High Risk Audit - Isolation

1. Name of employee(s) undertaking Isolation activity appears on the danger / out of service tag?

Corrective / Remedial Action(s)

2. Has their manager / supervisor communicated the Isolation procedure to them and do they understand the procedure?

Corrective / Remedial Action(s)

3. Are the employees able to identify the applicable hazardous energy sources?

Corrective / Remedial Action(s)

4. Are the employees able to demonstrate how to isolate and control the hazardous energy sources?

Corrective / Remedial Action(s)

5. Has a method for testing to ensure that isolation is effective been established?

Corrective / Remedial Action(s)

6. Is a method in place to ensure that multiple isolation points have been checked and tested to ensure that isolation is effective?

Corrective / Remedial Action(s)

7. Has a TRA been completed for the Isolation Activity?

Corrective / Remedial Action(s)

8. Are proper isolation methods being used for the Isolation Activity?

Corrective / Remedial Action(s)

9. Is the JH-MPR-WHS-007 Isolation procedure being adhered to and has it been included in the Workplace PWHSMP?

Corrective / Remedial Action(s)

10. Has an Isolation Coordinator been assigned to the Workplace and do they monitor the isolation process?

Corrective / Remedial Action(s)

11. Where more than one employee is working on the isolated equipment, has JHG-2F-040-1A Isolation Permit been completed for the Isolation Activity?

Corrective / Remedial Action(s)

12. Has the Isolation activity been communicated to other employees working in close proximity to the activity?

Corrective / Remedial Action(s)

13. Prior to the removal of the isolation, has the isolation coordinator ensured that all work is complete, all tools and equipment used during the isolation period has been removed, all persons are clear of the operating parameter of the plant / equipment being re-energised, and they have been instructed that the plant / equipment has been re-energised?

Corrective / Remedial Action(s)

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.