Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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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).
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Auditors Name
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Permit No. Permit Type
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DETAILED DESCRIPTION OF WORK:
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ENDORSEMENT – Select one current permit
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1:Have the Permit Signatories undergone the required training and are their competencies valid in the Vantage Register?<br>YES / NO<br> <br> <br>
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2; Have the Permit Signatory and Area Engineer / Supervisor correctly endorsed the Permit<br> <br> <br>
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3;Is the Permit Holder fully aware of their duties? Discuss to establish level of understanding<br> <br> <br>
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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>
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2. CONTROLS
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1 Is the Supervisor or Lead Man physically at the work location?
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2 Have all of the work party completed the required Clark training ?
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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?
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4 Is the RA/Hazard ID of adequate quality?
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5 Have appropriate checklists written in the permit been correctly processed?
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6 Are the work party fully briefed on the Hazard ID, RA, or Take 5 requirements for the job?
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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?
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8 Are the isolations applied appropriate for the work being performed?
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9 Are the appropriate controls being applied in the field for the work being carried out?
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10 Are all PPE in place and being worn properly by the worker group?
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11 Is safe drinking water freely available within 2 minutes walk?
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3. GENERAL
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1 Is the permit appropriately kept in the Permit Area Office and displayed permit site boards at the work site?
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2 Does the permit clearly describe the work location and the scope of work (task) ? Are the work details clearly defined?
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3;Are there <10 workers per supervisor and lead man for this job?
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4 Is the type of Permit correct for the work scope?
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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?
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6 Have any associated isolations been correctly processed, displayed and the relevant isolation schematics updated?
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7 Have measures been put in place to remove any risks or unsafe conditions or potential conflicts with other work parties/activities?
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Number of items audited
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undefined
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Number of items complying
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undefined
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Compliance factor
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undefined
