Template

Permit to Work including Electrical Isolation

by Lisa Johnston, from the Community

Use this Permit to Work including Electrical Isolation checklist to support safe isolation and control of work on site. The template guides permit authorities and isolating authorities through verifying competency, cross-referencing Work Control Certificates and Isolation Confirmation Certificates, identifying and labeling isolation points, and ensuring up-to-date drawings are available. It also prompts toolbox talks, hazard identification, and confirmation that prerequisite controls and supporting certificates are in place. Use it to monitor boundaries of the task, manage changes in scope, and document compliance with the site's safe system of work.

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

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+
Get
Template
Obtain Required Work Permit Checklist
This permit to work checklist helps ensure all requirements are in place before starting a task. It guides teams to clearly define the work area and task, complete a pre-task risk assessment, and attach required documents such as spade lists, vessel entry logs, and excavation certificates. It prompts identification of waste and disposal methods, verification of hot work restrictions and higher-level approvals, and confirmation that the permit is authorized, valid, and issued at the place of work. The checklist verifies remaining hazards, adequate and available PPE, any tool restrictions and additional precautions, and that all role players are authorized, competent, and trained on the permit to work procedure. It also covers sign-off upon completion, availability of the permit issuer, and noting any changes in conditions.
by Murray Taylor, from the Community
Downloads: 0
Get
Template
High Risk Isolation Audit Checklist
This high risk isolation audit checklist helps teams verify hazardous energy controls and validate isolation effectiveness on complex worksites. It covers identifying energy sources, selecting proper isolation methods, testing single and multiple isolation points, and documenting TRA and permit requirements. The template supports assigning an isolation coordinator, communicating activities to nearby workers, and ensuring all tools are cleared and personnel are safe before re energising equipment. Use it to improve compliance and reduce risk during electrical, mechanical, and commissioning tasks.
by JUSTINE YOUL, from the Community
Downloads: 10+
Get
Template
Electrical Safe Isolation Procedure Checklist
This electrical safe isolation procedure checklist guides electricians and maintenance teams through each step required to make equipment safe before work. It covers identifying the correct point of isolation and circuit ID, selecting an appropriate isolation device based on BS7671 guidance, applying lockout tagout devices, and preventing inadvertent reinstatement. The checklist prompts verification using an approved, calibrated voltage indicator and proving unit, with photo evidence of calibration and device operation. It includes recheck steps to test before and after, securing covers, reidentifying sources, documenting actions, and formal confirmation that the system is safe to begin work. Use this template to standardize safe isolation, support compliance, and reduce risk of electric shock or unexpected energization.
by Chris Levers, from the Community
Downloads: 30+
Get

Permit to Work including Electrical Isolation

About author

You might also like

Safety Work Permit Template

Obtain Required Work Permit Checklist

High Risk Isolation Audit Checklist

Electrical Safe Isolation Procedure Checklist

You might also like

Safety Work Permit Template

Obtain Required Work Permit Checklist

High Risk Isolation Audit Checklist

Electrical Safe Isolation Procedure Checklist