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Electrical

The document outlines the Permit to Work process for electrical work on high voltage systems, detailing necessary information such as project description, location, and service provider. It includes a checklist of hazards and precautions to ensure safety, requiring authorization from relevant personnel before work can commence. The permit must be completed and signed by the permit holder, works supervisor, and authorizing person, confirming that all safety measures have been taken and the work has been satisfactorily completed.

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Najim
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16 views1 page

Electrical

The document outlines the Permit to Work process for electrical work on high voltage systems, detailing necessary information such as project description, location, and service provider. It includes a checklist of hazards and precautions to ensure safety, requiring authorization from relevant personnel before work can commence. The permit must be completed and signed by the permit holder, works supervisor, and authorizing person, confirming that all safety measures have been taken and the work has been satisfactorily completed.

Uploaded by

Najim
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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PER M IT TO WOR K

Electrical work especially on high voltage systems Permit to Work No: ……………………………..

Project/Activity description:
Location:
Start date: Start time:
End date: End time:
Service Provider Company :
Permit Holder Name:
Is any other work currently being undertaking that may interact YES NO
If Yes, please quote permit numbers:
of affect this permit (quote permit numbers where applicable)
This permit is only valid when all sections are complete.
Do not proceed with your work until your permit has been authorised by the relevant person.

HAZARDS AND PRECAUSIONS TO BE TAKEN

YES N/A
The worker is qualified to undertake this work (attended trainings, inductions etc). □ □
Are any licences, permits, authorizations required? If Yes, please specify.................................. □ □
Have the relevant departments been advised of isolation? □ □
Has the electrical supply been switched off? □ □
Have any flammable/combustable substances been removed? □ □
Are fire extinguishers required?
□ □
Is a fire blanket required?
□ □
Is a voltage detection instrument required?
Is earthing required? □ □
Are caution/danger signs required? □ □
Is the isolator logged off/tagged off? □ □
Are sprinklers in service? □ □
Is containment of sparks required?
Other: ...........................................................................................................
............................................................................................................

PPE required (if Yes please select):

Other safety equipment required (if Yes please detail): YES NO If Yes, please detail:

YES NO If Yes, please detail:


Other special work conditions (if Yes please detail):

AUTHORISATION AND ACCEPTANCE

I confirm that I have verified the above information and ensured that the necessary precautions have been taken. It is safe to carry out the works as defined
above and the permit information has been explained to all workers involved. I accept the responsibility for this work.

Permit Holder Name : Signature: Date & Time:


Works Supervisor Name: Signature: Date & Time:
Authorising Person Name: Signature: Date & Time:

WORK COMPLETED

I confirm that the job has been completed satisfactorly and safely, all the equipment has been cleared, and no further work is needed.

Permit Holder Name: Signature: Date & Time:


Works Supervisor Name: Signature: Date & Time:
Authorising Person Name: Signature: Date & Time:

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