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🔑 Permit to Work Generator

Generate OSHA-compliant Permit to Work documents for high-hazard activities — confined space, hot work, LOTO, energized electrical, fall protection, excavation, and crane operations.

📋 Permit Information

Company / Business Name *

Permit Number *

Issuing Authority / Supervisor *

Phone Number

Email Address

Jobsite Location *

Description of Work to be Performed

⏱ Permit Validity Period

Permit Start Date & Time *

Permit Expiry Date & Time *

⚠️ Warning: This permit exceeds 24 hours. Consider issuing separate daily permits for extended work activities.

📸 Site Photos (Optional)

Attach photos of the work area. These will appear in your downloaded PDF.

📷 Add Photo

⚠️ Select Permit Type *

🔒 Confined Space Entry — Site-Specific Details

Entry Supervisor Name:

Attendant Name(s):

Rescue Equipment Location:

Maximum Authorized Entry Duration:

Atmospheric Testing Results (OSHA 1910.146)

Contaminant	OSHA Acceptable Limit	Actual Reading	Acceptable?
Oxygen (O₂)	19.5% – 23.5%
LEL (Flammable Gas)	< 10% LEL
Carbon Monoxide (CO)	< 25 ppm (OSHA PEL)
Hydrogen Sulfide (H₂S)	< 1 ppm (OSHA ceiling)

Pre-Entry Checklist

Check Item	Yes	No	N/A
OSHA Entry Permit completed and posted at entry point
Atmospheric test performed within 15 minutes of entry (O₂, LEL, CO, H₂S)
Continuous forced-air ventilation in operation before and during entry
Trained Attendant stationed at entry point — not permitted to enter
Non-entry retrieval system (tripod, lifeline) in place for all entrants
Rescue team/services identified and have appropriate response capability
All authorized entrants trained on permit requirements and emergency procedures

🔥 Hot Work Permit — Site-Specific Details

Hot Work Area Description:

Type of Hot Work:

Combustibles Cleared (35 ft per NFPA 51B):

Fire Extinguisher Type & Location:

Fire Watch Name:

Fire Watch Duration After Completion:

Pre-Work Checklist

Check Item	Yes	No	N/A
All combustibles removed or shielded within 35 ft of hot work (NFPA 51B)
Floors swept clean and wet down where combustibles cannot be removed
Minimum 10 lb ABC fire extinguisher within 35 ft and operable
Fire watch assigned, trained, and briefed on emergency procedures
Fire watch to remain on duty minimum 30 minutes after hot work ends (NFPA 51B)
Sprinkler heads protected if system is impaired — authorization obtained
Openings, floor drains, and ducts within 35 ft covered or sealed

🔐 Lockout-Tagout (LOTO) Permit — Site-Specific Details

Machine / Equipment Name:

Energy Sources to Isolate:

Authorized Employee Name:

Energy Control Procedure Reference:

Pre-Work Checklist

Check Item	Yes	No	N/A
Written LOTO procedure (ECP) specific to this equipment is available
All affected employees notified that equipment is being locked out
Energy isolation device(s) operated to isolate equipment from energy source(s)
Lockout/tagout device applied to each energy isolation point
Stored/residual energy released or restrained (capacitors, springs, raised loads, pressure)
Zero energy state verified — equipment tested (push controls, try-out) per OSHA 1910.147
Only the Authorized Employee holds keys to applied locks

⚡ Energized Electrical Work Permit — Site-Specific Details

Voltage Classification:

Shock Protection Boundary (Limited):

Arc Flash Incident Energy (cal/cm²):

Required PPE Arc Rating (cal/cm²):

Justification for Energized Work (NFPA 70E 130.2):

Pre-Work Checklist

Check Item	Yes	No	N/A
Energized Electrical Work Permit completed per NFPA 70E 130.2
Arc flash hazard analysis / incident energy label reviewed and understood
Arc-rated FR clothing meeting or exceeding incident energy confirmed
Rubber insulating gloves with leather protectors — voltage rated and current inspection
Arc-rated face shield or arc flash suit hood confirmed per PPE category
Shock protection boundaries (limited, restricted) clearly identified
Only Qualified Electrical Persons performing energized work per NFPA 70E

🦺 Working at Heights / Fall Protection — Site-Specific Details

Working Height Above Lower Level:

Fall Protection System Type:

Anchor Point Description:

Harness Inspection Date & Inspector:

Pre-Work Checklist

Check Item	Yes	No	N/A
Fall protection required — work above 6 ft (construction) or 4 ft (general industry) per OSHA
Full body harness and lanyard/SRL inspected and within service life
Anchor point rated minimum 5,000 lbs per OSHA 29 CFR 1926.502
Free fall limited to maximum 6 ft — adequate clearance below confirmed
All workers trained on selected fall protection system by Competent Person
Rescue plan in place for suspended worker retrieval (not relying on 911 alone)
Weather assessed — high winds, wet/icy surfaces, lightning risk evaluated

⛏️ Excavation & Trenching Permit — Site-Specific Details

Excavation Depth:

Soil Classification (OSHA Appendix B):

Protective System:

811 Call Before You Dig Reference #:

Competent Person Name & Qualification:

Pre-Work Checklist

Check Item	Yes	No	N/A
811 Call Before You Dig completed — utility locate ticket obtained
Underground utilities marked on ground surface by locate service
Competent Person has classified soil type per OSHA 29 CFR 1926 App. B
Protective system installed for excavations 5 ft or deeper per OSHA Subpart P
Ladder or ramp within 25 lateral ft of all workers in trench (OSHA 1926.651)
Spoil, equipment, and materials set back minimum 2 ft from trench edge
Daily inspection by Competent Person completed before workers enter

🏗️ Crane & Rigging Operations Permit — Site-Specific Details

Lift Type:

Crane Type & Rated Load Capacity:

Rigging / Lift Plan Reference:

Crane Operator License # (CCO):

Signalperson Name & Qualification:

Pre-Work Checklist

Check Item	Yes	No	N/A
Lift plan completed — engineer of record signed for engineered/critical lifts
Crane pre-use inspection completed per OSHA 29 CFR 1926.1412
Ground conditions assessed — ground bearing capacity confirmed adequate
Exclusion zone established — no personnel under or near suspended load
Rigging equipment inspected — within SWL and current annual inspection tag
Qualified signalperson on site and in continuous communication with operator
Wind speed within crane manufacturer's rated operating limits

⚠️ General High Hazard Work Permit — Site-Specific Details

Specific Work Activity:

Identified Hazards:

Required Controls & PPE:

Emergency Response Procedures:

Pre-Work Checklist

Check Item	Yes	No	N/A
Work area inspected and all significant hazards identified
All workers briefed on identified hazards and required controls
Required PPE confirmed available, inspected, and in good condition
Emergency procedures communicated — 911 and nearest medical facility confirmed
First aid kit confirmed on site and first aider identified
Work area secured from unauthorized access during work activity

Permit Authorization

Both the Permit Issuer and Permit Receiver must sign before work commences.
This permit is not valid until both parties have signed.

✅ Permit Issuer

I confirm that all pre-conditions are met, the above hazards and controls have been assessed, and this permit is authorized for the work described.

Issuer Full Name:

Issuer Title / Role:

Date & Time of Issue:

Issuer Signature:

📋 Permit Receiver

I confirm I have read and understood this permit. I accept responsibility for ensuring all conditions are met and will notify the issuer of any changes to the work scope.

Receiver Full Name:

Receiver Company / Crew:

Date & Time of Receipt:

Receiver Signature:

🔒

Permit Close-Out — Included in Your PDF

Your downloaded PDF includes a Permit Close-Out Section at the end of the document. This section must be completed on-site by the Permit Issuer when all work covered by this permit has been finished.

The close-out section in the PDF contains the following fields to be completed by hand on site:

Work Completed Satisfactorily — Yes / No
Close-Out Date & Time
Area Left Safe Confirmation
Outstanding Issues / Notes
Permit Issuer Signature & Printed Name

⚠️ This permit is not complete until the Close-Out Section is signed. The completed and signed permit must be retained on file for a minimum of 5 years in accordance with OSHA recordkeeping requirements (29 CFR 1910.146(e)(6) for confined space; state plan requirements for other permit types).

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🔑 Permit to Work Generator

📋 Permit Information

⏱ Permit Validity Period

📸 Site Photos (Optional)

⚠️ Select Permit Type *

🔒 Confined Space Entry — Site-Specific Details

Atmospheric Testing Results (OSHA 1910.146)

Pre-Entry Checklist

🔥 Hot Work Permit — Site-Specific Details

Pre-Work Checklist

🔐 Lockout-Tagout (LOTO) Permit — Site-Specific Details

Pre-Work Checklist

⚡ Energized Electrical Work Permit — Site-Specific Details

Pre-Work Checklist

🦺 Working at Heights / Fall Protection — Site-Specific Details

Pre-Work Checklist

⛏️ Excavation & Trenching Permit — Site-Specific Details

Pre-Work Checklist

🏗️ Crane & Rigging Operations Permit — Site-Specific Details

Pre-Work Checklist

⚠️ General High Hazard Work Permit — Site-Specific Details

Pre-Work Checklist

Permit Authorization

✅ Permit Issuer

📋 Permit Receiver

Permit Close-Out — Included in Your PDF