Permit to Work Flow Chart

Reference: HAS-GD-019
Version: 2.0
Effective Date: 12th May 2020
Document Type: Guidance Document
Owning Department: Health and Safety
Version Author: Sion Morgan
Review Period: 1 Year

Version History
Version Review Due
Version Reason for Issue Issue Date
Author Date
1.0 New document 03/07/19 Unknown 03/07/20
2.0 Updated branding 12/05/20 S Morgan 12/05/21

Contents
1 Overview ............................................................................................................................................................................................................. 1
1.1 Purpose ............................................................................................................................................................................................................... 1
2 Definitions............................................................................................................................................................................................................ 1
3 Guidance Text ..................................................................................................................................................................................................... 1

1 Overview

1.1 Purpose

1.1.1 [Add the purpose of the document here; each paragraph shall be numbered separately]

2 Definitions

Clause Term Meaning

2.1

3 Guidance Text

3.1 Permit to Work Flow Chart

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 Do I need a Permit to Work?

Does task/activity involve an isolation or hazardous activity?

NO YES

You do not need a Permit to Work, however a suitable and You may need a Permit to Work.
sufficient Risk Assessment and Method Statement should be
produced with appropriate control methods used.

Hazardous Activity Isolation

Hot work Is it a Fire Alarm system?

Confined space No
Entry to hazardous area
Yes
Working at height/roofs Is the isolation simple i.e. Local, of
Use of cranes minimum risk or no secondary impact.
Excavations
YES
Asbestos
NO
Impact on critical areas
You do not need a Permit to Work,
however a suitable and sufficient Risk
YES
Assessment should be completed, and a
You need a Permit to Work. Method Statement produced with
appropriate means of isolation and lock
off used.

You need a Permit to Work

Familiarise yourself with the
Permit to Work Procedure

Print the Permit Request Form:

Permit to Work Request It is possible to “fast track” a Fire
Alarm PTW in urgent or
unforeseen circumstances
Attach suitable and sufficient Risk Assessment and Method Statements
NO

Send to Database Administrator with 10 working days’ notice

If relevant paperwork and documentation not complete, then request

will be returned

If complete, Database Administrator will enter info onto the database

and pass the request and blank Permit to the relevant “Authorised
Person(s)”
If the intended isolation will have an
impact outside of the “footprint” of the
refurbishment, the “Authorised Person”
“Authorised Person(s)” inspects
will adopt the “Notification of Service
documentation is relevant
Isolation Procedure”

“Authorised Person” will process the Permit. The

“Contract Administrator” and the “Competent
Person” will sign for receipt of the Permit “Authorised Person” will notify the
relevant “FM” or “Reactive
Maintenance” of isolation giving 5 days’
If work not complete, the “Contract NO notice using the official form.
Administrator” must ask the
“Authorised Person” for a time Work completed within timescale?
extension
YES FM approval?

The “Competent Person” will sign the “Handback” No

declaration section and return it to the Contract
Administrator along with all relevant Yes
documentation
“Authorised Person” will arrange for
any alternative supplies, if necessary
The “Contract Administrator” will then sign the
“Handback” section and pass the completed Permit
to Work to the data base Manager along with all
relevant documentation.

The data base manager will inform all relevant

“Authorised Persons” that the PTW is complete

Permit Cancelled by Database Administrator

Database Administrator ensures that all

documentation is scanned for future reference

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