Industrial Permit to Work Kit (Word)

Written permit to work procedure, two-sheet permit to work and the supporting forms for maintenance, contractor and other non-routine work at an industrial site, in one editable Word file.

Word file, 51 to 52 pages including a filled example. Version v2026-10-14b.

$79

Your file is emailed within about an hour of purchase
7-day refund

Buy the industrial permit to work kit

A procedure and permit set, not a single form: Sections 1 to 16, the permit to work and its continuation sheet, crew sign-on and handover log, job hazard worksheet, field verification, deviation and emergency work records, contractor coordination, permit matrix, program review, training and field audit records, a gas test record and an optional permit register.
Every site value sits in one table in Section 3, so a value set once carries through the procedure.
The permit links the hot work, confined space entry and lockout records by number, so the specialist permits stay on their own forms.
Licensed to one organization for use at one site. Each additional site needs its own purchase.
No app and no login. The file opens in Word.

Blank template only. Your site sets which work needs a permit, who may issue it, how long it runs and the sign-offs.

See the pages

Page from the blank template: permit to work, sheet 1 — Permit to work, sheet 1: work, place and period, linked records, hazards and critical controls

Page from the blank template: crew sign-on and handover log — Crew sign-on and handover log: crew sign-on, handover, events

Filled example page from the template: Example Plant, Unit 2 | year 2099 — EXAMPLEFilled example page. Site = Example Plant, Unit 2. Year = 2099. Not a real permit.

Please read. Blank template only. It is not a legal or regulatory document, not a filled permit and not approval by any regulator. It is not in force until your site fills in its values, checks the result against the rules that apply to it, and signs the approval block. It is not a risk assessment of the site: only the site can judge its own work, equipment and hazards. Your site sets which work needs a permit, who may issue it, how long it runs, the gas test limits and the sign-offs, under the rules that apply to it. It does not replace the hot work, confined space entry or lockout procedures. Not proof of training, not proof that the site follows any regulation, not a certification and not legal advice. Write only real test readings.

What is in the file

Instruction sheet: how to deploy the file, the name-swap table, the license and the template history
Permit to work procedure, Sections 1 to 16, with document control, approval block and revision log
Section 3 site parameters: every site value in one table
PTW-1 Permit to work (two sheets)
PTW-1A Permit to work continuation
PTW-2 Crew sign-on and handover log
PTW-3 Job hazard and critical control worksheet
PTW-4 Field verification
PTW-5 Deviation record
PTW-6 Emergency work record
PTW-7 Contractor work coordination
PTW-8 Permit matrix
PTW-9 Program review
PTW-10 Training and qualification record
PTW-11 Field audit record
PTW-12 Permit to work register (optional)
PTW-13 Gas test record, for jobs with no hot work or entry permit
Supplement template for site additions
One filled example permit: EXAMPLE (Example Plant, Unit 2 / 2099 only)

The procedure covers purpose, scope and legal status, definitions, site parameters, roles and responsibilities, when a permit to work is needed, planning the job, the permit, stop, suspend, restart and cancel, shift handover, close-out and return to service, changes, deviations and emergency work, contractors and other employers, training and qualification, records and program review, how to expand the procedure, and the crosswalks to the regulation. Each form sheet prints on its own page. You fill in your own values.

Get the file

$79

Your file is emailed within about an hour of purchase
7-day refund

Buy the industrial permit to work kit