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    2014 Energized Electrical Work Permit - ByU-Idaho

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    carrot123456
    This document outlines the permit process for energized electrical work at BYU-Idaho. It requires determining: [1] the voltage level, [2] if exposed live parts are present, and [3] if physical alterations will be made to equipment. Based on the responses, the appropriate personal protective equipment and safety procedures must be followed. The permit must be completed by the requestor and qualified worker, then authorized by the Electric Services Supervisor and University Safety Officer before work can begin.

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    © All Rights Reserved
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    2014 Energized Electrical Work Permit - ByU-Idaho

    Uploaded by

    carrot123456
    132 views2 pages
    This document outlines the permit process for energized electrical work at BYU-Idaho. It requires determining: [1] the voltage level, [2] if exposed live parts are present, and [3] if physical alterations will be made to equipment. Based on the responses, the appropriate personal protective equipment and safety procedures must be followed. The permit must be completed by the requestor and qualified worker, then authorized by the Electric Services Supervisor and University Safety Officer before work can begin.

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    Work Permit

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    This document outlines the permit process for energized electrical work at BYU-Idaho. It requires determining: [1] the voltage level, [2] if exposed live parts are present, and [3] if physical alterations will be made to equipment. Based on the responses, the appropriate personal protective equipment and safety procedures must be followed. The permit must be completed by the requestor and qualified worker, then authorized by the Electric Services Supervisor and University Safety Officer before work can begin.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    132 views2 pages

    2014 Energized Electrical Work Permit - ByU-Idaho

    Uploaded by

    carrot123456
    This document outlines the permit process for energized electrical work at BYU-Idaho. It requires determining: [1] the voltage level, [2] if exposed live parts are present, and [3] if physical alterations will be made to equipment. Based on the responses, the appropriate personal protective equipment and safety procedures must be followed. The permit must be completed by the requestor and qualified worker, then authorized by the Electric Services Supervisor and University Safety Officer before work can begin.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    BYU-IDAHO ENERGIZED ELECTRICAL WORK PERMIT

    Start

    What
    type of work is Will the
    to be performed? equipment be
    What is put in an electrically Follow
    Are there Will any physical
    the voltage safe work condition? LO/TO
    Exposed live alterations be done, such as
    level? Permit to
    Parts? making or tightening Disconnected
    > 2.50 volts Yes work
    connections or removing Locked out required
    Yes
    or replacing Tested
    components? Grounded
    < 50 volts No

    This decision to
    de-energize No No
    should include
    Is the
    consideration of
    equipment now
    the capacity of the in an electrically
    electrical source Apply good safe work condition?
    and any maintenance
    overcurrent practices and Follow Section 130.7 for Follow Section 130.7 for Disconnected
    protection (fuse or protect the PPE requirements. PPE requirements. Locked out
    circuit breaker) electrical systems No Tested
    and parts from Permit to work required (as Permit to work required (as Grounded
    between the
    source and the mechanical applicable at locations). applicable at locations).
    worker. damage. No energized Electrical Work No energized Electrical Work
    Permit Required. Permit Required.
    Yes

    Proceed to
    Test before you Touch Identify the Hazards Follow All Safe Work Practices That Apply Work SAFELY
    BYU-IDAHO ENERGIZED ELECTRICAL WORK PERMIT

    W.O.: CSP: Other:

    Completed by the Requestor


    In House Contractor:

    Description of Job Location: _______________________________________________________________________________


    Description of work to be done: _____________________________________________________________________________
    ______________________________________________________________________________________________________
    Requestor(s):______________________________________________________________ Date: ________________________

    Completed by the qualified person doing the work


    Description of procedure to be used in performing above work, include safe work practices:
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________

    Voltage: ___________
    Shock Hazard Analysis -
    Approach Boundaries: Limited ______ft Restricted ______ft Prohibited ______ ft

    Flash Protection Boundary ________ ft


    Flash Hazard Analysis -
    Hazard Category: ____ 0 ____ 1 ____ 2 ____ 3 ____ 4

    Safety Checklist (verify that proper controls are in place:


    ___ Workers must be trained, qualified, and have full knowledge of equipment & hazards.
    ___ Personnel trained in CPR & First Aid on site
    ___ Location of closest AED ___________________________________________
    ___ Adequate working clearance and egress routes are available
    ___ Work Area control measures include: ____ Barriers & Signs ____ Attendant / Safety person
    ___ Equipment has been de-energized and isolated to the extent feasible.\
    ___ Insulating Protective Equipment to be used: ____ Line hoses & covers ____ Insulating Matting ____ Insulating Blankets
    ___ Insulated tools and equipment required and compatible with voltage present
    ___ Remove all jewelry and metal apparel
    ___ Document job briefing including discussion of any job specific hazards
    ___ See attachment for added information, special requirements, procedures, or written work plans.

    Personal Protective Equipment:


    ___ All natural fiber outerwear _____ FR Outerwear Level _______ _____ Arc-flash rated clothing Level ________
    ___ Voltage Rated Insulated Gloves ____ Voltage Rated Insulated Shielding ____ Other PPE: ________________________

    Authorization of Energized Electrical Work Permit

    ________________________________Date_____________ __________________________________Date_____________
    Electric Services Supervisor University Safety Officer

    Qualified Worker(s):

    ____________________ ____________________ ________ ____________________ ____________________ ________


    Print Sign Date Print Sign Date

    ____________________ ____________________ ________ ____________________ ____________________ ________


    Print Sign Date Print Sign Date

    ____________________ ____________________ ________ ____________________ ____________________ ________


    Print Sign Date Print Sign Date

    Fill out, PRINT, and bring to meetings with


    PRINT RESET
    Safety Officer & Electrical Supervisor.

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