Plan
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Task Name
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Site Conducted
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Prepared Responsible
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Verifier
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Assisting Verifier
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Standard Work Procedure
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Select applicable work procedure
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Complete
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Select Scope Item
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Controls
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Have you completed a "proximity/vicinity permit" before working next to live HV equipment?
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Are the electrical cabinet panel/doors clear and accessible?
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Are controls in place to keep unauthorised people out of the work area?
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Approval
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Date and time of approval
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Approver's signature
