Energized Electrical Work Request and Approval Permit - Safety-Link

Form Template

An Energized Electrical Work Permit is required anytime electrical work is done on systems of 50 volts or greater and not being fully locked/tagged out.

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Permits must be approved by an appropriate safety representative and a qualified maintenance manager, each with approving authority. This mobile application is handy when you need to quickly apply for a request to conduct energized electrical work. Authorized personnel can sign in the app, approve or disapprove, add detailed comments and submit request instantly.

For another electrical app, try our electrical/mechanical daily project form.

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