Construction Energized Electrical Work Permit Form

Summary

Use this worksheet form to request an energized electrical work permit for a construction project.

The contractor safety representative, Harvard project manager, and building or facility manager must sign the form to authorize performing the work while electrically energized.

Permits assume isolating, locking, and tagging all hazardous energy sources is feasible and practical unless service continuity is essential to life and health.  

Who is this for?

• Building and operations management.
• Harvard construction project managers.
• Service contractors and vendors engaged in Harvard construction projects.