Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Contractor performance is supported by: - Contractor's Knowledge - Contractor engagement in the Permit to Work - Contractor supply of and compliance to work plans, JSA, SWMS. - Review of contractors parts, tools and equipment. - Review of contractors work plans, JSA and SWMS. - Understanding of contractors approach to work.

Use N/A for "Not Assessed".

Contractor Knowledge

  • Do contractors have appropriate knowledge of the site hazardous zones?

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  • Do contractors have appropriate knowledge of material compatibility associated with the product systems they are working on?

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  • Do contractors have appropriate knowledge of oxygen compatibility and cleanliness?

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  • Do contractors have appropriate knowledge of the hazards near their work location or work access routes?

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  • Do contractors have appropriate knowledge of the hazards associated with the product / processes with which they are working?

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  • Do contractors have knowledge of areas near their work location which they are not approved to enter?

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  • Do contractors have knowledge of emergency equipment, evacuation routes and evacuation area locations .

  • Add media

Modification Of Plant

  • Are contractors using parts / lubricants equal to existing, or approved by EMOC?

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  • Are the contractors parts / lubricants compatible with the products / systems being worked on?

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  • Are contractors complaint with their approved safe systems of work including thePTW or their supplied JSA / JHA / SWMS?

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Control of Ignition Source

  • OXYGEN SYSTEMS: Are parts used by contractors on oxygen systems certified as "oxygen clean"?

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  • FLAMMABLE PRODUCTS: Are contractors working in or near hazardous zones (flammable gases / liquids) free of ignition sources (mobile phones, car keys, torches, unrated electrical equipment)?

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  • FLAMMABLE PRODUCTS: Is "hot work" (mowing / cutting / grinding) in or near hazardous zones (flammable gases / liquids) performed under a hot work permit?

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  • FLAMMABLE PRODUCTS: Do contractors have systems in place for the control of static electricity in or near hazardous zones (flammable gases / liquids)?

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Mobile Plant

  • Do contractors have evidence of the pre-start checks for mobile plant they are using?

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  • Do contractors have the appropriate trade licences / qualifications for the work they are performing .

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  • Do contractors have the appropriate training / licence for the mobile plant they are operating ?

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Permit To Work

  • Have the appropriate PTW been issued to the contractor for the work they are performing?

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  • Does the PTW include an appropriate assessment of hazards and identified controls?

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  • Does the supporting documents associated with the permit include the contractors JSA / SWMS?

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  • Does the contractor understand the safe state of the plant during the plant "handover" process?

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  • Has the contractor applied the personal locks and tags during the isolation process?

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Safe Systems of Work

  • Is the contractor compliant with their safe systems of work (JSA / JHA / SWMS)?

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Impact on Site

  • Are contractor vehicles parked in a safe / suitable / approved location?

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  • Have contractor clear / safe access to the work areas? This includes safe egress for emergency evacuation.

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  • Is the contractor maintaining adequate standards of housekeeping?

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  • Are controls in place to prevent the contractor impacts cylinders, pipe work, plant and mobile equipment?

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  • Are the contractor electrical tools "in test" and inspected before use?

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  • Does the contractor have the Safety Data Sheet for all hazardous substances / dangerous goods they have on site?

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Security

  • Are contractors inductions current? (Contact Security)

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  • Are contractor "approved" for the activity / process being performed?

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  • Are contractors using "approved" parts, tools and equipment?

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  • Are contractors "approved" for the areas they are entering or required to enter?

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  • Are contractors trade qualifications and licences recorded by the Contract Supervisor? - Contractor engagement in the Permit to Work process<br>- Contractor provision of and compliance to their work plans / JSA / SWMS <br>- Review of contractors tools, parts and equipment<br>- Review of contractors work plans / JSA / SWMS<br>- Understanding of the contractors approach to the completion of their work

  • Add media

Signed

  • Add signature

  • Select date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.