Templates
Internal Management Audit Checklist Template

Internal Management Audit Checklist Template

This Internal Management Audit Checklist can be used when completing an annual internal audit of compliance of an organization’s safety, reliability, maintenance and technical management plan.

Use this template
or download pdf
Internal Management Audit Checklist Template

This Internal Management Audit Checklist can be used when completing an annual internal audit of compliance of an organization’s safety, reliability, maintenance and technical management plan.

Use this template
or download pdf

Related categories

Preview of the template
Audit
Introduction
Is the Safety, reliability, maintenance and technical management plan (SRMTMP) effective and functional?
Has the purpose of the SRMTMP changed?
Have the scope and objectives changed?
Is the responsible person for the SRMTMP still current?
Is the Organisational Chart up to date?
Have any roles and responsibilities for key position/s changed?
Is the communication strategy for the plan still current?
Are relevant legislation, codes and standards listed?
Are the major approvals and licenses listed?
Description of the Operation
Do the assets summary and the high-level descriptions including system/scheme list reflect your current infrastructure?
Is there additional asset design and operational information?
Operational Safety and Reliability
Leadership and Commitment – Has there been any changes to:
Person responsible for water and/or sewerage infrastructure safety
Employee selection, competency and training commitment
Contractor and end-user training commitment
Effective Planning– Has there been any changes to:
Design management approach
Design life of the plant in line with nominated standards or otherwise
Safety in design requirements adopted
Procurement systems and processes
Controlled Implementation– Has there been any changes to:
Construction and commissioning management systems
Safe operational procedures
Maintenance and reliability considerations
Decommissioning, demolition and abandonment/disposal
Emergency response management
Monitoring and Evaluation– Has there been any changes to:
Incident management, incl. classification, reporting and investigation
Document management system
Reporting requirements
Audit and Review– Has there been any changes to:
Auditing processes, reviews, and responsibilities, including but not limited to long-term evaluation plans
Formal Safety and Reliability Assessment
Has there been any changes to:
Hazard identification and rating system
Risk response mitigation and controls
Risk Assessment principles and guidelines
Asset Management
Has there been any changes to:
Asset management system
Change management system
Operations and maintenance strategies
Maintenance program
Contract Management
Has there been any changes to:
Contract management system
Contract assessment processes
Contractor Management, i.e. CMS
Customer / Public Protocols and Agreements
Has there been any changes to:
Stakeholder communication protocols
Public communication protocols
Education and notices related to recycled water
Supply agreements – statement and/or list of recipients
Register of customer contact, issues raised – identified, response
Compliance Monitoring
Has there been any changes to:
Performance monitoring and compliance structure
KPI measurement and reporting processes
Periodic operations audits/ Water quality monitoring and compliance
Corrective actions and continuous improvement strategies
Emergency Response and Incident Reporting
Were there any emergencies/incidents?
How many?
Were the incident/s reported in accordance with OTR requirements?
Were the incident/s investigated (internally/externally)?
UPDATE OF SRMTMP
Has the version table in the SRMTMP been updated and all changes noted?
Has the updated version of the SRMTMP been provided to the OTR for approval?
Completion
Full Name and Signature of Inspector
This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.