CH2M W.O. Subcontractor Audit - duplicate

• Document No.

• Work Order number:

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Company Name

• Work Order Completion Date:

Lockout /Tagout Procedures

• Is LOTO required?

  Yes

  No

  N/A

• Has LOTO procedures been reviewed with the contractor?

  Yes

  No

  N/A

• Are all LOTO isolation points identified?

  Yes

  No

  N/A

• Have the energy dissipation been verified?

  Yes

  No

  N/A

• Have LOTO measures been implemented effectively?

  Yes

  No

  N/A

Work Order Information

• Did the contractor show up when expected or call 24 hrs in advance to reschedule?

  Yes

  Partial

  No

• Did the contractor check in and out with the site personnel?

  Yes

  Partial

  No

• Did the contractor have an approved defined scope of work or task list with them that they are working off of?

  Yes

  Partial

  No

• Did the contractor wear the appropriate PPE while performing the work?

  Yes

  Partial

  No

• Did the contractor complete the work per the approved design / scope of work / PM?

  Yes

  Partial

  No

• If a piece of equipment was a part of the work, is the unit free of leaks (oil, water, gas), in operating condition and clean?

  Yes

  Partial

  No

• Are comments clearly written including additional deficiencies and follow up work order numbers?

  Yes

  Partial

  No

• Was appropriate time charged to the work order?

  Yes

  Partial

  No

• Did the contractor properly fill out and leave an adequate service report?

  Yes

  No

  N/A