Template

Permit to Work Template

2,000+

This permit to work template was divided into 3 sections: Permit request, person engaging contractor or worker review and authorization. Each section entails confirmation from the persons-in-charge in accordance with key processes and protocols to ensure a safe working environment. Use SafetyCulture to create checklists with mandatory signature fields to validate audits and inspections. all specified high-risk tasks invoked with a work activity.

With Mitti 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 Mitti 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

Mitti

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by 80,000 organizations in 190 countries, Mitti publishes free checklists, SOP templates, audit checklists and toolbox talk topics that turn paper processes into a digital audit trail. Download one, put it to work on your next inspection or shift, and see why teams keep coming back for more.

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

10+

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Template

Dignity Manufacturing Permit to Work

This manufacturing permit to work template helps teams manage high risk work with clear request, review, and authorization steps. Capture contractor details, verify inductions, PPE, isolations, scaffolding, and fire protection, and document COSHH and lone working controls. Require signatures from responsible persons to confirm safety precautions and hand back the area in a safe, clean condition for operations to resume.

by Paul Duffield, from the Community

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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

10+

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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

Permit to Work Audit Tool

Permit to Work and Work Certificate Audit Tool

by Michael Sumich, from the Community

60+

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Template

Permit to Work Authorization Checklist

Use this Permit to Work authorization checklist to review the scope of work, assess risks, and verify the right controls before a job begins. Capture job or permit number, site, date, preparer, and the person being reviewed. Perform a field risk assessment with the crew, confirm required permits, walk the area, and check PPE. Validate lockout tagout details, locks and tags, and confirm the reviewer recommends authorization. Record signatures and note if retraining is required.

by Brandon Van Laar, from the Community

30+

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Permit to Work Template

About author

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