Energized Electrical bWorkb Authorization bFormb 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Location/Space' section. Enter the building name, specific location, date, issue time, and expiration date/time.
3. In the 'Work to be Performed' section, provide a detailed description of the project and location, list personnel performing the work, and justify why the circuit/equipment cannot be de-energized.
4. The 'Safety Precautions' section must be completed by a qualified person. Fill in details for shock risk assessment including voltage exposure and approach boundaries.
5. Complete the arc flash risk assessment by identifying PPE category and arc flash boundary. List safe work practices and required PPE items.
6. Confirm safety agreement by checking 'Yes' or 'No', then provide names and signatures of personnel doing the work.
7. Ensure notification is completed by confirming if personnel who may be impacted have been informed.
8. Check any additional permits required for your work type before obtaining necessary approvals from responsible parties.
9. Finally, document work completion with date and time once electrical work is finished.

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