Professional Documents
Culture Documents
KKS:
Urgency Level: Immediate/ASAP/minor/next outage/Monitor Only/info:
Area/system/Agreement: HP/IP BFP
F/N found: Valid & Accepted / Not Valid & Returned/ Valid but Referred to: Warranty Claim /
Safety Instruction:
Proper PPE should be
maintained.
Potable Fire Extinguisher
must be kept near for Hot
Works
LOTO Procedure must be
followed.
All type of Safeties must be
ensured during the work(s).
Issued for Isolation/ Inspection By SCE: Isolation/ Inspection Performed By Checked by (Maint.):
[with date & time]: (Operation): [with date & time]: [with date & time]:
PTW Issued By SCE: [Activate] I understand and accept my responsibilities for Name:
this PTW:
Equipment Tested by: (O&M) I certify that all persons working under this PTW have been withdrawn from the specified area and warned
not to continue work / test. All equipment, tools, loose materials and drain earths are removed, guards and
access doors refitted.
(Maintenance)
Signature
(Operation) (Returned by Maintenance Personnel)
Normalized By (Operation): Checked by (Operation): PTW Closed By SCE:
[with date & time] [with date & time] [with date & time] [Inactivate]
Signature