Templates
Stop work order template

Stop work order template

In high-risk environments, immediate action is essential. The stop work order template enables managers to swiftly halt unsafe situations. Download Lumiform’s free, customizable template today!

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  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
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Stop work order template

In high-risk environments, immediate action is essential. The stop work order template enables managers to swiftly halt unsafe situations. Download Lumiform’s free, customizable template today!

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A stop work order template empowers you to immediately halt operations when safety concerns arise, preventing accidents before they happen. This standardized form documents the specific hazards, affected areas, and required corrective actions, creating accountability and clear communication across teams.

According to the Occupational Safety and Health Administration, stop work authority programs have been shown to reduce workplace incidents when properly implemented. We designed this template to provide you with a systematic approach to risk mitigation that protects both your workforce and your compliance standing.

Related categories

Preview of the template
Audit
Project Details
Project Name
Project Location
Project Description
Why was the stop order issued?
Attach photo of violation
Work Affected
Stop order issued on:
Stop order issued by:
Suspension Date:
Problem Resolution
Can the problem be resolved?
Confirm that all activities will cease until stop work order has been lifted
Plan of action to remediate the situation
Team members stopping work
Supervisor's Signature
Date of cease work
This template was downloaded 92 times

Frequently asked questions

What information should I include when filling out a stop work order template?

Include the specific work location, date and time of issuance, detailed description of the hazard or non-compliance, scope of the stoppage (partial or complete), required corrective actions, responsible parties, and conditions for resuming work. Photos of the hazardous condition provide valuable documentation and clarity about the exact nature of the safety concern.

How do I determine whether to issue a partial or full stop work order?

Assess whether a specific activity or area contains the hazard. Issue a partial order if you can contain the risk and safely continue other work. Issue a full stop work order if the hazard affects the entire worksite, impacts multiple interconnected activities, or makes it unsafe to continue any work or investigation.

Who has the authority to issue a stop work order on a construction site?

Authority typically extends to project managers, safety officers, site supervisors, and designated safety representatives. Some organizations empower all workers to issue initial stop work notifications for immediate dangers, which can be made formal by supervisors. Your company’s safety policy should clearly define who can issue orders and the verification process.

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.