Title Page

  • Conducted on

  • Prepared by

  • Location

Observe

  • Has the Supervisor/Charge hand signed the permit?

  • Have the workers involved in the task signed the permit? ie. (welder, assisting trade, fire watch, sub-contractor/vessel crew)

  • Are the required controls (as per permit) in place?

  • Are the control measures on the permit appropriate for the task being performed?

  • If lock out is required are their personal locks in place?

  • Has safety signed the permit?

Interview

  • Do workers know where the fire extinguisher is located?

  • Do workers know what the cool down period is for this permit?

  • When asked did the workers know if lock out was required or not?

Observations/comments

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.