Deep Compliance Audit Checklist : Permit to Work (PTW)

• Audit Title : Deep Compliance Audit - Permit to Work

• Site

• Conducted on

  Date

• Conducted by

1. Authority Levels

• a. Authority levels have been formally defined for issuing different kinds of permits?<br>

  Yes

  No

  Not Applicable

2. Non Routine Jobs

• a. Non Routine jobs which can be carried out without a permit have been formally approved by the site leader and the list is readily available?

  Yes

  No

  Not Applicable

3. Coverage

• a. All non-routine jobs (other than point 2 above) are carried out under a permit?

  Yes

  No

  Not Applicable

4. PTW Format

• a. All sections of the PTW formats are filled and correct formats are used for all the jobs?

  Yes

  No

  Not Applicable

5. Pre-Issue Risk Assessment

• a. Hazards are identified by site visit before issue of permits, and a method statement is provided for for high risk tasks?

  Yes

  No

  Not Applicable

6. Isolation

• a. Necessary electrical isolation / process isolation / service isolation has been carried out?

  Yes

  No

  Not Applicable

7. Safety Devices

• a. Adequate PPE and tools have been provided?

  Yes

  No

  Not Applicable

8. Supervision

• a. Adequate supervision is available?

  Yes

  No

  Not Applicable

9. Authorization

• a. Permits are properly authorized and validity is maintained?

  Yes

  No

  Not Applicable

10. Instructions

• a. Adequate instructions have been given to people carrying out the tasks?

  Yes

  No

  Not Applicable

• a. Adequate instructions have been given to people carrying out the tasks?

  Yes

  No

  Not Applicable

11. Closure

• a. Permits are closed after completion of tasks?

  Yes

  No

  Not Applicable

12. Sign-Off

• Add signature

  Sign