Title Page

  • District

  • Building Name / Area
  • Date Inspected

  • Inspector

General or Fit-Out PTW

  • Is there an ongoing contractor activity upon inspection?

  • Is there a valid General or Fit-Out permit in place?

  • Are the contractors wearing proper & complete PPEs?

  • Are the contractors been inducted & having induction sticker on their helmets?

  • Are the emergency exits & fire fighting equipment free from any obstruction?

  • Are the scaffolds properly erected & have updated green scaffold tags displayed?

  • Are the wastes regularly disposed off & area undergone proper housekeeping?

  • Are the smoke detector covers removed when no fire warden or staff is available?

  • Is the area properly barricaded with appropriate signages?

  • Are the lifts properly protected when used to transport materials?

  • Are the MEWPs having proper tire & under carriage protection?

  • Is there a Sub PTW involved?

Hot Works PTW

  • Is there an ongoing contractor activity upon inspection?

  • Is there a valid Hot Works permit in place?

  • Is there a trained & certified fire warden available to watch over the activity?

  • Is there an appropriate & inspected fire fighting equipment available?

  • Are there any flammable or combustible materials nearby the hot work activity?

  • Do welding & torch hoses fitted with flashback arrestors?

  • Is the area for conducting hot work properly isolated?

  • Are the staff working on hot work activity wearing proper PPEs?

Confined Space PTW

  • Is there an ongoing contractor activity upon inspection?

  • Is there a valid Confined Space permit in place

  • Is there an available gas monitoring device & properly calibrated?

  • Is the CS Entrant wearing proper PPEs (respirator mask, hard hat, safety shoes, hi-vest)?

  • Is the CS Entrant wearing a body harness attached to a rescue tripod?

  • Is gas monitoring being conducted at regular intervals & recorded?

  • Is there sufficient lighting especially when the CS is conducted at night?

  • Is there a CS Attendant monitoring the activity while the Entrant is inside the CS?

  • Are the contractors aware of the Emergency Rescue Plan for CS?

Working at Height PTW

  • Is there an ongoing contractor activity upon inspection?

  • Is there a valid Work at Height permit in place (for rope access works)?

  • Are the contractors wearing full body harnesses & properly attached to lanyards?

  • Is the affected area properly isolated and barricaded with appropriate signage?

  • Is there sufficient lighting especially when the work is conducted at night?

  • Is the work at Height activity closely monitored by a supervisor and/or HSE?

Excavation PTW

  • Is there an ongoing contractor activity upon inspection?

  • Is there a valid Excavation permit in place?

  • Is the excavated area properly isolated and barricaded with appropriate signage?

  • Are the surrounding assets (benches, running tracks, facade walls, etc.) properly protected?

  • Is the Emergency Vehicle Access route clear from any obstructions?

  • Are there any equipment placed/ parked near the excavated pit (less than 1 metre away)?

  • Are the contractors wearing complete & proper PPEs?

Mobile Crane PTW

  • Is there an ongoing contractor activity upon inspection?

  • Is there a valid Mobile Crane permit in place?

  • Is the mobile crane not blocking the Emergency Vehicle Access route?

  • Is the road/ pavement properly protected with solid and sturdy road protection?

  • Is the mobile crane not blocking any of the fire hydrants?

  • Is the mobile crane activity being closely monitored by a supervisor and/ or HSE?

Isolation and Energized Electrical Works PTW

  • Is there an ongoing contractor activity upon inspection?

  • Is there a valid System Isolation permit in place?

  • Is there a valid Energized Electrical Works permit in place?

  • During electrical isolation, is the system properly LOTO'd with clear identification tag?

  • Are the contractors wearing complete & proper PPEs?

  • Is there a trained & certified fire warden available during the duration of the FLS isolation?

  • Are there appropriate fire fighting equipment available during the duration of the FLS isolation?

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.