TK PC Permit Audit Form

• Conducted on

  Date

• Prepared by

• Location
  Address

CoW Audit Form

• Permit Audit

• Permit Number:

• Description:

• Auditor:

• Audit Date:

  Date

• Specification of Work

• Is the task description full and clear?

  Yes

  No

  N/A

• Has the correct location and area been identified?

  Yes

  No

  N/A

• Is the correct type of permit utilized for the task being carried out?

  Yes

  No

  N/A

• Planning & Risk Assessment

• In the view of the Auditor(s), have all the potential hazards been identified?

  Yes

  No

  N/A

• In the view of the Auditor(s), have all appropriate controls been identified?

  Yes

  No

  N/A

• Was the correct level of Risk assessment used?

  Yes

  No

  N/A

• Was the need for COSHH, Manual Handling and / or LOLER assessment correctly identified?

  Yes

  No

  N/A

• Has the need for a written instruction / procedure been correctly identified?

  Yes

  No

  N/A

• Authorisation & Issue

• Have all the correct authorisations been identified and given for this Permit?

  Yes

  No

  N/A

• Have any fire and gas inhibits been recorded?

  Yes

  No

  N/A

• Have all the Prerequisite Controls specified been put in place?

  Yes

  No

  N/A

• Job Execution (Worksite Audit)

• Has the Authorised Technician held a prejob toolbox talk with the work party?

  Yes

  No

  N/A

• Do the work party demonstrate an adequate level of awareness of the task?

  Yes

  No

  N/A

• Is there an up to date copy of the Permit at the worksite signed by all members of the work party ?

  Yes

  No

  N/A

• Can the work party demonstrate an adequate level of awareness of the hazards associated with the task ?

  Yes

  No

  N/A

• If the work party have identified any further Hazards and / or controls associated with the task have they stopped the job and consulted with the AA to update the Permit?

  Yes

  No

  N/A

• If a COSHH assessment is in use do the members of the work party understand what to do in an accidental release / spillage of the product?

  Yes

  No

  N/A

• If any PPE has been specified in the Risk Assessment or COSHH assessment is it in use and in good condition?

  Yes

  No

  N/A

• Is safety equipment (Including Gas Detector) defined in the Risk Assessment available at the worksite?

  Yes

  No

  N/A

• Is the risk assessment displayed at the work site?

  Yes

  No

  N/A

• Have any personnel, who have joined the work party in addition to the original members, been briefed to the same level of understanding of the task and its associated Hazards and Control measures?

  Yes

  No

  N/A

• Confined space entry specific extra audit points

• Are the atmospheric tests completed and valid within the laid down time scales?

  Yes

  No

  N/A

• Is all safety equipment and PPE fully operational and being used correctly?

  Yes

  No

  N/A

• Is the entry register up to date?

  Yes

  No

  N/A

• Is any debris to be removed being controlled as per disposal regulations?

  Yes

  No

  N/A

• Has the standby man an information card for "Vessel and confined space entry" in his possession?

  Yes

  No

  N/A

• Is there a valid and accurate rescue plan in place?

  Yes

  No

  N/A

• Supplementary Certificates

  Yes

  No

  N/A

• Have any supplementary certificates been properly referenced?

  Yes

  No

  N/A

• Have any supporting Method Statements or procedure been reviewed prior to use?

  Yes

  No

  N/A

• Do the work party demonstrate and adequate understanding of any supplementary certificates, method statements or procedures?

  Yes

  No

  N/A

Actions

• Yes

  No

  N/A

• Actionee

• Closed

  Yes

  No

  N/A

Signature - TK PC Rep

• Sign

  Sign

Audit finished?

• Yes

  No

  N/A