Electrical Work Permit Template
Energised Electrical Work Permit (AS/NZS 4836)
Heavy Industry & Energy Sector edition
$250AUDBuy now — editable Word
Controls electrical work, isolation and lock-out on switchboards, distribution boards and fixed plant. High Hazard edition — editable Word document with its permit form built in. Choose your state at checkout.
The Heavy Industry & Energy Sector pack is the full permit-to-work system: this permit, the framework and every other permit in the tier. 11 editable Word documents for $2,419 AUD.
See the Heavy Industry & Energy Sector pack — $2,419What this permit controls
Controls electrical work including isolation, lock-out/tag-out, proving de-energised and safe re-energisation on switchboards, distribution boards and fixed plant.
Typical work covered
- ✓Maintenance on switchboards, motors, drives
- ✓Cable repair and termination work
- ✓Lighting and small-power fit-out
- ✓Repairs in service-yard or plant rooms
- ✓Replacing components in installed equipment
Hazards this permit addresses
Each hazard is identified on the permit form with the controls that must be in place before the issuer signs.
Outcome if uncontrolled: Electrocution, arc flash burns.
Outcome if uncontrolled: Shock on contact after isolation.
Outcome if uncontrolled: Worker contacts live equipment believing it dead.
Outcome if uncontrolled: False "dead" reading; electrocution.
Outcome if uncontrolled: Energy returns from downstream source.
Outcome if uncontrolled: No witness for emergency response.
What the permit form includes
Editable Microsoft Word form. Yellow cells are the only ones you complete on a typical job. Sections:
How to use this permit
Identify the correct isolation point. Operate the isolator to OFF. Apply personal lockout device and tag.
Use a tested live instrument: confirm live on known-live circuit → test the isolated equipment (must read dead) → re-test on known-live to confirm instrument still working.
For capacitor banks, large drives, UPS systems — follow the discharge procedure before contact.
Each worker applies their own lock to the multi-hasp. Work proceeds. Issuer remains contactable.
All locks removed by their owner. Final inspection. Permit holder authorises re-energisation. Sign close-out.
Frequently asked
What format is it in?
Editable Microsoft Word (.docx) with its permit form built in. Bracketed [fields] mark where to add your business name, ABN, site details and authorising officers.
Which jurisdiction do I get?
You choose your state at checkout (NSW, VIC, QLD, WA, SA, TAS, ACT or NT). The document references the Act, regulator and code of practice in force there — Victoria on OHS, the rest on harmonised WHS.
Is it cheaper in the pack?
Yes — the High-Hazard Pack bundles 11 documents for $2,419. Buying singles is best when you need only one or two.
Do I still need review?
Yes. This is a starting-point template; customise it to your site and have a competent person review it, in consultation with workers, before issuing live permits.
The complete Heavy Industry & Energy Sector permit-to-work system
One pack holds all 11 documents below, so every permit is issued, controlled and closed out on the same set of forms.
- ✓Permit-to-Work System & Framework
- ✓General Work Permit
- ✓Hot Work & Fire Watch Permit (AS 1674.1)
- ✓Energised Electrical Work Permit (AS/NZS 4836) (this page)
- ✓Working at Heights & Fall Protection Permit (>2m)
- ✓Confined Space Entry & Rescue Permit (AS 2865)
- ✓Excavation & Ground Penetration Permit (>1.5m)
- ✓Crane Critical Heavy Lift Permit (>80% Capacity)
- ✓Complex Scaffolding & Suspended Stage Permit (AS/NZS 1576)
- ✓Demolition & Structural Dismantling Permit (AS 2601)
- ✓Radiography / Density Gauge Permit (ARPANSA RPS C-1)
11 editable Word documents for your state. One-off payment.
See the Heavy Industry & Energy Sector packOr buy this permit on its own for $250.
Other heavy industry & energy sector permits
A Permit-to-Work Management System supplied as editable Microsoft Word documents, built to comply with the harmonised model WHS laws and Victoria's OHS Act 2004. Compliance is achieved by implementing and maintaining the system and having it reviewed by a competent person, in consultation with workers, for your site, plant and personnel; final responsibility under the legislation remains with the PCBU. Licensed for use within the purchasing organisation only. To the maximum extent permitted by law, the vendor's liability is limited to the price paid.