protect the electrical systems and parts from mechanical damage. All subcontractors performing work for Berkeley Lab are required to conform to the Berkeley Lab LOTO Program. Follow section 130.7 for PPE requirements. Energized Electrical Work Permit . Permit No. Occupancy and Fee Checked [Rev. 6.1.5 Permit to Work (PTW) - TPSMS/CSP/PTW/008, and Lock Out Tag Out (LOTO) - TPSMS/CSP/LOTO/001 Procedures to be followed. the Institute of Electrical and Electronics Engineers (IEEE) 2007 National Electric Safety Code. There are several different types of permits, based on the type of construction: building, plumbing, mechanical, and electrical. Permits are the means by which the City of Fort Worth regulates construction. electrical safety hazards in their workplace. In addition, the complete demolition and relocation of buildings also requires permits. In Washington, only licensed electrical contractors may perform electrical work. Electrical Work Permit Application. Electrical permits must be purchased by the electrical contractor or the property owner or homeowner who will actually be doing the work. PART I: TO BE FILLED OUT BY REQUESTOR (1) Description of circuit/equipment, job location and nominal voltage: (2) Description of work to be done: (3) Justification for why the circuit/equipment can not be de-energized: (CHECK ALL THAT APPLY) Click HERE. LOTO Procedure Template. Permit to work required (as ap-plicable at locatioon) No energized electrical work permit required. • This permit must be used in conjunction with the standard "General Works / Access permit" where the work involves exposure to hazards other than hot work and for access to the location • Any change in the scope of work, details of circumstances and assumptions in this permit automatically revokes the permit. Energized Electrical Work Permit A. You must get your electrical permit and inspection from the correct jurisdiction: Section Content Objective 1 Introduction to Electrical Safety Participants will be able to: Permit to work required (as applicable at locatioon) Energized electrical work permit required. Property owners may apply for an exemption from these requirements by completing this application and signing the affidavit below . See the Emergency Response page for more information. PTW - Permit-To- Work Permit-To-Work (PTW) system: A PTW system is a formal written system used to control and execute certain types of jobs safely, which are identified as potentially hazardous. 6.1.6 All electrical work shall be done in compliance to Standard Operating Procedure (SOP)/ Standard Maintenance Procedure (SMP). Evidence of completion of a Job Briefing including discussion of any job -related hazards: B. 1.3 Definitions Arc Flash Hazard. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: To the Inspector of Wires: Electrical Injury Notification Form. It incorporates the standard Berkeley Lab LOTO procedure format with a process to verify that subcontractors have received the appropriate training and supervision prior to participating in a LOTO. A LOTO procedure is a formal document detailing all the steps required to establish the lockout. Follow section 130.7 for PPE requirements. Do you agree the above described work can be done safely? 1 Applying for your Electrical Permit . Electrical Safe Work Practices including electrical safety principles, guidelines for qualification of personnel, job planning requirements and Management and Personal Responsibility will be covered. 6.1.7 Checklist should be made available and filled up copies recorded. It is also a means of communication between different departments, plant supervisors, operators, agencies etc. This form has been migrated to an online Google Form. All campuses, their agencies, and employees must understand and comply with safety standards related to electrical work and follow the uniform practices outlined in this document when engaged in electrical work. If you are hiring an electrical contractor, they must purchase their own permits for the work they do on your property.

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