Subcontractor Field Work Authorization Form

Authorization form to document approved scope, site, dates, and insurance before a subcontractor begins field work.

Authorization Overview

• Authorization Title
• Requestor Name
• Requestor Role
• Project or Work Order Number

Subcontractor and Site Details

• Subcontractor Company Name
• Primary Contact Name
• Primary Contact Email
• Site Name
• Site Address

Approved Scope and Schedule

• Authorized Scope of Work
  Describe only the work that is approved. Keep this specific to the field activities being authorized.
• Type of Work
• Authorized Start Date
• Authorized End Date
• Will work occur after hours or on weekends?
• After-Hours Details

Insurance and Compliance

• Certificate of Insurance Provided
• Insurance Expiration Date
• Additional Insured Requirement Confirmed
• Required Permits or Licenses
• Compliance Notes

Safety Acknowledgment and Approval

• Site Rules and Safety Requirements Acknowledged
  Confirm the subcontractor has reviewed and will follow site-specific rules, PPE requirements, and reporting procedures.
• Authorize This Work
• Approval Conditions
• Approver Name
• Approver Title
• Approval Date
• Approval Signature