• Fenix Green Light No.

  • Client

  • Site Name/Reference

  • Site Location
  • Operating Organisations

  • Prepared by

Changes in the working context or stakeholder expectations

  • Have there been any changes in working context or stakeholder expectations?

  • Describe changes and which assessments, plans, processes and procedures have been affected.

  • Check that all affected assessments, plans, processes and procedures have been updated.

Checks to be carried out before giving Permission to work

  • Site Safety Assessment complete and OK?

  • Environmental aspects OK?

  • Munition Risk Assessment OK?

  • All essential personnel are present and fit?

  • All personnel qualified and authorised for their roles?

  • All personnel blood types, allergies, special requirements held by site medic?

  • Valid Medical Emergency Response Plan in place?

  • All CASEVAC vehicles serviceable and ready?

  • Emergency communications tested and correct?

  • All required equipment available and in working order?

  • Lifting equipment available and in satisfactory condition

  • Site organisation OK?

  • Mobile phone, electronic items and flammable materials policy in force?

  • Safety and quality brief provided to all staff?

  • Are there any additional site-specific checks required?

  • Describe additional site-specific checks that must be confirmed prior to agreement to Green Light

  • All site-specific checks OK?

  • Name and signature of Site Manager

  • Date and Time at which Green Light in force

  • Have there been any significant changes in circumstances, conditions or context during the day and/or have any decisions been taken that are significant for quality, environmental or safety reasons?

  • Provide detail of changes and/or decisions

Withdrawal of Green Light on completion of operations

  • All operations complete?

  • All explosive items removed/secure?

  • All personnel accounted for?

  • Name and signature of Site Manager

  • Date and time at which Green Light was withdrawn

  • Once this record is completed ensure it is exported to PDF and saved

Suspension of Green Light

  • When was PTW suspended?

  • Why was PTW suspended?

  • Nonconformity Reference if any

  • Name and signature of site manager

  • Issue Level 1.00 Dated 21 November 2019

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.