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Single document · General & CommercialPTW-L-005

Working at Height Permit Template

Working at Heights & Fall Protection Permit (>2m)

General & Commercial edition

$150AUDBuy now — editable Word

For work above ground level — roof access, plant servicing, ladders, EWPs and scaffolds. Low Hazard edition — editable Word document with its permit form built in. Choose your state at checkout.

✓1 editable Word document✓Fillable permit form built in✓Jurisdiction-specific reference✓Same price across 8 states
Running a permit system, not a single permit?

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 — $1,020
$150 AUD✓ Instant Download · 1 doc
Instant download (.docx)
Editable Microsoft Word
CIH-reviewed · WHS/OHS aligned
Pay once · no subscription
Working at Heights & Fall Protection Permit (>2m) — General & Commercial

What 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.

H01Fall from edge, opening or fragile surface

Outcome if uncontrolled: Fatal impact injuries.

H02Dropped tools or materials onto crew below

Outcome if uncontrolled: Struck-by injuries.

H03Fall-arrest anchor not rated or not inspected

Outcome if uncontrolled: Anchor failure during arrest.

H04Suspension trauma in prolonged hang

Outcome if uncontrolled: Reperfusion injury, fatality.

H05Weather change exposing crew (wind, lightning)

Outcome if uncontrolled: Forced fall; equipment instability.

H06Inadequate rescue plan after fall arrest

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:

01
Work-at-height task and access method
02
Fall-prevention and fall-arrest controls
03
Ladder / EWP / scaffold checks
04
Edge protection and exclusion zones
05
Rescue plan
06
Authorisation and close-out

How to use this permit

1
Eliminate or substitute

Can the work be done at ground level? Pre-fabricated / lowered? Default to elimination before fall-arrest.

2
Engineering controls

Set up edge protection, MEWP or scaffolding. Inspect and tag. Fall-arrest only when fall prevention not practicable.

3
Brief and start

Brief crew on controls, dropped-object zone, rescue plan. Verify weather window. Issuer signs.

4
Monitor weather and crew

Re-check wind speed and conditions on interval. Cease if outside the window. Standby person watches.

5
Close out

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 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
  • ✓Working at Heights & Fall Protection Permit (>2m) (this page)
  • ✓Confined Space Entry & Rescue Permit (AS 2865)
  • ✓Specialist Contractor Interface
General & Commercial pack
$1,020AUD

7 editable Word documents for your state. One-off payment.

See the General & Commercial pack

Or buy this permit on its own for $150.

Other general & commercial permits

PTW-L-001
Permit-to-Work System & Framework
$250 →
PTW-L-002
General Work Permit
$150 →
PTW-L-003
Hot Work & Fire Watch Permit (AS 1674.1)
$150 →
PTW-L-004
Electrical Isolation & De-energised Work Permit
$150 →
PTW-L-006
Confined Space Entry & Rescue Permit (AS 2865)
$150 →
PTW-L-007
Specialist Contractor Interface
$200 →

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.