Process Based EMS Audit Checklist Process Being Audited Lead Auditor Auditor

Audit Date(s) Shift(s) Audited (circle) 5)

1st 3rd

2nd

Significant Aspects in Process 1) 2) 3) 4) Wastes / ec!cled Materials in Process 1) 2) 3) 4) Legal e"uire#ents in Process 1) 2) 3) 4) E#plo!ees $nter%ie&ed 1) 2) 3) 4) 5) 6) 7) 8)

5)

5)

Ele#ent 4.2/4.4.3

4.3.1/4.5.4

e"uire#ent Are employees working in process aware of t e !"# $olicy% #ignificant Aspects in process% $oll&tion $re'ention acti'ities in t e process% (s t e policy a'aila)le to employees in process% *a'e aspects in process )een identified% Air+ ,ater+ ,aste+ -at&ral .eso&rces% / eck aspects in'entory. *a'e legal and ot er re0&irements )een identified in t e process% Are employees aware of t ese re0&irements%

'otes/E%idence e%ie&ed

4.3.2

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Process Based EMS Audit Checklist Process Being Audited Lead Auditor Auditor

Audit Date(s) Shift(s) Audited (circle)

1st 3rd

2nd

Ele#ent 4.3.3

4.3.3/4.4.3 4.4.2 4.4.2/4.5.4 4.4.3

e"uire#ent 1oes t is process a'e any impact on t e doc&mented o)2ecti'es 3 targets% Are t ese acti'ities )eing controlled% Are employees aware of t ese programs% Are employees aware of c&rrent en'ironmental 4)2ecti'es 3 5argets% *a'e en'ironmental training re0&irements )een identified for employees in t is process% , ere% 6erify records of training for select employees *ow is en'ironmental information comm&nicated to employees% (s t is process proacti'e or reacti'e% *ow do employees access !"# proced&res and work instr&ctions% Are any ard copies at t e point of &se% Are ard copies t e c&rrent re'ision n&m)er% Are t ere any en'ironmental work instr&ctions t at apply in t is process% 7ist t ese work instr&ctions8 $ick select work instr&ctions to a&dit. Are containers properly la)eled% Are recycled materials properly managed in t e process% *ow is energy controlled wit in t e process% !lectricity -at&ral 9as /ompressed Air (s any e0&ipment leaking% *ow are leaks )eing controlled / repaired% Are spill materials a'aila)le%

'otes/E%idence e%ie&ed

4.4.5

4.4.6

4.4.6 4.4.6 4.4.6

4.4.6 /4.4.7

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Process Based EMS Audit Checklist Process Being Audited Lead Auditor Auditor

Audit Date(s) Shift(s) Audited (circle)

1st 3rd

2nd

Ele#ent 4.4.6 / 4.4.3

e"uire#ent Are employees aware t at air leaks are an en'ironmental aspect% Any air leaks o)ser'ed% *ow are air leaks reported and repaired% ,ork (nstr&ction :18;;;;;;;;;;;;;;;;;;;;;;;;; Are records maintained% (s e0&ipment cali)rated% ,ork (nstr&ction :28 ;;;;;;;;;;;;;;;;;;;;;;;;; Are records maintained% (s e0&ipment cali)rated% ,ork (nstr&ction :38 ;;;;;;;;;;;;;;;;;;;;;;;;; Are records maintained% (s e0&ipment cali)rated% Are employees aware of emergency response proced&res% #pills+ fire e'ac&ation+ se'ere weat er% (s emergency response e0&ipment maintained% <ire e=ting&is ers+ spill kits+ *a'e any emergency drills )een performed% , en% , at type% 1oes any e0&ipment &sed to monitor significant aspects re0&ire cali)ration% (f so+ is cali)ration c&rrent% *ow are legal re0&irements periodically e'al&ated in t is process%

'otes/E%idence e%ie&ed

4.4.6 /4.5.1/ 4.5.4 4.4.6 /4.5.1/ 4.5.4 4.4.6 /4.5.1/ 4.5.4

4.4.7

4.4.7 4.4.7 4.5.1 4.5.2

8ther 'otes6

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Process Based EMS Audit Checklist Process Being Audited Lead Auditor Auditor

Audit Date(s) Shift(s) Audited (circle)

1st 3rd

2nd

Ele#ent

e"uire#ent

'otes/E%idence e%ie&ed

Audit Su##ar! 9 Positi%es, 8pportunities for $#pro%e#ent, Weaknesses

'ote6 :his checklist is not designed to e%aluate all EMS ele#ents and planned arrange#ents5 :his checklist should ;e used as a portion of !our internal audit progra#5

Su##ar! of <indings <inding <inding 'u#;er

'C or 8<$

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Process Based EMS Audit Checklist Process Being Audited Lead Auditor Auditor

Audit Date(s) Shift(s) Audited (circle)

1st 3rd

2nd

Signatures6 7ead A&ditor8;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; 1ate8;;;;;;;;;;;;;;;;

"anagement .epresentati'e8;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; 1ate8;;;;;;;;;;;;;;;;

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