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Electrical Work Permit Guide

This document is an energized electrical work permit that outlines the safety procedures for working on live electrical equipment. It requires the requester to provide details of the circuit, work to be done, and reason it cannot be de-energized. The electrically qualified workers must then complete a job description, safe work practices, shock and flash hazard analyses, personal protective equipment requirements, and access restrictions. They must also confirm the work can be done safely and receive supervisor authorization before proceeding with the live work.

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Cobbinah Mark
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166 views2 pages

Electrical Work Permit Guide

This document is an energized electrical work permit that outlines the safety procedures for working on live electrical equipment. It requires the requester to provide details of the circuit, work to be done, and reason it cannot be de-energized. The electrically qualified workers must then complete a job description, safe work practices, shock and flash hazard analyses, personal protective equipment requirements, and access restrictions. They must also confirm the work can be done safely and receive supervisor authorization before proceeding with the live work.

Uploaded by

Cobbinah Mark
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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HSE Standard Operating Procedure

HSE-302-FM Energized Electrical Work Permit

PART 1: To be completed by the requester


Job Work Number
(a) Description of circuit/equipment/job location: ______________________________________________
(b) Description of work to be done: ________________________________________________________
(c) Justification of why the circuit/equipment cannot be de-energized or the work cannot be deferred until
the next scheduled outage: ___________________________________________________________

Requester/Title: _____________________________________ Date: ________________ Time: ____________

PART II: To be completed by the electrically qualified persons doing the work:

Check
when
complete

(a) Detailed job description procedure to be used in performing the above detailed work:

(b) Description of the Safe Work Practices to be employed:

(c) Results of the Shock Hazard Analysis:

(d) Determination of Shock Protection Boundaries:

(e) Results of Flash Hazard Analysis:

(f) Determination of the Flash Protection Boundary:

(g) Necessary personal protective equipment to safely perform the job:

(h) Means employed to restrict the access of unqualified persons from the work area

(i) Evidence of completion of a Job Briefing including discussion of any job-related hazards:

(j) ) Do you agree that the above described work can be done safely? If No, return to register

____________________________________________ ___________________________
Electrically Qualified Person Date/Time

____________________________________________ ___________________________
Electrically Qualified Person Date/Time

HSE-302-FM 1305 Engineering and Construction Ltd.


HSE Standard Operating Procedure

____________________________________________ _____________________________
Authorized Supervisor Date/Time

Notes:

HSE-302-FM 1305 Engineering and Construction Ltd.

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