Conducting the Audit
Conducting the Audit
Evaluation and Corrective Action
The audit team, through its systematic analysis, should document areas that require corrective action as well as where the process safety management system is effective. This provides a record of the audit procedures and findings and serves as a baseline of operation data for future audits. It will assist in determining changes or trends in future audits.
An effective audit includes a review of the relevant documentation and
process safety information, inspection of the physical facilities, and
interviews with all levels of plant personnel. Utilizing the audit
procedure and checklist developed in the preplanning stage, the audit
team can systematically analyze compliance with the provisions of the
standard and any other corporate policies that are relevant. For
example, the audit team will review all aspects of the training program
as part of the overall audit. The team will review the written training
program for adequacy of content, frequency of training, effectiveness of
training in terms of its goals and objectives as well as to how it fits
into meeting the standard's requirements. Through interviews, the team
can determine employees' knowledge and awareness of the safety
procedures, duties, rules, and emergency response assignments. During
the inspection, the team can observe actual practices such as safety and
health policies, procedures, and work authorization practices. This
approach enables the team to identify deficiencies and determine where
corrective actions or improvements are necessary.
Evaluation and Corrective Action
The audit team, through its systematic analysis, should document areas that require corrective action as well as where the process safety management system is effective. This provides a record of the audit procedures and findings and serves as a baseline of operation data for future audits. It will assist in determining changes or trends in future audits.
Corrective action is one of the most important parts of the audit and
includes identifying deficiencies, and planning, following-up, and
documenting the corrections. The corrective action process normally
begins with a management review of the audit findings. The purpose of
this review is to determine what actions are appropriate, and to
establish priorities, timetables, resource allocations and requirements,
and responsibilities. In some cases, corrective action may involve a
simple change in procedures or a minor maintenance effort to remedy the
problem. Management of change procedures need to be used, as
appropriate, even for a seemingly minor change. Many of the deficiencies
can be acted on promptly, while some may require engineering studies or
more detailed review of actual procedures and practices. There may be
instances where no action is necessary; this is a valid response to an
audit finding. All actions taken, including an explanation when no
action is taken on a finding, need to be documented.
The employer must assure that each deficiency identified is addressed,
the corrective action to be taken is noted, and the responsible audit
person or team is properly documented. To control the corrective action
process, the employer should consider the use of a tracking system. This
tracking system might include periodic status reports shared with
affected levels of management, specific reports such as completion of an
engineering study, and a final implementation report to provide closure
for audit findings that have been through management of change, if
appropriate, and then shared with affected employees and management.
This type of tracking system provides the employer with the status of
the corrective action. It also provides the documentation required to
verify that appropriate corrective actions were taken on deficiencies
identified in the audit.
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