MINISTRY OF ELECTRICITY ENERGY

PUBLIC ELECTRICITY CORPORATION

MARIB GAS POWER GENERATION STATION
PLANNING DEPARTMENT

CORRECTIVE MAINTENANCEPERMIT TO WORK (CM)

1- WORK REQUEST: Plz consider this the frist W.R &CM in the year 2021

CM Request No. Requested Date Requested By System / Equipment

WR-01/21 01-January-2021 AFIF GT12_ HALL MAIN ROLLER DOOR

Details of Defects To Chech and repair the Electrical roller door .

2- WORK PERMIT:
Urgency System/Equipment GT(s) Main Assistance
CM Permit No. Issued Date Prepared By Unit
Level Shutdown Shutdown Department Department
CM-ELEC-01/21 01-January-2021 MORISY 12 1 YES NO ELEC MECH

KKS

Maintenance
Remarks

3- WORK CONDITIONS & SAFETY PRECAUTIONS:

Condition Type BC TC IC BC / TC Certificate No. (If Applicable)
Engineer Requirements
De-Energized Earthing Connection Cooled Down De-Pressurized Drained / Vented
YES NO YES NO YES NO YES NO YES NO
Safety Engineer
Remarks

4- OPERATION & MAINTENANCE APPROVALS:

OPERATION MANAGER APPROVAL MAINTENANCE MANAGER APPROVAL
Name: Name:
Date: Date:
Signature: Signature:
Status Date Time Department Name Signature
Under IC Condition Operation
Work in Progress Maintenance
End of Work Maintenance
Back to Normal Operation Operation

5- JOB FEED BACK:

Started Date Finished Date Work Period (Hrs) Operation Hours (Before) Operation Hours (After) Prepared By

1- 2- 3-
Work Team
Names
4- 5- 6-

Performed
Job

Engineer
Remarks
No Description Part No. Qty
1

2
Used 3
Material
4

6
MAINTENANCE ENGINEER MAINTENANCE MANAGER
Name: Name:
Date: Date:
Signature: Signature: