02 - 07 Electrical Work Permit

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

LLOYD’S REGISTER – FAIRPLAY SHIP REPAIR & MAINTENANCE HANDBOOK DOCUMENT: RM 2.

7
Company: Doc No: Form No : Page No : 1 Rev.No : Date :
Section : 2, Vessel Operation Subject : ELECTRICAL WORK PERMIT Appr. by : Made by:

ELECTRICAL WORK PERMIT

SHIP NAME /IMO No:


This permit is valid from: _______ hrs Date: __________ to: _________ hrs Date:
___________
Location of work:
Safety Check Yes No
Description of work:

Description of equipment:

Personnel carrying out work:

Responsible person in attendance:


Method of isolation:
- brakes / fuses removed / padlock fitted
- area supply cable disconnected / machinery guards removed
- switch locked / isolation confirmed
- capacitors discharged
Warning signs posted at isolation / disconnection point?
Adequate fire fighting equipment available?
Adequate protective clothing available?
Other checks / information / precautions

Undersigned confirm that a safety inspection has been completed and the working area is found
to be safe.

RESPONSIBLE PERSON
Date: Name:
Rank: Signature

CHIEF OFFICER OR CHIEF ENGINEER


Date: Name:
Rank: Signature

Work completed and supply reconnected: _________ (time) ___________________(date)

_______________________________________
Responsible Person, Signature

You might also like