Template

LV Electrical Permit to Work

by Luke Penrose, from the Community

10+

Use this LV Electrical Permit to Work template to control and document low voltage electrical activities under a safe system of work. The checklist covers isolation from all energy sources, lockout and caution signage, proving dead with approved test equipment, earthing and cable identification, and warning signage on adjacent live equipment. It includes sections for authorisation by an authorised person, acceptance by a competent person, time extensions, completion, and permit closure, helping teams coordinate contractors and inform landlords or affected parties.

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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 Near LV Electrical Equipment
This permit to work near LV electrical equipment helps teams plan and control work around energized or recently isolated systems. Record permit details, define scope and location, confirm qualifications, and verify isolations and lockout are in place. Capture risk assessments and method statements, prove dead, apply warning signage, and add additional earthing when required. The form supports extensions, sign-offs from the authorized person and workers, and documentation of isolation points across mechanical, electrical, and pipework to maintain electrical safety.
by Alan Taylor-Reed, from the Community
Downloads: 10+
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Template
Low Voltage Permit to Work
This low voltage permit to work template helps organizations plan and authorize electrical tasks safely. Capture permit details, scope of work, location, dates, and special conditions. Document access control and safety precautions including lock off, safe isolation, proving dead and test instruments used, earthing, and warning notices. The form includes declarations for the authorized person issuing the permit and the competent person accepting it, with names, positions, signatures, and timestamps. A closure section confirms work completion and withdrawal of personnel and equipment. Developed with reference to BS7671, this template supports consistent control of electrical work but should be reviewed for suitability to your site and jurisdiction.
by Phillipa Gregory, from the Community
Downloads: 10+
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Template
Work at Height Permit to Work
Use this permit to plan and control work at height. The template captures site and contractor details, scope of work, and required control measures such as barriers, access limitations, ladder condition, plant setup, falling object protection, weather checks, housekeeping, and RAMS attachments. It documents authorization by an approved person, acceptance by the competent person, time extensions, and final completion and closure to ensure the area is left safe and equipment returned to service.
by Luke Penrose, from the Community
Downloads: 10+
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Template
Permit to Work: Fire & Life Safety System Isolations
This permit to work template supports safe isolation of fire and life safety systems during maintenance or modifications. It guides teams through key controls including isolation procedures, supplementary fire risk assessment, temporary detection or firefighting provisions, fire watch, notification of landlords and insurers, and recording in the site fire log. Sections cover authorisation, acceptance by the competent person, time extensions, completion, and permit closure to ensure systems are restored safely.
by Luke Penrose, from the Community
Downloads: 10+
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LV Electrical Permit to Work

About author

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Permit to Work Near LV Electrical Equipment

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Permit to Work Near LV Electrical Equipment

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