Telecommunication Tower Climbing Authorization
Tower Information
Tower Name / ID
Location
Height of Tower (meters)
Personnel Information
Name
Employee ID
Company/Department
Contact Number
Certification/Training (if any)
Climbing Details
Date
Time
Purpose of Climb
Authorized by
Safety Checklist
Personal Protective Equipment (PPE) Checked
Fall Arrest System Inspected
Weather Conditions
Additional Precautions
Remarks
Climber's Signature
Date
Authorizer's Signature
Date