Permit Checks

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hotwork Permit

• Is the permit numbered?

  Yes

  No

  N/A

• Permit Number:

• Date of Permit:

  Date

• Location of work:

• Type of work

• Is the permit numbering sequential?

  Yes

  No

  N/A

• Are you on the work site?

  Yes

  No

  N/A

• Is the fire hose rolled out and standby?

  Yes

  No

  N/A

• Is the permit visibly displayed and complete?

  Yes

  No

  N/A

• Do you deem the work and workplace to be safe?

  Safe

  At Risk

  N/A