Energized Work Permit
Permit Information
EEWIP-20260601-001
01-JUN-2026
Team 116
KFAB (Jordan)
Oiltown-SDP-1
Inspection
Live testing required.
Shock Hazard Analysis
415V
SDP Inspection
Exposed energized conductors; Equipment not properly grounded
00
1 ft 0 in.
Flash Hazard Analysis
415V
4 cal/cm²
4 ft min
4 cal/cm²
CAT II
Lock Out Tag Out
| Energy Sources Identified | Yes |
| PPE CAT II Donned | Yes |
| Personnel Notified | Yes |
| Equipment Shutdown | No |
| Electrically Safe Condition | Yes |
PPE Evidence Photo
LOTO Signatures
N/A
01-JUN-2026
N/A
01-JUN-2026
electrical
N/A
N/A
Completion
| Inspection Completed | Yes |
| Reenergization Notified | Yes |
| Isolating Devices Removed | Yes |
| Equipment Reenergized | Yes |
Salomon Munoz
01-JUN-2026
Review Information
Approved
01-JUN-2026