Template

Working Aloft and Outboard Permit

by Chief Officer, from the Community

Use this A15 permit checklist to control work performed aloft or outboard on a vessel. Capture job details, location on board, and permit duration (max 24 hours). Verify bridge and comms isolations, weather limits under 30 knots, notifications, PPE and fall protection, tool control, and two points of attachment. Establish communications, assign authorising officer and competent person, and collect crew acceptance. Track issue and close-out, reactivation of equipment, removal of notices, and signatures.

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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

General Access Permit

Use this General Access Permit checklist to manage controlled access to sites. Capture company and competent person details, permit number and dates, and the scope and location of works. Confirm that proposed works are non-intrusive or direct users to submit RAMS and obtain a full permit when required. Record approvals and acceptance, and have personnel acknowledge hazards, control measures, PPE, and emergency procedures. Close out the permit with sign-off, date and time, and run security checks to ensure permits, passes, and keys are returned. Includes space for additional comments.

by Stephen Dawson, from the Community

10+

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Template

Working at Height Permit to Work

Use this Working at Height Permit to Work template to control high‑risk tasks on roofs, ladders, scissor lifts, and boom lifts. The checklist captures job details, personnel and qualifications, and guides a full JSEA with hazards, controls, and a risk matrix. It prompts pre‑start checks, barricading, training verification, and equipment inspections. Built‑in sections cover tools used aloft, energy isolation and an isolation register, plus a detailed rescue plan with communications and emergency gear. Authorization, permit suspension, revalidation, and close‑out verification ensure safe completion and return to normal operations.

by Harry Prajapati, from the Community

10+

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Template

Working Under Anchors Permit Checklist

Use this A30 permit checklist to authorize and control work carried out beneath ship anchors. It guides crews to confirm both anchors are secured and cannot freefall, devils claws are attached, anchor station signage is posted, and Deck/Engineering Duty Officers are notified. Establish UHF communications, define roles for the Authorising Officer and Competent Person, record crew acknowledgements, and set permit validity up to 24 hours. Includes close-out steps, notifications, and sign-off to ensure marine safety.

by Chief Officer, from the Community

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Template

Graham Roofing Permit to Work Template

Use this Roofing Permit to Work template to manage high-risk roof activities with clear authorization and communication. Capture permit details, location, dates, and responsible persons (Authorised Person and Competent Person). Identify hazards and required controls, define timescales and expiry, and maintain an operatives sign-on with confirmation they have read and understood RAMS and permit procedures. Include pre-start checks, completion notes, issue descriptions, and close the job with AP and CP signatures for full traceability.

by Chris Blair, from the Community

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Template

Electrical Testing and Inspection Permit

This Electrical Testing and Inspection Permit template helps control and authorize electrical work on site. It guides permit issuers and holders through key checks such as panel labeling, presence of covers and guards, isolation and lockoff of incomplete circuits, signage in work areas, and photographic evidence of panel condition. It captures RAMS review and approval, key sign-out, permit holder details, and contact time stamps. The workflow includes declaration of responsibility, signatures for receipt and clearance, confirmation that areas are locked off and keys returned, and formal cancellation. Clear responsibilities for the permit holder emphasize restricting access, maintaining key control, housekeeping, communication with other permit holders, and returning the permit and keys to the authorized person at the permit office upon completion.

by Aaron Lee, from the Community

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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

10+

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