Permit to Work Internal Audit Checklist Template

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Permit to Work Internal Audit Checklist Template

Audit

Permit to Work

Objective - It is the objective of this audit to determine that the permit management process is being delivered at an operational level. Measured outcome will be distribution and completion of associated documentation in the correct sequence, in the right location and to an acceptable quality.Closure of works must be regarded with the same sense of priority. All documentation must be assessed for completeness and accuracy.

Select a percentage of the open permits in circulation on the day of the visit. In the instance that there are none conduct a completed permit audit based on information attained and recorded from some previously recorded completions

1. Documentation

Does the work effort package contain the following documents:

answer the following questions

a) access permit

answer the following questions

b) associated high risk permit

Yes No N/A

c) critical works release form

Yes No N/A

d) COSHH data sheets

Yes No N/A

e) RAMS

Yes No N/A

f) Work Closure Form

Yes No N/A

g) any relevant drawings or manufacturers literature

Yes No N/A

2. E-Permit

a) has a permit been raised and approved in e-permit

Yes No N/A

b) have the correct high risk activities been considered, do they match those considered in the vendors risk assessment

Yes No N/A

c) does the permit reflect adequately the zone, location, service and activity associated with the works to be undertaken

Yes No N/A

d) has the permit been raised and closed within the system

Yes No N/A

3. Permit Issue

a) has the permit been issued at the place of work and the vendor retained a copy for display if requested

Yes No N/A

b) has the permit issuer signed the issued section

Yes No N/A

c) has the recipient (CP) signed the acceptance section, is the CP same as that printed on the permit

Yes No N/A

d). Is there a duplicate copy retained in the NOC

Yes No N/A

e) has the permit been issued on the system once the paper permit has been issued ( see section 2 (d) )

Yes No N/A

f) when questioned does the vendor display a thorough understanding of the works to be undertaken, the residual risks present and the control measures required to prevent risk. Has this been communicated to additional members of the team.

Yes No N/A

g) have all related documents been issued at the point of work

Yes No N/A

h) has the attendance attachment sheet been completed and signed by all attending contractors associated with the work effort

Yes No N/A

4. Permit Closure

a) has the recipient (CP) signed the clearance section, is the CP same as that printed on the permit

Yes No N/A

b) has the permit issuer signed the closure section at the point of work

Yes No N/A

c) has the permit been closed on the system once the paper permit has been issued ( see section 2 (d) )

Yes No N/A

5. Document Quality

a) access permit - are all sections completed satisfactorily

Yes No N/A

b) associated high risk permit - are all sections completed satisfactorily

Yes No N/A

c) critical works release form - are all sections completed satisfactorily

Yes No N/A

d) COSHH data sheets - are all sections completed satisfactorily

Yes No N/A

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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.