Title Page
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Aviation Department Work Permit Inspection/Audit
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Client / Site
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Conducted on
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Prepared by
Audit Information
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Permit Type
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Work Permit No.
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Issuer Org:
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Issue No:
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Receiver Org:
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Receiver No:
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Work Location:
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Duration:
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Description of Work:
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Permit inspection competed by:
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Permit inspection reviewed by:
Permit Review
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Correct type of permit issued?
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Has a permit been issued?
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Unofficial ticket being used instead of a PTW?
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Issuer's certification current?
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Joint site inspection conducted?
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Permit properly counter signed?
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Proper gas tests recorded?
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Gas test equipment operational?
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Permit properly closed? Extended?
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Till when?
Field Review
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Permit available at site
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Receiver available at site?
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Receiver certificate current?
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Work scope defined properly?
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Equipment properly identified?
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Hazards properly identified?
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Precautions properly defined?
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Gas test properly conducted?
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Receiver following permit instructions?
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Barricade warning signs adequate?
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Personal protective equipment (PPE) adequate?
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Issuer's lockout/hold tag adequate?
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Receiver's lockout/hold tag adequate?
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Standby-man available?
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Tools in acceptable condition?
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Scaffold acceptable and tagged?
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Acceptable excavation procedure?
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Equipment isolated/depressurized?
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Equipment clean/purged?
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Current crane inspection sticker?
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Current heavy equipment operator's license?
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Housekeeping/storage acceptable?
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Health hazards addressed?
Fire Protection 🔥
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Fire protection equipment available and adequate?
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Fire watch available and qualified?
