Template

Permit to Work Template for Maintenance

by SafetyCulture

400

Get this template

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

Click below to load the preview and explore the details.

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

Description

All equipment should be isolated, locked out and tagged out to prevent accidents like electrocution, explosion, cuts, etc. Use this checklist as a guide to which equipment or materials should be locked out before any maintenance work. Record and take a photo of the point of isolation. List the precautions, tools and equipment to be used during the procedure.

About author

SafetyCulture

Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.

Template
Equipment Sign Out Form
Use this equipment sign out form to record all equipment sign out during the workday. Identify as many equipment as needed for the duration of the shift and enter the equipment type, number, purpose, and the operator's name and signature. Complete the equipment sign out form with the equipment manager's comments and signature.
by SafetyCulture
Downloads: 200
Get
Template
General Permit to Work Template
This general permit to work template covers the entire Permit to Work System. Start by recording job details, tools and equipment to be used, and other work which may affect the tasks at hand. Next clearly identify tasks which are considered hazardous. You may conduct a risk assessment to evaluate uncontrolled or undetected hazards present on site. After which, ensure that precautions are being taken such as wearing proper PPE. Next endorse the Permit to Work to the Authorizing Officer for review before commencing work. Ensure that the permit information has been explained to all workers involved. Complete the audit by confirming that all necessary processes were rolled out and that it is safe to carry out the work defined. After the task is accomplished hand back the audit to the Authorizing personnel for confirmation and future reference.
by SafetyCulture
Downloads: 3,000
Get
Template
Equipment Maintenance Log
This equipment maintenance log is for documenting maintenance and inspections done with the equipment. Use this template to keep track of all maintenance work done for equipment and to schedule next maintenance.
by SafetyCulture
Downloads: 900
Get
Template
Confined Space Permit To Work Template
Working in confined spaces poses numerous hazards to workers and entrants such as asphyxiation or loss of oxygen which leads to suffocation. Commencement of work must not begin until the appropriate level of authority has endorsed the Permit to Work. This template can be used record the mode of communication and rescue procedures to determine the team's preparedness during emergencies. Next conduct a pre-work check to assess if safety equipment and measures are in place to prevent accidents and injuries. Capture photo evidence of equipment defects or non compliances to confined space protocols. List all people involved in the work being performed.
by SafetyCulture
Downloads: 600
Get

Equipment Sign Out Form

Use this equipment sign out form to record all equipment sign out during the workday. Identify as many equipment as needed for the duration of the shift and enter the equipment type, number, purpose, and the operator's name and signature. Complete the equipment sign out form with the equipment manager's comments and signature.

by SafetyCulture

200

Get

Template

General Permit to Work Template

This general permit to work template covers the entire Permit to Work System. Start by recording job details, tools and equipment to be used, and other work which may affect the tasks at hand. Next clearly identify tasks which are considered hazardous. You may conduct a risk assessment to evaluate uncontrolled or undetected hazards present on site. After which, ensure that precautions are being taken such as wearing proper PPE. Next endorse the Permit to Work to the Authorizing Officer for review before commencing work. Ensure that the permit information has been explained to all workers involved. Complete the audit by confirming that all necessary processes were rolled out and that it is safe to carry out the work defined. After the task is accomplished hand back the audit to the Authorizing personnel for confirmation and future reference.

by SafetyCulture

3,000

Get

Template

Equipment Maintenance Log

This equipment maintenance log is for documenting maintenance and inspections done with the equipment. Use this template to keep track of all maintenance work done for equipment and to schedule next maintenance.

by SafetyCulture

900

Get

Template

Confined Space Permit To Work Template

Working in confined spaces poses numerous hazards to workers and entrants such as asphyxiation or loss of oxygen which leads to suffocation. Commencement of work must not begin until the appropriate level of authority has endorsed the Permit to Work. This template can be used record the mode of communication and rescue procedures to determine the team's preparedness during emergencies. Next conduct a pre-work check to assess if safety equipment and measures are in place to prevent accidents and injuries. Capture photo evidence of equipment defects or non compliances to confined space protocols. List all people involved in the work being performed.

by SafetyCulture

600

Get

Permit to Work Template for Maintenance

Description

About author

You might also like

Equipment Sign Out Form

General Permit to Work Template

Equipment Maintenance Log

Confined Space Permit To Work Template

You might also like

Equipment Sign Out Form

General Permit to Work Template

Equipment Maintenance Log

Confined Space Permit To Work Template