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Electrical Work Permit Form

This electrical work permit outlines safety procedures for work being done at the Azizi Riviera Project. It requires listing the location and description of work, expected duration, and names of those responsible. A checklist ensures maximum voltage is known, the work area is barricaded and signed, at least two workers are present wearing proper PPE like hard hats and gloves, and a competent watchman is assigned to monitor safety. Upon work completion, the permit must be closed out by the task in-charge and HSE personnel.

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Waqas Islam
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871 views1 page

Electrical Work Permit Form

This electrical work permit outlines safety procedures for work being done at the Azizi Riviera Project. It requires listing the location and description of work, expected duration, and names of those responsible. A checklist ensures maximum voltage is known, the work area is barricaded and signed, at least two workers are present wearing proper PPE like hard hats and gloves, and a competent watchman is assigned to monitor safety. Upon work completion, the permit must be closed out by the task in-charge and HSE personnel.

Uploaded by

Waqas Islam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ELECTRICAL WORK PERMIT

Azizi Riviera Project Permit No -

SECTION 1 - DESCRIPTION / LOCATION


Date :_______________________________________

Location :_______________________________________

Description of Work :_______________________________________________________________

Approximate duration of work : From__________________ To____________________________________

Name of the task in charge /


engineer: ____________________________________

SECTION 2 - CHECKLIST
No. Description Yes No NA
1 Maximum voltage present :
2 The area barricaded and signages in place
3 Minimum two persons present
Operators are wearing the appropriate PPE required for job (Hard Hat,Hand gloves,Safety
4 glass,Voltage rated tools etc

5 competent watchman assigned to monitor the work, Name :

Requested By: Approved By :

Name & Signature of Task incharge Name & Signature Of Engineer

Main Contarctor Reprecentative : Checked By:

Name & Signature Name & Signature of HSE personal


SECTION 3 - CLOSEOUT OF PERMIT
work completed and area has been cleared.

Time :_________________________________

Date :_________________________________

Permit Closed:

Name & Signature of task in-charge :________________________________

Name & Signature of HSE personal :_________________________________

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