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Working At Height Permit

This procedure outlines the essential steps, required equipment (such as MEWPs, ladders, harnesses, scaffolds), and safety verification questions that must be answered truthfully before work is authorized. It includes space for sign-offs from responsible parties to ensure accountability and compliance.
dalesman
05/22/2025

Working At Height Permit

The Working At Height Permit is a structured safety procedure that provides formal written authorization for personnel to perform tasks that involve working at height. This permit ensures that all necessary safety measures, equipment inspections, personnel qualifications, and environmental considerations are reviewed and verified before any elevated work begins. It is a critical component of workplace safety in industrial, construction, and maintenance environments.

    Job description

    Work order number

    Date and time of Permit starts

    Duration of working at height by the Hour

    Location Of Work

    Description Of Job

    working at height equipment used

    Please Answer the Following Questions Truthfully

    Please answer YES, NO, N/A

    Are you qualified/trained to undertake this work?

    • Yes
    • No
    • N / A

    Is the area barricaded off?

    • Yes
    • No
    • N / A

    Is a harness required?

    • Yes
    • No
    • N / A

    if yes has it been inspected?

    • Yes
    • No
    • N / A

    Is a ladder/scaffold/MEWP/scissor lift required?

    • Yes
    • No
    • N / A

    If yes has it been Inspected?

    • Yes
    • No
    • N / A

    Have you got the correct PPE?

    • Yes
    • No
    • N / A

    Are weather conditions acceptable?

    • Yes
    • No
    • N / A

    Are there any overhead hazards?

    • Yes
    • No
    • N / A

    Any other hazards relevant to the job?

    how have you mitigated the hazards?

    Signature of Authorisation

    Persons accepting Job

    Click here to sign

    Persons accepting Job #2

    Click here to sign

    Authorising Signature

    Click here to sign

    Closing out Signature

    Click here to sign
Source: dalesman (Community Member)

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