QA/QC  › HSE Permits & Safety  › Electrical Isolation &
Form · QC-HSE-PRM-006
Electrical Isolation & LOTO Permit
17 checkpoints across 6 sections. Before any work on or near electrical equipment above ELV; revalidated per shift
17 Checkpoints
6 Sections
Per shift or per electrical work activity
Authorised Electrical Person, Electrical Supervisor

Checklist Preview

S.No.CheckpointIS RequirementStatus
A. ISOLATION AND DISCONNECTION
A1Source isolator / breaker identified and opened; visible break confirmed where possible
Acceptance: Correct isolator identified from SLD; racked-out or open with visible air gap
CEA Reg 41 — Isolation
OK
NC
NA
HOLD
A2Secondary / backup sources identified and isolated (UPS, battery, backfeed, captive gen)
Acceptance: All sources listed; UPS output isolated; backfeed from bus-couplers verified off
CEA Reg 41 — Multiple sources
OK
NC
NA
HOLD
A3Stored energy discharged: capacitors, inductive loads bleed-off; stored mechanical energy released
Acceptance: Capacitors shorted for ≥5 min for HT; springs released; no residual hazard
CEA Reg 41 — Stored energy
OK
NC
NA
HOLD
B. LOCK-OUT / TAG-OUT (LOTO)
B1Lock applied at isolator by each worker; multi-lock hasp used if multiple workers
Acceptance: One lock per worker; key held personally; multi-hasp for team work
Cl. 7 — LOTO
OK
NC
NA
HOLD
B2DANGER — DO NOT OPERATE tag with name, date, time, contact attached to isolator
Acceptance: Legible tag; laminated; weather-proof; signed by person applying
Cl. 7 — Tag-out
OK
NC
NA
HOLD
B3Try-out test done: operate start button / switch at controls — equipment does not start
Acceptance: Start attempt confirms dead; all control voltages off; logged in permit
Cl. 7 — Verification
OK
NC
NA
HOLD
C. DEAD TEST AND EARTHING
C1Voltage tester tested on known live source → tested on work section → tested live source again
Acceptance: Three-point test procedure followed; voltage <5 V on all phases to earth
CEA Reg 40 — Dead testing
OK
NC
NA
HOLD
C2Portable earths applied at work site (HT); visible earth connection to each phase
Acceptance: Earth leads rated for fault level; clamps tight; both ends visible to workers
CEA Reg 41 — Earthing
OK
NC
NA
HOLD
C3Work zone boundary marked; live conductors barricaded; warning signs posted
Acceptance: Live parts screened / barricaded; signs DANGER LIVE; work zone marked
Cl. 8 — Work zone
OK
NC
NA
HOLD
Showing 9 of 17 checkpoints ·
A. ISOLATION AND DISCONNECTION
A1Source isolator / breaker identified and opened; visible break confirmed where possible
CEA Reg 41 — Isolation (IS 14489)
Correct isolator identified from SLD; racked-out or open with visible air gap
OKNCNAHOLD
A2Secondary / backup sources identified and isolated (UPS, battery, backfeed, captive gen)
CEA Reg 41 — Multiple sources (IS 14489)
All sources listed; UPS output isolated; backfeed from bus-couplers verified off
OKNCNAHOLD
A3Stored energy discharged: capacitors, inductive loads bleed-off; stored mechanical energy released
CEA Reg 41 — Stored energy (IS 14489)
Capacitors shorted for ≥5 min for HT; springs released; no residual hazard
OKNCNAHOLD
B. LOCK-OUT / TAG-OUT (LOTO)
B1Lock applied at isolator by each worker; multi-lock hasp used if multiple workers
Cl. 7 — LOTO (IS 14489)
One lock per worker; key held personally; multi-hasp for team work
OKNCNAHOLD
B2DANGER — DO NOT OPERATE tag with name, date, time, contact attached to isolator
Cl. 7 — Tag-out (IS 14489)
Legible tag; laminated; weather-proof; signed by person applying
OKNCNAHOLD
B3Try-out test done: operate start button / switch at controls — equipment does not start
Cl. 7 — Verification (IS 14489)
Start attempt confirms dead; all control voltages off; logged in permit
OKNCNAHOLD
C. DEAD TEST AND EARTHING
C1Voltage tester tested on known live source → tested on work section → tested live source again
CEA Reg 40 — Dead testing (IS 14489)
Three-point test procedure followed; voltage <5 V on all phases to earth
OKNCNAHOLD
C2Portable earths applied at work site (HT); visible earth connection to each phase
CEA Reg 41 — Earthing (IS 14489)
Earth leads rated for fault level; clamps tight; both ends visible to workers
OKNCNAHOLD
C3Work zone boundary marked; live conductors barricaded; warning signs posted
Cl. 8 — Work zone (IS 14489)
Live parts screened / barricaded; signs DANGER LIVE; work zone marked
OKNCNAHOLD
Showing 9 of 17 ·
Inspection Sign-Off
APPROVED
APPROVED WITH CONDITIONS
REJECTED — NCR RAISED
Remarks
Name / Sign / Date
Inspected By
Name / Sign / Date
Reviewed By
Name / Sign / Date