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Electrical Work Permit

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Lawchak Salih
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46 views2 pages

Electrical Work Permit

Uploaded by

Lawchak Salih
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

Ashur Brick Company Electrical Work Permit (Permit to Work)

Work Location Type of Work


Date & Start Time Date & End Time
No.:

Permit Issuer Permit Acceptor Other Involved Persons


(Standby, Fire watch,
Helpers, Drivers, etc)
Position

Signatur
e

Work Discription-Hazard Identification

General Hazard Controls


Checklist for Electrical Work Yes No NA
Means of Communication
Agreed on means of communication.
Working Environment
Electrical work is limited to only authorized persons.
Warning signs are displayed on all the hazardous parts.
The entry to the work area is under control of the authorized work team.
No STF hazard is in place.
Area is free of fire hazards such as combustible material, flammable and explosive
substances.
Area is free of water.
Personal Protective Equipment
All persons are provided with required PPE such as non-conductive safety shoes,
gloves, Head Protection, etc.
All conductive materials are removed such as jewelry, hand watches, etc.
Other Permits Needed

Additional Information

Closing/Cancellation Time
Work completed (Yes or No)
Issuer Signature

Acceptor Signature

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