Template

Permit to Work - Working at Height

by Mauricio Silva, from the Community

This working at height permit to work template helps property and facilities teams and contractors plan and control elevated tasks. Capture site details, contractor approvals, and RAMS; confirm PPE, emergency and rescue procedures, and communication plans; establish safety zones and falling-object protection; record wind speed limits; and track permit start/end, extensions, and cancellations. Includes monitoring checklist for site standards, housekeeping, signage, and compliance with method statements, plus clearance and hand-back sign-offs.

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

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 - Abseiling
This abseiling permit to work template helps control rope access activities on buildings and structures. It supports contractor approval checks, IRATA membership verification, and alignment with method statements and RAMS. The checklist covers emergency and rescue procedures, equipment inspection and tagging, PPE requirements, wind speed limits, safety zones, and protection from falling objects. It also documents permit start and end times, extensions, and site monitoring to ensure compliance with site rules and working at height standards. Use it to standardize safe abseiling operations and record permit clearance and cancellation.
by Mauricio Silva, from the Community
Downloads: 10+
Get
Template
Working at Height Checklist and Permit
This working at height checklist and permit helps you plan and control high risk tasks. Capture job details, assess hazards, and confirm training and area controls. Sections cover roof access, mobile elevating work platforms, fixed and tower scaffolds, forklift man riding cages, and ladders and stepladders. Verify licenses and inspections such as IPAF 3a and 3b, PASMA, and LOLER, monitor weather and wind, and prepare rescue plans. Includes validity times, acceptor sign off, and hand back to close out the permit. Use alongside a general permit to work.
by Darren Downing, from the Community
Downloads: 0
Get
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+
Get
Template
Hospital Permit To Work Template
This Permit To Work template helps hospitals authorize and control contractor and maintenance activities. It captures permit details, contractor and competent person information, work scope and location, and RAMS submission and approval. It links associated high risk permits including hot works, working at height, confined spaces, isolated and live equipment. The form includes approvals, declarations, signatures, and clear acceptance of responsibilities. It guides permit clearance and closure, and verifies completion, safety, and any fire stopping measures such as sleeves, collars, covers, and sealants. Security checks confirm permits returned and closed.
by Stephen Dawson, from the Community
Downloads: 10+
Get

Permit to Work - Working at Height

About author

You might also like

Permit to Work - Abseiling

Working at Height Checklist and Permit

Work at Height Permit to Work

Hospital Permit To Work Template

You might also like

Permit to Work - Abseiling

Working at Height Checklist and Permit

Work at Height Permit to Work

Hospital Permit To Work Template