KD-PTW-WH-006 · Core permits
Work at Height Permit — fillable PDF
3 pages. 83 fields. Fillable in Adobe Reader, Preview, Chrome, or on a phone.
A fall risk not already controlled by a handed-over scaffold or MEWP arrangement, including planning for emergencies and rescue.
The legal basis, cited on the form
- Work at Height Regulations 2005 reg 4
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and issue it. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 2026-08-07. Revision R01.0. Check kubitdocs.com/revisions for the current revision before use.
Not yet on sale. This document is in technical review. It goes on sale only once a named, qualified reviewer has signed a Certificate of Technical Review for this revision.