Template

IThra Work Permit Review Form

by Shahzad Khan, from the Community

Use this IThra Work Permit Review Form to assess and verify permit to work compliance at the Ithra site. The checklist covers permit type and authorization, issuer and receiver certifications, joint site inspection and countersignatures, gas testing records and equipment, hazard identification, defined precautions and emergency plans, and adherence to instructions. Job specific controls include PPE, barricades, lockout and tagout, tool and equipment condition, scaffolding, excavation, grounding, crane and heavy equipment inspections, housekeeping, health hazards, fire watches and protection, and final sign off.

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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
Permit to Work Spot Audit Checklist
This Spot Audit Permit to Work checklist helps verify onsite compliance with PTW procedures. Inspect permit boards and usage, confirm a valid permit exists for work in progress, and check issuer authorization and completeness. Ensure risk assessments are present and controls are followed at the job site. Capture findings and provide feedback to workers, supervisors, and managers to strengthen safety performance.
by Scott Denny, from the Community
Downloads: 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
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
Permit to Work Audit Tool
Permit to Work and Work Certificate Audit Tool
by Michael Sumich, from the Community
Downloads: 50+
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IThra Work Permit Review Form

About author

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