OHSE 09 - Permits

• Document No.

• Audit Title

• Client / Site (displayed on front page)

• Conducted on

  Date

• Prepared by

More than one auditor?

• Additional auditors

• Permit is authorised for the shift

  Yes

  No

  N/A

• Permit is valid and suitable for the activity being performed

  Yes

  No

  N/A

• Personnel trained in the Contractor permit to work program

  Yes

  No

  N/A

• Isolations in place and verified where relevent (electrical isolations, isolation point, lock out tag out)

  Yes

  No

  N/A

• Personal danger tags and isolation tags correctly filled out and fitted where applicable (isolation permits)

  Yes

  No

  N/A

• Permit requirments have been communicated for the task and understood be all

  Yes

  No

  N/A

• A copy of the original permit is located with the work group

  Yes

  No

  N/A

• Permit is accompanied by a SWMS / JSEA

  Yes

  No

  N/A

• Permits have been closed-out correctly and filed

  Yes

  No

  N/A

• Permit register is maintained

  Yes

  No

  N/A
Action required?

• Action

• Action due

  Date

• Allocated to

• Signed PoMC Representative:

  Sign

• Signed Principal Contractor Representative (optional):

  Sign