PERMIT TO CARRY OUT WORK AROUND UNDERGROUND ELECTRICAL CABLES	PF706

Building or maintenance work including driving of pegs, erection of street signs and poles, installation of new underground services or any penetration exceeding 300mm in areas around electrical cables is prohibited, unless a permit to work has been approved.

1.	Start date and time and planned completion date and time
	     	

2.	Name of the person that the permit is issued to
	     	
3.	Contact Telephone Number	     	
4.	Section / Company	     	
5.	Location of Work 	     	

6.	Provide details of the work:      

	
7.	Provide details of searches for services. Refer to onsite service locations, carry out onsite non-invasive testing or excavate with vacuum extraction. Service locations can be obtained from the P&F CAD Coordinator on 336 52222.
     

8.	Provide details of action taken to confirm information on site service locations.
     

9.	Has the location of the penetration been approved by the UQ project manager or project officer?      	
10.	Has a safe work method statement been produced for the work?      	
11.	Has the following been considered when working with live electrical conductors?
	Insulated gloves, digging with insulated hand tools, mats, safety observer.      	
12.	Have emergency procedures been considered? Any damage to the cable must result in the cessation of work and the project manager or supervisor must be notified.      	

  Permission granted to penetrate the ground near underground electrical cables UQ project manager, UQ project supervisor, UQ maintenance Manager, UQ Health and Safety Coordinator.

Signature:      						Date:	     				

Name:      ______________