EHS Documentation Template

Pretesh Biswas Uncategorized July 6, 2019August 5, 2022 30 Minutes

The following EHS document templates (toolkits) are provided totally complimentary, free of charge to use as a starting point for ISO 14001:2015 and 45001:2018 compliance. These are the actual EMS documents currently in use for compliance with ISO 14001:2015 and 45001:2018 requirements. As each business is different, additional EHS documents or revisions would be required to meet your organization’s specific needs, requirements, context, risk profile, etc. If after reading through all of these documents, you feel like you still need a consulting partner to help you develop your new EHS documents – Contact Us. We’re always looking for interesting new clients and projects.

Aspects And Impacts Analysis Register

Overriding Criteria

Criteria

Total

Activity

Sr.No.

Activity

Aspect

(R – O – A)

IPC

Impact

( S* SE*P*DU *DE)

Significant or Non-Significant

Proposed Controls

HAZARDS AND RISKS ANALYSIS REGISTER

Activity No.	Process / Activity	Nature Of Activity R/NR/E	Hazard	Likely Hazardous Incidence/ Situation	Risk Involved	Current Risk Control System	Risk Analysis	Risk Factor (AXB)	Is Risk Tolerable	If No, Proposed Risk Control System
Likelihood Of Occur (A)	Severity Of Consequence (B)

SIGNIFICANT ASPECTS AND IMPACTS ANALYSIS REGISTER

				Overriding Criteria
Sr.No.	Activity	Aspect	(A-O-P-R-C)	LC	IPC	Impact	Controls
							.
							.
							.
							.
							.
							.
							.
							.
							.

SIGNIFICANT HAZARDS AND RISKS ANALYSIS REGISTER

Nature Of Activity R/NR/E	Hazard	Likely Hazardous Incidence/ Situation	Risk Involved	Current Risk Control System	Is Risk Tolerable	If No, Proposed Risk Control System

Targets and Objectives

Sr No	Description of Objectives	EHSMP Description	MP No, Rev No & Date	Present Status	Set Target	Time Frame	Derived From

Training Plan for the year 2019

Sr. No

Training Topic

Target Group

Jan19

Feb19

Mar19

Apr19

May19

Jun19

Jul19

Aug19

Sep19

Oct19

Nov19

Dec19

Awareness Training on EOHS Management System.

All employees

Awareness Training on EOHS Policy

All employees & Workers

Awareness Training on Environmental Legal & Other requirements

Core Team Members

Awareness Training on OH&S Legal & Other requirements.

Core Team Members

Identification of Aspects & Impact & Evaluation of Environmental aspects.

Core Team Members

Awareness Training on Significant Aspects

Core Team Members

Identification of Hazard, Risk & Risk assessment

Core Team Members

Awareness of Significant Hazard

Core Team Members

Awareness of EOHS Objectives.

All employees & Workers

Roles, responsibility & authority for effective implementation of EOHS Management System.

Core Team Members

Communication with Interested parties

Security

Awareness Training on Operational Control procedure.

Respective personnel from all areas

Awareness training on Mock Drill

All employees including workers & Interested Parties

Awareness training on safety requirement in shop floor during handling of product & Specific requirements

Employees & Workers

Fire Fighting

ERT

First Aid

ERT

Emergency Preparedness & response

ERT

Awareness of Handling Chemicals & Oils including Haz waste

Respective personnel

Awareness of Material safety data sheet.

Respective personnel

Hazardous waste Handling, storage & disposal

Personnel involved in Haz waste handling

Waste Management

Workers

Storage of oil barrels & used oils.

Workers

Spillage management

ERT

Identification of environmental Non-conformities.

Supervisors / ERT

EOHS Internal Auditors Training

Core Team Members

Fork Lift Maintenance

Maintenance

Machine maintenance & Handling of different waste

Maintenance

Scrap Handling, storage & Maintenance of scrap.

Workers

Master List of waste

Non-Hazardous Waste ( General Waste)	Hazardous Waste
Sr. No	Category	Name of Waste	Department	Sr. No	Category	Name of Waste	Department
1	Paper	Corrugated Boxes	QA, PDN, PUR		Oil	All type of Used Oil	PDN, QA, MNT,
2	Toilet Paper	Admin			Used coolant	PDN, Tool Room, SNS, PAD/MFD Machine Shop
3	Old Records	All Depts.			Grease	Maint, Production
4	Waste paper & carbon	All Depts.			Oil soaked Gunny Bags	Maint, Production
5	Packing boxes etc.	QA, PDN, PUR			Oil soaked cotton waste & hand gloves, Cotton Rags	All Depts
6	Plastic	Packing material of welding rods	Tool Room			Oil filters	Maint
7	Plastic Articles, Cans	All depts.			Empty oil container	MNT, STR, QA, SNS, Tool Room
8	Empty water bottle	ALL			Paint Cans	Shipping, Maintenance, QA, Prod
9	Waste PP belt of packing	PDN,			Used Brushes	Production, Maintenance, TRM, QA
10	Broken Plastic Bins	STR			Oil Soaked Scrap	Maintenance, Production, QA, HT
11	Ferrous	Metal Flash	Production			Phosphating Chemicals	Production, QA
12	Metal End Pieces	SNS			Empty paint marker, permanent marker etc.	STR,PDN,QA
13	Forgings	QA
14	Turning Burr & Boring Burr	Tool Room, SNS
15	Welding rods	Tool Room
16	Used tooling	Tool Room, Maint
17	Maintenance scrap
18	Non Ferrous	Gun Metal Parts	Maintenance
19	EDM Wire	Tool Room
20	Stainless Steel	Metal Flash	Production			HCL Acid	QA Lab
21	Metal End Pieces	SNS			Ceramic Wool	HT
22	Forgings	QA			Choke, Ultra violate lamp, Tube light, all types of bulb, Cells	All Depts
23	Turning Burr & Boring Burr	Tool Room, SNS			Carbon paper, Printing ribbon, Toner cartridge	All Depts
24	Maintenance scrap	Maintenance			Magnaflux Powder	QA, Production
25	HRC Trays	Heat Treatment			Oil Based Die Lubricant	Production
26	Wood	Waste boxes of waste packing material	PDN, PUR			Water Based Die Lubricant	Production
27	Garden Waste	Admin
28	Waste packing material	PDN, QA

HSE INDUCTION TRAINING

General Information
Inductee Name:	Position:	Induction Date:
Topics to be discussed
S/N	Description	Yes	No	Remarks
1	Project Description
2	Company HSE Policy
3	Induction of Key Personnel
4	Site Layout and Welfare Facility
5	Site Rules (e.g. Drugs, alcohol & smoking policy, different signage’s, wearing PPE’s, avoid wearing pieces of jewelry, etc.)
6	Site Specific Hazards/ Risks/ Near Miss
7	Risk Assessment
8	Responsibility for accident prevention and the maintenance of a safe & healthful work environment
9	Work Permits
10	Environment and Waste Disposal
11	Emergency Procedures (alarm system, first aid box, assembly point, evacuation plan, escape routes, fire warden, first aider)
12	Employee and Supervisor for Reporting Accident
13	Vehicle on Site (Traffic Management)
14	Relevant and Applicable Laws

INCIDENT REPORT AND INVESTIGATION

Contract No	Project Name	Location
Prepared by [HSE Rep]:	Report No:	Date of Report:

TYPE OF INCIDENT (check all that apply)
Injury/ Illness	Vehicle Damage	High Potential (Near Miss)	Quality	Fire
Spill/ Release	Property Loss/ Damage	Permit or equivalent. Exceed	Security	Other

GENERAL INFORMATION
Company or subcontractor Name (s):
Date of incident:	Day of Week:	Time:
Supervisor on duty:	Phone:	Supv. On Scene?	Yes/No
Location of incident:
Weather/ Lighting Conditions:

DESCRIBE WHAT HAPPENED (step by step, use additional pages if necessary)

1. What was the employee doing, or what was happening, just before the incident occurred? Describe the activity, as well as the equipment, tools, or materials in use. Be specific, e.g., “Climbing a ladder while carrying tools” or “Driving near the parking area.”

2. What happened? What was the contact or event and how did it occur? E.g., “When the ladder slipped on the wet floor, the employee fell 20 feet” or “was distracted by a bee, swerved off the right side of the road and struck the stop sign”

IMMEDIATE CORRECTIVE ACTIONS (use additional pages if necessary)

AFFECTED EMPLOYEE INFORMATION (include injured person or employees whose activities resulted in the incident)
Name:		Male/Female	Company:
Home Address:
Date of Birth:		Home Phone#:
Job Classification:		Years in job classification:
Time Employee began work:	Date of Hire:
Did the incident relate to routine task for job Classification?	Yes	No

INJURY/ ILLNESS INFORMATION
Nature of the injury or illness (Body part affected and how it was affected, e.g. strained back):

Object/ Equipment/ Substance causing harm:
First Aid Provided:	Yes/No	If Yes, Where?	On-Site	Off Site
If Yes, who provide first aid?
Will the injury/ Illness result in:	Restricted Duty	Lost Time	Unknown

TREATMENT OR EVALUATION INFORMATION (Attach Provider’s Report/Statement)

Was the treatment or evaluation provided? Yes /No First Aid Evaluation Medical Treatment

If yes, where? On-Site Dr.’s Office Hospital Others:

Name of persons (S) Providing treatment or evaluation:

Address where treatment or evaluation was provided:

Type of treatment or evaluation:

Was the employee hospitalized overnight? Yes/No

PROPERTY LOSS OR DAMAGE INFORMATION

Property or Vehicle involved? Yes/No

Description of loss or damage:
Estimated KWD Lost:

SPILL OR RELEASE INFORMATION
Substance spilled or released:	From Where:	To Where:
Estimated quantity/Duration:
The reportable quantity (RQ): RQ Exceeded? Yes/ No
Released to Water of State? Yes/No CERCLA Hazardous Substance? Yes.No
Response action is taken:

PERSONS PREPARING REPORT (Employee and Supervisor to Complete Report)
Employee’s Name:	Signature:	Date:
Employee’s Name:	Signature:	Date:
Employee’s Name:	Signature:	Date:

PERSONNEL NOTIFIED (Notify Health and Safety Representative Immediately)
ORGANIZATION	NAME (S)	DATE/TIME
HS Department Head
Project Manager


Received by [HS Rep] :		Date/Time:
Serious Incidents require immediate notification to the Corporate Safety Department. Fatalities or hospitalization (admittance) of three or more individuals requires notification to OSHA within 8 hours. Contact the Safety Manager to make the notification. If unavailable, the senior operations person on site should make the notification.

INCIDENT SKETCH

Write in street names and, if possible, the points of the compass.
If a sketch appears on a police report or insurance form, this need not be completed. Attach the other report.

GENERAL INFORMATION
Company:		Date of Incident:	Date of Investigation Report:
Incident Cost:		Estimated: KWD	Actual: KWD
OSHA Recordable:	Yes/No	# Restricted days:	# Days away from work:
Was the activity addressed in an AHA? :	Yes (attach a copy)	No

CAUSE ANALYSIS

IMMEDIATE CAUSE- What actions and conditions contributed to this event? (See examples on next pages)

BASIC CAUSES- What specific personal or job factors contributed to this event? (See examples on next pages, use SCAT chart for guidance)

ACTION PLAN
REMEDIAL ACTIONS- What has been and/ should be done to control the causes listed? If applicable, include management program (see attached list) for control of incidents.
ACTION	PERSON RESPONSIBLE	TARGET DATE	DATE COMPLETED	VERIFIED BY

PERSONNEL PERFORMING INVESTIGATION
Name: (Print)	Signature:	Date:
Name: (Print)	Signature:	Date:
Name: (Print)	Signature:	Date:
Name: (Print)	Signature:	Date:

REVIEW AND APPROVAL
HS Dept. Head:	Signature:	Date:
Comments:
Project Manager:	Signature:	Date:
Comments:
Operations Manager:	Signature:	Date:
Comments:
NOTE: Attach additional information as necessary, i.e. pictures, statements, etc.

EXAMPLES OF IMMEDIATE CAUSES

Substandard Actions

Substandard Conditions

1.Operating equipment without authority

2. Failure to warn

3. Failure to secure

4. Operating at an improper speed

5. Making safety devices inoperable

6. Using defective equipment

7. Failure to use PPE properly

8. Improper loading

9. Improper placement

10. Improper lifting

11. Improper position for the task

12. Servicing equipment in operation

13. Horseplay

14. Under the influence of alcohol/drugs

15. Using equipment improperly

16. Failure to follow the procedure

17. Failure to identify hazard/risk

18. Failure to check/monitor

19. Failure to react/correct

1. Inadequate guards or barriers

2. Inadequate or improper protective equipment

3. Defective tools, equipment, or materials

4. Congestion or restricted action

5. Inadequate warning system

6. Fire and explosion hazards

7. Poor housekeeping/disorder

8. Noise exposure

9. Exposure to radiation

10. Exposure to temperature extremes

11. Inadequate or excess illumination

12. Inadequate ventilation

13. Presence of harmful substances

14. Inadequate instructions/procedures

15. Inadequate information/data

16. Inadequate preparation/planning

17. Inadequate support/assistance

18. Inadequate communications hardware/software/process

19. Road conditions

20. Weather conditions

EXAMPLES OF BASIC CAUSES

Personal Factors

Job Factors

1. Inadequate physical/physiological capability

2. Inadequate mental/physical capability

3. Physical or psychological stress

4. Mental or psychological stress

5. Inadequate training or lack of knowledge

6. Lack of skill or qualifications

7. Improper motivation

8. Abuse or misuse

1. Inadequate leadership/supervision

2. Inadequate engineering

3. Inadequate purchasing

4. Inadequate maintenance or calibration

5. Inadequate tools/equipment

6. Inadequate work standards or procedural controls

7. Excessive wear and tear

8. Inadequate communications

MANAGEMENT PROGRAMS FOR CONTROL OF INCIDENTS

1. Leadership and administration

2. Management training

3. Planned inspections and maintenance

4. Task analysis and procedures

5. Task observation

6. Emergency preparedness

7. Rules and work permits

8. Accident/incident analysis

9. Personal protective equipment

10. Health control

11. Program audits

12. Engineering and change management

13. Personal communications

14. Group communications

15. General promotions/awareness

16. Hiring and placement

17. Purchasing controls

18. Off-the-job safety

EHS Management Program

A. Significant Environmental Aspect/Hazard:

1. Objective(s):

2. Target(s):

3. Reason for Significance:

4. Legal or Other Requirements:

5. Program Description, Budget, and Responsibility:

Sr. No.	Action	Responsibility	Timeline	Budget	Remark

Sr. No.

Action

Responsibility

Timeline

Budget

Remark

Sr. No.

Action

Responsibility

Timeline

Budget

Remark

Sr. No.

Action

Responsibility

Timeline

Budget

Remark

Sr. No.

Action

Responsibility

Timeline

Budget

Remark

Sr. No.

Action

Responsibility

Timeline

Budget

Remark

Sr. No.

Action

Responsibility

Timeline

Budget

Remark

6. Other Documents Related to this EMP (Operational Control or Procedure):

7. Records and Documents: Person Responsible and Location:

8. Person(s) Responsible for Program Management:

List of Safety Committee/CFT/Fire fighting team/First aid team

Sr. No.	Name of the person	Designation	Status	Department	Contact number

HOUSEKEEPING INSPECTION CHECKLIST

General Information

Area/Location:

Date:

Conducted by [HS Rep]:

Signature:

Description

S/N

ITEM

EVALUATION

REMARKS

(Corrective action and recommendations)

YES

N/A

Proper signage’s posted on the fence, lay-down area and around the offices?

Roads in good condition and dust control are maintained?

No water accumulation and floors are dry?

Clear and safe access to work areas?

All stairways, passageways, gangways, and access ways shall be kept free of materials, supplies, and obstructions at all times.

Tools, materials, extension cords, hoses, or debris shall not cause tripping or other hazards.

Form and scrap lumber and debris shall be cleared formwork areas and access ways

Site office and the site area in general cleanliness and orderliness?

Construction waste and debris collected in the designated area?

Adequate rubbish container and rubbish removed daily?

Old timber de-nailed and all protruding steel bars are capped?

Material stacking and any loose materials had been properly stored?

Site in general cleanliness and orderliness?

Note: Corrective and recommended actions must be implemented immediately. ( references in parenthesis)

Reviewed by [HS Dept]:
POSITION	NAME	SIGNATURE	DATE

Reviewed by [HS Dept]:

POSITION

NAME

SIGNATURE

DATE

Reviewed by [HS Dept]:

POSITION

NAME

SIGNATURE

DATE

Reviewed by [HS Dept]:

POSITION

NAME

SIGNATURE

DATE

Reviewed by [HS Dept]:

POSITION

NAME

SIGNATURE

DATE

Reviewed by [HS Dept]:

POSITION

NAME

SIGNATURE

DATE

Reviewed by [HS Dept]:

POSITION

NAME

SIGNATURE

DATE

Distribution and acknowledgment:
Project Manager	Construction Manager	QA/QC Engineer	Site Engineer