Information
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EQUIPMENT OUT OF SERVICE (EOS)
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Document No.
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Company completing works
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Add media
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Date completed
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Location
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Completed by
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Contact Number Mobile
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Contact Number Office
EOS
Site details
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Site Name
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Details of work being completed.
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CMMS NUMBER:
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Will the Equipment be non operational for more than 1 day and less than 28 days?
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Will the Equipment be non operational for more than 28 days?
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Operational Impact of work on site (during)
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Operational Impact of work off site (after)
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BREAKDOWN
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PLANNED WORK
Site Responsible Officer
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Site responsible officer at site during work
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Add signature
Required isolation
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Please note functional and safety isolation procedures must be followed in accordance with safe systems of work.
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Mechanical
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Responsible Framework Contractor
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Electrical
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Responsible Framework Contractor
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Instrumentation, Control, Automation
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Responsible Framework Contractor
Notified
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Site Operator
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EMAIL
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Select date
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PHONE
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Select date
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FIELD TEAM LEADER
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EMAIL
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Select date
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PHONE
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Select date
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Asset Owner or Site Responsible Officer
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EMAIL
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Select date
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PHONE
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Select date
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M&E
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EMAIL
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Select date
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PHONE
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Select date
Telemetry Alarms
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Are any alarms permanently disabled
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Alarm type disabled
Alarm
Cancellation/ Recommission
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Is the EOS Active?
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Is the site fully recommissioned