SST010
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Site conducted
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Conducted on
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Prepared by
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Location
Information Required
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SST010 - Electrical Systems Permit to Work (V1)
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Section A
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Authority is hereby granted for to carry out the following works
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Reference:
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As the electrical system is DEAD/ISOLATED* from all live conductors and is connected to EARTH, works may be carried out from :
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Date/Time:
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Until
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Date/Time
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The Apparatus is effectively connected to earth at the following point(s)
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Section B
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Caution notices are posted at:
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Safety locks have been fitted at:
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Safety keys are held by:
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The following special precautions must be followed during the works.
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Attach drawing as appropriate to this, identity the area / location of the works.
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Section C
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Authorised by:
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Received by:
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Works covered by this permit have been suspended/completed*and all tools, equipment & operatives have been removed.
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The electrical system is / is not* safe to make live
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Returned. (date and time)
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Return Confirmed (Site Manager)
