PTW Inspection

  • Site

  • Inspection Title

  • Date of Inspection

  • Inspector

  • Name

Work permit

  • Is the permit filled in completely

  • Is the permit and associated permits within validity

  • Is the work undertaken within the scope of work

  • Are the permits signed correctly by the recipient

  • Are the permits signed correctly by the permit authority

  • Has the control operator been notified

  • Has the control operator signed the permit

  • Is there effective communication between permit recipients during handover

  • Are all the relevant documents attached

Isolations

  • Are all danger tags attached to locks

  • Are blue locks used for isolations

  • Has the correct isolations been identified on the drawings

  • Has the relevant information been placed on the information tags

  • Are all relevant documents attached

Isolations lock box

  • Has each individual person place their personal lock and tag onto the lock box

  • Is the lockbox secure with a yellow lock

  • Has all the isolation lock keys been placed within the box

  • Has the relevant information been placed on the information tags

  • Is a copy of the permit and associated permits attached to the lockbox

  • Are all relevant documents attached

JSEA

  • Is the JSEA filled in completely?

  • Has the JSEA identified all the Hazards?

  • Have all persons signed the JSEA?

  • Has the JSEA been assessed correctly for the activity?

  • Are all relevant documents attached?

Hot works

  • Was a Hot work permit used

  • Is the permit filled in completely

  • Are the precautions listed on the hot work permit been complied with

  • Are the precautions adequate

  • Have the hot work hazards associated with the job been effectively communicated to all persons undertaking the work

  • Was the hot work completed within a single shift

  • Has any fire equipment been identified within the permit

  • Are all relevant documents attached

Hazardous area

  • Was a hazardous area permit used

  • Is the permit filled in completely

  • Are the precautions listed on the hazardous area permit been complied with

  • Are the precautions adequate

  • Has the recipient cnducted gas testing before entering the area

  • Is the work being completed like for like

  • If the work is being conducted within the hazardous zone has the appropriate manager been notified

  • Has the control operator signed the permit

  • Is there effective communication between permit recipients during handover

  • Are all relevant documents attached

Confined space entry

  • Was a confined space entry permit used

  • Is the permit filled in completely

  • Are he precautions listed on the confined space entry permit been complied with

  • Are the precautions adequate

  • Confined space entry procedure available and adhered to

  • Standby person recording all entries and exits

  • Are all relevant documents attached

Work at heights / Over water

  • Was a work at height ? over water permit used

  • Is the permit filled in completely

  • Are the precautions listed on the Working at heights / Over Water Permit been complied with?

  • Are the precautions adequate?

  • Working at heights / Over Water procedure available and adhered to?

  • Are all relevant documents attached?

Excavation

  • Was an Excavation permit used

  • Is the permit filled in completely?

  • Are the precautions listed on the excavation permit been complied with?

  • Are the precautions adequate?

  • Has the recipient contacted dial before you dig?

  • Are all relevant documents attached?

HV Access permit

  • Was a HV access permit used

  • Is the permit filled in completely?

  • Are the precautions listed on the excavation permit been complied with?

  • Are the precautions adequate?

  • Is all the information entered correct?

  • Are all relevant documents attached?

Live electrical work

  • Was a live electrical work permit used

  • Is the permit filled in completely?

  • Are the precautions listed on the Live Electrical work permit been complied with?

  • Are the precautions adequate?

  • Is all the information entered correct?

  • Has the qualifications been checked and verified?

  • Are all relevant documents attached?

Personal Protective Equipment

  • Are all employees/Contractors complying with mandatory PPE?

  • Is double eye protection used for selected activities (e.g. welding, grinding)

  • Where chemicals are involved, is the P.P.E in accordance with the SDS?

  • Is hearing protection used in noisy areas or where the activity generates noise levels above the action level?

  • Is PPE suitable for the task(s) being performed?

  • Are all relevant documents attached?

Portable equipment

  • Is all portable equipment tagged and tested correctly?

  • Are RCD’s used on portable electrical equipment?

  • Is maintenance history available for the equipment?

  • Is portable equipment stored in a manner to minimise damage from work activities?

  • Are all relevant documents attached?

Scaffolding

  • Was scaffolding being used

  • Does the scaffold have mid-rails and toe-boards fitted?

  • Has the scaffold been inspected in the previous 2 weeks?

  • Are all platforms fully planked?

  • Do baseplates and sole plates provide stable footing?

  • Are all relevant documents attached?

Cranage and lifting gear

  • Was any cranes and lifting gear used

  • Are outriggers fully extended on timber supports with no oil leaks?

  • Are slings and lifting attachments visibly free from damage and excessive Wear?

  • Do slings have correct tags attached?

  • Has a daily check been conducted?

  • Are all relevant documents attached?

Sign off

  • Signature on completion

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.