Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Personnel interviewed and accompanying auditor
Procedure
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Is there a written and approved site procedure for Permit to Work?
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Has it been communicated to the employees and contractors?
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Is there a written and approved site procedure for Hot Work?
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Has it been communicated to the employees and contractors?
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Is there a written and approved site procedure for Excavations?
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Has it been communicated to the employees and contractors?
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Is there a written and approved site procedure for Confined Space Entry?
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Has it been communicated to the employees and contractors?
Permit to work
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Have competent employees been officially appointed as work permit issuers?
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Has a risk assessment been conducted and signed off before starting work?
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Has a permit been completed, signed by WPI and issued before starting work and is this readily available?
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Does the permit holder directly supervise the tasks performed under the permit?
Hot work permit
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Has a permit to work been obtained?
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Is there a written appointment for a competent person responsible for hot work?
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Has a risk assessment been completed and signed off before commencement of any hot work?
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Has a permit been completed, signed by WPI and issued before starting work and is this readily available?
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Does the permit holder directly supervise the tasks performed under the permit?
Excavation permit
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Has a permit to work been obtained?
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Has a risk assessment been completed and signed off before commencement of any excavation as per definition in the CuCo procedure?
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Has a permit been completed, signed by WPI and issued before starting work and is this readily available?
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Does the permit holder directly supervise the tasks performed under the permit?
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Has the excavation area been barricaded and sign posted?
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Has the excavation area been assessed for overhead powerlines or underground services prior to commencement of work?
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Are any unexpected underground services or any services buried underground during the excavation surveyed and noted on a site map?
Confined space entry
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Has a permit to work been obtained?
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Has a risk assessment been completed and signed off before commencement of any excavation as per definition in the CuCo procedure?
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Has the atmosphere been tested with a calibrated gas meter for a minimum of O2, CO and LEL?
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Are all employees entering or supervising people entering confined space officially trained?
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Is a safety watch present at all times during entry into confined space?
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Has a permit been completed, signed by WPI and issued before starting work and is this readily available?
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Does the permit holder directly supervise the tasks performed under the permit?
