Energized Work Permit

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Permit Information

EEWIP-20260615-001
15-JUN-2026
Team 128
KA2AB (Jordan)
BDOC-ATS
Inspection
ATS is on the distribution system for the BDOC and is mission critical.

Shock Hazard Analysis

400V
Electrical Inspection.
Exposed energized conductors
00
1 ft 0 in.

Flash Hazard Analysis

400V
4 cal/cm²
4 ft min
8 cal/cm²
CAT II

Lock Out Tag Out

Energy Sources IdentifiedYes
PPE CAT II DonnedYes
Personnel NotifiedYes
Equipment ShutdownNo
Electrically Safe ConditionYes

PPE Evidence Photo

LOTO Signatures

Brett Smithson
15-JUN-2026
Andrew McLean
15-JUN-2026
electrical
Brett Smithson
Andrew McLean

Completion

Inspection CompletedYes
Reenergization NotifiedYes
Isolating Devices RemovedYes
Equipment ReenergizedYes
Brett Smithson
15-JUN-2026