Template

General Permit to Work

This General Permit to Work template provides a complete system for planning and controlling hazardous work. Record company and job details, identify interacting activities, and verify RAMS. Manage additional permits for hot work, confined space, excavation, and working at heights. Include LOTO isolation steps, PPE checks, LOLER and PAT compliance, atmospheric testing, and product contamination controls. Keep a signed on task register, conduct 4 hour issuer checks, and complete handback and cancellation with approvals.

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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

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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

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

30+

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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

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

10+

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Template

Confined Space Permit to Work

This Confined Space Permit to Work template supports safe entry and maintenance in tanks, boilers, and process equipment. It guides teams through hazard identification, isolation and lockout/tagout, ventilation and temperature checks, gas testing and continuous monitoring, PPE requirements and intrinsically safe tools, standby and rescue arrangements, communication checks, and hot work controls. It includes sections for atmospheric tests, rescue plans, authorisation and acceptance, permit expiry, and hand-back and cancellation, helping organisations standardise confined space procedures and compliance.

by Richard Smith, from the Community

20+

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Template

Pre-Task Confined Space Checklist and Permit

Use this pre-task confined space checklist and permit to conduct a thorough pre-entry review for permit-required confined spaces. Confirm job scope, hazards and risk assessment, isolation and lockout, ventilation and lighting, signage and access, communications methods, and atmospheric monitoring with calibration and logging. Select required equipment and PPE, and complete emergency and rescue planning details. Includes team briefing plus entrant and supervisor sign-off to verify training, conditions, and authorization before work begins.

by WPN Facilities, from the Community

10+

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Template

Lanxess Corporation Safe Work Permit Audit

This LANXESS Safe Work Permit Audit checklist helps reviewers assess permit-to-work compliance across high-risk tasks. Verify permit details, scope of work, special instructions, and required approvals. Check selections for safe work methods and PPE, evaluate hot work controls and fire watch, confirm atmospheric testing logs, and review confined space entries, rescue pre-plans, and staged equipment. Validate energy control and isolation steps, pre-job meetings, personnel accountability, and signatures, including daily excavation checks when applicable. Use it to drive consistent audits and safer work execution.

by LABARRON MCMILLIAN, from the Community

10+

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