Templates
Permit to work form (UK)

Permit to work form (UK)

Authorize high-risk tasks with clear hazard controls and responsibilities to ensure work safety and regulatory compliance.

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The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
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Permit to work form (UK)

Authorize high-risk tasks with clear hazard controls and responsibilities to ensure work safety and regulatory compliance.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Managing high-risk work activities requires a robust safety system. Our permit to work form for the UK creates a formal authorization process that clearly documents hazards, control measures, and responsibilities before dangerous tasks commence. This template is also invaluable when coordinating multiple contractors. You can ensure that proper isolations are in place, PPE requirements are met, and you’ve communicated emergency procedures.

According to the HSE, 138 workplace fatalities were recorded in Great Britain during 2023/24. With this template’s structured format, you can authorize work more thoroughly while boosting compliance with UK safety regulations.

Related categories

Preview of the template
Page 1
Work Details
Work to be carried out
Start date
Anticipated end date
Hazard Assessment
Identify all potential hazards associated with the work
What controls are in place to mitigate the identified hazards?
Is a risk assessment required?
Isolations Required
Specify all isolations required for the work
Have the isolations been implemented and verified?
Personal Protective Equipment (PPE)
Specify required PPE for the work
Have all personnel been issued and are wearing the required PPE?
Emergency Arrangements
Have emergency procedures been communicated to all personnel?
Have muster points been identified?
Have first aid and firefighting equipment been made available?
Authorisation
Work Permit Originator Name
Work Permit Originator Signature
Work Permit Originator Date
Authorising Manager Name
Authorising Manager Signature
Authorising Manager Date

Frequently asked questions

What types of work activities require a permit to work in the UK?

Activities requiring permits to work typically include hot work (welding/cutting), confined space entry, electrical work on live systems, working at heights, excavation work, breaking into pressurized systems, and work with hazardous substances. These high-risk activities need formal authorization and documented safety controls before proceeding.

How does this permit to work template help with legal compliance?

This template helps you meet UK health and safety legal requirements by providing a structured system to identify hazards, implement control measures, and document safety procedures. It creates an audit trail showing you’ve taken reasonable steps to manage risks, supporting compliance with the Health and Safety at Work Act and industry-specific regulations.

How can you ensure contractors understand and follow our permit to work system?

Provide contractors with clear training on your permit system, involve them in pre-work meetings, and verify their competence for the task. They must also sign the permit acknowledging responsibilities. Regular site inspections during work and clear communication channels help maintain compliance and address any questions immediately.

Can you modify this permit to work template for different types of high-risk work?

Yes, you should modify this template to address specific hazards in different work types. You can create variations for hot work, confined spaces, and other types of work, adding specialized sections for each while maintaining the core structure. Regular reviews ensure your permits remain relevant to changing workplace risks.

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.