Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Section A - Completed in full especially the names of the Holder & Issuers & Risk Rating

  • Section B - Hazard Identification is complete and any JSA's are attached

  • Section C - Hazard Control Measures are appropriate for the task described

  • Section D - All other premits have been identified

  • Section E - Acceptance signed by the Holder

  • Section F - Holder acknowledges briefing of the Work Party

  • Section G - Working party briefed and all signed on

  • Section H - Area authority briefed and signed on

  • Section I - Transfer - Holder signed off and new holder signed on

  • Section J - Cancellation Completed by Permit Holder and Area Authority

  • Isolations match the working party in PTW and are correctly applied

  • Hot Work Permit complete and controls in place

  • Confined Space Permit complete and controls in place

  • Working at HeightsPermit complete and controls in place

  • OtherPermit complete and controls in place

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.