AR624 Permit to work (PTW) System Audit REV3

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date & time

  Date

Responsibilities

• Has the PTW authoriser been nominated by the Project Manager?

  Yes

  No

  N/A

• Is this appointment in writing?

  Yes

  No

  N/A

PTW Register

• Is their a PTW register?

  Yes

  No

  N/A

• Is the PTW register used / current?

  Yes

  No

  N/A

PTW Training

• Are all persons responsible for implementing AR624 trained in its use?

  Yes

  No

  N/A

PTW Authoriser

• Is the PTW authoriser controlling, coordinating, completing, monitoring and reviewing the PTW system?

  Yes

  No

  N/A

• Is the permit authoriser approving the authority to work?

  Yes

  No

  N/A

PTW Holder

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR 608A Confined Space permit

• Does the project meet the permit requirements for confined spaces?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

• Has the worker received confined space training?<br><br><br>

  Yes

  No

  N/A

AR610A Ground Penetration Permit

• Does the project meet the permit requirements for Ground Penetration?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR615B Working at Height Permit

• Does the project meet the permit requirements for Working at heights?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

• Are the workers trained in working at height?<br>

  Yes

  No

  N/A

• Is their a rescue plan in place?<br>

  Yes

  No

  N/A

AR618C Lift Permit

• Does the project meet the permit requirements Lifting?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR618D lift Plan

• Does the project meet the permit requirements Lifting?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR618G Use of Workbox Permit

• Does the project meet the permit requirements Lifting?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR620A Isolation Permit

• Does the project meet the permit requirements for Isolation

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR624C Hot Works Permit

• Does the project meet the permit requirements for Hot Works?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR624D Work Near Power Lines Permit

• Does the project meet the permit requirements for Working near Power Lines?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR624E Work on or near Water Permit

• Does the project meet the permit requirements for Working on or Near Water?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR624F Demolition Work Permit

• Does the project meet the permit requirements for Demolition?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR624G Use of Explosives Permit

• Does the project meet the permit requirements for Explosives?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

AR624H Batter Assessment Permit

• Does the project meet the permit requirements for Batter Assessment?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 7 days?

  Yes

  No

  N/A

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