Template

Working at Heights Permit Template

by vic copling, from the Community

This working at heights permit template helps you authorize and control work at elevation. Capture issuer and recipient details, start and end times, location, and a clear scope of work. Verify a Safe Work Checklist or Work Planning Form, confirm rescue plans, and check training requirements. Include PPE and equipment checks for ladders, scaffolding, EWP, harnesses, lanyards, and communications. Assess conditions such as weather, traffic, power lines, and signage. Record completion or suspension and clear the work area.

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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
Safe Work at Heights Permit Template
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.
by Adrian Sawtell, from the Community
Downloads: 10+
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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
Whittlesea Working at Heights Permit
This working at heights permit template helps teams verify site conditions, authorize work, and document controls before, during, and after tasks at elevation. Record access points, roof type, adjacent hazards, weather, guard rails, overhead services, and ground stability. Specify scaffolds, ladders, fall arrest, spotters, and communication methods. Capture retrieval and first aid plans, permit start and end times, and sign offs to support OHS compliance for Whittlesea and Platinum FM.
by Sean Martin, from the Community
Downloads: 10+
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Safe Work at Heights Permit Template

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.

by Adrian Sawtell, from the Community

10+

Get

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

10+

Get

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

10+

Get

Template

Whittlesea Working at Heights Permit

This working at heights permit template helps teams verify site conditions, authorize work, and document controls before, during, and after tasks at elevation. Record access points, roof type, adjacent hazards, weather, guard rails, overhead services, and ground stability. Specify scaffolds, ladders, fall arrest, spotters, and communication methods. Capture retrieval and first aid plans, permit start and end times, and sign offs to support OHS compliance for Whittlesea and Platinum FM.

by Sean Martin, from the Community

10+

Get

Working at Heights Permit Template

About author

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Safe Work at Heights Permit Template

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