Information
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Client / Site
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Conducted on
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Assessor
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PTW Issuer
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Permit to work number
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Has a permit to work been raised for this non-routine work.<br>Deficiency identified & action required by who/when
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Has the scope of work been adequately defined on the permit.<br>Deficiency identified and action required by who/when
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Has a permit to work been raised for this non-routine work.<br>Deficiency identified & action required by who/when
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Have all the hazards associated with the scope of work and their controls been identified on the PTW.<br>Deficiencies identified and actions required by who/when.
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Are persons involved in issuing,accepting and working under the PTW trained,competent,and authorised to undertake their role.<br>Deficiency identified and action required by who/when?
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Have all the required supporting documents been prepared?<br>Deficiencies identified and actions required by who/when
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Are all the hazards in the work area effectively controlled and do personnel understand the hazards and controls?<br>Deficiencies identified and actions required by who/when?
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Has the PTW and other supporting documentation been completed correctly?<br>Deficiencies identified and actions required by who/when?
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Is adequate supervision being provided for the work?<br>Deficiencies identified & actions required by who/when?
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Where required, has the issuer confirmed appropriate operators licences and equipment registration is current?<br>Deficiencies identified & action required by who/when<br>
