Templates
Permit to work form (construction)

Permit to work form (construction)

Manage construction site safety using this permit to work form. Easily track hazards, required equipment, and approvals to keep your team prepared and minimize risks.

Use this template
or download pdf
Permit to work form (construction)

Manage construction site safety using this permit to work form. Easily track hazards, required equipment, and approvals to keep your team prepared and minimize risks.

Use this template
or download pdf

This construction permit to work form helps you establish a formal authorization process for high-risk activities on your job sites. You’ll be able to document potential hazards, outline required control measures, and ensure you obtain all necessary approvals before work commences. For example, if you’re coordinating hot work operations near flammable materials, this form provides a systematic approach to verify that fire watches are in place and appropriate precautions are taken.

This structured process is crucial. Based on BLS data, construction sites account for approximately one in five workplace fatalities in the U.S.

Related categories

Preview of the template
Page 1
General Information
Work Order Number
Date
Time
Expected Duration
Nature of Work
Hazard Identification
Working at Heights
Electrical Hazards
Confined Spaces
Excavation
Flammable Materials
Other Hazards
Personal Protective Equipment
Hard Hat
Safety Glasses
Gloves
High Visibility Vest
Safety Boots
Hearing Protection
Control Measures
Signage and Barriers
Isolation of Services
Ventilation
Safe Access/Egress
Fire Extinguishers
Other Controls
Permits and Approvals
Hot Work Permit
Confined Space Permit
Excavation Permit
Electrical Isolation Permit
Other Permits
Emergency Preparedness
First Aid Kit
Emergency Contacts
Evacuation Plan
Spill Response
Review and Approval
Reviewed by Supervisor
Approved by Manager
Signature
Date

Frequently asked questions

How can you ensure workers actually follow the permit to work requirements?

Ensure compliance by conducting pre-work briefings to explain permit requirements, performing spot checks during work, and requiring workers to carry the permit on-site. You can also implement consequences for non-compliance. Ultimately, the goal is to create a culture where workers understand the permit protects them rather than just being paperwork.

What types of construction activities typically require a permit to work form?

Construction activities requiring permits typically include hot work (welding, cutting), confined space entry, excavation and trenching, work at heights, electrical work on live systems, demolition operations, crane operations, and work involving hazardous materials or substances. Your specific site may have additional activities requiring formal authorization.

How should you store and organize completed permit to work forms?

You can store completed permit forms in Lumiform’s centralized digital system. For physical permit forms, organize them by project and date. Keep forms for the duration required by regulations (typically 1-3 years). This documentation proves compliance during inspections and provides valuable reference if incidents occur or patterns need analysis.

What common mistakes should you avoid when implementing a permit to work system?

One common mistake is treating the permit as just another piece of paperwork, rather than a real safety tool. Always make sure your form addresses site-specific hazards, not just generic risks, and take time to clearly communicate permit requirements to everyone involved. Review your process regularly to catch issues and keep your system effective.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.