NPE-Tech-LV-Work-Justification-0

• Site conducted

  Select

• Conducted on

  Date

• Scope of work

• Prepared by

• Location
  Address

• Job No

• Are there any essential services that will be affected, if the asset is isolated?

  Yes

  No

• Is it reasonably practicable for the workers to work on live assets?

  Yes

  No

• Are there any known risks or any defects with the asset to be worked on?

  Yes

  No

• Are workers competent and trained for the task to be carried out?

  Yes

  No

• Do workers have the correct safety equipment, resources and PPE for the task?

  Yes

  No

• Do workers have the correct tools for the task i.e. insulated tools (for live work)?

  Yes

  No

• Is the risk of isolation greater than the risk of carrying out the task live?

  Yes

  No

• Is there an approved procedure for the task?

  Yes

  No

Approved by

• Name of approver:

  Sign