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Safe Work at Heights Permit Template

by Adrian Sawtell, from the Community

Downloads: 10+

Use this Safe Work at Heights Permit template to authorize and control any task performed above ground level. Record work details, access methods such as ladders or elevated work platforms, confirm worker competence and fitness for work, and verify PPE readiness. Identify hazards and controls, manage dropped object risks, and ensure weather and ground conditions are suitable. Document the rescue plan, onsite rescuer and kit, and first aid availability. Capture approvals and signatures for workers, rescuers, and the responsible supervisor, with clear start and finish validity times.

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About author

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.

Safe Work at Heights Permit Form Template | Draft V01 | Free Template