PGSI - E&P v1.02

• Conducted on

  Date

• Prepared by

• Location

Team

• D&P

• OLE

• Tech Support

• Number Of staff on site?

• Task

Inspection Type

• SSOW

• SWP Number?

• Quality of briefing? 1 = Below standard, 10 = Excellent

• Correct PPE worn and in good condition?

  Good

  Fair

  Poor

  N/A

• Lighting suitable for task?

  Good

  Fair

  Poor

  N/A

• Tools and Equipment in good working order and in date?

  Good

  Fair

  Poor

  N/A

• T3 / T2 Possession

• Possession Pack Correct and in the presence of the COSS?

  Yes

  No

  N/A

• Vehicles

• Accommodation
Observation

• Observation type?

  Select Sub-standard maintenance Practices Sub-standard asset condition Hazard Good practice Other Observation

  • Sub-standard maintenance Practices
  • Sub-standard asset condition
  • Hazard
  • Good practice
  • Other Observation

• Observation

• Photo

  Media

• Agreed Action

• Task Completed

  Yes

  No

  N/A

• Comments / Notes

• Other Photos?

  Drawing

• Recipient signature

  Sign

• Site Visitors signature

  Sign