Permit to work (PTW) System Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date & time

  Date

Responsibilities / Paperwork

• Has the PTW holder signed

  Yes

  No

  N/A

• Has the PTW authority signed and approved the PTW

  Yes

  No

  N/A

• Does everyone know there responsibilities under the PTW system

  Yes

  No

  N/A

PTW Register

• Is their a PTW register?

  Yes

  No

  N/A

• Is the PTW register used / current?

  Yes

  No

  N/A

PTW Training

• Are all persons responsible for implementing The PTW trained .

  Yes

  No

  N/A

• What training have they had ?

  Yes

  No

  N/A

PTW Authority

• Is the PTW authority controlling, coordinating, completing, monitoring and reviewing the PTW system?

  Yes

  No

  N/A

• Is the permit authoriser approving the authority to work?

  Yes

  No

  N/A

• Does the permit Authority know his responsibilities under the permit system ie close out and transfer of authority?

  Yes

  No

  N/A

PTW Holder

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 12 hour or passed on to the next shift

  Yes

  No

  N/A

• Do those involved understand how long a PTW can be opened for?

  Yes

  No

  N/A

• Did the permit holder close out the permit (sign)

  Yes

  No

  N/A

Confined Space permit

• Does the vessel meet the permit requirements for confined spaces?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 24/12 hrs

  Yes

  No

  N/A

• Has the worker received confined space training?<br><br><br>

  Yes

  No

  N/A

• Has the gas testing been entered onto the permit

  Yes

  No

  N/A

• Do the people involved understand the gas testing requirements?

  Yes

  No

  N/A

Working at Height Permit

• Does the vessel meet the permit requirements for Working at heights?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within the shift or 24 hrs

  Yes

  No

  N/A

• Are the workers trained in working at height?<br>

  Yes

  No

  N/A

• Is their a rescue plan in place?<br>

  Yes

  No

  N/A

Use of Workbox Permit

• Does the project meet the permit requirements Lifting?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 12 hrs

  Yes

  No

  N/A

LOTO Permit

• Does the vessel meet the permit requirements for Isolation

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 12/24 hrs

  Yes

  No

  N/A

• Have the isolations been entered onto the permit?

  Yes

  No

  N/A

Hot Works Permit

• Does the vessel meet the permit requirements for Hot Works?

  Yes

  No

  N/A

• Is the PTW holder gathering the information and completing the PTW in conjunction with the PTW Authoriser?

  Yes

  No

  N/A

• Is the PTW retained at the work location?

  Yes

  No

  N/A

• Have all parties signed onto the PTW?

  Yes

  No

  N/A

• Is the PTW closed out within 12 hrs

  Yes

  No

  N/A

Conclusion

Actions

• Action 1

• Action 2

• Action 3

• Signatures

  Sign