Information
-
Document No.
-
Conducted on
-
Location/Site:
-
GPS Location
-
Employee Performing Audit
-
Employee Completing Permit
-
Is the Date Correct on the permit?
-
Has the permit been issued for more than 16 hours?
-
Is the Authorized Employee listed in General Information Section?
-
Is the description of work accurate and detailed?
-
Are special instructions required for the permit?
-
Are the special instructions accurately listed?
-
Does the job involve venting or flaring product?
-
Has venting and flaring been approved by ONEOK Environmental?
-
Are appropriate selections made in the Safe Work Section?
-
Are appropriate selections made in the PPE/Equipment Section?
-
Does the job involve Hot Work?
-
Does the Hot Work include welding, cutting, grinding or an open flame?
-
Is there a Fire Watch on duty?
-
Is a Fire Watch identified on the permit?
-
Are appropriate selections made in the Hot Work Section?
-
Is Atmospheric Testing required for this job?
-
Is the Atmospheric Testing log properly completed?
-
Are emergency phone number listed on permit?
-
Is Confined Space being entered on this job?
-
Has the Confined Space section been properly completed?
-
Is the Rescue Pre-Plan completed?
-
Is the required Rescue Equipment properly staged?
-
Is a Confined Space Attendant identified on the permit?
-
Is Energy Control required for this job?
-
Is the Energy Control Log completed or an Energy Control Procedure attached to the permit?
-
Are appropriate selections made in the Energy Control Selection?
-
Was a Pre-Job Meeting conducted?
-
Is a Safety Lead identified on the permit?
-
Are all employees and contractors listed in the personnel accountability section?
-
Has the Authorized Employee signed and dated the permit?
-
Was a Daily Excavation Checklist completed for this job?
-
Additional Comments
-
Additional Photos (Photos of Permit)
-
Employee Performing Audit
-
Safety Lead