ELECTRICAL ACCESS PERMIT (EAP)
HVEAP
HV/LVEAP
LVEAP/LVIBS
No:
OPERATOR’S PHONE NO.
J
Application No.
Issue (Time)
Day:
Date:
Station (where applicable)
Cancellation (Time)
Day:
Date:
A. This Electrical Access Permit allows access to:
B. The conditions of isolation from points of supply shall remain
unchanged during the currency of the Electrical Access Permit. Variations to
earthing may only be made under the terms of the “Blue Book” and “Green Book”.
The following precautions are in place.
D. Receipt
E. Relinquishment
I understand the apparatus covered and the limits of the
Electrical Access Permit.
I hereby relinquish this Electrical
Access Permit and state that
henceforth I regard the apparatus
as unsafe to touch.
I am satisfied with the precautions taken.
I am aware of all adjacent alive apparatus and I am satisfied I
can remain clear of this apparatus during the currency of the
work under this Electrical Access Permit.
I hereby acknowledge receipt of this Electrical Access Permit
for work in accordance with the conditions stated herein.
Sign Name
Print Name
Sign Name
1.
1.
Recipient in Charge
Recipient in Charge
Recipient in Charge
Y
L
N
O
E
D
L
E
P
S
U
M
A
E
X
B
E
O
T
T
O
N
C. I hereby issue this Electrical Access Permit
Print Name:
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F. I hereby cancel this Electrical Access Permit
Signed:
Print Name:
Instructed by:
Time:
2.
Signed:
Instructed by:
Day:
Additional Information
Date:
Time:
Day:
Date:
Work Party Earths/Bonders are applied at the following locations:
Location
1.
2.
3.
4.
Installed by
Removed by