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Template

ESSW SMS 904 Permit to Work

by Melvin keyani, from the Community

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Use this ESSW SMS 904 Permit to Work template to formalize authorization and control of high risk activities on site. Record permit holder details, risk assessment confirmation, location and scope of work, isolation and earthing points, safety locks and caution notices, and keys issued. Capture signatures from the responsible person and the authorised person to start, suspend, or cancel work, and document clearance at shift end. This form helps enforce restricted area access, tool and equipment removal, and return of keys to maintain electrical and site safety in construction and building maintenance settings.

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With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.