Title Page
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Equipment
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Asset/Equipment No.
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Prepared by
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Conducted on
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Job/Task
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Department
Safe Isolation Procedure Flowchart
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Follow the flow chart and answer the questions in the Safe isolation steps
Safe Isolation Steps
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Has the correct point of isolation been identified.
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STOP Work And Escalate
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What Is the DB / Circuit ID of the isolated equipment
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Check the Condition and Calibration of the approved voltage indicator and proving unit
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If non compliant remove from service and inform SRMET to send for repair
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Upload picture of calibration Sticker / certificate of Device
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Upload picture of calibration sticker / certificate for the device
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Check the approved voltage indicator is working on a proving unit
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If failed remove from service and inform SRMET to send for repair
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Upload a picture of the calibration sticker / certificate
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Upload picture of device operating
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Has an appropriate means of isolation been used :- A list of Devices can be found in Table 537.4 of BS7671
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STOP Work
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Upload a picture of the isolation device, eg MCB - Isolator
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Are all points of isolation secured in the off position with the appropriate LOTO device
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STOP Work
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Add Photo of LOTO'd Device / Equipment
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Secondary sources
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Have you ensured the supply cannot inadvertently be reinstated while the work is in progress.
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STOP Work and escalate
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What Steps were taken
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Verify the circuit / equipment is isolated and " Dead "
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Secure any covers removed and re-identify source of supply and the means of isolation
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Re-Check the approved voltage indicator is working on a proving unit
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If failed remove from service and inform SRMET to send for repair
Confirmation
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I confirm all the steps have been carried out and the system is safe to begin work