Information
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Audit no.
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Work group
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AA Issuer
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Task Description
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Work Site
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Conducted on
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Prepared by
Paper Trail Requirements
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Disconnection & Reconnection (D&R) instruction in Switching Folder
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D&R number
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Switching Officer Authorised for apparatus to be operated
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Switching Officer name
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Switching Officer NAAS ID
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Access Authority (AA) completed correctly and as per D&R
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Level of switching required for isolation
- DN1
- DN2
- DN3
- TM
- TS1
- TS2/3
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AA issue date & time
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Danger Tags clearly identify Isolation points recorded on AA
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Take picture of the front of the AA
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Take picture of the back of the AA
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Switching Folder completed correctly
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Take picture of the front of the Switching Folder
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Take picture of the back of the Switching Folder
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AA holder appointed
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AA Holder name
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AA Holder NAAS ID
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All workers signed on to AA have signed off
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Comments
