Documente Academic
Documente Profesional
Documente Cultură
PASSION
FUELS
PERFORMANCE
Rig Name:
1.0
2.1
ELECTRICAL ISOLATION
Location
2.2
Equipment
Action Taken
Breaker #
Fuse Withdrawn
Tagged Out
Lock #
Open
Locked
Yes
No
Yes
No
Open
Locked
Yes
No
Yes
No
Open
Locked
Yes
No
Yes
No
Control Mechanism
Lock #
Tagged Out
Valves Closed
Yes
No
Yes
No
Yes
No
Lines Blanked
Open
Closed
Yes
No
Yes
No
Any
Yes
No
Yes
No
Yes
No
Precautions Taken:
pment have been proven
p
I hereby confirm the above Isolations and Equipment
de-energised.
Name of Competent Person: _____________________ Signed: ________________ Time: ____________ Date: ___________
3.0
COMPLETION OF WORK
CONFIRMATION OF DE-ISOLATION
I herebyy confirm that the work detailed in Sec 1 above is not complete and the equipment has been entered as Long Term Isolation.
Signed:: _____________________ Person in Charge of Work: _______________ Time: ______________ Date: ____________
Verified by: __________________ Competent Person: _____________________ Time: ______________ Date: ____________
ARCO-GIL-P-04-HSE-IC