Permit number and date: a unique sequential reference for this permit, plus the date it is issued (day, month, year).
Contractor company name and contact: the full trading name of the contractor's firm, their site supervisor's name, and a mobile number reachable during the work.
Workers on site today: the full name of every individual starting work under this permit, with their employer or trade where they are from a subcontractor.
Description of work: a clear statement of the task to be carried out, the exact location on the premises, and the expected scope (for example, 'replacement of cold-water tank in plant room, second floor').
Method statement and RAMS reference: the unique title or reference number of the risk assessment and method statement the contractor has submitted, confirming it has been reviewed and accepted before work starts.
Hazards identified and controls in place: a summary of the significant risks for this specific job (for example, work at height, hot works, isolation of services, confined space, asbestos proximity) and the agreed control measures that must be in place.
All checks done
Safety
Contractor Permit-to-Work & Sign-In
A Contractor Permit-to-Work and Sign-In is the written authorisation that controls who is on site, what work they are doing, and what risks have been assessed and controlled before a single tool is picked up. Without it, an operator has no defence against an HSE improvement or prohibition notice, and unlimited fines under the Health and Safety at Work etc. Act 1974 become a real possibility.
14 checksPDF + printReviewed August 2026
Built on published UK guidance Show sources
Health and Safety at Work etc. Act 1974, sections 2, 3 and 33; Management of Health and Safety at Work Regulations 1999 (SI 1999/3242), regulations 3 and 11; HSE HSG250 Guidance on Permit-to-Work Systems (second edition); Construction (Design and Management) Regulations 2015 (SI 2015/51), regulation 13(4)
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What’s on it
14 things to check.
Everything that matters, nothing that does not. Here is the full list, exactly as it appears on the template.
1Permit number and date: a unique sequential reference for this permit, plus the date it is issued (day, month, year).
2Contractor company name and contact: the full trading name of the contractor's firm, their site supervisor's name, and a mobile number reachable during the work.
3Workers on site today: the full name of every individual starting work under this permit, with their employer or trade where they are from a subcontractor.
4Description of work: a clear statement of the task to be carried out, the exact location on the premises, and the expected scope (for example, 'replacement of cold-water tank in plant room, second floor').
5Method statement and RAMS reference: the unique title or reference number of the risk assessment and method statement the contractor has submitted, confirming it has been reviewed and accepted before work starts.
6Hazards identified and controls in place: a summary of the significant risks for this specific job (for example, work at height, hot works, isolation of services, confined space, asbestos proximity) and the agreed control measures that must be in place.
7Services isolated or permits linked: a record of any electrical, gas, water, or mechanical isolations applied before work begins, naming the isolation point and the person who applied the lock-off or lock-out.
8Induction confirmation: a signed declaration by each contractor worker that they have received the site-specific induction covering emergency procedures, first aid, evacuation routes, welfare facilities, and any site rules.
9Personal protective equipment (PPE) required: the specific PPE this job demands (for example, hard hat, safety footwear, hi-vis, RPE class), confirmed as being worn on site.
10Time on site: the actual time each named worker signed in and the name of the person who authorised them to start.
11Authorised by (permit issuer): the printed name, signature, and job title of the competent person on the operator's side who has assessed the work and is satisfied that all controls are in place.
12Time work completed and site left: the actual time each worker signed out, confirming the work area has been made safe, waste removed, and any isolations reinstated or handed back.
13Permit cancelled and closed out: the signature of the permit issuer (or their nominated deputy) confirming the work has been completed satisfactorily, the area is safe to return to normal use, and the permit is formally closed.
14Retention note: the file reference or location where this completed permit is stored, and the date after which it may be destroyed (retain for a minimum of three years; retain for six years where civil liability is possible).
Good to know
Under Regulation 11 of the Management of Health and Safety at Work Regulations 1999, every employer sharing a workplace with another employer (including a contractor) has a legal duty to coordinate and cooperate on health and safety. A signed permit is the documentary evidence that this duty was discharged; without it, both the host operator and the contractor can be prosecuted, and HSE fines in Crown Court are unlimited under the Health and Safety at Work etc. Act 1974, section 33.
Source: Health and Safety at Work etc. Act 1974, sections 2, 3 and 33; Management of Health and Safety at Work Regulations 1999 (SI 1999/3242), regulations 3 and 11; HSE HSG250 Guidance on Permit-to-Work Systems (second edition); Construction (Design and Management) Regulations 2015 (SI 2015/51), regulation 13(4)
Good to know
Questions, answered
What is the Contractor Permit-to-Work & Sign-In?
A Contractor Permit-to-Work and Sign-In is the written authorisation that controls who is on site, what work they are doing, and what risks have been assessed and controlled before a single tool is picked up. Without it, an operator has no defence against an HSE improvement or prohibition notice, and unlimited fines under the Health and Safety at Work etc. Act 1974 become a real possibility.
Why does it matter?
Under Regulation 11 of the Management of Health and Safety at Work Regulations 1999, every employer sharing a workplace with another employer (including a contractor) has a legal duty to coordinate and cooperate on health and safety. A signed permit is the documentary evidence that this duty was discharged; without it, both the host operator and the contractor can be prosecuted, and HSE fines in Crown Court are unlimited under the Health and Safety at Work etc. Act 1974, section 33.
How do I get it, and is it up to date?
The PDF downloads the moment you check out, prints sharp in black and white, and opens on any phone. It is reviewed for August 2026 and you get any future update free when the official guidance changes.
A discharged or depressurised extinguisher found during a real fire is no better than having no extinguisher at all. The monthly visual check catches the common pre-failure states (lost pressure, broken tamper seal, blocked access, overdue service) before they matter, and it gives the responsible person the maintenance records the Regulatory Reform (Fire Safety) Order 2005 requires.
A fire door only works if it closes fully, latches, and seals the gaps; one door that fails to do that lets smoke and fire spread through a building in minutes and removes people's time to escape. These checks catch the specific, common failures (props, blown gaps, missing closers, painted-up seals) that turn a survivable fire into a fatal one.
An under-stocked or expired first aid kit means the person treating an injury reaches for a dressing and finds an empty slot, a perished wrapper, or latex gloves that trigger an allergic reaction. A regular documented check fixes that in advance and gives an HSE or Ofsted inspector evidence that your first aid provision is genuinely maintained, not just present.