Electrical Isolation Permit Template and Example PDF

High risk activities require permits, so that they go through a standard set of checks and approvals before the activity behind the permit can begin.

Electrical isolations are high risk. If a proper permitting and escalation path isn't followed, then there is significant risk and severe consequence to mistakes, hence getting multiple people and involved through an electrical isolation permit.

In effect, the electrical isolation permit acts as a check and balance on someone performing a checklist and then isolating. It enforces multiple checks multiple proper assessments before isolating.

This complete electrical isolation permit template comes pre-built with all the fields you need to isolate safely - and record all the necessary information:

• Automated form ID #
• Isolation instructions
• Date and time of work & isolation
• Scope of work & location
• Permit applicant name and digital signoff
• Equipment and lock/tag summary table
• Permit authoriser completion and signoff
• Equipment sign-on and signoff

You can use this electrical isolation permit template to run your own permitting process, or you can always use the template as an example for improving whatever your current process looks like, which should look like the above structure, even if managed manually via Word, Excel or PDF/paper.

If you are looking to streamline the communication behind permits and improve your electrical isolation record keeping and compliance, you can investigate further below.