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HSE Management System Template

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HSE Management System

Azure Clouds Inc. / 23 Aug 2022 / Adolpho De Paz Complete

Score 76.67% Flagged items 0 Actions 4

Client / Site  

Azure Clouds Inc.

Nevada, USA
Location
(38.8026097, -116.419389)

Conducted on 23.08.2022 16:12 PST

Prepared by Adolpho De Paz


Actions 4 actions

Section 1 / Section 1 - HSE Management / Responsibilities

Are health and safety responsibilities clearly identified for all


No
levels of staff?

While we know certain emergency procedures, we don't know the whole list of health and safety
responsibilities for all cases.

To Do | Priority High | Due 30.08.2022 16:19 PST | Created by SafetyCulture Staff

Educate staff on health and safety responsibilities

Section 1 / Section 1 - HSE Management / HSE Consultation

Is there a workplace HSE committee or regular meetings


conducted with employees (e.g. safety meetings, tool box talk No
etc.)?

Meetings are not done regularly, and when they are, employees are not involved.

To Do | Priority Medium | Due 30.08.2022 16:21 PST | Created by SafetyCulture Staff

Conduct more meetings and make sure to involve employees

Section 1 / Section 1 - HSE Management / HSE Consultation

Are employees involved in decision making over HSE matters? No

To Do | Priority Medium | Due 30.08.2022 17:16 PST | Created by SafetyCulture Staff

Conduct more meetings and make sure to involve employees

Section 1 / Section 1 - HSE Management / Hazard Management

How does your organization communicate hazards to your


No
employees and your sub-contractors?

We communicate via calls and texts, but we sometimes can't connect to them.

To Do | Priority Low | Due 30.08.2022 17:20 PST | Created by SafetyCulture Staff

Look into more digital ways of communicating


Section 1 4 actions, 78.57%  

 
Section 1 - HSE Management 4 actions, 78.57%

 
HSE Overview 100%

Does your organization have a written HSE Policy? Yes

Does your organization have an HSE Managment System? Is it


certified by a recognized independent authority. If so what Yes
was the latest result.

 
Responsibilities 1 action, 0%

Are health and safety responsibilities clearly identified for all


No
levels of staff?

While we know certain emergency procedures, we don't know the whole list of health and safety
responsibilities for all cases.

To Do | Priority High | Due 30.08.2022 16:19 PST | Created by SafetyCulture Staff

Educate staff on health and safety responsibilities

 
HSE Consultation 2 actions, 33.33%

Is there a workplace HSE committee or regular meetings


conducted with employees (e.g. safety meetings, tool box talk No
etc.)?

Meetings are not done regularly, and when they are, employees are not involved.

To Do | Priority Medium | Due 30.08.2022 16:21 PST | Created by SafetyCulture Staff

Conduct more meetings and make sure to involve employees

Are employees involved in decision making over HSE matters? No

To Do | Priority Medium | Due 30.08.2022 17:16 PST | Created by SafetyCulture Staff

Conduct more meetings and make sure to involve employees

Does your organization have a HSE representative? Have they


Yes
received HSE training?

How does your organization identify and communicate HSE


N/A
issues (e.g. legislative, regulatory, industry)?

We report cases, hazards, and risks to the HSE representative and leaders. However, they are not
written down for documentation after.
 
HSE Management System 100%

Is a documented Job Safety & Environmental Analysis (JSEA)


conducted prior to commencement of a job (i.e. risk Yes
identification, assessment, control and review procedures)?

Does your organization have a permit to work system (e.g.


Yes
Hot Work, Confined Space, etc.)?

Does your organization have a process for the selection,


assessment, monitoring and review of sub-contractors that Yes
incorporates HSE requirements?

Do you have procedures in place for the maintenance &


inspection of plant equipment owned and/or operated by your
organization (e.g. front end loader/backhoe, excavator, Yes
compressor, borer, electrical equipment, fire-fighting
equipment, forklift, etc.)?

Do you have procedures for selection, use, storage, handling,


spill management & disposal of hazardous substances and
Yes
dangerous goods (e.g. corrosives, poisons, flammable liquids
and gases, etc.)?

Do you have procedures for identifying, assessing and


controlling risks associated with manual handling (e.g. Yes
controls in place - hand trucks, forklifts, cranes, etc.)?

Does your organization have procedures to prevent & reduce


Yes
environmental emissions & damage?

Do your environmental procedures address containment and


Yes
recovery processes?

Does your organization have emergency response plans


and/or management process? (e.g. fire, medical emergencies, Yes
environmental issues, etc.)?

Does your organization conduct regular HSE audits of your


Yes
HSE Management System by external parties?

 
Hazard Management 1 action, 66.67%

Is there a process by which employees can report hazards at


workplaces (and potential health, safety & environmental Yes
hazards)?

Does this process involve a regular Hazard Register? Yes

How does your organization communicate hazards to your


No
employees and your sub-contractors?

We communicate via calls and texts, but we sometimes can't connect to them.
To Do | Priority Low | Due 30.08.2022 17:20 PST | Created by SafetyCulture Staff

Look into more digital ways of communicating

 
HSE Training & Induction 50%

Are records maintained of all training (certificates & licenses)


and induction programs undertaken for employees (existing Yes
and new employees) in your organization?

How does your organization plan to manage inductions for


N/A
personnel involved in projects with ISS?

Is there other specific HSE training for employees? No

 
HSE Workplace Inspection 66.67%

Does your organization have a process for regular (e.g.


Yes
weekly, monthly) HSE inspections at worksites?

Weekly and monthly

Are standard workplace inspection checklists used to conduct


Yes
health, safety and environmental inspections?

How is information presented to stakeholders (i.e. workers,


No
management, clients, etc.)?

Via discussions and meetings. However, employees are often not included.

 
Incident Management 100%

Is there a documented incident management and


Yes
investigation procedure?

Is there a system for the notification of incidents to


Yes
regulatory agencies?

Is there a system for investigating incidents to determine root


causes? Does the system identify and implement appropriate Yes
corrective actions?

 
HSE Offences 100%

Has the organization had any enforcement activity or been


convicted for a HSE offense in the past 3 years (e.g. No
improvement/prohibition notices, etc.)?

We are a new company, but we also don't have any offenses


Section 2 50%  

 
Section 2 - HSE Performance Monitoring & 50%
Statistics
 
Performance Monitoring 50%

Is there a system for recording and analyzing HSE


Yes
performance statistics?

Are employees regularly provided with information on your


No
HSE performance?

 
Current Days Away/Restricted or Transfer (DART)  
Rate and DART Rate for previous 3 Years

Current Year  

2022: None yet, as the year is ongoing and we are a new company. There is no previous record.

Year 1  

N/A

Year 2  

N/A

Year 3  

N/A

 
Current - YTD Number of First Aid Injuries and for  
previous 3 Years

Current Year  

2022: None yet, as the year is ongoing and we are a new company. There is no previous record.

Year 1  

N/A

Year 2  

N/A

Year 3  

N/A
 
Total Recordable Incident Rate (TRIR) for current  
year and previous 3 Years

Current Year  

2022: None yet, as the year is ongoing and we are a new company. There is no previous record.

Year 1  

N/A

Year 2  

N/A

Year 3  

N/A

 
Number of Environmental Incidents &
Non-Compliances for current YTD and previous 3  

Years

Current Year  

2022: None yet, as the year is ongoing and we are a new company. There is no previous record.

Year 1  

N/A

Year 2  

N/A

Year 3  

N/A
Summary    

 
Summary/Grading  

ACCEPTABLE - Has met all


Final Rate minimum requirements

There is improvement in incident handling and rates, but the lack of employee involvement in
documentation, recordkeeping, and information-sharing is not a good thing. Employees need to be
involved more in all things HSE.

 
Completion  

Click + to add people involved in the HSE process

 
People Involved  

People Involved 1    

Full Name and Signature  

Adolpho De Paz
23.08.2022 17:39 PST

People Involved 2    

Full Name and Signature  

Vinicio Peno
23.08.2022 17:39 PST

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