Title Page
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Conducted on
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Prepared by
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Location
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Has the hole watch signed the permit?
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Has the supervisor signed the permit?
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Has the authorized permit issuer signed the permit?
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Is the correct ventilation in place and running?
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Does the permit reflect the work being done in the space?
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Are the workers wearing appropriate PPE as per the permit?
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If lock out is required are their personal locks in place?
Interview
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Does the hole watch know what level the space is? (low/moderate)
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Ask to see the hole watch log? Is it completed and accurate?
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Does the hole watch know what work tasks the permit has been signed off for? (hot work, painting, cleaning, etc.)
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Do the workers have the required training? (hole watch, entrant)
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Observation/Comments
