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Stop Work Authority Form

A stop work authority form records an occasion when work was stopped because of an immediate, serious safety concern, and how the situation was resolved before work resumed. This page explains in general educational terms what the form is for and what it typically contains. It is a simplified template example, not an official document and not legal advice.

An educational library of workplace documents — purpose, who completes them, when they are used, typical fields, common mistakes and how they connect. Linked to workplace safety, workplace training, occupations, industries and employment documents. Informational only — template examples, not legal advice or official documents; employers remain responsible and using a document does not guarantee compliance.

What a stop work authority form is

A stop work authority form documents the use of an empowerment that lets any worker pause an activity when they see an imminent and serious danger. It records why work was stopped, what was done, and how it was confirmed safe to resume.

This is an educational overview with a simplified example. It is not an official template, and the form does not create the authority to stop work — that comes from the employer establishing and supporting the right to do so.

Purpose

  • Record when and why work was stopped for safety.
  • Reinforce that stopping unsafe work is expected, not penalised.
  • Capture how the hazard was resolved before resuming.
  • Provide learning for the wider safety process.

Who completes it

  • The person who stopped the work, with a supervisor.
  • Those involved help confirm the resolution.
  • A responsible person authorises the safe resumption.
  • The employer establishes and supports the authority to stop.

When it is used

  • When a worker sees an imminent, serious risk and stops the activity.
  • When conditions, equipment or a method become clearly unsafe.
  • When a control is missing or has failed.
  • Whenever the situation needs work to pause until it is made safe.

Typical fields

  • Date, time, location and the activity stopped.
  • Who stopped it and the reason — the danger identified.
  • Immediate actions taken to make the situation safe.
  • How and by whom safe resumption was authorised.
  • Lessons and any follow-up action.
  • Example fields only — adapt to your process and the applicable law.

Common mistakes

  • Discouraging or penalising people who stop work, which kills the authority.
  • Resuming before the hazard is genuinely resolved.
  • No clear sign-off on who authorised the restart.
  • Treating the stoppage as a delay rather than a success.

Document workflow

A stop work authority form often connects to a hazard report or near miss report describing the danger, and can trigger a corrective action form and an incident investigation where appropriate. It feeds a review of the relevant risk assessment and instruction so the cause is addressed.

See the related documents below for what is commonly used with and completed after a stop work authority form.

Retention (high level)

Stop work records are usually kept for a period set by the employer so they can be reviewed and learned from. This page does not state a period — confirm with the applicable law and the official authority.

Completing and sharing as a PDF

Stop work authority forms are commonly completed and stored as PDFs and shared as part of safety learning. Exporting to PDF supports the record; it does not create the authority to stop work or guarantee compliance.

Employer checklist

  • Establish and clearly support the right to stop unsafe work.
  • Never penalise a good-faith stoppage.
  • Confirm the hazard is genuinely resolved before resuming.
  • Capture and act on the lessons from each stoppage.

Worker notes

  • If you see an imminent, serious danger, stop the work.
  • Explain the danger and what made you stop.
  • Only resume once a responsible person confirms it is safe.

Country considerations

Rights and expectations around stopping unsafe work vary by country, and the official authority differs. This page is general and high-level — not a statement of any country’s law and not legal advice.

Confirm requirements with the official authority for your country and a qualified professional.

Who is responsible

The employer is responsible for establishing and supporting the authority to stop unsafe work, resolving the hazard and compliance. This page is an educational overview with a template example; it does not create any authority and does not transfer responsibility.

Export, edit and share documents

The documents, policies and templates this involves can be exported, edited, signed, stored and shared as PDFs with the HELPERG PDF Editor.

Free, printable HR & employment resources

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For general informational and educational purposes only. This is documentation guidance — not legal advice and not a substitute for professional or legal guidance. Any fields, sections or checklists shown are simplified template examples only — not official, approved or jurisdiction-specific documents. Employers remain responsible for determining which documents are required, adapting them to their organisation and the applicable law, and for compliance; using a document does not guarantee legal or regulatory compliance and reading this page does not satisfy any legal obligation. Requirements vary by role, site and country and change over time — always follow the applicable law and the official authority, and confirm specifics with a qualified professional.
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FAQ

Frequently asked questions

Is this an official stop work authority form?

No. It is a simplified template example for educational purposes — not an official, approved or jurisdiction-specific document and not legal advice. Adapt it to your process and the applicable law.

Does the form give someone the authority to stop work?

No. The authority comes from the employer establishing and supporting the right to stop unsafe work; the form simply records that it was used. It does not by itself create authority or guarantee compliance.

Can someone be penalised for stopping work in good faith?

A good-faith stoppage over a genuine safety concern should be supported, not penalised. Penalising it undermines the whole purpose of stop work authority.

Who is responsible for safe resumption?

A responsible person authorises resumption once the hazard is resolved, and the employer remains responsible. These resources support understanding; they do not transfer that responsibility.