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Internal Audit Report

Audit Identification: IA202608
Area: Health & Safety Management
Audit Date: 11/05/2026
Auditor: Sean Ashton (HSQE Consultant, Onyx Operations)
Date Completed: 11/05/2026
Findings: 0 Non-conformities, 1 Observation
Scope: ISO 45001:2018 Specific Requirements
Document Number: FORM_INTAR001 Rev 1 ID 01/09/2025
Builds on prior audit: IA202508 (25/09/2025) — 0 NC, 2 OBS

Executive Summary

This audit re-examined Health & Safety Management one year on from IA202508. Both 2025 observations are progressed:

  • CAR-2025-012 (near-miss reporting rate below 10/month KPI) — open / under review. Near-miss capture remains lighter than the 2025 target. The 2025–26 IMS rebuild has provided several new capture mechanisms (TBT attendance template, Director Site-Tour record, weekly compliance call notes) that should improve the reporting rate organically. Rolled forward as IA202608 OBS-01 with refreshed action.
  • CAR-2025-013 (HAVS monitoring formal schedule) — partially closed. RA_HO_18 Fatigue Management (issued 04/05/2026) explicitly addresses the HAVS-fatigue interaction with concrete trigger-time caps (75% of EAV on >10-hour days; mandatory rotation after 60 minutes continuous breaker work). Toolbox-talk TBT-2026-06 (week of 19/05/2026) covers HAVS in detail with EAV/ELV thresholds. Formal exposure-monitoring app deployment not yet in place.

Material H&S wins this cycle: SOP 8.15 Fire issued with concrete thresholds (10 m hot-work radius, 60-min fire-watch); FORM_PTW_01 Generic Permit-to-Work (single template covering excavation / hot work / confined space); POL_HSQE_29 Mental Health Policy issued; APP_07 Hazards Register expanded with HO-18 Fatigue. Zero RIDDOR incidents and zero LTIs sustained 2025–26 (APP_11 H1).

Year-on-year follow-up — IA202508 outcomes

2025 ref 2025 finding (summary) Status in 2026 audit
OBS-01 / CAR-2025-012 Near-miss reporting rate below target Open — refreshed. New capture mechanisms in place (TBT attendance template, Director Site-Tour record). Rolled forward as IA202608 OBS-01.
OBS-02 / CAR-2025-013 HAVS monitoring schedule informal Partially closed. RA_HO_18 controls explicit; TBT-2026-06 covers HAVS thresholds; formal app not deployed.

Introduction

This audit examined ISO 45001-specific health & safety management requirements one year on from IA202508 and after substantial 2026 H&S additions: SOP 8.15 Fire, FORM_PTW_01, POL_HSQE_29 Mental Health, RA_HO_18 Fatigue.

Aims & Objectives

  1. Confirm closure or progress on IA202508 OBS-01 and OBS-02
  2. Assess the new 2026 H&S documents against ISO 45001 clause 6/8 requirements
  3. Verify zero RIDDOR / zero LTI sustained
  4. Review worker consultation evidence (TBT, Director Site Tours, weekly call)
  5. Sample one PTW under the new FORM_PTW_01 template

Audit Method

  • Document Review: POL_HSQE_16 H&S Policy Statement Rev 3, POL_HSQE_29 Mental Health Policy (new 04/05/2026), POL_HSQE_30 IT Security Policy (new 04/05/2026), 15 × SOP 8.x H&S SOPs Rev 3 HTML (8.1–8.15), APP_07 Hazards Register Rev 3 (with HO-18 Fatigue added), APP_08 OHS Hazard Assessments, APP_22 Accident Statistics, RA_HO_01–18 (with RA_HO_18 new 04/05/2026), FORM_PTW_01 Generic Permit-to-Work template (new 04/05/2026), TBT_PROG_01 Toolbox-Talk Programme (new 04/05/2026).
  • Interviews Conducted: Director (Aaron Mason — APP_11 H1 owner), Site Supervisor (Jason May — APP_11 H2 owner), 2 operatives, MHFA (Leanne Mason).
  • Observations: Westleigh Road site (28/04/2026); spot-checks of PPE compliance and RAMS briefing; Mental Health First Aid certs (Jason + Leanne both current to Nov 2026); Fire Risk Assessment (March 2025) on file in 7 Workplace Safety folder.
  • Sampling: 5 recent RAMS; 3 monthly HSQE bulletins; APP_22 incident classifications 2025–26; the 28/04/2026 Director Site-Tour record.

Non-conformities

No non-conformities identified.

Observations

Ref Finding Clause Priority Ref
OBS-01 Near-miss reporting rate (rolled forward from CAR-2025-012). The new TBT attendance template + Director Site-Tour record provide structured capture mechanisms; the 28/04/2026 site tour produced one captured action. The next 90 days will indicate whether the rate increases as the new mechanisms bed in. 8.2 (ISO 45001) Medium CAR-2026-009

Corrective Action Summary

CAR-2026-009 — Owner: Jason May (Site Supervisor). Target close: 31/07/2026 (90 days from this audit). Use the TBT attendance template and Director Site-Tour record explicitly; report monthly count to weekly compliance call; review whether the rate trends up.

Conclusions

Health & Safety Management is the area with the largest substantive improvement portfolio in the 2025–26 cycle:

Areas Meeting Requirements (sustained from IA202508):

  • Zero RIDDOR / zero LTI sustained for the second consecutive year (APP_11 H1)
  • 100% RAMS-with-job rate sustained (APP_11 H2)
  • Training Matrix maintained (APP_12) with the 3 expired certs being rebooked (CAR-2026-003)
  • POL_HSQE_16 H&S Policy continues to apply

New strengths since IA202508:

  • 15 × Section 8 SOPs rebuilt (8.1–8.15) into HTML format with concrete regulatory thresholds. Particularly notable: SOP 8.15 Fire with 10 m hot-work radius and 60-min fire-watch; SOP 8.10 HAVS with EAV 2.5 / ELV 5.0 m/s² A(8); SOP 8.12 Confined Space with O₂ 19.5–23.5%, LEL <10%, CO <30 ppm, H₂S <10 ppm thresholds.
  • FORM_PTW_01 Generic Permit-to-Work (new 04/05/2026) — single template covering AMWS's three permit-controlled activities.
  • RA_HO_18 Fatigue Management (new 04/05/2026) — addresses HAVS-fatigue interaction explicitly.
  • POL_HSQE_29 Mental Health Policy (new 04/05/2026) — codifies MHFA cover (Jason + Leanne, both current), signposting routes including Samaritans 116 123, EAP-decision pathway.
  • APP_07 Hazards Register expanded HO-01..17 → HO-01..18.

Recommendations

  1. Close CAR-2026-009 (near-miss rate) by 31/07/2026 — first 90 days of the new capture mechanisms.
  2. Deliver TBT-2026-05 / 06 / 07 (excavation, HAVS, COSHH-fuels) on schedule — first proof point of the new TBT programme operating.
  3. Track HO-18 Fatigue residual risk through the standing weekly compliance call.

Feedback & Acknowledgments

Full cooperation. The H&S evidence base is materially stronger than at IA202508; the SOP rebuild + 4 new H&S documents have addressed multiple smaller items that would have been gaps at audit.

Audit Report Prepared By

Name Position Signature Date
Sean Ashton HSQE Consultant S. Ashton 11/05/2026
Aaron Mason Director A. Mason 11/05/2026

Corrective Action Close Out

CAR-2026-009 — open. Target close 31/07/2026.