DOC No. | GFS-HSE-17-RO2-12 Page 1 of 18 GFS ay, Rey No. | Or — PROCEDURE FOR issue 702 a 7 HSE INTERNAL AUDIT : Date | 02.07.2019 GFS a apy ( GFS SUPPLY & SERVICES Co. W.L.L PROCEDURE FOR HSE INTERNAL AUDIT Document Number: GFS-HSE-17-R02-I2 Issue No.: 02 Rev 02 - | Name Designation Signature Date Written By | Amin Shaikh. HSE Engineer i ' | a plelia Reviewed By | Hany Hafez HSE Manager tv Om 4 Approved By | Joseph Thomas | CEO Ae _ | sy Effective Date : 03/07/2019 Reviewed Date: 03/07/2019,— | on of agreed ( process or system structural | 1" actions! | findings, framework. improvement s. Table 4: Controls assessments olor coding h) Conduct Closing Presentation to the Auditee that includes, as a minimum: 1. Terms of Reference 2 3. 4. Risk area Control Acceptability ‘Actions expected from the Auditee 43.5 PREPARE AUDIT REPORT a) The Audit Lead shall prepare the Audit report from the audit team inputs. ‘Summary of Audit findings and ratingsDOC No. | GFS-HSE-17-R0212 Page 14 of 18 GFS a |. ~ PROCEDURE FOR -_ Bester HSE INTERNAL AUDIT — |_"S¥°'°? | Date 02.07.2019 As a minimum the Audit report shall contain: Terms of Reference Audit findings Significance of findings. ReNe Recommendations 5. Risk area Control Acceptability b) Distribute Audit Report ‘The Audit Lead shall distribute report as determined by the ToR. As a minimum, the report Audits shall be distributed to 1. Principal Auditee Principal Auditee's line Supervisor Audit team Members Audit manager aRON Corporate HSE manager 4.3.6 CONDUCT AUDIT FOLLOW UP Audit Follow up coordinator and auditee shall retain and archive HSE Audit reports. The Follow up coordinator has to consider the recommendations, if any, from the audit and generate action plan that includes action parties and target completion dates for all findings resulting from the HSE Audits. The Quality of Close out actions has to be reviewed and verified by the follow up coordinator and auditee. Evidences supporting the effective closure shall be retained until the next audit. 5.0 AUDITOR SELECTION CRITERIA ‘The audit team shall have: a) Knowledge of HSE matters. b) Adequate independence from the activities being audited, to enable objective and impartial judgement. c) Operational experience in the area being audited d) The necessary expertise and experience in auditing practices and disciplines. e) Access to specialist HSE or other technical expertise, if necessary. f) The support and authority from management to procure the necessary information. 9) Satisfactory completion of training program in auditing methodology In order to maintain independence and objectivity, the Audit Team Leader and the majority of the audit team should not have a direct reporting line to the Principal Auditee.GFS-HSE-17-R02-12 | a — Page 15 of 18 mee tes PROCEDURE FOR 7 HSE INTERNAL AUDIT Issyo 102 | 02.07.2019 The minimum training requirements in auditing for Audit Team members is a HSE Auditing course of 2 days duration. In addition, the minimum requirements of the Audit Team Leaders for Level 1 Audits are: }) Completion of a prescribed HSE Auditing course of 5 days duration )) Participation in three corporate HSE audit as a team member. ) Lead one corporate HSE audit under supervision of a Competent Lead Auditor ) Job group 3 level or above. e) Deemed to be competent to lead audits by the HSE Audit Manager. os The minimum competency requirements of the Audit Team Leaders for Level 2 Audits are: a) Completion of a prescribed HSE Auditing course of 5 days duration b) Participation in one corporate HSE audit as a team member. ©) Job group 4 level or above. d) Deemed to be competent to lead audits by the HSE Audit Manager. The minimum competency requirements of the Audit Team Leaders for Level 3 Audits are: a) Completion of a prescribed HSE Auditing course of 2 days duration b) Participation in two HSE audit as a team member. ©) Lead one level 3 HSE audit under supervision of a Competent Lead Auditor 4d) Deemed to be competent to lead audits by the HSE Audit Manager. 6.0 PERFORMANCE STANDARDS, MONITORING, AND REPORTING 6.1 PERFORMANCE STANDARDS ‘Audit Program Compliance Action close out status 6.2 PERFORMANCE MONITORING REQUIREMENTS: Audit managers’ report on a monthly basis the audit status and open & overdue actions from the audits HSE Audits program compliance Audit Title Current Status E.g. Corporate HSE MS Audit Planned for Q1 2011 Table 5: HSE audits program complianceDOC No. | GFS-HSE-17-R02-12 Page 16 of 18 GFSam pei 03 PROCEDURE FOR HSE INTERNAL AUDIT Issue "02 Date 02.07.2019 "HSE Ault action close out etatue Diet Naf Open Raton Tams To of Overioe Raton ons erate | vat | rncipa |_——_ | Tae | Austoo | serous | Hign | Mecum | Low | Tota | serious | rian | meaum | tow | Tat Ze | Coma I ne fe We|usew Jo Jo Jo o jo Jo |o |o fo Jo | | AvTotat € Table 6: HSE audits action close out status 6.3 REPORTING REQUIREMENTS Level 4 Audit Audit manager shall report the compliance to the Audit Program and HSE Audits Action close out status to the IAC/BAC. Level 2 Audit ‘Audit manager shall report the compliance to the Audit Program and HSE Audits Action close out status to the Director. Level 3 Audits ‘Audit manager shall report the compliance to the Audit Program and HSE Audits Action close out status to the asset manager. ( 7.0 APPENDICES 7.1 DEFINITIONS Audit program Set of risk-based audits planned for a specific time frame. ‘Audit An objective examination of evidence for the purpose of providing an independent assessment on risk management, control, or governance process for the organization, Audit Finding An identified area for improvement in the risk-based control framework. Audit Objective The goals that an Audit Team plan to achieve in an Audit.DOC No. | GFS-HSE-17-RO212 Page 17 of 18 GFS aw PROCEDURE FOR _— Rev No. {02 Issue: 02 HSE INTERNAL AUDIT L Date | 02.07.2019 Audit Process Three phases (Plan, Execute and Wrap-Up) to be followed to issue an Audit Conclusion Audit Report A signed, written document which presents the purpose, scope, and results of the audit Audit Scope Refers to the activities covered by the Audit Audit Team A team consisting of a Lead Auditor and one or more Auditors. Auditee The person who manages the business area being audited. Entity That part of the Business being audited. The ‘entity’ is not necessarily an organizational unit; it could be a corporate function, a process or a risk area. Terms of Reference A letter to the Auditee confirming the understanding of the arrangements for the audit. Working Papers All documentation required to support the Audit Report (including Audit Findings and Audit conclusion). 7.2 ABBREVIATIONS BAC Board Assurance Committee IAC Internal Assurance Committee ToR Terms of Reference 7.3 KEY REFERENCES In addition to the GFS documents listed on Page 3, the following references provide useful information related to this procedure. 'S. | Title, author's name, year of publication No. 1 ISO 14001-2004 Environmental management systems - Requirements with guidance for use 2 | 180 19011:2002 Guidelines for quality and/or environmental management systems auditingGFS a — [' DOC No. GFS-HSE-17-R0212 Rev No. 02 Date 02.07.2019 PROCEDURE FOR HSE INTERNAL AUDIT Page 18 of 18 Issue : 02 I Requirements 8.0 FORMATS AND TEMPLATES OHSAS 18001:2007 Occupational health and safety management systems - Model formats of ToR and Audit reports are given below. These are given as guidance; however, the use of these formats is not mandatory. 9.0 ADDITIONAL INFORMATION ¢ NilDOC No. | GFS-HSE-18-R02-I2 Page 1 of 12 GFS ay [Rovio Leet Ei ah igsuo 02 a Date 02.07.2010 ee GrFS av zy GFS SUPPLY & SERVICES Co. W.L.L RADIATION SAFETY PROCEDURE Document Number: GFS-HSE-18-R02-I2 Name Designation Signature Date Written By ‘Amin Shaikh HSE Engineer } ms rh 19 Reviewed By | Hany Hafez HSE Manager ( dtl alet Approved By | Joseph Thomas | CEO pe ity Effective Date : 03/07/2019 Reviewed Date: 03/07/2019 Fat yo: 8516 SAF FO ee KUNAT e/ +eGFSa zy iim RADIATION SAFETY Page 2 0f12 | 02 PROCEDURE Issue : 02 02.07.2019 Contents REFERENCES RADIOLOGICAL UNITS .. PERSONNEL .. RADIOGRAPHY SUPERVISOR. AUTHORIZED PERSONS: CLASSIFIED PERSONS: NON CLASSIFIED PERSON! MAXIMUM PERMISSIBLE DOSE RATI PERSONNEL MONITORING .. MEDICAL EXAMINATION. MONITORING... INCIDENT REPORTING.. RECORDS... EQUIPMENT INSPECTION GENERAL... IN CORRECT DELIVERY ON ARRIVAL AT WORK LOCATION. DAILY CHECKS STORAGE OF SE; . CONTROL OF SEALED SOURCES..... LOSS / MISLAID OF SEALED SOURCES. RADIATION OPERATIONS SITE RADIOGRAPHY... TRANSPORTATION OF SEALED SOURC! GENERAL... ROAD TRANSPORTATION ANNEXURE: 1... INTRODUCTION... SOURCE STRUCK OUT SIDE OF ITS PROJECTOR. LOSS / STOLEN OF SOURCE VEHICLE ACCIDENT... EQUIPMENT ... MEDICAL CHECKS FOR PERSONNEL INVOLVED IN EMERGENC CALCULATING INTENSITY WITH THE INVERSE SQUARE LAW. oO UIIIIUUARAAAAUUUAR ERYGes DOCH, [GFSHSETEROZE RADIATION SAEETY Page BoC | a Date 02.07.2019 eS I 4.0 POLICY GFS will ensure, as far as is reasonably practicable, the health and safety of members of the public, of its employees and of sub-contractors working on the premises who may be exposed to the hazards arising from the use of ionizing radiations (e.g. x-ray, gamma rays etc.) GFS is committed to a policy of keeping exposures to ionizing radiation as low as reasonably practicable, social and economic factors being taken into account. GFS will maintain a Radiation Protection management structure to implement radiation safety requirements. Safety Supervisors will be appointed to cover each site using ionizing radiation (unless c ‘exempted by the Regulations) respectively to enable work with radiation to be carried out in a safe manner. Al radiation facilities will be designed to meet the requirements of relevant Regulations, Codes of Practice and Guidance Notes and to ensure that doses to members of the public, and staff are below relevant nationally agreed dose constraints. Local Rules will be prepared to cover all procedures using ionizing radiation. The Rules will contain systems of work designed to minimize radiation doses to staff, and members of the public. Radiation doses to all radiographers working with ionizing radiation will be monitored by means of whole body dosimeters. Diagnostic medical examinations involving the use of ionizing radiation will be carried within an overall management framework defined by Standard Operating Procedures and Protocols prepared by the GFS The minimizing of radiation doses to staff will be a prime factor in the selection and use of ‘equipment. Quality Assurance tests will be carried out at regular intervals on all equipment involved in staff and public exposure with ionizing radiation. Staff working with ionizing radiation will be trained to a level commensurate with the work being performed and the degree of hazard involved and to satisfy legal requirements. The GFS will ensure that the radiation protection program is implemented and reviewed and that appropriate organizational arrangements are in place to facilitate it. 2.0 SCOPE This document is for the use of GFS personnel and its sub-contractors who are engaged in operations using ionizing radiation The document covers the basic administrative, medical and operational requirements governing the control, storage, usage and transportation of radioactive sources.GES DOGNe, | GFSHSETBROZE RADIATION SATETT Fags 4o0 2 -_ Date 02.07.2019 eee 3.0 REFERENCES a) Radiation Safety for Site Radiography OCPCA 1986 b) Statutory Instrument No. 3232, lonizing Radiation Regulations HMSO 1999 c) IAEA Regulations, Code of Practice Guides 4.0 RADIOLOGICAL UNITS a) Radioactivity b) Absorbed Dose: ¢) Dose Equivalent: d) Radiation Output: 5.0 PERSONNEL S1 unit of radioactivity: Becquerel Old unit of radioactivity: Curie 1 Beoquerel = 1 disintegration per second 1 Curie = 37 billion disintegrations per second 37 Giga Becquerel (GBq) = 1 Curie S1 unit of Absorbed Dose: Gray(Gy) Old Unit of Absorbed Dose: Rad 1 Gray = 100 rads 1 Rad = 10 mGy 1 unit of Dose Equivalent: Sievert(Sv) ld unit of Dose Equivalent: Rem 1 Sievert = 100 rem 1. Rem = 10 mSv Gray Per Second (Gy/s) : 412.4 X 10 mR/hr Rontgen per hour (Rihr): 2.425 "::>UGy/s Units provided @ 1 Meter) 5.1 RADIOGRAPHY SUPERVISOR The GFS shall appoi ‘Supervisor (s). in writing one or more suitably qualified employee(s) as Radiography ‘The above person shall be responsible for the supervision of all aspects of work involving the control, storage, use and transport of radioactive sources. His main role is to provide advice in the case of an emergency involving a radioactive source. His duties shall include overseeing safe work practices, dealing with the emergencies, investigation and reporting incidents. Name, location and telephone contact number of Radiography Supervisor shall be available at the work site where work involves ionizing radiation.Ges GOGNo, | GFS-HSEABROZ| SSDinONSArERy Page 5 of 12 MF [Rev No. [02 pet Issue : 02 aT Date | 02.07.2019 5.2 AUTHORIZED PERSONS: GFS shall appoint in writing, suitable qualified employees as authorized persons. Such persons shall be trained, qualified and certified in accordance with GFS HSE Training in Non-destructive testing, meeting the requirements of SNT-TC-1A of ASNT. ‘The individual shall be fully conversant to undertake the following specific duties: 1. Safe use, control and transportation of lonizing radiation Establishing the shielding for the protection of the personnel where ionizing radiation is present 2. Use of radiation equipment containing radioactive source, radiation survey truments and personnel monitoring instruments Other duties specified by the Competent Person regarding all aspects of safety involved in ionizing radiation Authorized personnel shall be registered by GFS with a recognized radiological body that monitors the persons’ radiation dose equivalent on a monthly basis with film badges. The personnel shall be provided with film badges for personnel monitoring when entering to the radiation area where the radiation level exceeds 7.5 micro Svihr (O.75mR/hr). They shall also be equipped with dosimeter. 5.3 CLASSIFIED PERSONS: GFS shall appoint suitably trained employees to work as assistant under the guidance of authorized persons. Their duties require knowledge of safe operation of ionizing radiation sources, use radiation monitoring instruments, provide shielding and observe shielding parameters. ¢ They shall not undertake radiation source operation and other duties involving ionizing radiation unless so authorized in writing by GFS Radiography Supervisor. 5.4 NON CLASSIFIED PERSONS: Persons who are not classified in the clause A through C, are called nonclassified persons, may be general public, contract personnel or others who are not connected with radiography activity. They are prohibited to involve in work or passage where ionizing radiation is present. They shall be excluded or away from restricted areas where the radiation level exceeds 7.5uSv (0.75mRYhr). Suitable warning signs and/or bartiers shall be provided.