Live Electronic and Electrical Work Permit (Staff) –

only applies to working at 50 volts and above

Working
Valid on (Date) From To
times

Location
(exact)

No. of workers

Second
Lead worker
person1

Confirm Not practicable to carry out work on dead system?

Precautions All parts of system 415V or less

mandatory in Adequate lighting provided
all cases Mains Supply RCD Protected
Worker(s) authorised (by Maintenance Engineers ) & competent for live
electrical work
Clothing, equipment, surfaces completely dry
Tools insulated to 1000V or to relevant British Standard
Fused leads on meters if testing High Energy Circuits
Implement (non-conducting) available to separate worker from supply
Isolator or other means of cutting supply accessible
Second person is aware of isolation points in emergency
Transformer ISOLATED Mains Supply available
No metal steps or other metal access equipment used
Warning signs and barriers in place if exposed live parts
All tools, meters, protection etc in good condition and suitable for task
Working space maximised
Work approved by supervisor Work approved by supervisor of
of area area

Precautions Insulating shields or barriers in place

applied where
Protective helmet worn
needed

Inspected in situ; precautions confirmed adequate (Supervisor)

Name Signature Date Time

Work completed, any incidents recorded, location in safe condition (Supervisor)

Name Signature Date Time

1
Second person must be a First-Aider