Electrical work permit format 2025

1. Click ‘Get Form’ to open the electrical work permit format in the editor.
2. Begin by entering the Job/Work Order Number and Job Location/Circuit/Equipment at the top of the form. This information is crucial for tracking and identifying the specific job.
3. In the Description of work to be performed section, provide a detailed account of the tasks that will be executed. Clarity here helps ensure safety and compliance.
4. Answer question 1 regarding exposure to energized electrical conductors. Select 'Yes' or 'No' based on your assessment.
5. For Shock Hazard Analysis, indicate the voltage level and approach boundaries. Fill in inches for limited and restricted access as applicable.
6. Complete sections on Arc Flash Hazard, ensuring you note if an analysis has been performed and provide necessary details if applicable.
7. Indicate whether equipment can be de-energized prior to work. If 'No', follow instructions for completing the Energized Electrical Work Permit on page 2.
8. List any non-electrical hazards present and check all applicable personal protective equipment (PPE) required for safety during the task.
9. Finally, have all relevant parties sign and date where indicated, ensuring proper documentation of approvals and acknowledgments.

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