Template

Permit to Work Template

by Bezalel Victory, from the Community

Streamline safety compliance with this Permit to Work template designed for high-risk activities such as hot work, confined space entry, excavation, plant isolation, work at heights, and live electrical maintenance. The form covers three key stages—permit request, engagement review, and authorization—to ensure risks are assessed, controls are in place, and responsibilities are clear. Capture required approvals with mandatory signatures, reference risk assessments and control forms, and log permits for traceability. Ideal for construction and other high-risk operations seeking consistent, auditable work authorization.

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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

About author

Community

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.

Template
Safety Work Permit Template
This safety work permit template helps you control high risk work by formalizing request, review, and authorization. It guides supervisors and permit authorities through documenting the work activity, identifying high risk tasks such as hot work, confined space, excavation, plant isolation, work at heights, and live electrical work, and confirming risk assessments and controls are in place. Capture names, dates, approvals, and signatures, register the permit, and communicate scope and supervision requirements. Use it to verify controls before start of work, monitor hazards during the job, and close out with final sign off.
by Mohamed Elhassan, from the Community
Downloads: 10+
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Template
Permit to Work Template for Hot Work and Confined Space
This Permit to Work template helps control high risk activities on site, including hot work, energy isolations, confined space entry, and working at heights. It covers inductions, PPE checks, isolation and detector status, hot work patrols, housekeeping, and sign offs for supervisors and subcontractors to support compliance and safer operations.
by Craig Corner, from the Community
Downloads: 20+
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Template
Site Access and Work Permit
Use this work permit template to control site access and high‑risk activities for contractors. It includes work classification, hot work, confined space, working at heights, lockout/tagout, and excavation sections. Capture contractor and supervisor details, SWMS/JSA attachments, asbestos register confirmation, permit issuer, validity periods, and mandatory permit conditions. Conclude with completion certification to confirm the area is safe and normal operations can resume.
by Andrew Moar, from the Community
Downloads: 10+
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Template
Permit to Work Template
Use this template to efficiently manage and document work permits, ensuring safety compliance and proper authorization for high-risk tasks in various industries.
by SafetyCulture
Downloads: 3,000+
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Permit to Work Template

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Safety Work Permit Template