Working at Height Permit Template
Working at Heights & Fall Protection Permit (>2m)
Heavy Industry & Energy Sector edition
$250AUDBuy now — editable Word
For work above ground level — roof access, plant servicing, ladders, EWPs and scaffolds. 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 work above ground level where a fall could cause injury — roof access, plant servicing, ladders, EWPs and scaffolds. Enforces fall-prevention and fall-arrest controls before access.
Typical work covered
- ✓Roof work and roof penetrations
- ✓Elevated work platform (EWP) operation
- ✓Scaffold use and partial-scaffold work
- ✓Edge work near floor / slab openings
- ✓Ladder use beyond brief access
- ✓Working over water, machinery or open excavations
- ✓Tower / structure access
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: Fatal impact injuries.
Outcome if uncontrolled: Struck-by injuries.
Outcome if uncontrolled: Anchor failure during arrest.
Outcome if uncontrolled: Reperfusion injury, fatality.
Outcome if uncontrolled: Forced fall; equipment instability.
Outcome if uncontrolled: Worker stranded in harness past 10-minute window.
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
Can the work be done at ground level? Pre-fabricated / lowered? Default to elimination before fall-arrest.
Set up edge protection, MEWP or scaffolding. Inspect and tag. Fall-arrest only when fall prevention not practicable.
Brief crew on controls, dropped-object zone, rescue plan. Verify weather window. Issuer signs.
Re-check wind speed and conditions on interval. Cease if outside the window. Standby person watches.
Confirm all crew off the surface, no tools left, equipment removed. 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)
- ✓Working at Heights & Fall Protection Permit (>2m) (this page)
- ✓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.