ELECTRICAL HOT WORK PERMIT
TO BE REVIEWED BY TEAM LEADER PRIOR TO START OF WORK
VALID FOR TECHNICIAN AND DAY ISSUED ONLY
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Date: |
Time: |
Maximum Voltage Present: |
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Machine Number and Description: |
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Specific Reason Equipment Must Be Energized For Servicing: |
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Personal Protective Equipment Worn:
< > Flash Resistant Jacket
< > Insulating Gloves
< > Face Shield
< > Rubber Mats
< > Hard Hats
< > Other (List each additional item individually)
Time Work Completed: |
Date |
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Technician's Name: |
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