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Run: Energized Electrical Work Permit - Utility Substation

Use this energized electrical work permit for utility substation work that cannot be de-energized. It captures justification, shock and arc flash analysis, P...

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Permit and Work Request

Permit title (required)

Work order number (required)

Planned work date (required)

Substation name (required)

Equipment / circuit identifier (required)

Identify the specific energized equipment, bay, feeder, breaker, transformer, bus, or circuit involved.

Type of work (required)

Work scope summary (required)

Briefly describe the task and the energized components involved. Do not include unnecessary PII.

Energized Work Justification

Can the equipment be de-energized before work begins? (required)

Justification for energized work (required)

Explain why de-energization is not feasible and what operational, reliability, or safety constraints apply.

Alternative methods reviewed (required)

Reason the energized risk is acceptable for this task (required)

Shock and Arc Flash Analysis

Nominal system voltage (kV) (required)

Enter the nominal voltage of the energized equipment.

Shock approach boundary (ft or m) (required)

Enter the applicable shock boundary distance used for the job plan.

Arc flash boundary (ft or m) (required)

Enter the arc flash boundary distance from the study or field assessment.

Available fault current (required)

Enter the available fault current used for the hazard analysis.

Protective device settings reviewed? (required)

Confirm the protective device settings, relay coordination, and operating condition were reviewed.

Yes No N/A

Arc flash label verified in the field? (required)

Yes No N/A

Hazard analysis reference

Optional reference to the study, drawing, or report used for this permit.

PPE and Work Controls

Required PPE (required)

Arc rating of clothing (cal/cm²) (required)

Are insulated tools required? (required)

Barriers and warning signs in place? (required)

Additional controls

Electrical rescue plan available? (required)

Crew Qualifications and Pre-Job Briefing

Qualified person in charge (required)

Crew size (required)

Pre-job briefing completed? (required)

Briefing topics covered (required)

Crew acknowledged stop-work authority? (required)

Yes No N/A

Approvals and Authorization

Requester name (required)

Requester title (required)

Safety review approved? (required)

Operations manager approval (required)

Electrical authority approval (required)

Approval comments

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