Electrical Isolation and Lock Off Permit to Work Template

Create your document in minutes with this ready to use electrical isolation and lock off permit to work template. Use the quick and easy editor to add your details, make changes, and download a completed document branded with your business name.

Need to document the safe isolation and lock-off of electrical equipment or circuits?

This Electrical Isolation and Lock-Off Permit Template provides a practical starting point for documenting the isolation of electrical equipment, circuits or systems before work is carried out.

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The template helps record key information about the electrical isolation, including the equipment or circuit being isolated, isolation points, lock-off arrangements, identification and verification of the isolation, persons responsible and authorisation for the work.

It can be used for electrical installation, maintenance, repair and other work where electrical equipment or circuits need to be safely isolated and secured against inadvertent re-energisation.

The template can be adapted to suit the particular electrical system, equipment, work activity and circumstances, helping you create a site-specific Electrical Isolation and Lock-Off Permit.

The template guides you through the key information needed to complete your electrical isolation and lock off permit to work. You'll have 30 days' access to the online template, with the option to download your completed permit to work document as a non-editable PDF to keep, share and use within your business, with your business name displayed in the header of each page.