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FORM Permit - Working at Heights, Roof and Ceiling Space 2026
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- Click ‘Get Form’ to open it in the editor.
- In Part A, enter the contractor's name, date of work, location, description of work, and estimated duration of access. Ensure all fields are filled accurately.
- Move to Part B and tick each box confirming that necessary assessments and controls have been actioned. This includes developing a Work Method Statement and notifying affected persons.
- In Part C, the person performing the work must certify safety by filling in their name, contact number, signature, date, and time.
- The site manager or delegate should then acknowledge the permit completion by signing in Part C with their name, signature, date, and time.
- Finally, in Part D, confirm job completion by certifying that the area is safe. Fill in your details again for sign-off by the site manager or delegate.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2020 | 4.9 Satisfied (41 Votes) |
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A permit space is a confined space that may have a hazardous atmosphere, engulfment hazard, or other serious hazard, such as exposed wiring,
After completing this form you will need to coordinate with EHS Fire Life Safety to receive your approved Hot Work Permit. You can contact EHS at one of theRead more