Permit To Work Certificate Template for England and Wales

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Key Requirements PROMPT example:

Permit To Work Certificate

Need a Permit To Work Certificate for hot work operations in our chemical storage facility, including specific controls for welding activities and requirements for fire watch personnel, to be implemented from March 2025.

Document background
The Permit To Work Certificate is a critical safety management tool required by UK legislation for controlling hazardous work activities. It is implemented when standard operating procedures are insufficient to control risks, particularly in high-hazard environments. The certificate ensures that work is properly planned, risk-assessed, and controlled, with clear responsibilities assigned to competent individuals. It includes specific precautions, emergency procedures, and validation processes, serving as both a work authorization and a legal record of safety compliance.
Suggested Sections

1. Permit Reference Number: Unique identifier for the permit including date, location and type of work

2. Work Description: Detailed description of work to be undertaken, including scope and methodology

3. Location Details: Specific location where work will be performed, including building, floor, area identification

4. Duration: Start and end dates/times for the permitted work, including validity period

5. Risk Assessment Reference: Reference to associated risk assessments and relevant safety documentation

6. Control Measures: Required safety measures, precautions, and PPE requirements

7. Authorization: Approval signatures, including permit issuer, receiver, and any required supervisory authentication

Optional Sections

1. Hot Work Controls: Additional controls and precautions specific to work involving heat, flames, or sparks

2. Confined Space Controls: Specific controls and requirements for work in confined spaces, including atmospheric monitoring

3. Working at Height Controls: Additional safety measures and requirements for work conducted at height

4. Electrical Safety Controls: Specific controls for work involving electrical systems or equipment

5. COSHH Controls: Additional controls for work involving hazardous substances

Suggested Schedules

1. Gas Test Results Sheet: Record of atmospheric testing results and monitoring requirements

2. Isolation Certificate: Documentation of electrical, mechanical, or process isolations required for the work

3. Method Statement Reference: Detailed work procedures and step-by-step instructions for complex tasks

4. Emergency Response Plan: Specific emergency procedures, contact numbers, and evacuation routes

5. Handback Certificate: Documentation for work completion and area/equipment return to service

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
Industries

Health and Safety at Work etc. Act 1974 (HSWA): Primary legislation providing the overarching framework for workplace safety and general duties of employers and employees

Management of Health and Safety at Work Regulations 1999: Covers risk assessment requirements and safety management systems implementation

Confined Spaces Regulations 1997: Specific regulations governing work carried out in confined spaces

Control of Substances Hazardous to Health Regulations 2002 (COSHH): Regulations covering work involving hazardous substances and materials

Electricity at Work Regulations 1989: Specific regulations governing electrical work and safety

Work at Height Regulations 2005: Regulations covering all work activities performed at height

The Construction (Design and Management) Regulations 2015: Specific regulations governing construction-related work and project management

Regulatory Reform (Fire Safety) Order 2005: Regulations covering fire safety and hot work permits

Provision and Use of Work Equipment Regulations 1998 (PUWER): Regulations governing equipment safety requirements and proper use

Control of Major Accident Hazards Regulations 2015 (COMAH): Specific regulations for high-hazard sites and prevention of major accidents

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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