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EHS-PG-004 Controls, Monitoring, Measurements Mgmt Rev. 1

Tables of content

1. A i m ............................................................................................................................. Error! Bookmark not defined.

2. F i e l d o f A p p l i c a t i o n ................................................................................... Error! Bookmark not defined.
3. O p e r a t i n g M e t h o d s .................................................................................... Error! Bookmark not defined.
3.1 Non-Compliance (Finding)..........................................................................................................................................3
3.1.1 Management of Findings ...................................................................................................................................3
3.2 Corrective and Preventive Actions ............................................................ Error! Bookmark not defined.
3.3 Internal Inspections ......................................................................................... Error! Bookmark not defined.
3.3.1 Control Areas .............................................................................................. Error! Bookmark not defined.
3.3.2 Programme of the Internal Inspections ......................................... Error! Bookmark not defined.
3.3.3 Frequency of the Internal Inspections ............................................ Error! Bookmark not defined.
3.3.4 Implementation of the Inspection..................................................... Error! Bookmark not defined.
3.3.5 Auditors ......................................................................................................................................................................7
3.4 Inspections at sites........................................................................................... Error! Bookmark not defined.
4. Annual assessment of the procedure.......................................................... Error! Bookmark not defined.

Attachments

EHS.PG.004.Str01 Site Audit checklist

EHS-PG.004.Min02 Site Audit MoM

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EHS-PG-004 Controls, Monitoring, Measurements Mgmt Rev. 1

1. A im
The aim of this procedure is to:
• define how to carry out the Internal Inspections (VII) in order to guarantee the correct application of
the reference regulations and reach the objectives set by the Top Management;
• define how to carry out the audits at the sites, setting the guidelines for checking the application of
the Safety Plan on site, by the procedures of the EHS Manual and by possible procedures of the
Customer, in order to guarantee the application of suitable safety and environmental protection
standard in the service activities ;
• describe the management methods of Non-Compliance, of Corrective and Preventive Actions and of
the improvements implemented by the Organisation.

2 . A p pl i c at i on F i e ld
This procedure is applied to all the procedures of the Management System.
As concerns the site audits, this procedure is applied to the installation/service activities carried out at the
Principal's site. Included but not limited to, it is applied to the installation, revision, maintenance, supply,
construction, commissioning of machines and/or plants inside existing factories or production units to be
built.
Moreover this procedure is applied to the management of all case of Non-Compliance, Preventive and
Corrective Actions and improvements implemented by the Organisation.

3 . O pe r a t i n g P ro c e d u re s
3.1 Non-Compliance (Finding)
The case of Non-Compliance that can be found during the service activities can be caused by:
• non-compliance with the internal requirements of the Health and Safety Management System;
• claims by the clients;
• non-compliance of materials.
The cases of Non-Compliance are managed through the ATS, or equivalent systems (e.g. Action Lists). When
a NC occurs, the EHS Referee or the EHS/SER registers it into the ATS, specifying it is a case of NC.
The NCs are managed as reported in the following paragraph.

3.1.1 Management of Findings

The Findings of the audit are managed through the ATS (Audit Tracking System).
The type of finding can be:
• Regulatory: these are findings due to a non-compliance with one or more national, regional or local
regulations. The gap must be immediately solved or in any case within 30 days.
• Non-Regulatory: these are findings not due to a lack of regulations, but to non-compliance with the
processes described in the procedures.
Below is the initial window of the Audit Tracking System:

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The auditor fills the descriptive sheet of the Finding (included its root causes and the corrective action to
undertake), entering the name of the person Responsible for carrying out the corrective action and filling the
gap of the finding. .
The expiry date for the implementation is reminded to the owner by automatically generated e-mails.
The auditor ensures the real implementation of the corrective action.
The effectiveness is verified by the planning of a following audit or an analysis of metrics behind the audited
process. If the corrective action has not turned out to be effective, a new finding is opened.
On the basis of the data entered into the ATS it is possible to develop suitable metrics and check the outcome
of all the findings.
If, from the analysis of findings, process corrective actions arise, it is necessary to open a specific finding for
the process corrective action itself (ref. Finding non-regulatory).

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EHS-PG-004 Controls, Monitoring, Measurements Mgmt Rev. 1

3.2 Corrective and Preventive Actions

The corrective actions aim at removing the causes of Non-Compliance. They are implemented because of:
• non-compliance with the procedures;
• lack of instruction;
• findings and/or indications of the presence of “non compliance” (NC);
• Inspections (both internal and by third parties).
The preventive actions aim at preventing the causes of Non-Compliance. They are implemented because of:
• concern report;
• goals and objectives set in the Top Management Review;
• improvement actions set during the meetings of the committees (see Procedure Employees’
Involvement).
The Corrective and Preventive Actions are managed through the Audit Tracking System (paragraph 3.1.5).

3.3 Internal Inspections

The Internal Inspections are carried out by skilled staff (“Auditors”), possessing the appropriate technical
knowledge and suitable personal characteristics.
The Auditors have to be independent from the function subject to the inspection in order to guarantee the
objectivity of the verification itself.
The Internal Inspections of SGSS are carried out by the Top Management or by skilled staff appointed by the
Top Management itself.

3.3.1 Areas of Inspection

The Internal Inspection carried out on the Management System aims at ensuring:
• the compliance of the operational corporate reality with provisions/indications reported on all the
system documents;
• the verification of the compliance with the OHSAS 18001 requirements and of its effective
implementation;
• the compliance of the provisions/indications reported on the manual with the reference
regulations in force;
• the effective achievement of the commitments set by the policy.

3.3.2 Program of the Internal Inspections

Within Jan 31st of each calendar year, the RSGSS, the Field Service Leader, and the Turbomachinery Site
Operations Leader gather to plan the internal audit activities.
The planning of the activities is registered into the Compliance Calendar by the RSGSS.
In the space available for the foreseen audit date the Area / department / site subject to the inspection, the
process subject to inspection, the name of the owner of the inspected process and the name of the Audit
Team (that has be composed at minimum by one internal Lead Auditor, see §3.3.5).

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A copy of the planning is sent to the Field Services and Turbomachinery Site Operations Leaders for
approval. Once implemented, the activities are characterised as “carried out”, creating suitable metrics that
highlight how many planned audits have really been implemented on the planned date.
The date for audits is sent via e-mail to the involved people. The e-mails are automatically generated
through the Compliance Calendar.
Below is the window of the Compliance Calendar:

3.3.3 Frequency of the Inspections

The Internal Inspection must be carried out periodically to guarantee the compliance of the operational flow
with the corporate management system and the reference regulations.
Within one calendar year, a number of Internal Inspections has to be carried out in order to cover all the
applicable aspects of the regulation.
Extraordinary Internal Inspections will be carried out after detection of findings/major Non-Compliances or
changes that may have an impact on the management system. In this case, the Annual Programme is
revised and submitted to the Top Management for new approval.

3.3.4 Implementation of the Inspection

After the analysis of the process to be inspected, the Auditor defines the checklist and informs the involved
departments about the inspection programme.
After the inspection has been completed, the Auditor calls the closing meeting. During the meeting the
problems highlighted are discussed and the owner identified.

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EHS-PG-004 Controls, Monitoring, Measurements Mgmt Rev. 1

3.3.5 Auditors
The EHS Auditors, to be able to perform internal inspections, have to be qualified as follows:
• internal Lead Auditors – GE personnel with at least a biannual experience in EHS, had successfully
participated to a GE EHS Audit Skills course and a certified course for auditors under BS 18001:2007
OHSAS standard,
• internal Auditors – GE personnel with at least an annual experience in EHS and had successfully
participated to a GE EHS Audit Skills course,
• external Auditors – third party personnel certified as Lead Auditor IRCA/502 or equipollent.

3.4 Inspections at sites

The Site Manager is allowed, every time he assesses the need, to carry out his own audits at the site in order
to guarantee the implementation of appropriate safety and environmental protection standards in the
service activities, as well as the compliance with regulations and procedures applicable.
The Site Manager will carry out the inspection by using the specific checklist (ref. EHS-PG004.Str01), and
drawing up a final inspection report (EHS- PG004.Min02).
The inspection report has to include an objective analysis of the situation of the site and a following
coherent description of the identified corrective actions (precise identification of responsibilities and
maximum timing for the adjustment).
The report will be sent to the EHS Coordinator, the PM, the Technical Manager (if required), and to the Site
Managers of the Subcontracting Companies and to the Representative of the Principal. The original copy will
be kept in the site archive.
The Site Manager is allowed to use the form SCAR (EHS-PG.008.Frm03) to be forwarded to the Customer’s
Representative, in case of non-compliance or request of modification/improvement of responsibilities by the
Customer itself.
The audit outcomes concerning the Subcontracting Companies will be made known to the Site Manager of
the Subcontracting Companies during a specific meeting called by the Site Manager.

4 . A n n ua l A s se ss me n t o f t h e P ro c e d ure
The effectiveness of the procedure is assessed every year and whenever necessary.
The procedure is discussed every year at the EHS Committee meetings that analyze the points of strength
and weakness of the procedure as well as the results of the Corrective and Preventive actions, also taken in
the case of Non-conformities. The needs resulting from the assessment will be considered as the starting
point for a revision of the health and safety objectives.
The results of the annual assessment are used to update the procedure.
Any non-conformities are entered into the online system Gensuite and monitored until they are closed.

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 GE Oilas GS/TM Site Audit Checklist instructions
I. Ownership
EHS Manager.
II. Completing the Audit
Select 1,5 or 9 score as appropriate in column D
Insert comments and corrective actions in column F
If the question is not applicable, select "N/A".
If compliance is 95% or greater please select "9".
If compliance is greater than 70% and less than 95% select "5"
If the question is 70% or less, select "1".

III. Scoring
Each question is weighted equally
Desirable responses are scored green (9), middle scores yellow (5) and least desirable red (1).
An overall site score will be assigned based on % of total available points
If you are using the Excel Outage Safety Plan Audit Form, the scores will be automatically calculated.
If you are using the paper version of the Outage Safety Plan Audit form, calculate the scores using the tool below.
Score Calculator - Enter the audit results into the blue cells below. DO NOT EDIT OTHER CELLS.
Sum of
Audit # of Questions Total # Possible Calculated Audit
Section Scores Scored "N/A" Questions Score Score
1.0 Safety Files Score 10 90 0%
2.0 Health and Welfare Score 11 99 0%
3.0 Score 7 63 0%
Housekeeping and Waste Management Score 0%
4.0 7 63
5.0 PPE Use Score 6 54 0%
6.0 Work at Heights Score 13 117 0%
7.0 Electrical Safety Score 16 144 0%
8.0 Hand Tools and Electric Power Tools Score 6 54 0%
9.0 Safety - Welding and Burning Score 11 99 0%
10.0 Chemical Storage and Handling Score 6 54 0%
11.0 Excavation Score 6 54 0%
12.0 Motorized Equipment Score 4 36 0%
13.0 Cranes and Rigging Score 4 36 0%
14.0 Concrete and Masonry Score 7 63 0%
15.0 Confined Space Score 5 45 0%
16.0 LOTO Score 19 171 0%
17.0 EHS Programs Score 7 63 0%
Total Score 0 0 145 1,305 0%

To calculate the audit score without using excel:

Calculate the Possible Score per Section using the following equation: Possible Score = (Total # Questions - # Questions
Marked N/A) * 9
Calculate the Audit Score per Section using the following equation: Calculated Audit Score = Sum of Audit Scores /
Possible Score
Calculate the Total Audit Score using the following equation: (Sum of All Audit Scores) / (Sum of All Possible Scores) * 100
Scoring is as follows: 90% + 89 - 70% 69% -
IV. Score Results
Green Total Score Results - Communicate outcome of the audit including non-compliance items & discuss action plan
and corrective actions (if applicable) to the Project Manager and Site EHS Lead.
Yellow Total Score Results - Communicate outcome of the audit including non-compliance items and discuss action plan
and corrective actions (if applicable) to the Project Manager and Site EHS Lead. Contact EHS Representative OR Service
Manager to discuss audit findings and corrective action plan.
Red Total Score Results - Communicate outcome of the audit including non-compliance items and discuss action plan
and corrective actions (if applicable) to the Project Manager and Site EHS Lead. Contact EHS Representative AND
Service Manager to discuss audit findings and corrective action plan.
Page 1 of 1
 GE EHS 2 di 5
Oil and Gas GS/TM
EHS-PG.004.Str01 Site Audit Checklist Rev. 1

Site Name: Audit Date:

Project Title: No. of people:
Project Mgr: Site EHS Lead:
Auditor(s) Name(s): Site Contact Name:
Auditor(s) Title(s): Site Contact Title:
Total Audit Score: 0%

Audit Date
# Question Comments and Corrective Action Due Date
Score Complete
1.0 Safety Files
1.1 Is the safety plan on file and accessible across the site?
Are weekly safety meetings held and are documented notes and attendance
1.2
rosters available?
1.3 Are weekly site inspections being performed and documented?
1.4 Are JSAs / Risk Assessments complete and up to date?
Are EHS policies and procedures, including customer requirements,
1.5
effectively communicated to Contractors and Subcontractors?
Is there a means of assigning responsibility for and tracking closure of open
1.6
compliance items?
1.7 Are GE Safety Orientation talks being performed and documented?
1.8 Are Toolbox Talks being performed and documented?
1.90 Has the initial site inspection been performed?
Has a contractor EHS review been completed for any subcontractors and
1.10
contractors?
Safety Files Score 0% Note: The score will not be accurately reflected until each question has been answered.
2.0 Health and Welfare
Are there an adequate number of toilets supplied to site. (>20employees =>
2.1
1 toilet per 40 workers; >200 employees => 1 toilet per 50)?
2.2 Are hand washing stations available on site?
Is drinking water available on site and distributed properly? (Note! Container
2.3
must be labeled, secured lid, and cups provided)?
2.4 Is there adequate lighting for non daylight operations?
2.5 Are all Industrial Hygiene hazards identified in the JSAs/Risk Assessments
Are activities identified in Question 2.5 above done by trained, qualified
2.6
and/or licensed contractors?
Are only qualified and trained employees allowed to install, adjust, and
2.7
operate laser equipment?
2.8 Does the site have a Security Plan available?
Does the site have an emergency data sheet maintained and posted and
2.9
where applicable an expat roster?
2.10 Where required are work hours being tracked?
If the site is located on a refinery or chemical plant was the trailer sitting risk
2.11
assessment completed?
Health and Welfare Score 0% Note: The score will not be accurately reflected until each question has been answered.
3.0 Emergency Preparedness and Prevention
Is there a site specific Emergency Response Plan (evacuation plan, etc) and
3.1
is it posted?
3.2 Are emergency contact numbers posted and verified?
3.3 Have on-site/off-site medical service providers been identified?
Have site personnel been trained in emergency procedures including
3.4
reporting and evacuation?
3.5 Are accident investigations conducted including near misses?
3.6 Have on-site trained first aiders been identified?
Is there a fire protection system or fire extinguishers posted on site and
3.7
offices and other buildings?
Emergency Preparedness and Prevention Score 0% Note: The score will not be accurately reflected until each question has been answered.
4.0 Housekeeping and Waste Management
4.1 Are work areas clear of tripping hazards and debris?
4.2 Are there designated disposal areas?
4.3 Have recycling previsions been taken?
4.4 Have approved waste vendors been identified?
Are regulated wastes (hazardous wastes and waste oil) shipped off site
4.5
using an approved licensed transporter to an approved licensed facility?
Are there adequate measures to prevent dirt on being transferred public
4.6
roads from the site?
4.7 Are overall site conditions acceptable?
Housekeeping and Waste Management Score 0% Note: The score will not be accurately reflected until each question has been answered.
5.0 PPE USE
5.1 Hardhats
5.2 Safety glasses with side shields
5.3 Boots/Safety shoes
5.4 Respiratory Protection
5.5 Hearing Protection
Is all other PPE identified by the Outage Safety Plan available and being
5.6
used where required? (Examples: Safety Vests, Fall Protection, Specialized
PPE Use Score 0% Note: The score will not be accurately reflected until each question has been answered.
6.0 Work at Heights
Are guardrails placed where necessary? (Note! tape with minimal 2 meters
6.1
(6.6 ft) clearance or ridged barricade with handrail and mid rail.)?
Are stairways with over 3 risers or ramps over 1.2 meters (4 ft) high
6.2
supplied with handrails?
Are ladders used as they are designed? (Note! Bifold used fully extended,
6.3
extension ladders extended 36” over landing and tied off)?
6.4 Scaffolds inspected and tagged accordingly?
Scaffolds work platforms fully decked with scaffold grade boards in good
6.5
condition?
6.6 Scaffolds erected on secure base and mudsills used on all surfaces?

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EHS-PG.004.Str01 Site Audit Checklist Rev. 1

Audit Date
# Question Comments and Corrective Action Due Date
Score Complete
Scaffold provided with handrail, midrail and toe boards when men exposed
6.7
underneath?
6.8 Scaffolds tied off when height exceeds four times the base?
Suspended Scaffolds equipped with independent lifelines, all systems
6.9 including scaffold, cables, outriggers, and counterweights designed set up
and inspected by a competent person?

Is personal Fall protection being used when exposed to heights over 1,8
6.10
meters and there are no stationary fall protection systems?
Personnel Platforms (Man baskets) used correctly, lift permits, inspection
6.11
reports, and prelift meetings?
6.12 Is personal fall protection inspected and in good condition?

6.13 Are all hole coverings marked, secured, and built correctly?

Work at Heights Score 0% Note: The score will not be accurately reflected until each question has been answered.
7.0 Electrical Safety
Have measures been taken to prevent the following from being within 3
7.1 meters (9.8 ft) (or 5 if voltage > 50 kV) of energized lines: scaffolding,
cranes, and other mechanized equipment?
Is all PPE compliant with NFPA 70E, inspected and where required tested
7.2
prior to use?

When grounding deenergized systems, are grounds placed as close as

possible to the work and is the following order followed when attaching
7.3
grounds: ground end shall be attached first, then the other end shall be
attached and removed by means of insulated?

Are GFCIs used (or an assured equipment grounding program) for all tools
7.4
and equipment?
Is temporary wiring either enclosed or in locations where they are not
7.5
subject to physical damage?
Are flexible cords and cables used in a manner which prevents trip hazards
7.6 and are protected from damage including pinch points, sharp edges and
vehicles?
Are cords and cables in good condition (not worn or frayed, grounding
7.7
plug)?
Are electrical cords of the heavy duty grounding type with three prong plugs
7.8
in place?
Are lights protected from breakage and not hung by their cords unless so
7.9
designed?
7.10 Are electrical disconnects identified and in a readily accessible location?

Are electrical installations in areas where there is a potential flammable

7.11
atmosphere approved as intrinsically safe?
Are battery and battery charging installations located in a ventilated area
7.12
and provided with containment?
If batteries require handling or refilling is proper PPE (aprons, goggles) and
7.13
eyewash/shower provided?
Are means of over current protection (circuit breakers) readily accessible,
7.14
clearly marked, and covered to prevent injury during their operation?

Are electrical cabinets, boxes and fittings provided with covers, with unused
7.15
openings closed and protected from the elements?
Are the requirements of NFPA 70E fully implemented, and all work in
7.16
compliance with this standard?
Electrical Safety Score 0% Note: The score will not be accurately reflected until each question has been answered.
8.0 Hand Tools and Electric Power Tools
Are all hand and power tools maintained in a safe condition with no cracks,
8.1
intact electrical cords/plugs, and operating switches?

8.2 Are electrical power tools double insulated?

8.3 Are all power-operated tools equipped with guards if so designed?
Are all points of operation of machines, abrasive wheels,
8.4
bench/floor/cylindrical grinders guarded?
Are hand tools free of damage i.e. mushroomed heads, cracked/splintered
8.5
handles?
8.6 Is Proper PPE being used with hand power tools?
Hand Tools and Electric Power Tools Score 0% Note: The score will not be accurately reflected until each question has been answered.
9.0 Safety - Welding and Burning
Is all welding and cutting being done with proper PPE? (Note: Shaded
9.1
safety glasses are not considered adequate protection)

9.2 Are Compressed gases stored correctly in work areas/points of use?

9.3 Are Hot Work permits being used issued according to site specific rules?

Is a Fire watch provided when burning or welding around flammables,

9.4
combustibles or when such materials may be impacted?
Is Each welding cart, or welding area, unit provided with an approved fire
9.5
extinguisher?
9.6 Have measures being taken to protect personnel from arc flashes?
9.7 Are all welding machines grounded properly?

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EHS-PG.004.Str01 Site Audit Checklist Rev. 1

Audit Date
# Question Comments and Corrective Action Due Date
Score Complete

During use are cylinders secured in an upright position and placed far
9.8 enough away from the cutting and welding activates that the flame, slag,
and sparks will not reach the cylinders?

Are cylinder valves shut off when not in use? If cylinders are not used for 24
9.9
hours are regulators removed and caps secured?

9.10 During transportation are cylinders turned off and secured with caps on?
Are O2 and acetylene regulators and fittings stored away from grease and
9.11
oils and in good working condition?
Safety - Welding and Burning Score 0% Note: The score will not be accurately reflected until each question has been answered.
10.0 Chemical Storage and Handling
10.1 Are MSDSs available on site? Are they accessible to employees?
10.2 Is a completed chemical inventory available?
10.3 Is proper labeling provided on all chemical containers?
10.4 Are there adequate storage provided for flammable solids and liquids?
Are preventative measures being taken to keep fuels from being spilt during
10.5
refueling?
Are controls in place to prevent hazardous chemicals being disposed of in
10.6
dumpsters or other unauthorized areas?
Chemical Storage and Handling Score 0% Note: The score will not be accurately reflected until each question has been answered.
11.0 Excavation
11.1 Is there a qualified excavation competent persons on site?
11.2 Are excavations inspected daily by a competent person?
11.3 Is there egress and access provided every 7.5 meters (24.6 ft)?
Is there adequate barricading provided around all sides of excavations and
11.4
trenches?
11.5 Are all heavy equipment prevented to traveling near the edge of trenches?
Are excavations >1.30 meters (4.2 ft) deep monitored for hazardous
11.6
atmosphere when in suspect?
Excavation Score 0% Note: The score will not be accurately reflected until each question has been answered.
12.0 Motorized Equipment
Reverse alarms audible on all bi-directional and obstructed view
12.1
equipment?
12.2 Barricading provided for all swing radius’s of operational equipment?
12.3 No equipment left running while unattended?
12.4 Are inspections conducted on aerial platforms and forklift trucks?
Motorized Equipment Score 0% Note: The score will not be accurately reflected until each question has been answered.
13.0 Cranes and Rigging
Are inspection records for lifting and hauling equipment available and up to
13.1
date?
Is all rigging stored in a safe manner so that it does not pose a tripping
13.2
hazard or can be damaged by the elements?
13.3 All rigging in good condition and found without damage?
13.4 Is a signal man available?
13.5 Safety latches provided and in good repair on hooks designed to use them?
13.6 Are loads left attended while hoisted?
13.7 Personnel not allowed under load?
13.8 Are all crane operators trained and qualified?
13.9 Are lift plans completed as required?
13.10 Are crane inspections completed, daily, monthly, annual?
13.11 Are forklift/other industrial truck operators trained?
Cranes and Rigging Score 0% Note: The score will not be accurately reflected until each question has been answered.
14.0 Concrete and Masonry
14.1 Are power trowels equipped with automatic shutoff devises?
Masonry saws, bushing, and chipping operation done with proper PPE.
14.2
(Note! Gloves, Ear protection, safety glasses, and face shield required)?

Reinforcing steel protected against impalement hazards? ( Note! Mushroom

14.3
caps not effective protection against implement hazards)

14.4 Limited access zones established during masonry wall construction?

14.5 Bracing adequate during wall construction?
14.6 Concrete buckets used in safe manor?
All sanding or finishing practices that produce concrete dust are done while
14.7
using respiratory protection?
Concrete and Masonry Score 0% Note: The score will not be accurately reflected until each question has been answered.
15.0 Confined Space
15.1 Are all confined spaces posted as such throughout the site?
Are permits for permitted and non- permitted confined spaces completed
15.2
and posted at space?
15.3 Hole watch provide for Permitted confined space's.
15.4 Is craft knowledgeable of site confined space procedures?
Are air samples documented and posted prior to enter into confined
15.5
spaces?
Confined Space Score 0% Note: The score will not be accurately reflected until each question has been answered.
16.0 LOTO
Are contractors and employees knowledgeable in LOTO plan and
16.1
procedures?
16.2 Is there a designated LOTO representative available on site?
Have all System Authorized Employees/LOTO Admin been reviewed to
16.3
ensure understanding of LOTO including verification step?

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EHS-PG.004.Str01 Site Audit Checklist Rev. 1

Audit Date
# Question Comments and Corrective Action Due Date
Score Complete
Do System Authorized Employees/LOTO Admin have access to locks and
16.4 tags? Do System Authorized Employees/LOTO Admin have access to
multiple lock adapters (hasps) and other specialized LOTO devices?
Do all LOTO Locks meet the following requirements: unique and distinct
16.5 from other locks used at site; used exclusively for LOTO, only one available
key?
16.6 Is the verification step completed for each LOTO?
16.7 Are the equipment specific procedures provided in the local language?
16.8 If testing is done, are correct procedures followed?
Are equipment disconnects identified for each piece of equipment under a
16.9
LOTO?
Are power panels and other energy control devices located at the floor level
16.10
or are otherwise accessible for LOTO?
16.11 Are LOTO clearances accessible?
16.12 Are keys controlled?
Are tags used unique to LOTO and some combination of red, white, and
16.13
black?
16.14 Are tags completed properly (LOTO No. Tag No., equip description, name)?
Have all System Authorized Employees/LOTO Admin received LOTO
16.15
training and refresher training which includes 'Try-Out' (verification step)?
16.16 Have all Affected Employees received LOTO awareness training?
16.17 Has contractor training been reviewed and documented?
16.18 Are weekly LOTO inspections conducted?
Is there a major Commissioning activity underway in which a
16.19
Commissioning Procedure has been developed?
LOTO Score 0% Note: The score will not be accurately reflected until each question has been answered.
17.0 EHS Programs
17.1 Are all persons on site trained for the tasks they are assigned?
17.2 Are training records maintained?
Describe and rate the cooperation between the contractor(s) and the GE
17.3
Project Team.
17.4 Describe the effectiveness of GE project EHS .

17.5 Discuss the relative number of safety problems on the project.

17.6 Discuss the resolution of the safety problems on site.

17.7 Discuss the auditor’s overall estimation of the safety of this project.
EHS Programs Score 0% Note: The score will not be accurately reflected until each question has been answered.

Total Audit Score 0% Note: The score will not be accurately reflected until each question has been answered.

Controlled copy only on EHS/SER website

Ge Property - Confidential
 GE EHS Page 1 of 1
Oil & Gas Global Operations/Turbomachinery - Field Activities Date 24/01/10
Management of Checks, Monitoring and
EHS-PG-004.Min02 Rev. 1
Measurements

Audit Report no. Site:

On ______________the undersigned______________, as _________________, carried out an on-

site inspection in order to verify the application of Safety Plan requirements, procedures of the EHS
Manual and procedures of the Contractor, to guarantee the application of suitable safety and
environmental protection standards in the service activities.

Those present were:

_________________________________ as ________________________________

_________________________________ as ________________________________

_________________________________ as ________________________________

REPORT OF THE INSPECTION CARRIED OUT (HIGHLIGHT NON-COMPLIANCES)

THE IDENTIFIED CORRECTIVE MEASURES ARE(SPECIFY RESPONSIBILITIES AND TIMELINES):

Signature of Auditor

Distribution List: GE Site Manager, EHS Specialist, Representative of the Contractor (if any),
Contractor Site Manager, all the participants in the meeting.

Controlled copy only on EHS/SER website

GE Property - Confidential