Free Work at Height Templates: Permit, Harness and Lifeline Checklists

Three free, printable templates for teams that manage work at height: a work at height permit, a full body harness inspection checklist and a lifeline inspection log. Each is a one-page A4 PDF. Download, print and adapt them to your own site procedures. No sign-up needed.

Prepared by: Yatin Chaudhary, TsaF. Last updated: 29 October 2026.

Work at height permit

A one-page permit to complete before any work at height starts. It records the job, the hazards, the controls in place, the workers authorised and the sign-off when the work is finished and the area is made safe.

Download the work at height permit (PDF)

Full body harness inspection checklist

A record sheet for pre-use and periodic harness checks. It covers webbing, stitching, D-rings, buckles, the fall indicator, the label, lanyards and connectors, with a pass or fail for each and a final fit-for-use decision.

Download the harness inspection checklist (PDF)

Lifeline system inspection log

An inspection log for permanent lifelines. It lists the components to check, such as anchors, brackets, the cable, tension, the energy absorber and the shuttle, and keeps an inspection history for the system. Use it for a horizontal life line system, a vertical life line system or an overhead life line system.

Download the lifeline inspection log (PDF)

How to use these templates

• Adapt them to your own site rules, permit system and the equipment manufacturer’s instructions.
• They do not replace a site-specific risk assessment or a rescue plan.
• Inspections should be done by a competent person. For the terms used, see the fall protection glossary.

Share or link to these templates

You are free to share these templates with your team or link to this page from your own safety resources.

Need your lifelines inspected?

TsaF engineers inspect and recertify fall protection systems on industrial sites across India. Request a site assessment.