Information
APLNG - Field CSG Projects Permit to Work Inspection .
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Origin Operations Area: ( e.g. Combabula )
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Detailed Work Location:
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Contractor:
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Conducted on
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Prepared by
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Inspection Team:
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Describe the Task or Activity being Conducted:
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Do the details on the permit adequately describe the work location, the equipment an the exact scope of works?
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Is the permit correctly dated and all mandatory sections filled in and signed where applicable?
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Is the permit within the validity period?
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Is the permit within the validity period?
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Has Permit Issue and Acceptance section been completed by the Permit Authority , Permit Issuer and Permit Holder?
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Are all signatories suitably trained and competent in the relevant Permit to Work Procedure?
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Is the permit located within the vicinity of the work group on site ?
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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
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Is the permit holder available at the work place ?
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All required additional certificates and supporting documentation referenced and accompanying the permit e.g. Gas Testing
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Are Isolations correctly specified, tagged and verified by the Permit Holder prior to starting the task?
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Is Gas Monitoring being conducted by trained persons and results recorded?
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If Gas monitoring is required has the Gas Detector been bump tested ?
Communication
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Are additional controls referenced on the permit e.g. (Gas Test, Isolation etc)
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Have the controls been communicated to the work crew?
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All persons required to work under the permit are Permit Worker trained and understand the Permit to Work Procedure?
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Where underground services exist have the service locations been located, marked and communicated to the work team?
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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
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Is the risk assessment approved and documented as part of the permit or attached permit?
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Does the Risk Assessment (TRA/ SHEWMS etc.) description match the permitted task description?
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Are appropriate hazards identified in the risk management document?
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Are effective controls listed for each hazard and are these controls being carried out?
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Does the risk assessment provide details of the competence required of persons conducting the task?
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Have possible conflicts with other teams in the area been identified ( SIMOPS) ?
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Have the work party members read, understood and signed onto the Risk Assessment Tool. ( e.g. TRA, SHEWMS of JHA)?
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Have personal risk assessments been conducted e.g. ( Take 5, Job Start Cards) ?
Comments
Additional Comments
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Comments
Signoff
Contractor Representative
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Role:
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Signature
Origin Energy Representative
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Role:
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Signature: