Are copies of the permit displayed properly?
Has the permit been documented properly?
Are any accompanying documents e.g. procedures / JSAs in place for this work?
Select YES if there are no issues with this permit or job. If there are issues with this permit or job select no and note in comments section.
Select YES if there have been NO new hazards observed on site. If new hazards have been observed select NO and note in comments section.
Is the required safety equipment in place?
Have the permit requirements been communicated to all users?
Does the actual work permit scope match?
Is appropriate supervision present on site?