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Electrical Isolation Work Permit

This document is an electrical isolation permit that outlines the process for electrically isolating equipment to allow for safe work. It requires identifying the equipment to be isolated, controls checked to prevent unintended operation, personnel involved, dates and times of isolation, and electrical isolation checklist. Once completed, supervisors must accept the safe isolation and permit can later be cancelled once work is finished and equipment is ready to be re-commissioned.

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Robby Tri
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90 views

Electrical Isolation Work Permit

This document is an electrical isolation permit that outlines the process for electrically isolating equipment to allow for safe work. It requires identifying the equipment to be isolated, controls checked to prevent unintended operation, personnel involved, dates and times of isolation, and electrical isolation checklist. Once completed, supervisors must accept the safe isolation and permit can later be cancelled once work is finished and equipment is ready to be re-commissioned.

Uploaded by

Robby Tri
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
You are on page 1/ 2

Form No : / Rev0

Project/Location:
Date of Issue:
Electrical Isolation Permit / Electrical Permit to work

Permit Applicant: (Department/ Section / Contractors):

To electrically Isolate the following :

To Perform the following Work :


PERMIT APPLICANT

Controls Checked and actioned to Prevent undesirable operation of Yes No


the Equipment.
Duration of Work Date & Time: From: To:
Related Permit (s) No.
List of Personnel 00 00 00
Involved 00 00 00
Name of Applicant Reg. No. Signature Date

(A) AUTHORIZATION (ELECTRICAL ISOLATION) Electrical isolation checklist overleaf for completion by Electrical
Competent person. Electrical isolation for the above equipment has been completed and that the points isolated are: -
(Note: 1. Both sections must be completed 2. Mention other Safety Precautions if any. )
COMPETENT PERSON

WARNING: ALL OTHER ELECTRICAL EQUIPMENT IS DANGEROUS


DECLARATION: I certify that the above-mentioned equipment has been electrically isolated and it is SAFE to work in/upon
following the rules.
Name Reg. No. Signature Date

(B) ACCEPTANCE: Performing Supervisor Sign, for ensuring job site Supervision, Acceptance of safe Isolation,
Requirements & Precaution needed for safe work
Name Reg. No. Signature Date
PERMIT APPLICANT

(C) COMPLETION /CANCELLATION: (This permit may be cancelled)


I hereby declare that all men under my charge have been withdrawn and warned that it is no longer safe to work in/upon
the above-mentioned location/equipment. All tools/gear I brought in matters have been removed and the site has been
cleared from all objects that might cause any potential hazards of fire. All removed fitting (s) cover (s) have been replaced,
leaving the equipment ready for commissioning.
Name Reg. No. Signature Date

(D1) Permit Issuer: I have satisfied my self that location / Equipment covered by this permit and all related permits are
safe for re-commissioning and that the supply can be restored electrical
COMPLETION /CANCELLATION

Name Reg. No. Signature Date

(D2) Electrical Competent Person: Electrical Supply to the equipment has been restored by reversal of above isolation
from the new substation and warning tags removed.
Name Reg. No. Signature Date

(D3) Permit Issuer: The equipment is now re-commissioned satisfactorily and this permit is cancelled.
Name Reg. No. Signature Date

Note: New Permit must be issued for any change in condition or cancellation. The permit should not be Altered or Amended.

Page 1 of 2
Form No : / Rev0
Project/Location:
Date of Issue:
Electrical Isolation Permit / Electrical Permit to work

Electrical Isolation Checklist


Sl. No. Isolation Activities Done Not Required Not Applicable Remarks
1 Open control & isolator switches.
Re-check feeder is open before
commencing this activity.
2 Rack-out / down the truck to the
drawn-out position. If Panel door
cannot be closed completely remove
the switch from the cubicle.
3 Main fuses removed. Applicable only
for the non-draw-out switch.
Essential to padlock the open switch.
Test voltage-outgoing terminals.
4 Main isolator switch pad-locked /
bolted. Padlocking is preferred
bolting is acceptable.
5 Back feed of power prevented.
Isolate power/control switches, P.T's
etc. as necessary.
6 Earthing through external earth.
Essential for H.T. feeders. Check
earth switch, if any, at another end.
7 Earthing through external earth.
Local Earthing sometime essential,
test for no voltage before applying
Earthing.
8 Waning notice/tags fixed at cubicle &
local push button station. Control
switches to be in “local", "manual"
and "off" positions.
9 Controls checked and actioned to
prevent undesirable operation of
equipment.
In case of control circuit work, P&I,
Elec. & Instrument drawings must
be examined for possible mal-
operation of related equipment.
10 Shutters locked. Only for work inside
switch cubicle or on bus bars.
Extreme caution required.
11 Anti-condensation heater isolated
and tagged. Anti-condensation
heater should be isolated only if
working on the electrical equipment.

Authorization for Electrical Isolation

Name Reg. No. Signature Date

Page 2 of 2

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