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Permit To Work Procedure

PTW Daily Audit Checklist

DAILY INSPECTION CHECKLIST

a) Time and Location c) Name of Auditors


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


Distribution -

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