Information

APLNG - Field CSG Projects Permit to Work Inspection .

  • Origin Operations Area: ( e.g. Combabula )

  • Detailed Work Location:

  • Contractor:

  • Conducted on

  • Prepared by

  • Inspection Team:

  • Describe the Task or Activity being Conducted:

  • Do the details on the permit adequately describe the work location, the equipment an the exact scope of works?

  • Is the permit correctly dated and all mandatory sections filled in and signed where applicable?

  • Is the permit within the validity period?

  • Is the permit within the validity period?

  • Has Permit Issue and Acceptance section been completed by the Permit Authority , Permit Issuer and Permit Holder?

  • Are all signatories suitably trained and competent in the relevant Permit to Work Procedure?

  • Is the permit located within the vicinity of the work group on site ?

  • At work completion are the permit holder's copy of the permit and applicable records e.g. Gas Monitoring returned to the permit issuer?

Involvement

  • Is the permit holder available at the work place ?

  • All required additional certificates and supporting documentation referenced and accompanying the permit e.g. Gas Testing

  • Are Isolations correctly specified, tagged and verified by the Permit Holder prior to starting the task?

  • Is Gas Monitoring being conducted by trained persons and results recorded?

  • If Gas monitoring is required has the Gas Detector been bump tested ?

Communication

  • Are additional controls referenced on the permit e.g. (Gas Test, Isolation etc)

  • Have the controls been communicated to the work crew?

  • All persons required to work under the permit are Permit Worker trained and understand the Permit to Work Procedure?

  • Where underground services exist have the service locations been located, marked and communicated to the work team?

  • Where overhead services exist is the exclusio zone and the height of operational plant documented ? Are signs and spotter in place if required?

Risk Management

  • Is the risk assessment approved and documented as part of the permit or attached permit?

  • Does the Risk Assessment (TRA/ SHEWMS etc.) description match the permitted task description?

  • Are appropriate hazards identified in the risk management document?

  • Are effective controls listed for each hazard and are these controls being carried out?

  • Does the risk assessment provide details of the competence required of persons conducting the task?

  • Have possible conflicts with other teams in the area been identified ( SIMOPS) ?

  • Have the work party members read, understood and signed onto the Risk Assessment Tool. ( e.g. TRA, SHEWMS of JHA)?

  • Have personal risk assessments been conducted e.g. ( Take 5, Job Start Cards) ?

Comments

Additional Comments

  • Comments

Signoff

Contractor Representative

  • Role:

  • Signature

Origin Energy Representative

  • Role:

  • Signature:

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