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    Permitto Work Roof Access

    Uploaded by

    lisaconnolly
    This permit allows access to the roof for maintenance or repairs. It specifies that a risk assessment and method statement have been completed for the work. The requesting department, names of workers, location, purpose and timeframe of access are provided. The supervisor's details are listed. Both the worker and estates manager must sign to agree to the safety plans and authorize the permit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Permitto Work Roof Access

    Uploaded by

    lisaconnolly
    49 views2 pages
    This permit allows access to the roof for maintenance or repairs. It specifies that a risk assessment and method statement have been completed for the work. The requesting department, names of workers, location, purpose and timeframe of access are provided. The supervisor's details are listed. Both the worker and estates manager must sign to agree to the safety plans and authorize the permit.

    Original Title

    PermittoWorkRoofAccess

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    © Attribution Non-Commercial (BY-NC)

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    This permit allows access to the roof for maintenance or repairs. It specifies that a risk assessment and method statement have been completed for the work. The requesting department, names of workers, location, purpose and timeframe of access are provided. The supervisor's details are listed. Both the worker and estates manager must sign to agree to the safety plans and authorize the permit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    49 views2 pages

    Permitto Work Roof Access

    Uploaded by

    lisaconnolly
    This permit allows access to the roof for maintenance or repairs. It specifies that a risk assessment and method statement have been completed for the work. The requesting department, names of workers, location, purpose and timeframe of access are provided. The supervisor's details are listed. Both the worker and estates manager must sign to agree to the safety plans and authorize the permit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Permit to Work – Roof Access

    SECTION 1 - TO BE COMPLETED BY THE PERSON AUTHORISING THE PERMIT

    Department/Faculty/Company requesting access:


    ________________________________________________

    Name of Person/s requiring access:


    _______________________________________________________

    Employee  Student  Contractor  Visitor 

    Location of proposed work

    Location:
    ____________________________________________________________________________________

    Purpose of Access: ____________________________________________________________________________

    _________________________________________________________________________________________________
    _

    _________________________________________________________________________________________________
    _

    Completion Details

    Permit Valid (date): ______________ from _____________ am/pm to: _____________ am/pm

    Supervising Person:
    ______________________________________________________________________________

    Job Title: ___________________________________________________________________________________

    a) Risk assessment has been carried out & is attached  Yes  No

    b) Method statement has been produced & is attached  Yes  No

    c) Additional emergency evacuation procedures are in


    place if required  Yes  No

    SECTION 2 - TO BE COMPLETED BY THE PERSON ACCESSING THE AREA

    I understand and will ensure compliance with Risk Assessment and Method Statement

    Print Name: _____________________________________________________

    Signature: _____________________________________________________ Date:


    ___________________

    1
    SECTION 3 - AUTHORISATION BY ESTATES

    I believe the operation can be completed safely. The above request has been authorised as
    part of the on-going activities relevant to the responsibilities of the College.

    Estates Manager/Health and Safety Officer:


    _______________________________________________________

    Date: ____________________

    To be signed on completion of work

    Estates Manager/Health and Safety Officer:


    _______________________________________________________

    Date: ___________________

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