Information

  • Document No.

  • Audit Title

  • Client / Site

  • Prepared by

  • Location
  • Personnel

WORK PERMITS

  • Is the Permit correct for the task

  • Is the Permit in date and current

  • Has the Permit been placed on the Permit Register

  • Has the Permit been relinquished and revalidated

  • Has Permit been taken out by Authorised Permit Holder

  • Has Permit been issued by Authorised Permit Issuer

  • Is JHA Number referenced on Permit

  • Is Permit number referenced on JHA

  • Is the location of the task clear

  • Has the task been identified on the Permit

  • Is Permit Register current and up to date

  • No overdue Permits for closure

  • Are all closed Permits filed

  • Yellow copy of permit available at job site

Isolations Permits

  • Mechanical Permits

  • Electrical Permits

  • Is the Permit correct for the task

  • Is the Permit in date and current

  • Has the Permit been placed on the Permit Register

  • Has Permit been taken out by Authorised Permit Holder

  • Has Permit been issued by Authorised Permit Issuer

  • Is JHA number referenced on Permit

  • Is Permit number referenced on JHA

  • Is the location of the task clear

  • Has the task been identified on the Permit

  • Is Permit Register current and up to date

  • No overdue Permits for closure

  • Are all closed Permits filed

  • Yellow copy of permit available at job site

Date & Sign Off

  • Select date

  • Safety Advisor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.