LSB Audit Checklist - Permit To Work

Is the permit completed properly without any corrections or alterations? (All information completed, date, time, discipline, contractor, company name, type of work and confined space entry)

Is the area of work clearly defined? E.g. ANS1 as oppose to “ANS”. Business unit name, plant name, building number/name, equipment number or name and work order number (if applicable)

Does the work permit have a single task description and clearly noted what needs to be done? E.g. Do grinding work on the tank as oppose to “do repairs on the tank. (Check if a copy of the permit is available on the plant)

Has each of the disciplines completed a pre task risk assessment/PTRA Check that each discipline involved in the permit has completed a PTRA

Are additional permits/certificates or relevant documentation attached to the permit? Check that spade list, vessel entry log, excavation certificate, etc. are attached to the permit.

Have the waste generated by the task been identified and the method of disposal noted on the permit? (verify means of waste segregation measure)

Are hot work restrictions clearly identified and permit signed by higher authority? (if applicable) (verify on the plant)

Is the vessel guarded against unauthorised entry when there is no standby? (check if there is a ‘UNAUTHORISED ENTRY” cross bars)

Is the permit authorised and valid? (Check the date on the permit)

Are the hazards that might still exist identified?

Has protective equipment been identified and is it adequate? (PPE) (verify on the plant)

Has any additional safety measures been identified? (verify on the plant)

Are there any restriction on tools identified and additional precautions noted if applicable? (verify on the plant)

Are all role players authorised and competent (Check if their authorisations are still valid?)

Is the permit signed off upon completion of the task? (check if all role players have sign off)