Appendix 2 - Hse Screening Questionnaire [PDF]

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Management of Health, Safety, Environment and Security Questionnaire 1

Leadership & commitment

2

Policy & strategic objectives

1.1

Leadership & commitment

2.1

Policy & strategic objectives

Management of the Company should provide strong, visible leadership and commitment, and ensure that this commitment is translated into the necessary resources, to develop, operate and maintain the HSES MS and to attain the policy and strategic objectives.

1.1.1

Do Managers participate in setting safety standards and measurable targets, and in establishing performance measurement systems and procedures?

Yes

No

There is a clearly stated policy and strategic objectives which take due account of legislation and industry practice, includes a commitment to continual improvement, and are communicated and understood by employees and contractors

2.1.1

Are there Plans to manage HSES? 1.1.2

1.1.3 1.1.4 1.1.5

Are legal requirements identified and addressed? 2.1.2

Do Managers allocate the necessary resources, such as time and money, to HSES matters? Are HSES matters placed high and routinely on the agenda of meetings, from the Board downwards? Do Managers communicate the importance of HSES considerations in business decisions?

2.1.3 2.1.4

1.1.8 1.1.9

2.1.6 Do Managers set a personal example in day to day work and make regular visits to the workplace? Are Managers actively involved in HSES activities, investigations, audits, reviews and corrective actions at both local and remote sites? Do Managers have knowledge of HSES management?

1.1.10 Do Managers follow HSES specialist advice? Is participation of staff at all levels encouraged, through 1.1.11 seeking views in development and energetically pursuing suggestions for improvement? 1.1.12 Do Managers promote a company culture conducive to good HSES performance? 1.1.13 1.1.14 1.1.15 1.1.16

Does the Policy include a commitment for continual improvement and prevention of pollution? Are Industry standards and other requirements recognised and reflected? Are Policies displayed at each location?

2.1.5

Do Management goals and objectives include HSES? 1.1.6

1.1.7

Are policies documented, available in appropriate languages, distributed to all concerned and available to other interested parties?

Are Policies read, discussed and understood by those affected with the intent that all parties know their individual obligations? Are Policies implemented?

2.1.7 Are Policies reviewed periodically? 2.1.8 Are Objectives communicated to relevant personnel and distilled into a programme to achieve them? 2.1.10 Are Employees involved in policy development, review and revision? 2.1.9

2.1.11 2.1.12 2.1.13 2.1.14 2.1.15 2.1.16

Please provide Evidence as indicated below:

Annual Management Review of HSE Performance

Please provide Evidence as indicated below:

Corporate HSE Polices Annual HSE Objectives Annual HSE Key Performance Indicators Annual HSE Performance targets

Yes

No

Management of Health, Safety, Environment and Security Questionnaire 3 3.1

Organisation, Resources and Documentation Organisational structure & responsibilities There is Organisational structure in place for HSES management and HSES responsibilities are incorporated into job descriptions and performance contracts.

Yes

4

Evaluation & risk management

4.1

Identification & evaluation of risk

No

Risks Assessments are carried out to identify and assess the risks to people, assets and the environment arising from operations.

3.1.1

Are HSES responsibilities included in individual job descriptions?

4.1.1

Are documented procedures established for the ongoing identification of hazards, assessment of risk and implementation of necessary control measures?

3.1.2

Are HSES responsibilities included in working documents (manuals, procedures, bridging documents) where appropriate?

4.1.2

Are documented procedures established and maintained for the ongoing identification of environmental impacts (positive and negative impacts)?

3.1.3

Is the principle that HSES is the responsibility of everyone communicated and promoted?

4.1.3

3.1.4

Do individuals have HSES performance goals?

4.1.4

3.1.5

Is individual and team HSES performance included in staff performance reviews?

4.1.5

3.1.6

Are responsibilities of contractors documented, communicated and understood?

4.1.6

3.1.7

Is good HSES performance recognised through merit award system/promotion decisions?

4.1.7

Do evaluations provide a description of measures to control and monitor the risks? Do risk assessments identify and access legal and other requirements? Are evaluations recorded?

Are identified actions followed up?

Are evaluations reviewed at a predetermined time or in a period commensurate with the magnitude of risk and the frequency of any changes in operation? Are hazard registers established and maintained?

3.1.8

4.1.8

3.1.9

4.1.9

3.1.10

4.1.10

3.1.11

4.1.11

3.1.12

4.1.12

3.1.13 3.1.14 3.1.15

4.1.13 4.1.14 4.1.15

3.1.16

4.1.16 Please provide Evidence as indicated below:

HSE Organogram HSE Performance Recognition Scheme

Are employees involved in the assessment process and do they have access to hazard information?

Please provide Evidence as indicated below:

Hazard Register Health Case Safety Case Environmental Case

Yes

No

Management of Health, Safety, Environment and Security Questionnaire 5

Planning

6

Implementation and Monitoring

5.1

Asset integrity

6.1

Incident reporting & follow-up

Availability and reliability is considered in design and operation of facilities and assets. Regular preventative maintenance regimes are in place for key pieces of plant.

Yes

No

There is a procedure for incident reporting, and development of corrective action. This system is used and performance in incident reporting and investigation is subject to regular review.

Is a safe working environment maintained? 5.1.1

6.1.1

Is there a procedure in place for reporting and investigation of all accidents and incidents? Are all incidents (including near miss reports) investigated at a level of detail appropriate for the severity or potential severity of result?

5.1.2

Are there appropriate routine inspection and maintenance schedules carried out for all HSES related equipment?

6.1.2

5.1.3

Is all engineering design to the "fail-safe" philosophy as a standard?

6.1.3

5.1.4 5.1.5

Is preventative maintenance conducted where appropriate? Is deviation from approved design practises and standards permitted only after review and approval by designated personnel / authorities?

Are all unsafe acts and conditions reported?

6.1.5

Is a logical process followed to identify incident root causes? Are corrective and preventive action plans set following an incident investigation?

6.1.4

5.1.6

Are lessons from HSES audits used to improve design and operation?

6.1.6

Do incident investigations include all personnel involved in the incident?

5.1.7

Is particular emphasis placed on safety in design to eliminate risks at source?

6.1.7

Are records regularly reviewed and analysed to identify trends and incident frequencies?

6.1.8

Is there regular management review of incident data leading to continual improvement activities?

5.1.8

5.1.10

Is the effectiveness of actions confirmed through review of risk assessment? Are all changes communicated to relevant personnel? 6.1.10

5.1.11

6.1.11

5.1.12

6.1.12

5.1.13 5.1.14 5.1.15

6.1.13 6.1.14 6.1.15

5.1.16

6.1.16

5.1.9

6.1.9

Please provide Evidence as indicated below:

Please provide Evidence as indicated below:

Accident Reporting and investigation process Area Safety Inspection Report Corrective Action Register

Yes

No

Management of Health, Safety, Environment and Security Questionnaire 7

Auditing & reviewing

7.1

Auditing & reviewing An plan is in place for audit and review of HSES arrangements. Audits and reviews are conducted according to appropriate standards, to time and with management participation. Audit reports are generated and corrective action plans are developed from audit findings.

7.1.1

Are there procedures in place for the periodic review of the HSES MS?

7.1.2

Are audits carried out according to a planned programme and schedule, covering all areas of the operations and all elements of the HSES MS?

7.1.3

Are auditors independent from the area being audited, have the necessary expertise to audit and have specialist advice available?

7.1.5

Do audit findings allow corrective actions to be taken within an agreed action plan? Are all actions initiated and completed in a timely manner and monitored for effective implementation?

7.1.6

Are audit findings published and discussed with personnel in work area and at safety meetings?

7.1.4

7.1.7

7.1.8

Do audits use a variety of enquiry techniques (e.g. checklists, questionnaires, interviews, measurements and direct observation)? Are lessons from audits used to improve design and operation?

7.1.9 7.1.10 7.1.11 7.1.12 7.1.13 7.1.14 7.1.15 7.1.16 Please provide Evidence as indicated below:

Annual HSE Performance Report

Yes

No