Energized Work Permit
Permit Information
EEWIP-20260610-001
10-JUN-2026
Team 128
New JTC (Jordan)
1403
Inspection
So that an Earth Fault Loop Impedance test could be performed at the disconnect as part of ensuring equipment is earthed correctly.
Shock Hazard Analysis
240V
Latrine inspection.
Exposed energized conductors
00
Avoid Contact
Flash Hazard Analysis
240vV
cal/cm²
4 ft min
cal/cm²
CAT I
Lock Out Tag Out
| Energy Sources Identified | Yes |
| PPE CAT II Donned | No |
| Personnel Notified | Yes |
| Equipment Shutdown | No |
| Electrically Safe Condition | Yes |
LOTO Signatures
N/A
10-JUN-2026
N/A
10-JUN-2026
electrical
Andrew McLean
Brett Smithson
Completion
| Inspection Completed | Yes |
| Reenergization Notified | No |
| Isolating Devices Removed | No |
| Equipment Reenergized | Yes |
Andrew McLean
10-JUN-2026
Review Information
Approved
10-JUN-2026