Title Page

  • Audit Title

  • Date of assurance:

  • Completed by:

  • Site:
  • Work Description:

  • Was the work well defined (description) in PTW?<br>(Review at least 50% of PTW issues in last 3 months)

  • Was work completed by licensed/authorized person?<br>(In accordance with local/Shell requirements?)

  • Was Job Hazard Analysis (JHA) submitted for the required work?<br>(JHA must identify all critical steps of the activity)

  • Was competent person appointed to apply lock-out tag-out (LOTO) on the affected electrical system?<br>(Verify the license or permit)

  • Was "as built" drawings and diagrams used for the application of permits and identification of isolation points for LOTO?<br>(Review drawings attached to PTW?)

  • Was any test conducted at the working point for stored energy or hazard after LOTO?<br>(Review task sheet and interview the person)

  • Was physical barrier and signage erected to prevent access to affected work area?

  • Were electrical workers equipped with insulated tools including ladder?<br>(Physically examine the tools and equipment)

  • Were electrical workers wearing PPE mentioned in PTW?

  • Are affected parties informed of the plans to apply/remove the LOTO and restore the electrical system?

  • Were PTW closed and all isolation points reinstated for operation?

  • The inspection checklist for electrical work has been verified in accordance with the requirements listed.

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