Falls from height are a leading cause of serious workplace injuries and fatalities. Using a permit to work at height form can help you assess potential hazards, ensure the right equipment is used, and confirm that all safety measures are in place. Whether you’re coordinating a maintenance job or managing a construction project, this template allows you to maintain control and prioritize safety throughout the process.
With this form, you can ensure that your team is protected and risks are minimized, all while maintaining efficiency on site.
Key elements of the permit to work at height form
A well-structured permit to work form is essential for safety and compliance in elevated work environments. Here are its main components:
- General information: This section captures basic details like the work location and the date and time of the task. It’s important to provide a clear overview of the project so that everyone involved knows where and when the work will be carried out.
- Risk assessment: In this section, you’ll address risks before starting any work and implement appropriate control measures. By documenting risks in advance, you can uphold safety standards and avoid accidents.
- Equipment and PPE: You’ll need to verify that all necessary protective equipment is available and in good working order. Use this section to confirm whether workers have received training on how to properly use their gear.
- Emergency arrangements: Every work-at-height task requires a solid emergency plan. Rescue procedures, emergency contacts, and nearby services should be in place in case of accidents.
- Authorization: This final section confirms that the work has been reviewed and approved by the responsible parties. It includes the names and signatures of the permit issuer and the person overseeing the task.
How to customize the permit to work at height form
You can tailor the permit to work at height form to your organization’s needs.
First, add inspection points for your company’s specific equipment and hazards. If you use specialized fall protection gear, you can include questions that ensure it meets your safety standards before work begins.
Another option is to use conditional logic to streamline responses and trigger additional actions based on user input. For example, if a user selects “No” in response to “Have weather conditions been considered?”, the form could prompt them to provide a reason and initiate a checklist for additional precautions, such as postponing the work or securing temporary shelters.
The template also allows you to add text fields for comments and photo uploads anywhere. Workers can use these to note specific hazards or upload images of equipment setup and site conditions.
Download Lumiform’s permit to work at height form today
Make managing safety at heights easier and more efficient. With our user-friendly permit to work at height template, you can structure tasks, assess risks, and keep documentation organized. Adapt it easily to your team’s requirements to stay on top of safety regulations.