Working at heights permit form template
Our working at heights permit form template equips you with a structured framework for effective use.
Working at heights permit form
Permit No:
Date of Issue:
Expiry Date:
Work Location:
Description of Work (including tasks to be performed):
1. Personnel Involved
-
Name of Supervisor/Manager:
-
Name(s) of Worker(s):
2. Hazard Identification and Risk Assessment
-
Potential Hazards Identified:
- Falling objects
- Falls from height
- Slips, trips, and falls
- Inadequate access/egress
- Weather conditions (wind, rain, etc.)
- Electrical hazards
- Other (specify):
-
Control Measures in Place:
(e.g., guardrails, scaffolding, fall arrest systems, etc.)- Guardrails/barriers
- Personal fall arrest systems (harnesses, lanyards)
- Safe access/egress
- Inspection of ladders/scaffolding
- Weather monitoring
- Other (specify):
-
Has a Risk Assessment been conducted and reviewed for the work at height?
[ ] Yes
[ ] No
3. Equipment and PPE Required
-
Required
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What is this for?
This Working at heights permit form template aims to offer you a versatile and customisable tool, serving as a solid foundation for your needs. Utilise it to ensure consistency, enhance accuracy, and save valuable time.
Adapt it to suit your unique requirements, ensuring efficiency and effectiveness in your HR processes.
