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General Permit to Work Checklist Form
Please fill the form below
1
Step 1
2
Step 2
Audit:
This field is required.Please enter value
General details
Job details:
This field is required.Please enter value
Tools to be used:
This field is required.Please enter value
Is any other work currently being undertaken that may interact or affect this permit:
Yes
No
N/A
This field is required.Please enter value
Hazards and Precautions to be taken
Are the weather conditions acceptable:
Yes
No
N/A
This field is required.Please enter value
Is the area clean and free from hazards:
Yes
No
N/A
This field is required.Please enter value
Is the plant or system isolated and free from every source of danger:
Yes
No
N/A
This field is required.Please enter value
Have all feed valves been closed and locked:
Yes
No
N/A
This field is required.Please enter value
Next
Is adequate signage displayed:
Yes
No
N/A
This field is required.Please enter value
Have all workers been assessed as competent or closely supervised by someone who is competent:
Yes
No
N/A
This field is required.Please enter value
Are tools repaired or replaced when needed:
Yes
No
N/A
This field is required.Please enter value
Have atmospheric tests been satisfactorily carried out:
Yes
No
N/A
This field is required.Please enter value
Has the electrical supply been switched off:
Yes
No
N/A
This field is required.Please enter value
Is breathing apparatus available:
Yes
No
N/A
This field is required.Please enter value
Are PPE available and in good working condition:
Yes
No
N/A
This field is required.Please enter value
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