Fire Protection System Review Checklist (User Sheet)

Score ADEQUACY Scoring Criteria Adequacy Score 0.00

System is mature - one or more feedback, review, and improvement 5.00
Not Adequate but Effective Adequate and Ef-
>3.0 – 4.0 cycles are complete; required revisions to System documentation
fective
have been made.
System is deployed; procedures are fully documented; users 4.00
>2.0 – 3.0
trained, ongoing verification and measurement occurring.
System charactristics are documented, approved and resourced;
>1.0 – 2.0 procedures for key System tasks are identified and under
development; deployment is in progress. 3.00

EFFECTIVENESS
≤1.0 System is being developed to address hazard/risk.
(Documented, Planned and Practiced)
2.00
Scope Effectiveness Scoring Criteria. Effectiveness Score 0.00
Implementation consistently conforms to all System requirements;
quality of implementation is excellent; all objectives are being
>3.0 – 4.0 achieved. Practices are effective and proven to be sustainable.
1.00

Implementation conforms to the important System and most other Adequate but Not Ef-
>2.0 – 3.0 requirements; quality of implementation is good; main objectives fective
are being achieved. 0.00
0.00 1.00 2.00 3.00 4.00 5.00
Implementation conforms to the important System requirements;
>1.0 – 2.0 quality of implementation is acceptable; some objectives are being ADEQUATE
achieved.
Implementation does not always conform to System requirements;
≤1.0 quality of implementation need improvement; none of the objective
achieved.
(Effective and Sustained)

Department OEMS Assurance

OEMS System Assurance Checklist Actual Score
Quarterly Assurance Status Update
Requirement Reference Requirements Expectations (Documented, Planned, Practiced, Effective, Sustained) Leave blank Yes / No / Adequacy Effectiveness Summary of Assessment Evidences Agreed Priority (Action to be closed within P1 - 3 Due Date Action Party Department Q1 (%) Q2 (%) Q3 (%) Q4 (%) Status of closure Actual Closed Date
No. Not (Good Observation and Gaps) Corrective months, P2 - 6 months, P3 - 12 months) (Close/Open)
Applicable Actions

02.04 L2 Fire Protection System

4.1 PTS 18.54.01 Establish, implement, maintain and control documented information 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.7 covering Fire Protection Systems Management are comprehensive in reference to PETRONAS, Downstream, external and
and PTS • Roles and responsibilities of key personnel. OPU specific requirements.
18.53.03 and • Fire Protection Systems system requirements. 2) Availability of Fire Safety System Manual (FSSM) / Fire Safety Mother
Downstream • Fire Protection Systems reviewers, approvers and reporting Document which cover:
Requirement platform. a) Roles and responsibilities of key personnel. 
• Fire Protection Systems communication and training requirements. b) Fire Protection Systems requirements.
• Periodic Fire Protection Systems reviews to ensure quality, c) Fire Protection Systems reviewers, approvers and reporting platform. 
technical accuracy and validity. d) Fire Protection Systems communication and training requirements.
• Assurance process including monitoring and tracking closure of e) Periodic Fire Protection Systems reviews to ensure quality, technical
action items. accuracy and validity. 
• Retention and safe-keeping of records. f) Assurance process including monitoring and tracking closure of action
items. 
g) Retention and safe-keeping of records.

1) Plans covering implementation, communication and training as well as 0

specific tools identified to be used.
2) Relevant personnel specified in L3 procedure are trained/competent.
3) Relevant personnel having knowledge on requirements of FSSM:
a) Inspection, Testing and Maintenance of Fire Fighting & Emergency
Equipment (ITM)
b) Fire, Safety Design Philosophy (FSDP)
c) Fire Fighting and Emergency Equipment Specification

1) Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
2) Updated FFSM available which cover :
a) Roles and responsibilities of key personnel as per PTS 18.54.01 (2.1)
b) Fire Protection Systems as per FSDP or BKO (Buku Kebenaran
Operasi)/Buku Merah Bomba requirement.
c) Fire Protection Systems reviewers, approvers and reporting platform. (e.g.
morning meeting, HSEQC and etc.).
d) Fire Protection Systems communication and training requirements to be
impose to staff and 3rd parties.
e) Periodic Fire Protection Systems reviews to ensure quality, technical
accuracy and validity after each audit session/inspection conducted.
f) Assurance process including monitoring and tracking closure of action
items. 
g) Retention and safe-keeping of records.

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
e) The updated version of FSSM is available and can be access by all
personnel
2) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.
Practices are effective and sustainable for minimum 3 years. 0
a) 100% compliance to the regulatory and PTS requirement
4.2 PTS 18.54.01 Design Fire Protection Systems according to relevant PTSs. In the 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.2 absence of PTS requirements, refer to other International Approved are comprehensive in reference to PETRONAS, Downstream, external and
Standards as defined by AHJ. OPU specific requirements.
2) Availibility of Buku Kebenaran Operasi (BKO)/Buku Merah Bomba at site or
3) FSDP which include list of equipment with reference to approve standard
(NFPA, BS, MS and etc.) or
4) Bomba approved drawings for plant constructed before 1990

1) Communication on plan and tools executed 0

2) Staff is trained and competent.
3) Fire Safety Focal Person (FSFP) having knowledge on requirements of :
a) Availibility of Buku Kebenaran Operasi (BKO)/Buku Merah Bomba at site or
b) FSDP which include list of equipment with reference to approve standard
(NFPA, BS, MS and etc.) or
c) Bomba approved drawings for plant constructed before 1990

Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
a) Any changes to the design to be approved by AHJ (Authority Having
Jurisdiction)
b) Full specification of fire fighting and emergency equipment with reference
to AHJ approval (NFPA, BS, MS and etc.)
1) All evidences of implemented practices are consistently complied with 0
requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
e) Updated version of BKO/Buku Merah Bomba or FSDP shall be available and
kept by FSFP
2) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

Practices are effective and sustainable for minimum 3 years. 0

a) 100% compliance to the regulatory and PTS requirement.
4.3 PTS 18.54.01 Select Fire Protection Systems based on legislative requirements. In 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.2.4 the absence of prescriptive legislative requirements, adopt are comprehensive in reference to PETRONAS, Downstream, external and
performance based or risk based design. OPU specific requirements.
2) Buku kebenaran Operasi (BKO)/Buku Merah Bomba or FSDP with:
*Note : During design and commissioning stage(PTS 18.54.01 sub a) Zone classification area/hazardous area classification
2.2.4) b) Any Fire Risk assessment study

1) Communication on plan and tools executed 0

2) Staff is trained and competent.
3) Fire Safety Focal Person (FSFP) having knowledge on requirements of
Buku kebenaran Operasi (BKO)/Buku Merah Bomba or FSDP with:
a) Zone classification area/hazardous area classification
b) Any Fire Risk assessment study

Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
a) Approved BKO/Buku Merah Bomba or FSDP by AHJ with:
- Approved zone classification area/hazardous area classification
- Approved Fire Risk assessment study
1) All evidences of implemented practices are consistently complied with 0
requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
e) 100% compliance to BKO/Buku Merah Bomba or FSDP
2) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

BKO/Buku Merah Bomba or FSDP to be part of FSSM 0

4.4 PTS 18.54.01 Ensure that the Fire Safety Design Philosophy (FSDP) for onshore 1) All requirements incorporated in L3 procedure are approved and contents 0
Sections facility or Fire and Explosion Strategy (FES) for offshore facility are comprehensive in reference to PETRONAS, Downstream, external and
2.2.5, 2.2.6, documents are: OPU specific requirements.
2.2.10, • prepared by a competent/qualified FSCE, 2) Approved BKO/Buku Merah Bomba or FSDP by AHJ
2.2.12, 2.2.13 • approved by AHJ and 3) Prepared by competent/qualified FSCE i.e
• accompanied by a Fire Safety System Manual (FSSM) which a) Fire safety computent engineer or
includes ITM/ITPM. b) Mechanical engineer with 5 years experienced in Fire Safety or
o Benchmark the frequency, methods and checklists of ITM/ITPM c) Chemical engineer with 5 years experienced in Fire Safety
against PTS. 4) Approved ITM and maintenance plan for Fire Fighting Equipment (as per
PTS)

Open
 4.4 PTS 18.54.01 Ensure that the Fire Safety Design Philosophy (FSDP) for onshore
Sections facility or Fire and Explosion Strategy (FES) for offshore facility
2.2.5, 2.2.6, documents are:
2.2.10, • prepared by a competent/qualified FSCE,
2.2.12, 2.2.13 • approved by AHJ and
• accompanied by a Fire Safety System Manual (FSSM) which
includes ITM/ITPM.
o Benchmark the frequency, methods and checklists of ITM/ITPM
against PTS.

1) Communication on plan and tools executed 0

2) Staff is trained and competent.
3) Fire Safety Focal Person (FSFP) having knowledge on requirements of :
a) Approved BKO/Buku Merah Bomba or FSDP by AHJ
b) Prepared by competent/qualified FSCE i.e
- Fire safety competent engineer or
- Mechanical engineer with 5 years experience in Fire Safety or
- Chemical engineer with 5 years experience in Fire Safety
c) Approved ITM and maintenance plan for Fire Fighting Equipment (as per
PTS)
Evidence of activities and processes are implemented as per requirements, 0
planned and specified tools.
100% compliance to:
a) Approved BKO/Buku Merah Bomba or FSDP by AHJ
b)Prepared by competent/qualified FSCE i.e
- Fire safety computent engineer or
- Mechanical engineer with 5 years experienced in Fire Safety or
- Chemical engineer with 5 years experienced in Fire Safety
c) Approved ITM and maintenance plan for Fire Fighting Equipment (as per
PTS)
- Approved FSDP or BKO/Buku Merah Bomba by BOMBA
- Approved FSSM
- Approved Procedure for ITM/ITPM
- Approved ITM schedule & Checklist

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

0
4.5 PTS 18.54.01 Conduct on-site initial inspection and acceptance test after the 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.2.14 system/equipment installation prior to facility operations as per the are comprehensive in reference to PETRONAS, Downstream, external and
following: OPU specific requirements.
• assessed against its performance criteria, 2) Performance Test report for fire fighting equipment
• witnessed by the operational personnel,
• documented and 1) Communication on plan and tools executed 0
• communicated to the AHJ for issuance of facility’s fitness for 2) Staff is trained and competent.
occupation certification. 3) Responsible parties to follow inspection and acceptance test as per OPU's
practices or manufacturer recommendation which cover:
*Note : During design and commissioning stage(PTS 18.54.01 sub a) Assessed against its performance criteria,
2.2.14) b) Witnessed by the operational personnel,
c) Documented and
d) Communicated to the AHJ for issuance of facility’s fitness for occupation
certification.

Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
a) Approved final Inspection & acceptance test report which cover :
- Assessed against its performance criteria,
- Witnessed by the operational personnel,
- Documented and
- Communicated to the AHJ for issuance of facility’s fitness for occupation
certification.

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) Only trained and competence personnel are allow to do on-site initial
inspection and acceptance test after the system/equipment installation

0
4.6 PTS 18.54.01 Conduct re-acceptance test after any maintenance or modification 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.2.15 arising from the shortfalls identified during initial inspection and are comprehensive in reference to PETRONAS, Downstream, external and
acceptance test. OPU specific requirements.
2) Re-acceptance Test Report
*Note : During design and commissioning stage(PTS 18.54.01 sub 3) Services Report
2.2.14)
1) Communication on plan and tools executed 0
2) Staff is trained and competent.
3) Responsible parties to follow inspection and re-acceptance test as per
OPU's practices or manufacturer recommendation which cover:
a) assessed against its performance criteria,
b) witnessed by the operational personnel,
c) documented and
d) communicated to the AHJ for issuance of facility’s fitness for occupation
certification.
4) Responsible parties to ensure services Report and test report submitted to
FSFP
Evidence of activities and processes are implemented as per requirements, 0
planned and specified tools.
a) Approved final re-acceptance Report which cover :
- assessed against its performance criteria,
- witnessed by the operational personnel,
- documented and
- communicated to the AHJ for issuance of facility’s fitness for occupation
certification.
b) Responsible parties to verified final services Report and test report
submitted to FSFP

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) Only trained and competence personnel are allow to do on-site initial
inspection and acceptance test after the system/equipment installation
3) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

0
4.7 PTS 18.54.01 Ensure the availability and readiness of the Fire Protection Systems 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.3.1 at all times. are comprehensive in reference to PETRONAS, Downstream, external and
OPU specific requirements.
2) ITM schedule
3) Checklist
4) Inspection, audit and monitoring record
5) Design layout for FFE

1) Communication on plan and tools executed 0

2) Staff is trained and competent.
3) FSFP to conduct tracking and monitoring for all the activities to ensure the
availability and readiness of the Fire Protection Systems at all times.
a) Trending and analysis
b) Identified and plan to close all findings

Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
a) Latest/current approved ITM schedule
b) Complete filled of Fire Fighting equipment checklist
c)Latest inspection, audit and monitoring record
d) Latest approved design layout for Fire Fighting equipment (FFE)
e) Work done by competence/qualified personnel and refresher training
monitored by HOD
f) Gaps closure action item executed

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2)Proper tracking mechanism and to be updated/reported to relevant
responsible parties at appropriate interval time (recommended monthly
update)
3) All gaps are close as per plan
4) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.
Practices are effective and sustainable for minimum 3 years. 0
a) 100% meeting performance standard set i.e KPI
b) No repetitive findings

4.8 PTS 18.52.26 Obtain approval from the Approving Authority (AA) in the event of 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.0 Fire Protection Systems unavailability. are comprehensive in reference to PETRONAS, Downstream, external and
and DBE- OPU specific requirements.
03.05-L2-SCE 2) Notification and re-notification procedure (internal & external)
3) Written Approval from AHJ
4) Record of notification
5) IAP/PIAP (Temporary during the unavailability of protection system)

1) Communication on plan and tools executed 0

2) Staff is trained and competent.
3) Responsible parties to prepare related documents to notify relevant parties
(internal & external) prior disablement of any Fire Protection Systems

Open
 4.8 Obtain approval from the Approving Authority (AA) in the event of
Fire Protection Systems unavailability.

Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
a) Approved notification and re-notification procedure (internal & external)
and submitted to FSFP
b) Written Approval from AHJ and submitted to FSFP
c) Record of notification to relevant parties and submitted to FSFP
d) Approved IAP (Temporary during the unavailability of protection system)
and submitted to FSFP
e) Relevant personnel handling the work must be trained and competence on
the notification and re-notification procedure
f) HOD to ensure training record and certificate of competency are available

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) No work started related to Fire Protection Systems without approval from
AA (Refer to PTS 18.52.26 Bypassing of Safety Critical Protective Device)
3) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

Practices are effective and sustainable for minimum 3 years. 0

a) 100% compliance to the requirements for the past 3 years

4.9 PTS 18.54.01 Ensure portable fire protection and fire suppression agents are 1) All requirements incorporated in L3 procedure are approved and contents 0
Section 2.3.2 adequately stored and protected with a current inventory list are comprehensive in reference to PETRONAS, Downstream, external and
provided at site. OPU specific requirements.
2) Inventory list
3) Storage location layout for inventory list
1) Communication on plan and tools executed 0
2) Staff is trained and competent.
3) Responsible parties to ensure proper storage for all portable fire protection
and fire suppression agents
Evidence of activities and processes are implemented as per requirements, 0
planned and specified tools.
a) Updated storage location layout for inventory list and submitted to FSFP
b) Updated inventory list and submitted to FSFP on periodic basis
c) Responsible parties shall conduct/schedule periodic audit/inspection and to
update FSFP

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) Record of the latest inventory list and meet 100% compliance
3) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

Practices are effective and sustainable for minimum 3 years. 0

a) 100% compliance to the requirements for the past 3 years
4.1 PTS 18.54.01 Conduct periodic ITM activities during the facility operational stage 1) All requirements incorporated in L3 procedure are approved and contents 0
Sections by competent personnel. are comprehensive in reference to PETRONAS, Downstream, external and
2.3.3, 2.4.1 to OPU specific requirements.
2.4.7, 2.6, 2) Certificate of personal competency (Staff & 3rd Parties)
2.7.5 and 3) Training record (Staff & 3rd Parties)
PTS 18.53.03
1) Communication on plan and tools undertaken 0
2) HOD to ensure the facility operational stage by competent personnel
a) Copies of valid certificate for personal competency (Staff & 3rd Parties)
and submitted to FSFP
b) Latest training record (Staff & 3rd Parties) and submitted to FSFP
3) ITM schedule available

Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
a) Evidence of conducted ITM activities i.e. ITM report

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) To include the certified competency requirement in the new/existing
contract for 3rd parties
3) Updated list of certified competent person available at site and shall be
kept FSFP
4) ITM consistently conducted at least 90% of the time. .
5) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

1) Representative from HSE department shall be liaise before issuing any 0

new contract/Invitation To Bid (ITB)
2) To review existing contract and to include the requirement of certified
competency by relevant parties and include HSE representative
3) ITM consistently conducted 100% for the past 3 years.
4.11 Downstream Ensure any modification affecting fire prevention, protection and 1) All requirements incorporated in L3 procedure are approved and contents 0
Requirement detection performance are in line OEMS L2 01.08 Management of are comprehensive in reference to PETRONAS, Downstream, external and
Change. OPU specific requirements.
2) MOC document
3) Finding/recommendation from relevant inspection/audit
4) Notification and re-notification to relevant parties (internal & external)

1) Communication on plan and tools undertaken 0

2) Staff is trained and competent.
3) Responsible parties to adhere to PTS requirement on MOC process prior
any modification affecting fire prevention, protection and detection.
4) MOC completed in the timely manner
5) All information on relevant MOC shall be informed to FSFP

Evidence of activities and processes are implemented as per requirements, 0

planned and specified tools.
a) Approved MOC document
b) List of findings/ recommendation from relevant inspection/audit
c) Notification and re-notification to relevant parties (internal & external)
d) All work progress to updated to FSFP

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) Responsible parties shall be trained and competent on overall MOC process
3) All findings and recommendations are close
4) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

HOD shall ensure all MOC document are completed and approved prior 0
starting any work
4.12 PTS 18.07.02 Conduct assurance activities at planned interval to provide 1) All requirements incorporated in L3 procedure are approved and contents 0
information whether the system: are comprehensive in reference to PETRONAS, Downstream, external and
• Conform to the above requirements. OPU specific requirements
• Effectively implemented and maintained. 2) Tier 1 Fire Safety Assessment (FSA) as per PTS 18.54.01 report with
action tracker
3) Tier 2 FSA as per PTS 18.54.01 report with action tracker
1) Communication on plan and tools undertaken 0
2) Staff is trained and competent.
3) FSFP to ensure Tier 1 & Tier 2 FSA to be conducted as per plan and
completed report to be submitted within 1 month to HOD
Evidence of activities and processes are implemented as per requirements, 0
planned and specified tools.
a) 1-Tier 1 FSA report with action tracker (Every 6 month)
b) Tier 2 FSA report with action tracker (Yearly)
1) All evidences of implemented practices are consistently complied with 0
requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness
2) FSFP shall ensure schedule for Tier 1 & Tier 2 FSA to be followed as per
plan and fulfill the requirement of PTS 18.54.01
3) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

1) HOD shall ensure annual Tier 1 & Tier 2 FSA report presented to 0
management (MSR)
2) HOD shall ensure updated monitoring/tracking system are available for
audit purposes
3) 100% compliance for the past 3 years
Management DBE-01.12- Conduct annual Management System Review to ensure the system 0
System Review L2-486 suitability, adequacy and effectiveness which aligned with the 1) Communication on plan and tools conducted. 0
strategic directions of the Business. 2) Staff is trained and competent._x000D_
1) Data gathering & analysis conducted 0
2) MSR result pack completed & uploaded in ECM_x000D_
3) Provide update to element directions/policies after MSR_x000D_
4) Tracking of gap closure after MSR._x000D_

Open
 Management DBE-01.12- Conduct annual Management System Review to ensure the system
System Review L2-486 suitability, adequacy and effectiveness which aligned with the
strategic directions of the Business.

1) All evidences of implemented practices are consistently complied with 0

requirements and meet element's target.
a) Communications and training on all requirements to the targetted
stakeholders are met
b) Documents and records are secured and easily retrievable.
c) Zero outstanding NCR recorded during audit due to incompliance to the
requirements (documented, planned and practiced).
d) Continual training, communication and efforts are done to enhance user
capability and other staff awareness.
e) Updated element directions/policies.
f) 100% completed gap closure from MSR review.
g) Achieved or exceed the target KPIs.
2) Showing continuous improvement by updating relevant documents based
on current requirements, feedback, lessons learned and recommendation
from assurance etc.

0
Practices are effective and sustainable for minimum 3 years.
a) All the record of practices are consistently complied to the requirements
and OPU target from for the last 3 consecutive years.
b) No high findings or repetitive medium findings from external or corporate
assurance.
c) Sustaining the effectiveness rating during yearly MSR review for minimum
3 consecutive years.
- Number of incident related to non-compliance with Fire Protection
Systems requirements.
Performance Measurement - Percentage of Fire Protection Systems availability (%).
- Percentage of Fire Protection Systems ITM schedule compliance
(%).

Adequacy & 0.00 0.00

Effectiveness Score

Department OEMS Assurance

Assessor
Name:
HCU/OPU/Department/Section:
Date of Assessment:

Head of Department (HOD)

Name:
HCU/OPU/Department/Section:
Date:

Open