Date Lead Auditor Facility Auditor #1 Location Auditor #2 Audit Start Auditor #3 End b) Documents Type of Documents HOT WORK / COLD WORK Document No Date of Issue Work Description Time of Approval/Endorsement
No Checklist Yes No N/A Remark
1 REQUISITION – Section 1 Is the PTW adequately specify; Details of applicants name, department, staff no. etc Location, Facility and area classification Work description 2 HAZARD IDENTIFICATION – Section 2 Are hazards clearly identified? - site verification 3 WORKSITE PREPARATION/PRECAUTIONS – Section 3 Does correct precaution identified by AA? Does Worksite Preparation taken - site verification 4 PERSONAL PROTECTIVE EQUIPMENT – Section 4 Does Correct PPE identified by AA? Does workers comply to PPE identify - site verification 5 CROSS REFERENCE – Section 5 Does Certification Cross Reference Identify (if any) Does any JSA required (if any) Does JSA signed and made available at site - site verification Does worker understand the precaution as stated in JSA?
STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM
Distribution - Permit To Work Procedure
DAILY INSPECTION CHECKLIST
No Checklist Yes No N/A Remark
6 JOINT SITE VISIT – Section 6 Does AAR checked the area and equipment together with RA/WL on site Does signature and sate information are properly written by; RA - joint site visit AAR - joint site visit RA/WL - permit acceptance AA - permit approval 7 REVALIDATION – Section 7 Is the PTW validation being signed and dated correctly? Are revalidation not exceeding 7 consecutive days? Are joint-site visit conducted before each validation? 8 HAND BACK – Section 8 Does hand being signed and dated correctly by; Receiving Authority Approving authority 9 GAS TESTS – for Hot Work/Confined Space Work only (if any) Have gas test taken? Are frequency of gas test specify? Are appropriate gas monitors fully operable and calibrated at site? Are Authority Gas Tester trained? Has periodic testing been carried out as appropriate? OVERALLSUMMARYOFAUDIT
Lead Auditor’s Signature:
Name:
STOP WORK AND EVACUATE AREA ON HEARING OF EMERGENCY ALARM