Energized Work Permit

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Permit Information

EEWIP-20260604-002
04-JUN-2026
Team 116
KFAB (Jordan)
Oiltown-Water-Point
Inspection
Live testing required.

Shock Hazard Analysis

300V
Motor control station panel.
Exposed energized conductors; Equipment not properly grounded
00
Avoid Contact

Flash Hazard Analysis

300V
4 cal/cm²
4 ft min
4 cal/cm²
CAT I

Lock Out Tag Out

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

LOTO Signatures

N/A
04-JUN-2026
N/A
04-JUN-2026
electrical
N/A
N/A

Completion

Inspection CompletedYes
Reenergization NotifiedYes
Isolating Devices RemovedYes
Equipment ReenergizedYes
Salomon Munoz
04-JUN-2026

Review Information

Approved
05-JUN-2026