Doc Code: GTPF-OSHMS-FM 12

Issue Date: 03/01/2020

OSHMS INTERNAL AUDIT
Issue. No. Rev. No.
REPORT 02 01

AUDIT DATE 23rd November, 2020 YEAR 2020

INTERNAL AUDIT TEAM (1) Engr. Sallam Far (Lead) DESIGNATION (1) General Manager
(2) Engr. Ahmed Omer (2) Production Manager
(3) Engr. Atif Usman (3) Maintce. Manager
(4) Mr. Ajith Kum (4) Operations Manager
(5) Mr. Dan Id (5) HSE Manager
AUDITEES/DEPT. (1) HSE Department AUDIT REPORT NO. GTPF-OSHM/IN-AD/001
(2) Maintenance Department
OSHMS APPROVAL 31/05/2018
(3) Production Department
DATE
(4) Logistics Department

1. SCOPE
 The lnternal Audit of Gulf Tissue Paper Factory was conducted on the 23 rd November, 2020 in
accordance with the requirements of the OSHAD-SF. Furthermore, the Internal OSHMS Audit
was a systematic, independent and documented process for obtaining and objectively
evaluating audit evidence to verify compliance, review and verification of the effectiveness and
appropriate implementation of the approved OSHMS of Gulf Tissue Paper Factory with the
OSHAD-SF.
 On site visit covering each activity including, Admin/HR, Production, HSE, Maintenance, Logistics
(Operations) and other different activities.

2. CRITERIA
This lnternal OSHMS Audit shall adopt the following criteria to categorize identified non-
compliances.
3.

These are critical process non-compliance that is likely to result in the failure
Major non-
of a process of the OSHMS, harm to human health and safety. A major non-
Compliance
compliance shall be addressed by the entity in accordance with the OSHAD- SF
Element 8.
Minor non- That which may result in the failure of a process of the OSHMS and harm to
compliance human health and safety. A minor non- compliance shall be addressed by the
entity in accordance with the OSHAD-SF Element 8.

Observations
Safety Observations are counts of SAFE and UNSAFE ACTIONS or CONDITIONS
in a work area. Observation could be POSITIVE or NEGATIVE.
 Doc Code: GTPF-OSHMS-FM 12

Issue Date: 03/01/2020

OSHMS INTERNAL AUDIT
Issue. No. Rev. No.
REPORT 02 01

3. OSHMS INTERNAL AUDIT OUTCOME

The Internal OSHMS Audit Findings are based on the Objective Review of the OSHMS, Compliance
and associated Documentation and Site Visit by the Audit Team.

 MAJOR NON-COMPLIANCE
No Major Non-compliances were identified during the course of this Internal OSHMS Audit.

 MINOR NON-COMPLIANCE

No. Description OSHAD-SF Reference

1. Indoor Air Quality and Noise Monitoring of the facility OSHAD-SF – Element 7: Monitoring
need to be conducted by an approved OSHAD External & Reporting
organization as a mandatory requirement by OSHAD.

2. Ease of Identification for Site Emergency Personnel as OSHAD-SF – Element 6: Emergency

per OSHAD SF Ver. 3.1 Element 06 – for First Aiders, Fire Management
Marshall to wear colour vest and display of their names
and contact numbers in strategic and visible locations
etc.

3. Key found in the ignition of unattended/parking forklift OSHAD-SF – Element 2: Risk

machine Management

 OBSERVATIONS
The below Observations were noted during the Site/Factory Tour

No. Description OSHAD-SF Reference

1. The Fire Fighting Pump Machine is engulf with so must OSHAD-SF – Element 8: Audit &
dust and exposed (open space) which makes it Inspection
susceptible to tampering by an unauthorized person(s).
This equipment need to be properly housed and
enclosed.
 Doc Code: GTPF-OSHMS-FM 12

Issue Date: 03/01/2020

OSHMS INTERNAL AUDIT
Issue. No. Rev. No.
REPORT 02 01

 POSITIVE POINTS
The below Positive Points were noted during the Internal Audit/Site or Factory Tour

No. Description

1. The Employees exhibits high and impressive workplace Safety Culture in their operation.
Furtherance to this impressive culture, they were admonished by the Audit Team to keep it
up.

2. Top Management understands their OSH Responsibilities, shows keen commitment/support

for OSHMS Implementation and also the Health and Wellbeing of its Employees, Contractors
and Visitors.

3. As part of the COVID-19 Precautionary Measure, the Management installed a Hand Wash
Station and Hand dry accessories at the entrance of the Factory for employees to promote
effective Hand Hygiene Practice.

4. The Work Procedures and Good Housekeeping in the Production Floor as noted by the Audit
Team were quite remarkable.

4. AUDIT MATRIX
The audit matrix below provides a tabular overview of the specific OSHAD-SF elements and the
OSHMS documentation and procedures audited, as well as any associated outcomes.
5.

Minor Non- Major Non-

Audit Item Positive Observation
Compliance Compliance
1 OSHMS Manual 1
2 OSH Policy
3 OSH Objectives and Targets
4 OSH Legal Procedure
5 OSH Legal Register 1
6 Roles and Responsibilities 1
7 Training and Competency 1
8 Risk Assessment and Management 1
9 OSH Risk Register 1
10 Monitoring and Measurement 1
11 Operational Control 1
12 Management of Contractors
13 Emergency Management 1
14 Communication and Consultation
15 Incident Reporting and Investigation
16 Audit and Inspection / Non
Conformance and Corrective Action
17 Document and Record Control
18 OSH Performance Reporting 1
19 Management Review
Total 6 1 3 0
 Doc Code: GTPF-OSHMS-FM 12

Issue Date: 03/01/2020

OSHMS INTERNAL AUDIT
Issue. No. Rev. No.
REPORT 02 01

5. CORRECTIVE ACTION PLAN

Gulf Tissue Paper Factory OSH Representative in conjunction with the concern Departmental Heads shall
develop and submit a corrective action plan to the Internal Audit Team (Lead Auditor) within 30 days of
receipt of this report. The corrective action plan shall highlight all non- compliances raised and describe
the corrective action(s) to rectify each identified non- conformance, assign responsibility to a specific
employee; and set a reasonable and appropriate target date for completion and close out of the
corrective action(s).

Effective and timely closeout of the findings raised during this Internal Audit is important for the
continual improvement of existing OSHMS prevalent in Gulf Tissue Paper Factory.

Prepared by ……………………………………………………
AJITH KUM
Operations Manager

Reviewed by:……………………………………………….
ENGR. AHMED OMER
Production Manager