Title Page
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Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall from part of the CDM Health & Safety file.
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Sensible Monitoring Audit Completed By:
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Site Manager:
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Contract Number:
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Project Title:
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Conducted on
General
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Any H&S actions identified shall be entered onto Audit / Inspection Action Log and brought to the urgent attention of the appropriate personnel as soon as possible. Contractor / Project Manager to be notified of actions required / taken.
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1) Does the permit system require formal assessment of competence of personnel before they are given responsibilities under the permit procedure?
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Comments:
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Attach any images relevant to question 1 here.
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2) Is a record of training and assessment maintained?
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Comments:
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Attach any images relevant to question 2 here.
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3) Are individuals provided with written confirmation of successful completion of relevant training and are these documents checked before appointments are made within the permit to work system?
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Comments:
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Attach any images relevant to question 3 here.
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4) Is there a set of properly documented isolation procedures for working on potentially dangerous items of plant and does it provide for long term isolations?<br>
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Comments:
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Attach any images relevant to question 4 here.
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5) Is there a clear requirement for work being done under a permit to be stopped in any new hazards have arisen or old hazards recurred?
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Comments:
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Attach any images relevant to question 5 here.
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6) Does the permit contain clear rules about how the job should be controlled or abandoned in the event of an emergency?
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Comments:
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Attach any images relevant to question 6 here.
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7) Does the permit system require the potential hazards at the work site to be clearly identified and recorded on the permit document?
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Comments:
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Attach any images relevant to question 7 here.
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8) Does the permit clearly specify the precautions to be taken by the issuing authority and the performing authorities?
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Comments:
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Attach any images relevant to question 8 here.
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9) Is there a procedure to bring to the attention of the site manager tasks which require inhibiting safety devices. e.g. fire detectors, to ensure that contingency plans and precautions are in place?
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Comments:
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Attach any images relevant to question 9 here.
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10) Is there a clearly laid down policy for risk assessment of high hazard activities and their control procedures? <br>a) Have method statements and risk assessments been submitted with application of permits?
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Comments:
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Attach any images relevant to question 10 here.
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11) Are the objectives of the permit to work system clearly defined and understood?
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Comments:
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Attach any images relevant to question 11 here.
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12) Is the permit system flexible enough to allow it to be applied to other potentially hazardous work, apart from that which may have been specifically identified when the system was established?
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Comments:
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Attach any images relevant to question 12 here.
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13) Are the responsibilities for the following made clear, overseeing of the permit to work system?<br>a) Permit from design and system scope?<br>b) Type of jobs subject to permit?
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Comments:
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Attach any images relevant to question 13 here.
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14) Are the types of work, types of jobs or areas where permits must be used clearly defined and known to all concerned?
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Comments:
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15) Is it clearly laid down who may issue permits and how permits should be obtained for specific jobs?
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Comments:
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Attach any images relevant to question 15 here.
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16) Is the permit to work system recognized throughout the site or installation as being essential for certain types of work?
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Comments:
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Attach any images relevant to question 16 here.
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17) Are copies of permits that are issued for the same equipment / area kept and displayed together?
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Comments:
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Attach any images relevant to question 17 here.
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18) Is there a means of coordinating all work activities to ensure potential interactions are identified?
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Comments:
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Attach any images relevant to question 18 here.
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19) Is there a clearly laid down policy for risk assessment of high hazard activities and their control procedures?<br>a)Have method statements and risk assessments been submitted with application permits?
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Comments:
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Attach any images relevant to question 19 here.
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20) Is there provision on the permit form to cross reference other relevant certificates, permits and isolation's?
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Comments:
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Attach any images relevant to question 20 here.
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21) Is there a procedure in place to ensure that the agreement of others who could be affected by the proposed work is obtained before starting the work or preparation for it?
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Comments:
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Attach any images relevant to question 21 here.
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22) Where there are isolation's which are common to more than one permit, is there a procedure to prevent the isolation being removed before all of the permits have been signed off?
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Comments:
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Attach any images relevant to question 22 here.
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23) Does the permit to work system provide for the recipient to retain the permit and a record of live permits and suspended permits to be maintained at the point of issue?
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Comments:
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Attach any images relevant to question 23 here.
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24) Does the permit to work system require a copy of the permit to be displayed at the work place and the display of live and suspended permits so that operating staff can readily see and check plant status?
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Comments:
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Attach any images relevant to question 24 here.
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25) Do permits specify clearly the job to be done, to whom they are issued, the plant of geographical area to which work must be limited?
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Comments:
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26) Does the recipient and work party have to sign the permit or attached sheet to show that they have both read and understand the conditions laid down in the permit?
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Comments:
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27) Do permits specify clearly a time for expiry or renewal?
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Comments:
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28) Does the permit include a handover mechanism for work which extends beyond a shift or other work period including work which has been suspended?
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Comments:
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29) If a face to face handover cannot be achieved, are hand over notes left detailing all live and suspended permits?
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Comments:
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30) Is a hand back signature required when the job is complete?
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Comments:
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31) Is the permit to work system clearly covered during safety induction training?
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Comments:
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32) Is there a system of spot checks to ensure that permitry requirements are being adhered to?
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Comments:
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Attach any images relevant to question 32 here.
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33) Is there a procedure for reporting any incidents that have arisen during work carried out under a permit to work?
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Comments:
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Attach any images relevant to question 33 here.
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34) Are audits carried out on the permit to work system as appropriate by people independent of the process?
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Comments:
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Attach any images relevant to question 34 here.
Sign Off Audit
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Print Name:
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Signature:
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Project Manager Name:
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Signature:
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Designation:
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Select date