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Testing, Troubleshooting, and Voltage Measuring Electrical Work Permit Department Code: HP Permit # HP - 003

This electrical work permit document authorizes the replacement of an existing 480V heat pump. The work is necessary to maintain the required temperature range of 68-74 degrees in the high bay building. Safety precautions include removing wires from power panel SS-4 and installing new 2/0 wires while energized. Personal protective equipment like voltage-rated gloves and shoes will be worn, and caution tape will restrict access to the work area. Both an electrically knowledgeable person and chief engineer approved the permit and acknowledged the authorized workers are properly trained to perform the work safely.

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78 views1 page

Testing, Troubleshooting, and Voltage Measuring Electrical Work Permit Department Code: HP Permit # HP - 003

This electrical work permit document authorizes the replacement of an existing 480V heat pump. The work is necessary to maintain the required temperature range of 68-74 degrees in the high bay building. Safety precautions include removing wires from power panel SS-4 and installing new 2/0 wires while energized. Personal protective equipment like voltage-rated gloves and shoes will be worn, and caution tape will restrict access to the work area. Both an electrically knowledgeable person and chief engineer approved the permit and acknowledged the authorized workers are properly trained to perform the work safely.

Uploaded by

srescia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TESTING, TROUBLESHOOTING, AND VOLTAGE MEASURING ELECTRICAL WORK PERMIT

Department Code: HP
Permit # HP -003
PART I: TO BE COMPLETED BY THE REQUESTER:
(1)

Description of circuit/equipment/job location: __Power Panel SS-4, breaker 4/ 480 V heat pump/ Building 348_High Bay_

(2)

Description of work to be done: _____Remove existing heat pump and replace with Carrier type___

(3)

Justification of why the circuit/equipment cannot be de-energized or the work deferred until the next scheduled outage:
__High Bay requires temperature range of 68 deg to 74 deg
_______________

___Jim Durnan/ LESO


Requester/Title

February 30, 2007


Date

PART II: HAZARD ANALYSIS:


(1)
Detailed job description procedure to be used in performing the above detailed work: ___Remove wires from PP SS-4 and
install 2/0 wires for new unit.__
______________________________________________________________________________________________________

(2)

(3)

LOTO
Reason not to LOTO ____Calibration source requires
Description of the Safe Work Practices to be employed:
stable temperature.
_____________________________________________________________________________________________________
Flash Boundary
Shock Hazard

4
480V

Flash Hazard
Limited Approach
Restricted Approach
Prohibited Approach

4
3-6
1-0
0-6

Working Distance
Glove Class

4
0

(4)

Protective Equipment
None
Earplugs
Leather Gloves
Leather Shoes
Cotton Clothing
Face shield
Voltage-rated Gloves
Voltage-rated Shoes
Fr Clothing
Flash suit
Hard Hat
Safety Glasses/Goggles
_____________________________________________________________________________________________________

(5)

Means employed to restrict the access of unqualified persons from the work area: ______caution tape_____
______________________________________________________________________________________________________

PART III: APPROVAL(S) TO PERFORM THE WORK WHILE ELECTRICALLY ENERGIZED:


_____Bo Sieman_____________________
Group Leader/Supervisor

_____2-30-07______
Date

_______Smart Guy____________________________
Electrically Knowledgeable Person/Lead Engineer

_______2-31-07________
Date

________Des Jockey____________________
Chief Engineer/Delegate

______2-32-07________
Date

PART IV: WORK


N/A
Evidence of completion of Job Briefing including discussion of any job-related hazards:
Daily pre-work briefing
Post work feedback, if required
PART V: AUTHORIZED WORKERS:

Name
_________________________

Life #
______

Name
_______________________

Life #
______

_________________________

______

_______________________

______

_________________________

______

_______________________

______

_________________________

______

_______________________

______

_________________________

______

_______________________

______

_________________________

______

_______________________

______

_________________________

______

_______________________

______

_________________________

______

_______________________

______

_________________________

______

_______________________

______

_________________________

___________

Authorizing Supervisor
Date
Supervisor acknowledges the above personnel are properly trained, knowledgeable and experienced to work under the permit.
Forward a copy to group's safety department.
1.1/19204e021.doc

(02/2007)

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