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1
Performing Audit
GO-
EMS
Chapter on:
Performing an Audit
(gathering objective
evidence)
By George Ogoti-MMCAFRICA
2
Performing Audit
GO-
EMS
• Reviewing documents
• Looking at records
• Interviewing people at all
levels
• Observing practices and
physical environment
How do auditor find evidence ?
NOTE: Can/should the auditor cover all people,
documents and records during the audit?
3
Performing Audit
GO-
EMS
Checklist Format
 Leave space for notes
 Allow space for time control
and recording
 Reference the requirements of
audit criteria
 Reference the control
documents
 Reference verifying
documents (records)
Inquiries Evidence and
Results
Facilities Area (4.3.3, 4.4.6)
Interview HVAC technician
about energy reduction
program. Plan, results.
Observe equipment and
settings
Employee interviews (4.2,
4.3.2, 4.4.7)
Are you aware of the
environmental policy?
How does the policy relate
to what you do?
What type of training have
you hade on EM?
What do you do if there is
an emergency?
4
Performing Audit
GO-
EMS
Checklists should:
 Be specific for a given EMS.
 Be prepared using EMS
documentation.
 Be clear about evaluation
criteria.
 Note documents to review.
 Identify records to sample (and
sample size).
 Identify key people to interview.
 Include some key questions for
interviews.
 Note physical evidence you
expect to see.
Checklists should NOT:
• Narrow the vision or limit
evaluation.
• Obstruct communication.
• Be too strict or constraining.
• Be a script of exact questions.
• Restrict auditor’s inquiry.
• Be yes/no lists.
• Be completely generic.
5
Performing Audit
GO-
EMS
What documents should be reviewed for
Document review?
 Environmental
manual
 Procedures
 Work instructions
 Other documents
 Records
Should all documents be reviewed ?
6
Performing Audit
GO-
EMS
Observations
 Keep observing the physical evidence:
• aspects
• equipment, instruments
• conditions, operational control
 Posted Procedures
 Actual Operations
 Emissions Points
 Operating Logs
 Instruments with Process
Measurements
 Alarms
 Cleanliness & Organization
 Communications Postings
 Awareness Reminders
 Calibration Tags
 Warning Signs
Observation – What to Look for
7
Performing Audit
GO-
EMS
 production line, or wherever
environmental aspects are
generated;
 waste management;
 wastewater system, including
treatment and discharge;
 air pollution: check the controls,
not necessarily climbing
smokestacks;
 fences and borders - can you hear
the organizations noise there?;
Observation. Auditor Proverb: “Seeing is believing”
Visit the field! See the 'real world'!!!
 talk to people on the field - if you
can hear them!;
 wear proper clothes and safety
equipments - be prepared to get
dirty sometimes!
 Look for environmental aspects,
operational controls, potential
emergencies, spills, monitoring
equipments…
 Ask what the dials and meters
are indicating about operational
control and measures.
8
Performing Audit
GO-
EMS
Spell out 3 types of approach for Auditing
 Aspect based approach
 Process based approach
 System based approach
What will be the different steps for each of these
approach ?
9
Performing Audit
GO-
EMS
Auditing via an Aspect Based Approach
Pick an Aspect and Follow it through the EMS
 Identify inputs
 Identify intended output
 Identify controlled emissions and wastes
 Identify uncontrolled emissions and wastes
 What are the controls?
 How is it monitored?
10
Performing Audit
GO-
EMS
Auditing via a Process Based Approach
 Follow the process through
 Select pertinent records
 Were all activities performed?
 Were all significant aspects
controlled?
 Was monitoring carried out?
 Were the controls effective?
11
Performing Audit
GO-
EMS
Auditing via a Process Based Approach
Understand process interactions
Process
A
Process
D
Process
B
Process
C
Input
Output
Controls
12
Performing Audit
GO-
EMS
Auditing via a System Based Approach
Map the system to identify:
• Operations
• Inputs & outputs
• Aspects & Impacts
• Controls
• Sequence
• Interactions
Prepare plan
13
Performing Audit
GO-
EMS
Some key audit points to evaluate:
Do assigned personnel have sufficient resources
and authority to establish, maintain and improve the
EMS?
Where and how are the roles, responsibilities and
authorities documented? (check EMS Description
and associated procedures)
Have all the necessary roles been assigned?
Do people understand their roles, responsibilities
and authorities?
How has the management representative fulfilled
the three defined roles?
Resources, Roles,
Responsibility and Authority
14
Performing Audit
GO-
EMS
Evaluating Competence:
• Whose work or tasks can
cause a significant
environmental impact?
• Employees, suppliers,
contractors, temporary
workers?
• How does the organization
ensure competence both
initially and ongoing?
• Can people explain how they
manage the actual or potential
significant impacts?
Evaluating Training:
• How are training needs
determined?
• Which training is required by
legal requirements or related to
impacts?
• Has training been conducted?
• What records exist?
• Do people understand their
training?
Auditing Competence,Training
15
Performing Audit
GO-
EMS
Evaluating Awareness:
• What procedure is in place to
make people aware?
• Does the procedure address all
“persons working for the
organization or on behalf of it”?
• Are all the content requirements
related to awareness covered?
• Are persons aware of policy,
procedures, A/I related to their
work, responsibilities, env.
benefits and consequences?
Where to look:
 Sample people from each
department
 Sample each type of “person”
(employee, contractor, etc)
 Check training needs-analysis
 Check awareness procedure
Auditing 4.4.2
Competence,Training
16
Performing Audit
GO-
EMS Auditing External
Communication
Typical considerations:
 What procedure is used to receive, document and respond to
external communications?
 What external communications have been received? How
were they handled? Let’s review the records.
 How are communications with regulators handled?
 What decision was taken on external communication of
significant aspects?
 Where is the decision recorded?
 How is top management made aware of communications from
interested parties?
 What communications have been made to external parties?
17
Performing Audit
GO-
EMS Auditing Documentation
Key Points to consider for EMS Documentation:
 Are all documents REQUIRED by ISO14001 documented?
 (e.g. policy, EMS scope, objectives & targets, description of
elements)
 Does the description of the main elements of the EMS tell HOW
each clause of ISO14001 (numbered sections) is satisfied?
 Does the description address the interaction of EMS elements?
 Does the description reference related documentation?
 What additional documentation has the organization
determined necessary?
Note 1: Repeating the requirements of the standard as the
description is NOT acceptable.
Note 2: High level EMS Documentation is a common place to
start any audit.
18
Performing Audit
GO-
EMS Auditing Document Control
Key Test: Are current documents in the work place
when and where they are needed?
(Right document at right place at right time)
 How does the document control system work?
 What documents do you use?
 Where are the documents kept?
 Can you show me the documents you use?
 How do you know you are using the current version?
 Are EMS Documents and work instructions controlled the
same way?
 How are externally generated documents managed?
19
Performing Audit
GO-
EMS Auditing Records
Some considerations:
 What records are kept to verify
conformance?
 What procedure is used to manage records?
 How are records purged when they pass
their retention period?
 How are legal requirements incorporated?
 Who is responsible for various types of
records? How are records managed?
 How are retention times set?
 Where are the training records?
Note: Sample several records in
several places.
20
Performing Audit
GO-
EMS Auditing Operational Control
Typical areas with operational
controls:
• Storage
• Material movement
• Production
• Treatment
• Distribution
• Waste control
• Emissions points
Typical Questions:
 Let’s visit some activities
(processes) that are related
to significant aspects (and
regulations).
 How is start up and
shutdown controlled?
 What maintenance activities
are conducted related to
significant aspects?
 What operational controls are
related to products or
services?
 What permits or licenses
specify operational criteria?
21
Performing Audit
GO-
EMS Auditing O/Cs cont’d
More typical questions:
How are these activities controlled?
What are the control limits?
Which instruments are used to monitor
the process?
What do you do if the process goes off
the control point?
What do you do if the process goes out
of control?
22
Performing Audit
GO-
EMS
Auditing Ocs Cont’d
Suppliers and Contractors
What effects can suppliers and
contractors have on your significant
environmental aspects?
How do you communicate your
expectations to suppliers and
contractors?
How do you manage suppliers’
effects?
How do you manage contractors’
effects?
What contractors are on-site? What
are they doing? Let’s visit them.
23
Performing Audit
GO-
EMS
Auditing
Emergency Preparedness and
Response
Have all likely emergencies situations
been identified and evaluated?
Are plans updated and in place to deal
with emergencies? Legal req’d plans?
Is there an emergency team? How are
they trained and maintain competency?
What emergency supplies are needed?
Where located? Alarm system?
What do employees need to know?
When was the last drill? Results?
Improvements? External responders?
24
Performing Audit
GO-
EMS
Follow Audit Trails
As you audit you will find
interesting opportunities for
follow-up (audit trails).
Pick promising audit trails:
Follow it through
Interact with team
25
Performing Audit
GO-
EMS Interview Top Management
Obtain evidence of leadership and commitment
 Observe attendance and interest in opening, closing and
feedback meetings
 Review documents:
Environmental policy
Objectives
Management reviews records
 Interview members of top management:
Do they know “their” system?
Do they monitor, analyse data, draw conclusions, define actions?
 Interview personnel at other levels:
Do they understand what top management is trying to communicate?
26
Performing Audit
GO-
EMS
What are the Typical Contents of Final Audit
Report?
 Audit scope & objectives
 Audit plan, identification of auditors & auditees
 Audit criteria
 Audit team judgement of EMS compliance with audit criteria
 Nonconformances
 System ability to achieve defined objectives
 Distribution list
 Attachments: Completed Notes & Checklists,
Nonconformance Reports, Matrix Analysis
Note: See ISO19011:2000 section
6.6
27
Performing Audit
GO-
EMS
Always take notes
 Explain the need to take notes
to auditee
 Make your notes:
• Comprehensive
• Accurate
• Precise
• Legible
28
Performing Audit
GO-
EMS
Time management
 Time is always short
 Plan well
 Do not allow your audit to get
side-tracked
 Do not dig too much (beware
false audit trails)
 Do not focus on trivia
 Remember an audit is a
sampling

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  • 1. 1 Performing Audit GO- EMS Chapter on: Performing an Audit (gathering objective evidence) By George Ogoti-MMCAFRICA
  • 2. 2 Performing Audit GO- EMS • Reviewing documents • Looking at records • Interviewing people at all levels • Observing practices and physical environment How do auditor find evidence ? NOTE: Can/should the auditor cover all people, documents and records during the audit?
  • 3. 3 Performing Audit GO- EMS Checklist Format  Leave space for notes  Allow space for time control and recording  Reference the requirements of audit criteria  Reference the control documents  Reference verifying documents (records) Inquiries Evidence and Results Facilities Area (4.3.3, 4.4.6) Interview HVAC technician about energy reduction program. Plan, results. Observe equipment and settings Employee interviews (4.2, 4.3.2, 4.4.7) Are you aware of the environmental policy? How does the policy relate to what you do? What type of training have you hade on EM? What do you do if there is an emergency?
  • 4. 4 Performing Audit GO- EMS Checklists should:  Be specific for a given EMS.  Be prepared using EMS documentation.  Be clear about evaluation criteria.  Note documents to review.  Identify records to sample (and sample size).  Identify key people to interview.  Include some key questions for interviews.  Note physical evidence you expect to see. Checklists should NOT: • Narrow the vision or limit evaluation. • Obstruct communication. • Be too strict or constraining. • Be a script of exact questions. • Restrict auditor’s inquiry. • Be yes/no lists. • Be completely generic.
  • 5. 5 Performing Audit GO- EMS What documents should be reviewed for Document review?  Environmental manual  Procedures  Work instructions  Other documents  Records Should all documents be reviewed ?
  • 6. 6 Performing Audit GO- EMS Observations  Keep observing the physical evidence: • aspects • equipment, instruments • conditions, operational control  Posted Procedures  Actual Operations  Emissions Points  Operating Logs  Instruments with Process Measurements  Alarms  Cleanliness & Organization  Communications Postings  Awareness Reminders  Calibration Tags  Warning Signs Observation – What to Look for
  • 7. 7 Performing Audit GO- EMS  production line, or wherever environmental aspects are generated;  waste management;  wastewater system, including treatment and discharge;  air pollution: check the controls, not necessarily climbing smokestacks;  fences and borders - can you hear the organizations noise there?; Observation. Auditor Proverb: “Seeing is believing” Visit the field! See the 'real world'!!!  talk to people on the field - if you can hear them!;  wear proper clothes and safety equipments - be prepared to get dirty sometimes!  Look for environmental aspects, operational controls, potential emergencies, spills, monitoring equipments…  Ask what the dials and meters are indicating about operational control and measures.
  • 8. 8 Performing Audit GO- EMS Spell out 3 types of approach for Auditing  Aspect based approach  Process based approach  System based approach What will be the different steps for each of these approach ?
  • 9. 9 Performing Audit GO- EMS Auditing via an Aspect Based Approach Pick an Aspect and Follow it through the EMS  Identify inputs  Identify intended output  Identify controlled emissions and wastes  Identify uncontrolled emissions and wastes  What are the controls?  How is it monitored?
  • 10. 10 Performing Audit GO- EMS Auditing via a Process Based Approach  Follow the process through  Select pertinent records  Were all activities performed?  Were all significant aspects controlled?  Was monitoring carried out?  Were the controls effective?
  • 11. 11 Performing Audit GO- EMS Auditing via a Process Based Approach Understand process interactions Process A Process D Process B Process C Input Output Controls
  • 12. 12 Performing Audit GO- EMS Auditing via a System Based Approach Map the system to identify: • Operations • Inputs & outputs • Aspects & Impacts • Controls • Sequence • Interactions Prepare plan
  • 13. 13 Performing Audit GO- EMS Some key audit points to evaluate: Do assigned personnel have sufficient resources and authority to establish, maintain and improve the EMS? Where and how are the roles, responsibilities and authorities documented? (check EMS Description and associated procedures) Have all the necessary roles been assigned? Do people understand their roles, responsibilities and authorities? How has the management representative fulfilled the three defined roles? Resources, Roles, Responsibility and Authority
  • 14. 14 Performing Audit GO- EMS Evaluating Competence: • Whose work or tasks can cause a significant environmental impact? • Employees, suppliers, contractors, temporary workers? • How does the organization ensure competence both initially and ongoing? • Can people explain how they manage the actual or potential significant impacts? Evaluating Training: • How are training needs determined? • Which training is required by legal requirements or related to impacts? • Has training been conducted? • What records exist? • Do people understand their training? Auditing Competence,Training
  • 15. 15 Performing Audit GO- EMS Evaluating Awareness: • What procedure is in place to make people aware? • Does the procedure address all “persons working for the organization or on behalf of it”? • Are all the content requirements related to awareness covered? • Are persons aware of policy, procedures, A/I related to their work, responsibilities, env. benefits and consequences? Where to look:  Sample people from each department  Sample each type of “person” (employee, contractor, etc)  Check training needs-analysis  Check awareness procedure Auditing 4.4.2 Competence,Training
  • 16. 16 Performing Audit GO- EMS Auditing External Communication Typical considerations:  What procedure is used to receive, document and respond to external communications?  What external communications have been received? How were they handled? Let’s review the records.  How are communications with regulators handled?  What decision was taken on external communication of significant aspects?  Where is the decision recorded?  How is top management made aware of communications from interested parties?  What communications have been made to external parties?
  • 17. 17 Performing Audit GO- EMS Auditing Documentation Key Points to consider for EMS Documentation:  Are all documents REQUIRED by ISO14001 documented?  (e.g. policy, EMS scope, objectives & targets, description of elements)  Does the description of the main elements of the EMS tell HOW each clause of ISO14001 (numbered sections) is satisfied?  Does the description address the interaction of EMS elements?  Does the description reference related documentation?  What additional documentation has the organization determined necessary? Note 1: Repeating the requirements of the standard as the description is NOT acceptable. Note 2: High level EMS Documentation is a common place to start any audit.
  • 18. 18 Performing Audit GO- EMS Auditing Document Control Key Test: Are current documents in the work place when and where they are needed? (Right document at right place at right time)  How does the document control system work?  What documents do you use?  Where are the documents kept?  Can you show me the documents you use?  How do you know you are using the current version?  Are EMS Documents and work instructions controlled the same way?  How are externally generated documents managed?
  • 19. 19 Performing Audit GO- EMS Auditing Records Some considerations:  What records are kept to verify conformance?  What procedure is used to manage records?  How are records purged when they pass their retention period?  How are legal requirements incorporated?  Who is responsible for various types of records? How are records managed?  How are retention times set?  Where are the training records? Note: Sample several records in several places.
  • 20. 20 Performing Audit GO- EMS Auditing Operational Control Typical areas with operational controls: • Storage • Material movement • Production • Treatment • Distribution • Waste control • Emissions points Typical Questions:  Let’s visit some activities (processes) that are related to significant aspects (and regulations).  How is start up and shutdown controlled?  What maintenance activities are conducted related to significant aspects?  What operational controls are related to products or services?  What permits or licenses specify operational criteria?
  • 21. 21 Performing Audit GO- EMS Auditing O/Cs cont’d More typical questions: How are these activities controlled? What are the control limits? Which instruments are used to monitor the process? What do you do if the process goes off the control point? What do you do if the process goes out of control?
  • 22. 22 Performing Audit GO- EMS Auditing Ocs Cont’d Suppliers and Contractors What effects can suppliers and contractors have on your significant environmental aspects? How do you communicate your expectations to suppliers and contractors? How do you manage suppliers’ effects? How do you manage contractors’ effects? What contractors are on-site? What are they doing? Let’s visit them.
  • 23. 23 Performing Audit GO- EMS Auditing Emergency Preparedness and Response Have all likely emergencies situations been identified and evaluated? Are plans updated and in place to deal with emergencies? Legal req’d plans? Is there an emergency team? How are they trained and maintain competency? What emergency supplies are needed? Where located? Alarm system? What do employees need to know? When was the last drill? Results? Improvements? External responders?
  • 24. 24 Performing Audit GO- EMS Follow Audit Trails As you audit you will find interesting opportunities for follow-up (audit trails). Pick promising audit trails: Follow it through Interact with team
  • 25. 25 Performing Audit GO- EMS Interview Top Management Obtain evidence of leadership and commitment  Observe attendance and interest in opening, closing and feedback meetings  Review documents: Environmental policy Objectives Management reviews records  Interview members of top management: Do they know “their” system? Do they monitor, analyse data, draw conclusions, define actions?  Interview personnel at other levels: Do they understand what top management is trying to communicate?
  • 26. 26 Performing Audit GO- EMS What are the Typical Contents of Final Audit Report?  Audit scope & objectives  Audit plan, identification of auditors & auditees  Audit criteria  Audit team judgement of EMS compliance with audit criteria  Nonconformances  System ability to achieve defined objectives  Distribution list  Attachments: Completed Notes & Checklists, Nonconformance Reports, Matrix Analysis Note: See ISO19011:2000 section 6.6
  • 27. 27 Performing Audit GO- EMS Always take notes  Explain the need to take notes to auditee  Make your notes: • Comprehensive • Accurate • Precise • Legible
  • 28. 28 Performing Audit GO- EMS Time management  Time is always short  Plan well  Do not allow your audit to get side-tracked  Do not dig too much (beware false audit trails)  Do not focus on trivia  Remember an audit is a sampling

Editor's Notes

  1. Finding evidence. Documents, records, people, observation. Audits are limited in time. Auditors must choose wisely to determine a “representative” or reasonable sample. Discuss the concept of sampling with delegates. Ask them to determine a reasonable sample for a couple of examples. (Perhaps: 130 Haz waste manifests, employee understanding of policy )
  2. Finding evidence. Documents, records, people, observation. Audits are limited in time. Auditors must choose wisely to determine a “representative” or reasonable sample. Discuss the concept of sampling with delegates. Ask them to determine a reasonable sample for a couple of examples. (Perhaps: 130 Haz waste manifests, employee understanding of policy )
  3. Document review. Ask delegates to comment on constraints and sampling of documentation. Cover below. All documents should not be reviewed: No time to check everything Select representative sample No set percentage Representation of actions Cover relevant period Look at control
  4. Slide 7 and 8 - Go to the field!
  5. Audit approaches. Audits typically do not progress clause-by-clause in a sequential manner of PDCA. Our themes and linkages exercise (Ch 3 thru 7) illustrated other valid approaches to auditing. Three methods of auditing are noted here: The aspects audit traces an aspect through the “aspect theme”; The process audit follows a manufacturing process or business process and audits applicable clauses; The system audit first identifies how the system works and then verifies it really is. Have the delegates identify specifics about each of the three audit methods and write them on the paper board. Answers could include: Aspect based approach Pick an Aspect and Follow it through the EMS Identify inputs, Identify intended output, Identify controlled emissions and wastes, Identify uncontrolled emissions and wastes, What are the controls?, How is it monitored? Process based approach Follow the process through, Select pertinent records , Were all activities performed?, Were all significant aspects controlled?, Was monitoring carried out?, Were the controls effective? System based approach Map the system to identify: Operations, Inputs & outputs, Aspects & Impacts, Controls, Sequence, Interactions, Prepare plan Hand to the delegates the corresponding handout on audit approach
  6. This is a good place for tutor to give examples and ask students for examples of both adequate and inadequate resources.
  7. Audit Trails. Beware: some audit trails may consume considerable time and not yield useful information. For example: Tracking down a lost waste manifest may be interesting; however, it probably will not tell you much about the EMS. YOU MUST DECIDE WISELY.
  8. Auditing Top Management can bring very good idea of their involvement.
  9. ISO19011 specifies content of audit reports. What do the delegates think is required? And WHY?
  10. Taking Notes. Your notes are your record of the audit, both conformance and nonconformance. Could somebody else find what you found using your notes? Of course, everybody has their own style of note taking. Could YOU find the same things again using your notes?
  11. Time Management. Always be aware of time. Key question: When do you stop auditing a clause or area? When you have validated conformance. Keep in mind the requirements you are trying to evaluate (refer to your checklist). When/if you find nonconformance, validate the evidence and check with the auditee for confirmation. Then move on. Do not investigate WHY the nonconformance occurred. The auditee does that. Just do the best you can with the resources provided!