EMOC Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

EMOC Application

• Is the EMOC application form completed correctly

  Yes

  No

  N/A

• Has the EMOC application been Signed by NTCP

  Yes

  No

  N/A

• Has the EMOC application been Signed by the responsible operations/Maintenance person

  Yes

  No

  N/A

Hazard Identification

• Have the appropriate hazards been identified

  Yes

  No

  N/A

• Are the relevant attachments provided

  Yes

  No

  N/A

• Were all hazards identified

  Yes

  No

  N/A

Physical Work

• did the completed work match the description of work

  Yes

  No

  N/A

Close out Verification

• Was the EMOC verification completed

  Yes

  No

  N/A

• Was the verification signed by the NTCP/Site Manager

  Yes

  No

  N/A