Delta ATAR Compliance Checksheet V0.1

• Document No.

• Auditor

• Contract Administrator

• Conducted on

  Date

• Location

  Select MP1 MP2 MPS WW7 WW8 WWS VP5 VP6 VPS MMS Colongra

  • MP1
  • MP2
  • MPS
  • WW7
  • WW8
  • WWS
  • VP5
  • VP6
  • VPS
  • MMS
  • Colongra

• Area

  Select CHP ASH AND DUST PLANT EXTERNAL PLANT BOILER TURBINE TRANSFORMER SWITCHBOARD WORKSHOP STORE MOBILE PLANT CHEMICAL PLANT CAR PARK MEETING ROOM KITCHEN OFFICE SITE OTHER

  • CHP
  • ASH AND DUST PLANT
  • EXTERNAL PLANT
  • BOILER
  • TURBINE
  • TRANSFORMER
  • SWITCHBOARD
  • WORKSHOP
  • STORE
  • MOBILE PLANT
  • CHEMICAL PLANT
  • CAR PARK
  • MEETING ROOM
  • KITCHEN
  • OFFICE
  • SITE
  • OTHER

• Permit number

• PTW Work Description

• Company

• Person In Charge

Select yes to indicate everything has been checked and is acceptable, no if issues have been identified.

• Does the team know where the safety plan is located?

  yes

  no

• Is the ICB located prominently?

  yes

  no

• Is the board located in an acceptable alternative position?

  yes

  no

• Is the white lock key stored in a safe location?

  yes

  no

• Have all keys been removed from personal locks?

  yes

  no

• Have all persons locked on and signed onto the Permit Access Signature Sheet?

  yes

  no

• Is the work free of confined spaces?

  yes

  no

• Is the confined space signature sheet located at the designated entry point

  yes

  no

• Are all persons accessing the confined space signed onto the Permit Access Signature Sheet?

  yes

  no

• Are all persons accessing the confined space signed onto the Confined Space Access Signature Sheet?

  yes

  no

• Is the designated standby person located outside and in close proximity to the confined space?

  yes

  no

• Is the designated standby person able to maintain communication with persons within the confined space?

  yes

  no

• Can the designated standby person identity the nearest emergency phone?

  yes

  no

• Can the designated standby person identity the emergency number to initiate an emergency response?

  yes

  no

• Is the work free of hot work?

  yes

  no

• Have all hot work control measures been implemented as per the hot work risk assessment?

  yes

  no

• Has the person in charge of the permit signed to indicate that the hot work control measures have been implemented?

  yes

  no

• Are staff wearing the minimum standard PPE for access to Site?

  yes

  no

• Are staff wearing appropriate task specific PPE?<br>Ie dual eye protection for grinding, no flammable synthetic materials for hot work.

  yes

  no

• Is the task based risk assessment / safe work method statement easy to locate?

  yes

  no

• Have all persons signed on the risk assessment / method statement?

  yes

  no