Template

RML 31684 and 31685 Live Work Permit Acknowledgement

by Ben Matthews, from the Community

This live work permit acknowledgement template helps teams verify that hazards and risk controls are current before live work on machinery. It prompts workers to read the hazard board, confirm guards and risk management measures, record names and dates, and obtain supervisor or team leader sign off to meet site safety requirements.

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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
RML 31684 & 31685 Live Work Permit Acknowledgement
Digitize your RML 31684 and 31685 live work permit acknowledgement with this free SafetyCulture template. Confirm the supervisor or team leader, verify that hazards are up to date, review the hazard board, and capture a signature to acknowledge awareness of machine risks. Ideal for manufacturing operations performing live work, this checklist streamlines compliance and record keeping while improving safety communication across teams.
by Ben Matthews, from the Community
Downloads: 0
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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
Electrical Live Works Permit
Standardize and control high risk live electrical work with this permit template. Record job details, location, switchboard identification, supply voltage, and permit validity times. Work through mandatory prerequisites including justification for live work, options to de energise, isolation opportunities, installation of insulated barriers, and the presence of a competent safety spotter. Confirm worker competence, access to the company live works SWMS, correct PPE and rescue kit, and calibrated testing equipment. Complete a written risk assessment, set barricades and exclusion zones, ensure lighting, mark isolation points, confirm first aid availability, brief the team, clear unauthorised persons, and obtain Electrical Manager approval. Add all workers attached to the permit.
by DAYLE LOWRIE, from the Community
Downloads: 20+
Get
Template
HV Live Work - Worksite Audit
In field audit of practice against the Live Work Manual
by Brett Lark, from the Community
Downloads: 40+
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RML 31684 & 31685 Live Work Permit Acknowledgement

Digitize your RML 31684 and 31685 live work permit acknowledgement with this free SafetyCulture template. Confirm the supervisor or team leader, verify that hazards are up to date, review the hazard board, and capture a signature to acknowledge awareness of machine risks. Ideal for manufacturing operations performing live work, this checklist streamlines compliance and record keeping while improving safety communication across teams.

by Ben Matthews, from the Community

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

Electrical Live Works Permit

Standardize and control high risk live electrical work with this permit template. Record job details, location, switchboard identification, supply voltage, and permit validity times. Work through mandatory prerequisites including justification for live work, options to de energise, isolation opportunities, installation of insulated barriers, and the presence of a competent safety spotter. Confirm worker competence, access to the company live works SWMS, correct PPE and rescue kit, and calibrated testing equipment. Complete a written risk assessment, set barricades and exclusion zones, ensure lighting, mark isolation points, confirm first aid availability, brief the team, clear unauthorised persons, and obtain Electrical Manager approval. Add all workers attached to the permit.

by DAYLE LOWRIE, from the Community

20+

Get

Template

HV Live Work - Worksite Audit

In field audit of practice against the Live Work Manual

by Brett Lark, from the Community

40+

Get

RML 31684 and 31685 Live Work Permit Acknowledgement

About author

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RML 31684 & 31685 Live Work Permit Acknowledgement

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RML 31684 & 31685 Live Work Permit Acknowledgement

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