WHS Auditing Guidelines - Staff - University of Wollongong

WHS Auditing Guidelines6.10 Review and ImprovementAn annual review of verification audit non-conformances for each year is to be conducted to identify trends andsystem improvement initiatives by the WHS Unit Manager. A summary of this review is to be included in theWHS System review.7 Related Documents• National Self Insurer WHS Audit Tool, V2.0 3 August 2009• AS/NZS ISO 19011 – Guidelines for Quality and/or Environmental Management Systems Auditing• WHS Verification Audit Tool• WHS Verification Audit Review Form• WHS Management System Guidelines.8 Review and EvaluationThe University’s auditing guidelines are to be reviewed for relevance and compliance to WHS Systemsrequirements every three years or after change to legislative requirements or standards.Outcomes of any audits which identify other system reviews and continuous improvement are to be undertakenthrough the use of documented performance improvement strategies outlined in the University’s WHSManagement System Guidelines.9 Version Control TableVersion Date Released Approved By AmendmentControl1 November 2005 WHS Manager New version.2 August 2008 WHS Manager Included National Audit Tool Criteria, updated toreflect Quality Assurance requirements.3 August 2010 WHS Manager Document updated to incorporate the Personnelname change to Human Resources Division.4 February 2011 WHS Manager Updated to reflect requirements in V2.0 ofNational Self-Insurer WHS Audit Tool, WorkCoverNSW.5 March 2012 WHS Manager Re-brand.6 January 2012 WHS Manager Update WHS to WHS.7 April 2015 WHS Manager Update to include NAT V3 requirements andother minor amendments.HRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 4 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version

WHS Auditing Guidelines10 Appendix 1: WHS Verification Audit CriteriaInternal Internal Audit CriteriaAuditRef.1.1 The health and safety policy is available to other interested parties, including regulatoryauthorities, suppliers, contractors, and those visiting the workplace.1.2 Relevant personnel in the organisation are advised of, and have ready access to, currentrelevant health and safety legislation, standards, codes of practice, agreements andguidelines.1.3 The organisation and/or individual satisfies legal requirements to undertake specificactivities, perform work or operate equipment including any:a. licenceb. certificate of competencyc. notificationd. registratione. approval or exemptionf. other relevant requirements.1.4 Specific health and safety objectives and measurable targets have been assigned to allrelevant functions and levels within the organisation.1.5 Financial and physical resources have been identified, allocated and are periodicallyreviewed, to enable the effective implementation and improvement of the organisation’shealth and safety management system.1.6 There are sufficient qualified and competent persons to implement the organisation’shealth and safety management system as identified through a documented review.1.7 Senior management understand the organisation’s legal obligations for health and safetyand can demonstrate how they fulfil them.1.8 The specific health and safety responsibilities (including legislative obligations), authorityto act and reporting relationships in the organisation have been defined, documentedand communicated.1.9 Workers are held accountable for health and safety performance in accordance with theirdefined responsibilities.2.1 The organisation has a procedure for identifying and defining the health and safetytraining needs of employees, contractors, labour hire employees or visitors, whererelevant.2.2 The organisation consults with employees to identify their training needs in relation toperforming their work activities safely.2.3 A documented training plan(s) based on training needs shall be developed andimplemented.2.4 The organisation trains workers (as appropriate) to perform their work safely, and verifiestheir understanding of that training.2.5 The organisation has an induction program for all workers including management, whichis based on their likely risk exposure, and provides relevant instruction in theorganisation’s health and safety policy and procedures.2.6 Training and assessment is delivered by competent persons with appropriateknowledge, skills and experience.2.7 The health and safety requirements of tasks are identified, applied to the recruitment andplacement of workers, and tasks are allocated according to their capability and level oftraining.2.8 Management has received training in health and safety management principles andpractices appropriate to their role and responsibilities within the organisation, and therelevant health and safety legislation.2.9 Those representing the employer and the workers on health and safety matters,including representatives on consultative committee(s), receive appropriate training toenable them to undertake their representative roles effectively.2.10 Refresher training (as identified by the training needs) is provided to all workers toenable them to perform their tasks safely.2.11 The training program is reviewed on a regular basis, and when there are changes in theworkplace that impact on the health and safety of workers, to ensure that the skills andcompetencies of workers remain relevant.NATRef.1.1.22.1.32.1.42.2.23.1.13.1.23.2.13.2.33.2.53.3.13.3.23.3.33.3.43.3.53.3.63.3.73.3.83.3.93.3.103.3.11HRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 5 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version

WHS Auditing GuidelinesInternal Internal Audit CriteriaAuditRef.3.12 Competent persons have periodically assessed the suitability, location and accessibilityof emergency equipment, including where changes to layout, equipment or process haveoccurred.3.13 Emergency and fire protection equipment, exit signs and alarm systems are inspected,tested and maintained at regular intervals.3.14 The organisation has assessed its first aid requirements and the first aid program is inplace.3.15 The organisation has a program for management of health and safety records including:a. identification and traceabilityb. collection, indexing and filingc. access and confidentialityd. retention and maintenancee. protection against damage, deterioration or lossf. retrievalg. disposal.4.1 The organisation has identified the hazards, including public safety hazards that areassociated with its activities, processes, products or services; assessed the risksinvolved; and implemented suitable control measures in accordance with theorganisation’s methodology.4.2 The hazard identification, risk assessment and risk control process is undertaken bypersons competent in the use of the organisation’s methodology.4.3 The organisation documents all identified hazards, risk assessments and risk controlplans.4.4 Risks of identified hazards are assessed in consultation with workers having regard tothe likelihood and consequence of injury, illness or incidents occurring, taking intoconsideration:a. legal requirementsb. evaluation of available informationc. records of incidents, illness and diseased. the potential for emergency situations.4.5 The organisation determines those areas where access controls are required andensures effective controls are implemented and maintained.4.6 There are procedures to ensure that materials and substances are disposed of in amanner that minimises risk of personal injury and illness.4.7 The organisation has a program for the safe use, handling, transfer, inventorymanagement and transport of hazardous chemicals.4.8 Comprehensive health and safety information on all hazardous chemicals is readilyaccessible.4.9 The organisation ensures that hazardous chemicals are stored safely and in accordancewith legislative requirements.NATRef.3.11.43.11.53.11.74.4.13.9.23.9.33.9.43.9.53.10.13.10.93.10.113.10.123.10.134.10 The organisation has permit to work procedures for use when required. 3.10.144.11 Where personal protective equipment is required, it is appropriate for the task, itsprovision is accompanied by suitable training or instruction, and it is used correctly andmaintained in a serviceable condition.3.10.154.12 Safety signs, including regulatory, hazard, emergency information and fire signs, meetrelevant standards and codes of practice, and are displayed in accordance with legaland organisational requirements.4.13 There are procedures to ensure that materials are transported, handled and stored in asafe manner.4.14 Workers are supervised according to their capabilities and the degree of risk of the taskthey are undertaking, to ensure that tasks are performed safely and work instructionsand procedures are followed.4.15 The organisation has a program to effectively manage the safety of its workers whenworking at workplaces not under the control of the organisation.4.16 All substances in containers and transfer systems are identified and clearly labelled toavoid inadvertent or inappropriate use.4.17 The organisation has a system in place to ensure emergency authorities are informed ofrelevant hazards on-site (including hazardous chemicals) when attending an emergency.Note: Remote sites only3.10.203.10.213.10.223.10.233.10.253.11.6HRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 7 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version

WHS Auditing GuidelinesInternal Internal Audit CriteriaAuditRef.5.1 Workplace injuries and illnesses, incidents and health and safety hazards, dangerousoccurrences and system failures, are reported and recorded in accordance with relevantprocedures.5.2 Reports on health and safety inspections, testing and monitoring, includingrecommendations for corrective action, are produced and forwarded to seniormanagement and worker representative(s) as appropriate.5.3 The organisation has a program for identifying and managing change that may impact onhealth and safety.5.4 Plant and equipment is maintained to ensure safe operational use and a record is keptwhich includes (but is not limited to) relevant details of inspections, maintenance, repairand alteration of plant.5.5 There is a procedure for unsafe plant and equipment to be identified and quarantined orwithdrawn from service.5.6 Controls are implemented to ensure the safety of persons (including members of thepublic) while plant and equipment is in the process of being cleaned, serviced, repairedor altered.5.7 Competent persons verify that plant and equipment is safe before being returned toservice after repair or alteration.5.8 There is a health and safety inspection, testing and monitoring program that incorporatestimely and effective corrective action processes.5.9 Inspections seek input and involvement from the workers who are required to undertakethe tasks being inspected.5.10 Engineering controls, including safety devices, are regularly inspected and tested (whereappropriate) to ensure their integrity.5.11 Monitoring of the workplace environment (general and personal) is conducted whereappropriate and records of the results are maintained.5.12 Inspection, measuring and test equipment related to health and safety monitoring isappropriately identified, calibrated, maintained and stored.5.13 The organisation has identified those situations where workers’ health surveillanceshould occur and has procedures to conduct this surveillance. The health of workersexposed to specific hazards is monitored, recorded, reported and action is taken toaddress any adverse effects.NATRef.3.6.13.6.33.9.83.10.163.10.173.10.183.10.194.1.14.1.24.1.34.1.44.1.54.2.1HRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 8 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version

11 Appendix 2: Initial Email to Management of Area Being AuditedWHS Auditing GuidelinesGood morning ,As you may be aware, the University of Wollongong is committed to improving occupational health and safetyfor its staff, students and visitors and has in place a comprehensive WHS management system for faculties anddivisions to implement to meet their WHS obligations. As part of the process of continuous improvement inreducing work related injuries and meeting the University’s self insurance expectations, the WHS Unit conductsaudits throughout the University to ensure that the WHS Management system is appropriately implementedacross campus.The has been scheduled by the WHS Unit to be audited in the week commencing The process involves conducting interviews and review of documentation which occurs over a periodof one week.To start the process, could you please nominate a person from the School/Unit that could assist in identifyingsuitable people to interview and activities to review.Please do not hesitate to contact me to discuss any questions you may have.Regards,HRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 9 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version

WHS Auditing Guidelines12 Appendix 3: Examples of Evidence for WHS Verification Audit1. Faculty or division management plan2. Position descriptions for staff with WHS responsibilities3. Examples of accountability mechanism e.g. performance planner etc4. Local area document register if required5. local documentation6. Records register/index7. WAC (or consultation meetings) meeting minutes8. Contractor management documentation9. Tender documentation including evaluation checklists10. Purchasing risk assessments11. Workplace/hazard inspection reports12. Hazard/incident reports13. Risk assessments (Generic, Fieldwork, Manual Handling, Hazardous substances etc)14. Emergency management procedure documentation (including emergency debrief forms)15. First aid assessments16. Access control register17. Safe work procedures18. Inspection and testing records, i.e. electrical equipment or plant (including fume cupboards,pressure vessels, fire door, panel, alarms, extinguishers inspections, boiler inspections, fieldworkvehicles)19. Hazardous substances documentation, i.e. ChemAlert manifest, MSDS register20. WHS training and competency records (including generic training such as WHS for seniormanagers and supervisors, risk specific training such as manual handling, hazardous substancesand task specific training such as use of equipment, processes)21. Any other documentation which demonstrates safety management within the unit.HRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 10 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version

WHS Auditing Guidelines13 Appendix 4: Example Audit Report EmailGood afternoon ,Thank you for the opportunity to audit the . Staff provided valuable information which allowed usto identify the level of implementation of the WHS Management System at the School/Unit.Please find attached the report outlining findings from the WHS verification audit. Included throughout the reportare suggested actions which may assist to rectify non-conformances that were identified.Should you wish to discuss any of the findings please do not hesitate to contact myself.I will contact you over the next few months to discuss the main items found during the audit, recommendedactions and how the WHS unit can assist in this process.RegardsHRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 11 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version

WHS Auditing Guidelines14 Appendix 5: Verification Audit Corrective Action PlanArea audited :Manager of Unit :Date of Audit :No. Priority level Criteria Corrective Action to be Taken Resources Required ResponsibilityEstimatedCompletionDateHRD-WHS-GUI-213.7 WHS Auditing Guidelines 2015 April Page 1 of 10Hardcopies of this document are considered uncontrolled please refer to UOW website or intranet for latest version