Permit Audit

Audit Details

• Photo of the work activity

  Media

• Select date

  Date

Permit To Work Details

• Permit Serial Number

• Contractor Company Name

General Permit Information

• Is the company name correct ?

  Yes

  No

• Are the authorised person and issuer the same person ?

  Yes

  No

• Are the permit dates (3 off) correct ? ( check day, month, year)

  Yes

  No

• Are the Permit start/end times correct ?

  Yes

  No

Location Details

• How accurate is the Plant or Area described for the job concerned ?

  Good

  Acceptable

  Poor

• How accurate is the description of the task ?

  Good

  Acceptable

  Poor

• How detailed / accurate is the Hazard Assessment section completed description ?

  Good

  Acceptable

  Poor

• How detailed / accurate is the "preparations carried out" section completed ?

  Good

  Acceptable

  Poor

• How detailed / accurate is the "Hazard Remaings" section completed ?

  Good

  Acceptable

  Poor

• How detailed / accurate is precautions necessary section completed ?

  Good

  Acceptable

  Poor

• How detailed / accurate is PPE requirements section completed ?

  Good

  Acceptable

  Poor

Permit Signatures

• Are the signatures correct for handover ?

  Yes

  No

• Are the hand back signatures left unsigned ?

  Yes

  No

• Has the acceptors name and contact details been added ?

  Yes

  No

Risk Assessment / Method Statement / Isolation Certificate

• Is a valid Risk Assessment available for the work being carried out ?

  Yes

  No

  N/A

• Is a valid Method Statement available for the work being carried out ?

  Yes

  No

  N/A

• Is an electrical / mechanical isolation certificate in place if required ?

  Yes

  No

  N/A

Audit Sign off

• Auditors Signature

  Sign

• Audit Acceptors Signature (eg Contractor)

  Sign