Electrical Isolation & De-energised Work Permit Template
Electrical Isolation & De-energised Work Permit
General & Commercial edition
$150AUDBuy now — editable Word
Authorises isolation and lock-out before de-energised electrical work on boards and fixed plant. Low Hazard edition — editable Word document with its permit form built in. Choose your state at checkout.
The General & Commercial pack is the full permit-to-work system: this permit, the framework and every other permit in the tier. 7 editable Word documents for $1,020 AUD.
See the General & Commercial pack — $1,020What this permit controls
Authorises isolation and lock-out before de-energised electrical work — proving dead, applying locks and tags, and controlling re-energisation. For boards, fixed plant and equipment.
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 Low-Hazard Pack bundles 7 documents for $1,020. 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 General & Commercial permit-to-work system
One pack holds all 7 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)
- ✓Electrical Isolation & De-energised Work Permit (this page)
- ✓Working at Heights & Fall Protection Permit (>2m)
- ✓Confined Space Entry & Rescue Permit (AS 2865)
- ✓Specialist Contractor Interface
7 editable Word documents for your state. One-off payment.
See the General & Commercial packOr buy this permit on its own for $150.
Other general & commercial 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.