electrical work permit

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Why ehs4safety Careers E-Book Blog Our Partners Case Study

Electronic Aerospace Chemical Automotive Cement Shipbuilding Oil and Gas Mining Industry Construction Industry

Permit To Work Loto System Risk Assessment Near Miss Change Management Sustainability & ESG Incident Management Visitor Management Audit Inspection Headcount Emergency Preparedness Safety Training Tracker

AI PPE Detection AI Security Fall Detection System Form Recognizer Forklift Collision Avoidance

Contact Us

Electrical Work Permit

(Authorization to Perform Electrical Work)

Permit & Job Details

Company Name

Permit No

Department / Section

Date Issued

Valid From

Valid To

1. Work Description & Location

Exact Location of Electrical Work

Description of Work to be Performed

Nature of Work

Live Work (energized) Dead Work (de-energized) Testing / Fault Finding Other:

2. Personnel

Permit Requester

Supervisor Responsible

Name(s) of Electrical Work Crew

3. Mandatory Safety Precautions

Power source identified and isolated Lockout / Tagout (LOTO) applied Zero voltage confirmed with voltmeter Equipment grounded and bonded Insulated tools to be used Appropriate PPE provided (gloves, face shield, etc.) Warning signs and barricades posted Adjacent systems checked for hazards

4. Authorization

Permit Issuer Name

Signature

Date

Area In-Charge Name

Signature

Date

Lead Worker Name

Signature

Date

5. Work Completion & Permit Handover

Completion Time