PWC AAR Field Audit Checklist

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

AAR Forms

• Please enter RFA # / Access Authority # (eg RFA 032145 / AA 033321)

• Does the RFA information reflect the Access Authority conditions?

  Yes

  No

  N/A

• Were all the work party on site for AA handover by HVO?

  Yes

  No

  N/A

• Did the handover include adequate discussion on the isolations and conditions of the permit?

  Yes

  No

  N/A

Issue AA / Receive AA / Work Party Sign On and Off

• Does individual worker has correct Authorisation?

  YES

  NO

• Was Access Authority signed by issuer?

  YES

  NO

• Has System control been advised?

  Yes

  No

  N/A

• Access Authority signed by receiver?

  YES

  NO

• All workers understand the limits of the Access Authority?

  YES

  NO

• Have the work party signed ON or OFF as per requirements? (when entering or leaving the work site)<br>

  Yes

  No

  N/A

• Is this Access Authority over multiple days?

  YES

  NO

• Have the work party signed ON or OFF as per requirements (start of each day end of each shift)

  YES

  NO

• At the start of each day, have the work party asked the receiver of any changes to the AA?

  Yes

  No

  N/A

• Has the work party been informed of any changes for each subsequent day before starting work?

  Yes

  No

  N/A

• Add Transfer of AA

Transfer of Access Authority

• Was the current receiver available during the transfer?

  YES

  NO

• Has the new Receiver been previously signed on the Access Authority as one of the work party?

  YES

  NO

• Has the new Receiver signed the transfer of receipt of the Access Authority?

  YES

  NO

• Was the correct procedure followed?

  Yes

  No

  N/A

Surrender and Cancel of the Access Authority

• Have all the work party signed off the Access authority prior to surrendering the Access Authority?

  YES

  NO

• Has the correct procedure been followed?

  YES

  NO

• Has the Receiver signed off and surrendered the Access Authority?

  YES

  NO

• Has the Issuer signed and cancelled the Access Authority?

  YES

  NO

• Has System Control been advised of the cancellation of the Access Authority?

  YES

  NO

• Has the Access Authority been archived with the Job Folder?

  Yes

  No

  N/A

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