Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Guide to Content:
    - Permits authorised by correct permit signatories.
    - Hazard ID and Control/RA’s of adequate quality.
    - Permit Signatories are current in the PTW Register.
    - Permits are legible
    - The Permit Area office is being managed in accordance with the HSSE Mgmt Manual (PTW included).

  • Auditors Name

  • Permit No. Permit Type

  • DETAILED DESCRIPTION OF WORK:

  • ENDORSEMENT – Select one current permit

  • 1:Have the Permit Signatories undergone the required training and are their competencies valid in the Vantage Register?<br>YES / NO<br> <br> <br>

  • 2; Have the Permit Signatory and Area Engineer / Supervisor correctly endorsed the Permit<br> <br> <br>

  • 3;Is the Permit Holder fully aware of their duties? Discuss to establish level of understanding<br> <br> <br>

  • 4: Is the Area Engineer / Supervisor aware of all work in the area that may conflict with this Permit? Discuss to establish level of understanding.<br> <br> <br>

  • 2. CONTROLS

  • 1 Is the Supervisor or Lead Man physically at the work location?

  • 2 Have all of the work party completed the required Clark training ?

  • 3 Has the Take 5 been given by the Supervisor before the start of each shift and do the work party understand the location specific hazards for the day?

  • 4 Is the RA/Hazard ID of adequate quality?

  • 5 Have appropriate checklists written in the permit been correctly processed?

  • 6 Are the work party fully briefed on the Hazard ID, RA, or Take 5 requirements for the job?

  • 7 Has an authorized person carried out the required gas and continuity tests correctly and at the correct frequency? Is the gas detector within calibration dates?

  • 8 Are the isolations applied appropriate for the work being performed?

  • 9 Are the appropriate controls being applied in the field for the work being carried out?

  • 10 Are all PPE in place and being worn properly by the worker group?

  • 11 Is safe drinking water freely available within 2 minutes walk?

  • 3. GENERAL

  • 1 Is the permit appropriately kept in the Permit Area Office and displayed permit site boards at the work site?

  • 2 Does the permit clearly describe the work location and the scope of work (task) ? Are the work details clearly defined?

  • 3;Are there <10 workers per supervisor and lead man for this job?

  • 4 Is the type of Permit correct for the work scope?

  • 5 If there have been any modifications to the permit have they been countersigned by a person of the same level of authority as the person who authorized the permit?

  • 6 Have any associated isolations been correctly processed, displayed and the relevant isolation schematics updated?

  • 7 Have measures been put in place to remove any risks or unsafe conditions or potential conflicts with other work parties/activities?

  • Number of items audited

  • Number of items complying

  • Compliance factor

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