Electrical Safety – Permit to Work

Author: Novade Solutions

Use this template to check significant hazards and risks before any electrical works operation. ** This template has been adapted from CITB

Published on: 7/6/2021

Electrical safety – Permit to work

Company name

Project title

Location

Contract no.

Permit no.

Site

Issued to

Job

The apparatus is effectively connected to earth at the following points

The points of isolation are as follows

Arrangements for the display or retention of the keys to locking-off devices are as follows

Caution notices have been posted at the following points

Safety locks have been fitted at the following points

Description of the work to be carried out

Diagram of work/reference drawings