Request a Permit to Work

Fill in as much of the permit as you can. You do not have to complete every section — submit it and a supervisor reviews it, completes anything left, and authorises it. Everyone listed is then emailed a link to sign.
  • 1. Details & Contractors
  • 2. Hazards & Controls
  • 3. Checklists & Controls
  • 4. Review & Submit
Section
Contractors
Work
Permit type
Hazards present
PPE & Controls
Job requirements
Supporting documentation

Complete the checklist for each relevant permit type (Y / N / N/A), then the isolation and additional control measures.

Hot Works
Question Yes No N/A
Equipment/PPE in good working order?
Is the area ATEX rated?
All combustibles removed a minimum of 5 metres?
Is processing plant operating?
Surrounding plant & equipment sufficiently covered from debris?
Wall & floor openings covered in area?
Area checked for gas/explosive atmosphere?
Is there a need for local ventilation?
Suitable fire extinguisher available?
Hose reel available?
Welding curtains provided / in place?
Safety barriers required / in place?
Signs required / in place?
Post welding/cutting fire watch arranged?
Confined space / heights / live electricity checked and isolated?
Working at heights
Question Yes No N/A
Equipment/PPE in good working order and inspected?
Surrounding plant & equipment covered from debris?
Platform suitable with adequate guardrails (certified)?
Combined weight of employees & equipment within SWL?
MEWP / mobile tower SWL not exceeded?
Ground conditions assessed and stabilisers available?
Operator trained and qualified to operate the MEWP?
Fall protection worn and anchored to the MEWP?
Metal ladder not in use near electrical cabling?
Thoroughfare cordoned off by barriers?
Stepladder spreaders locked; no use of top steps?
Weather conditions considered on roofs?
Wheels locked on mobile scaffolding?
Hand tools secured/tied off to prevent falling?
Buddy system for hazardous or isolated work areas?
Confined space / heights / live electricity checked and isolated?
Working at heights SOP card referenced?
Confined Space
Question Yes No N/A
Equipment/PPE in good working order and inspected?
Personal monitor fitted?
Has the atmosphere been tested?
Oxygen 19.5%-23.5%, H2S ≤ 10ppm, CO ≤ 30ppm?
Buddy system & emergency recovery plan in place?
Fire extinguisher accessible?
Emergency Response Team (ERT) aware of entry?
Harness fitted; anchor & recovery equipment set up?
Lockout/Tagout in place?
All sources of fumes & liquids isolated?
Awareness of fragile/hot surfaces and sharp edges?
Hot work / heights / live electricity checked and isolated?
Non-routine maintenance that requires further risk assessment?
Confined Space Hazards SOP card referenced?
Electrical Works
Question Yes No N/A
Equipment/PPE in good working order and inspected?
Wearing safety glasses & safety gloves?
De-energised prior to work — Lockout/Tagout in place?
Metal ladder not in use near electrical cabling?
Thoroughfare cordoned off by barriers?
Stepladder spreaders locked; no straddling?
Weather conditions and water taken into consideration?
Buddy system for hazardous or isolated work areas?
CO2 extinguisher accessible in close proximity?
Insulated equipment and a volt meter available?
Rubber mat in place to stand on?
Live Electrical Work SOP card referenced?
Isolation
Additional precautions & control measures
Review & submit

Check back over the steps and add anything you missed — you can leave sections blank if you don't know the answers yet. When you submit you are asked who should sign it off, and that supervisor is emailed that it is waiting on them. Nobody may start work until a supervisor has authorised it and each person listed has signed their own link.