Contractor Permit to Work

Use the Contractor Permit to Work checklist to ensure contractors comply with safety regulations from specific hazards, precautionary measures, PPE, etc.

Contractor Permit to Work



Contractor Permit To Work

1. What task is done?


Photo Comment

2. What is the issued date?


Photo Comment

3. What is the location of the task?


Photo Comment

4. Is the risk assessment received?


Photo Comment

5. Is the method statement received?


Photo Comment
Specific Hazards

1. Are precautions taken to address electricity hazards?


Photo Comment

2. Are precautions taken to address asbestos hazards?


Photo Comment

3. Are precautions taken to address environmental hazards?


Photo Comment

4. Are precautions taken to address power press hazards?


Photo Comment

5. Are precautions taken to address fire/sparks/fumes hazards?


Photo Comment

6. Are precautions taken to address hazards associated with working at height?


Photo Comment

7. Are precautions taken to address hazards related to fumes, vapor, and dust?


Photo Comment

8. Are precautions taken to address hazardous substances hazards?


Photo Comment

9. Are precautions taken to address vibration hazards?


Photo Comment

10. Are precautions taken to address mechanical hazards?


Photo Comment

11. Are precautions taken to address hazards associated with hazardous chemicals?


Photo Comment

12. Are precautions taken to address oxygen-related hazards?


Photo Comment

13. Are precautions taken to address noise hazards?


Photo Comment

14. Are precautions taken to address hazards related to stored energy?


Photo Comment

15. Are precautions taken for lone working hazards?


Photo Comment

16. Are precautions taken for confined space hazards?


Photo Comment
Precautionary Measures

1. Is lock/tag out implemented as a precautionary measure?


Photo Comment

2. Are screens/shields used as a precautionary measure?


Photo Comment

3. Is the area cordoned off as a precautionary measure?


Photo Comment

4. Are combustibles removed as a precautionary measure?


Photo Comment

5. Is a test required at the finish as a precautionary measure?


Photo Comment

6. Are specialist contractors employed as a precautionary measure?


Photo Comment

7. Are fall restraints used as a precautionary measure?


Photo Comment

8. Is fire fighting equipment available as a precautionary measure?


Photo Comment

9. Is a hot work permit (ISF_061) obtained as a precautionary measure?


Photo Comment

10. Are any other precautionary measures implemented?


Photo Comment
Essential Personal Protective Equipment (PPE)

1. Is a hard hat provided as essential personal protective equipment (PPE)?


Photo Comment

2. Are safety glasses or a visor provided as essential PPE?


Photo Comment

3. Are overalls or an apron provided as essential PPE?


Photo Comment

4. Are ear defenders provided as essential PPE?


Photo Comment

5. Is high-visibility clothing provided as essential PPE?


Photo Comment

6. Are safety gloves provided as essential PPE?


Photo Comment

7. Are steel toe caps provided as essential PPE?


Photo Comment

8. Is a self-contained breathing apparatus (SCBA) provided as essential PPE?


Photo Comment

9. Is any other essential PPE provided?


Photo Comment
Site Details

1. Is the GV site induction completed?


Photo Comment

2. What is the validity period of the permit (start date)?


Photo Comment

3. What is the validity period of the permit (finish date)?


Photo Comment

4. Are waste disposal actions confirmed before leaving the site?


Photo Comment

5. Are hazardous waste removed from the site as part of environmental compliance control?


Photo Comment

6. Is general waste removed from the site as part of environmental compliance control?


Photo Comment

7. Does the contractor work according to their supplied RAMS and agree to this Permit to Work?


Photo Comment

Is this sample what you are looking for?
Sign up to use & customise this template, or create your own custom checklist:

Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

Seeing is Believing

Get a live demo customized to your unique needs, or get started with a 14-day FREE trial.

linkedin linkedin