Permit Audit

• Document No.

• Audit Title

• Client / Site

• Prepared by

• Location
  Address

• Personnel

WORK PERMITS

• Is the Permit correct for the task

  Yes

  No

  N/A

• Is the Permit in date and current

  Yes

  No

  N/A

• Has the Permit been placed on the Permit Register

  Yes

  No

  N/A

• Has the Permit been relinquished and revalidated

  Yes

  No

  N/A

• Has Permit been taken out by Authorised Permit Holder

  Yes

  No

  N/A

• Has Permit been issued by Authorised Permit Issuer

  Yes

  No

  N/A

• Is JHA Number referenced on Permit

  Yes

  No

  N/A

• Is Permit number referenced on JHA

  Yes

  No

  N/A

• Is the location of the task clear

  Yes

  No

  N/A

• Has the task been identified on the Permit

  Yes

  No

  N/A

• Is Permit Register current and up to date

  Yes

  No

  N/A

• No overdue Permits for closure

  Yes

  No

  N/A

• Are all closed Permits filed

  Yes

  No

  N/A

• Yellow copy of permit available at job site

  Yes

  No

  N/A

Isolations Permits

• Mechanical Permits

  Yes

  No

  N/A

• Electrical Permits

  Yes

  No

  N/A

• Is the Permit correct for the task

  Yes

  No

  N/A

• Is the Permit in date and current

  Yes

  No

  N/A

• Has the Permit been placed on the Permit Register

  Yes

  No

  N/A

• Has Permit been taken out by Authorised Permit Holder

  Yes

  No

  N/A

• Has Permit been issued by Authorised Permit Issuer

  Yes

  No

  N/A

• Is JHA number referenced on Permit

  Yes

  No

  N/A

• Is Permit number referenced on JHA

  Yes

  No

  N/A

• Is the location of the task clear

  Yes

  No

  N/A

• Has the task been identified on the Permit

  Yes

  No

  N/A

• Is Permit Register current and up to date

  Yes

  No

  N/A

• No overdue Permits for closure

  Yes

  No

  N/A

• Are all closed Permits filed

  Yes

  No

  N/A

• Yellow copy of permit available at job site

  Yes

  No

  N/A

Date & Sign Off

• Select date

  Date

• Safety Advisor

  Sign