Template

Safe Sound Services Permit to Work Form

by Dave Foy, from the Community

10+

Use this comprehensive Permit to Work form to authorize and control high‑risk activities and maintain safe working conditions. The template covers hot works, work at height, work on plant and machinery, confined spaces, electrical works, flammable and hazardous substances, and asbestos. It prompts for authorization details, scope of work, validity periods, and essential risk controls such as isolation, ventilation, barriers, LOTO, PPE, and fire watch. The form supports documentation like RAMS, MSDS, schematic drawings, and asbestos registers, helping contractors and site controllers implement safe systems of work across projects and facilities.

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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
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 at Height
This Permit to Work at Height template guides supervisors and contractors through planning and authorization of work at height. It covers equipment suitability and inspection, fall-arrest systems, edge protection, PPE, barriers, and overhead service checks. The form captures approvals, issue, acceptance, clearance, and closure to ensure work is controlled from start to finish. Use it to confirm competent persons, record work details, apply site-specific conditions, and maintain compliance with safe systems of work.
by Stephen Dawson, from the Community
Downloads: 10+
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Template
Site Authority to Work Template
This Site Authority to Work template helps control high risk activities through a formal permit and authorization process. Capture site details, location of work, brief scope, and responsible personnel. Reference risk assessments and method statements, and select applicable permits such as LV and HV electrical, fire and life safety systems, hot works, mechanical isolation, confined spaces, and working at height. Record start and end times, induction, approvals, and completion or cancellation to maintain a clear Safe System of Work.
by Luke Penrose, from the Community
Downloads: 10+
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Safe Sound Services Permit to Work Form

About author

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