Energized Work Permit
Permit Information
EEWIP-20260619-003
19-JUN-2026
Team 116
KFAB (Jordan)
Oiltown-Area-Lighting
Inspection
Live testing required.
Shock Hazard Analysis
230V
Isolators
Exposed energized conductors
00
Avoid Contact
Flash Hazard Analysis
230V
4 cal/cm²
4 ft min
4 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 |
PPE Evidence Photo

LOTO Signatures
N/A
19-JUN-2026
N/A
19-JUN-2026
electrical
N/A
N/A
Completion
| Inspection Completed | Yes |
| Reenergization Notified | No |
| Isolating Devices Removed | No |
| Equipment Reenergized | Yes |
Salomon Munoz
19-JUN-2026
Review Information
Approved
19-JUN-2026