2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
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Information
Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel
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2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
Date & time
Responsibilities / Paperwork
Has the PTW holder signed
Yes No N/A
Has the PTW authority signed and approved the PTW
Yes No N/A
Does everyone know there responsibilities under the PTW system
Yes No N/A
PTW Register
Is their a PTW register?
Yes No N/A
Is the PTW register used / current?
Yes No N/A
PTW Training
Are all persons responsible for implementing The PTW trained .
Yes No N/A
What training have they had ?
Yes No N/A
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2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
PTW Authority
Is the PTW authority controlling, coordinating, completing, monitoring and reviewing
the PTW system?
Yes No N/A
Is the permit authoriser approving the authority to work?
Yes No N/A
Does the permit Authority know his responsibilities under the permit system ie close out
and transfer of authority?
Yes No N/A
PTW Holder
Is the PTW holder gathering the information and completing the PTW in conjunction
with the PTW Authoriser?
Yes No N/A
Is the PTW retained at the work location?
Yes No N/A
Have all parties signed onto the PTW?
Yes No N/A
Is the PTW closed out within 12 hour or passed on to the next shift
Yes No N/A
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2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
Do those involved understand how long a PTW can be opened for?
Yes No N/A
Did the permit holder close out the permit (sign)
Yes No N/A
Confined Space permit
Does the vessel meet the permit requirements for confined spaces?
Yes No N/A
Is the PTW retained at the work location?
Yes No N/A
Have all parties signed onto the PTW?
Yes No N/A
Is the PTW closed out within 24/12 hrs
Yes No N/A
Has the worker received confined space training?<br><br><br>
Yes No N/A
Has the gas testing been entered onto the permit
Yes No N/A
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2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
Do the people involved understand the gas testing requirements?
Yes No N/A
Working at Height Permit
Does the vessel meet the permit requirements for Working at heights?
Yes No N/A
Is the PTW holder gathering the information and completing the PTW in conjunction
with the PTW Authoriser?
Yes No N/A
Is the PTW retained at the work location?
Yes No N/A
Have all parties signed onto the PTW?
Yes No N/A
Is the PTW closed out within the shift or 24 hrs
Yes No N/A
Are the workers trained in working at height?<br>
Yes No N/A
Is their a rescue plan in place?<br>
Yes No N/A
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2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
Use of Workbox Permit
Does the project meet the permit requirements Lifting?
Yes No N/A
Is the PTW holder gathering the information and completing the PTW in conjunction
with the PTW Authoriser?
Yes No N/A
Is the PTW retained at the work location?
Yes No N/A
Have all parties signed onto the PTW?
Yes No N/A
Is the PTW closed out within 12 hrs
Yes No N/A
LOTO Permit
Does the vessel meet the permit requirements for Isolation
Yes No N/A
Is the PTW holder gathering the information and completing the PTW in conjunction
with the PTW Authoriser?
Yes No N/A
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2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
Is the PTW retained at the work location?
Yes No N/A
Have all parties signed onto the PTW?
Yes No N/A
Is the PTW closed out within 12/24 hrs
Yes No N/A
Have the isolations been entered onto the permit?
Yes No N/A
Hot Works Permit
Does the vessel meet the permit requirements for Hot Works?
Yes No N/A
Is the PTW holder gathering the information and completing the PTW in conjunction
with the PTW Authoriser?
Yes No N/A
Is the PTW retained at the work location?
Yes No N/A
Have all parties signed onto the PTW?
Yes No N/A
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2/7/25, 4:52 PM Permit to work (PTW) System Audit - SafetyCulture
Is the PTW closed out within 12 hrs
Yes No N/A
Conclusion
Actions
Action 1
Action 2
Action 3
Signatures
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solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should
independently determine whether the template is suitable for your circumstances.
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