Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Inspection

  • Please confirm the compliance check is completed quarterly

  • Have all actions from previous KSR check been closed out

  • Please detail why not

  • Examine the visitor/contractor sign in log, Is this being utilised, are visitors logging out and does it correlate with the raised PTW's

  • Are non company personnel (exc inbound drivers) issued with visitor tags/ID

  • Does the site have a basic visitor induction process that is being utilised

  • Does the visitor driver area have relevant information for site facilites

  • Select three closed out PTW forms: (include a hot work and working at height if possible) Are the permits completed (opened/Closed) by a person from the competent authorised person list? Are all section completed detailing type of work, work area? Is the safe Contractor number or Group Engineering authority code recorded on the PTW? Has the Contractor submitted Methods Statements and Risk Assessments? Does the method statement adequately describe how the work will be done safely? Has the Work area been inspected pre, during and post work (frequency dependant on risk but at least every 90 mins) Has the issuer closed out the permit fully (if not has the hand over section been utilised correctly) Working at height permits clearly indicate the need for harness/lanyard etc, Please photograph/ upload the 3 permits checked to this audit.

  • Record who has completed the last two Visitor and Contractor controls KSR's (previously PTW KSR's)

  • If any Contractors are working on site Check their permit against the activities they are doing. Are they working safely, does the permit issuer know what they are doing and where, is there any Hot Work or Work at Height?

  • Has work ceased and corrections made to permit?

  • If no please detail why not

  • Please list contractors onsite

Action/ Comments

  • Have all actions been added to Key Action Tracker

  • Additional comments

  • Signature

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