• Authority to Work Permit (ATWP)

    Welcome to Queenstown & Wanaka Airports, Authority to Work System, the JSA portion is to be completed by the contractor proposing the work prior to an Authority to Work Permit being assessed

  • JSA Section (Job Safety Assessment) To be completed by the contractor

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  • Part A: Work Details

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  • Part B: Risks and Controls





  • Part C: Site Control Methods


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  • Liability Acceptance (Contractor)

    I, {primaryContact} understand the above safe work requirements and agree to comply with this authority to work.

    This document must be displayed or available on request by QAC staff at the location and time of work and is only valid for the period authorised in the ATW.

    Audits or inspections may be conducted at anytime during the work.

    I warrant that all persons under my control are trained in the safe work procedures submitted for the job, and hold the necessary licences and competency to perform their work.

    I hereby agree to complete the work as described to the highest standards and agree that QAC may engage a third party without my agreement to rectify any items and that I am liable for the cost of this rectification work.

  • Have you read and accepted the Liability acceptance above?    *   

  • Clear

  • To be Completed by the ATW Issuer

  • Part D: Safe Work Requirements

  • Part E: Access Requirements

  • Part F: Sign-Off & Agreement

    To be Completed in person by the Permit Issuer and Contractor.

  • Work Authorisation (ATW Issuer)

     

    I, {permitIssuer} hereby authorise the persons nominated above to perform the work specified within this authority to work.

    I have also validated all contractors licenses / certificates of competency required for the relevant activities they have been engaged for

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  • ATW Extension

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  • ATWP Issuer Closure Notes

  • Should be Empty: