Title Page

  • Site conducted

  • Permit conducted by

  • Please list name if not listed above:

  • Select date

  • Job Type:

  • Location?

  • Photo of location:

  • Identify potential hazards - Consult all stakeholders:

  • List controls put in place:

  • I understand all hazards identified and the controls put in place:

  • This permit has been approved:

  • Permit must be signed off 30 minutes after work is completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.