Free Permit To Work System Audit Checklist Template

Permit to work system audit checklist template

Evaluate the effectiveness of your PTW procedures and identify compliance gaps with this permit to work system audit checklist. You can assess key areas like authorization protocols, risk assessment processes, and documentation practices to confirm that your high-risk work controls meet regulatory standards. When facing multiple workplace incidents related to permit failures, this template provides an organized framework to pinpoint weaknesses in your system.

Inadequate hazard communication and insufficient fall protection rank as the most cited OSHA violations, highlighting just how crucial a robust permit-to-work system really is. This template is designed to help you strengthen your safety protocols and prevent these common compliance pitfalls.

Related categories

Preview of the template

Page 1

General Information

What is the name of the site or facility?

What is the permit to work system owner's name?

What is the permit to work system owner's contact information?

Permit to Work Procedures

Are there written procedures for the permit to work system?

Do the procedures cover all types of work that require a permit?

Do the procedures designate responsibilities for issuing, reviewing, and authorizing permits?

Do the procedures specify the required training and competency for personnel involved in the permit to work system?

Permit to Work Forms

Are there standardized permit to work forms used?

Do the permit to work forms contain all the required information (e.g., work description, hazard identification, safety precautions, authorizations)?

Are the permit to work forms properly completed and retained?

Permit to Work Issuance and Oversight

Are permits issued by a competent and authorized person?

Is there a process to review and authorize permits before work starts?

Is there a process to monitor and oversee work being conducted under a permit?

Are permits closed out and work areas inspected upon completion of the work?

Permit to Work Training and Competency

Is there a training program for personnel involved in the permit to work system?

Are training records maintained for personnel involved in the permit to work system?

Are the competencies of personnel involved in the permit to work system regularly evaluated?

Permit to Work System Performance

Is there a process to review the effectiveness of the permit to work system?

Are there metrics or key performance indicators used to measure the performance of the permit to work system?

Are lessons learned and improvements identified and implemented in the permit to work system?

Frequently asked questions

Who should be involved in conducting a permit to work system audit?

Your audit team should include safety professionals familiar with the PTW system, operational supervisors who implement permits daily, and workers who operate under the permit requirements. Consider involving someone external to the immediate work area to provide an objective perspective. This diverse team ensures you properly evaluate all aspects of the system.

What documentation should you review during a permit to work system audit?

Review completed permit forms, risk assessments, training records, incident reports related to permitted work, and previous audit findings. Also examine permit rejection records, system modification documentation, and any regulatory correspondence about your permit processes. This comprehensive review reveals patterns and systemic issues that might otherwise remain hidden.

How can you measure the effectiveness of your permit to work system?

Measure effectiveness by analyzing permit compliance rates, tracking incidents during permitted work, reviewing near-miss reports, and gathering feedback from permit users. Also examine how quickly identified issues are addressed and whether lessons learned are incorporated into system improvements. These indicators provide a holistic view of your system’s performance.

What are common deficiencies found during permit to work system audits?

Common deficiencies include incomplete hazard identification, inadequate communication between shifts, missing signatures or authorizations, permits issued without proper risk assessment, and failure to close permits correctly. You may also find permits being treated as paperwork exercises rather than critical safety tools, which undermines the entire system’s effectiveness.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.