A meeting was held on the spot to study the observations and take corrective and preventive action.

Following were the Observations made:
1) Welding activity should have been carried out under the supervision of concerned department supervisor.
2) Before starting, adequate safety measures like availability of fire extinguishers, water and sand buckets, etc should be made.
3) Welding activity should be carried out at such a place which is away from flammable liquids, gas or other fuels like dried grass, oily rags, etc which can easily catch fire due to the flying sparks.
4) The welder had a small piece of a broken glass which he held in front of his eyes during welding while his helper did not have anything and held his hand in front of his eyes.
5) The electrical connection was far off and the wire traveled all along the floor without any protection. Also, there was no proper 3 pin plug and the wires were just tucked inside the switchboard.
6) Took some time for the fire fighting team members to transfer the extinguisher to the site as ABC fire extinguisher was not visible anywhere.
7) Ambulance siren and light not working.

Following Corrective actions are taken.

1) All welding activity will be done under the supervision of the contractor and the concerned dept supervisor.
2) Both the responsible persons will ensure that welding is done at a safe designated area, with proper electrical connections and with the right PPE’s used.
3) Fire fighting extinguishers, buckets, etc will be first arranged for before starting the activity.
4) The security dept is to be made aware of by informing them before starting the welding work.
5) The ambulance needs to be checked by the security every day for level of fuel, and every week for battery charge status, condition of first aid box, siren light, etc.
6) Response time to be reduced further by swift transfer of extinguishers to the site. Training to be given for fast operation to the firefighters.

Prepared By:                                                Approved By:

Nonconforming Service Report (NSR)

Date: Reported by: Recorded by:
Summarize the reported service nonconformity. Attach or reference applicable documentation (emails, etc.)
Initial Review: ◙ Nonconformity affirmed, proceed with the investigation
◙ Nonconformity could not be affirmed or replicated; stop and monitor for further occurrences.
◙ No nonconformity; stop.
Initial Review by: Date:
Root cause analysis:
Disposition (check all that apply) ◙ Issue Refund
◙ Provide corrected service. Details:
◙ Provide new services. Details:
◙ File [CAR Form Abbreviation]; reference [CAR Form Abbreviation] #:
◙  Customer waiver. Details:
◙ Other action. Details:
Remark:
Disposition Approval by: Date:
Customer Approval by:

List of Internal Auditor

Sr. No. Name of Internal Auditor Designation Reporting to
Criteria for selection of Internal Auditor w.r.t. experience & skill –

NCR Status Log

S No.      NCR No NCR issued to Date Action completion date Proposed follow-up date Date NCR closed Remarks MR (Sign)

 

Reach us at Kuwait office

Trace International, Office no 717, 7th floor, AL Rehab Complex, Tunis Street, Hawally , Kuwait

Tel: +96522623203, Mobile: +96565019055

Mail us at:

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