Contractor and permit-to-work record
A record for managing water-hygiene contractors: confirming RAMS, permits to work, competence/LCA assurance and that completed records are returned for your logbook.
This PDF is not tagged for assistive technology. Use this structured HTML page or the CSV as the accessible alternative.
| Date | Contractor / company | Work / task | LCA registered? (Y/N) | RAMS received (Y/N) | Permit to work ref | Supervised by | Records back? (Y/N) |
|---|---|---|---|---|---|---|---|
| 2026-06-18 | Example Water Hygiene Ltd | Quarterly monitoring & TMV service | Y | Y | PTW-2026-044 | J. Smith (RP) | Y |
| 2026-06-19 | Example Disinfection Co | Tank clean & chlorination | Y | Y | PTW-2026-045 | J. Smith (RP) | N |
Sample rows are illustrative. Download the PDF for a clean print-ready form, or the CSV to fill in digitally.
How to use it
- Log each contractor visit, the task, and confirm the contractor's competence: for water treatment/hygiene, membership of a scheme such as the LCA is a useful assurance.
- Check and record that RAMS (risk assessment and method statement) and any permit to work are in place before work starts.
- Note who supervised or signed the contractor on and off site.
- Confirm completed records, certificates and results are returned and filed in your logbook so the work forms part of your compliance evidence.
Background: RAMS and permit-to-work for water hygiene: the safe system of work for disinfection
Cite this page
"Contractor and permit-to-work record (free template)." Legionella.io. https://legionella.io/templates/contractor-permit-rams-record/
Free to reuse under CC BY 4.0: quote, adapt or republish with attribution and a link back to the original.
Was this page useful?