Energized Work Permit Generator (NFPA 70E) Skip to main content
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Energized Electrical Work Permit Template

Build a printable permit form with shock, arc flash, justification, checklist, and approval fields

Free energized work permit template for safety managers, electrical supervisors, and contractors who need a structured form for documenting energized-work review. The app captures job location, equipment identification, work description, energized-work justification, shock and arc flash values, required PPE field, safety procedures, access controls, job briefing notes, checklist items, and approval signature lines.

Treat the output as a documentation template only. It does not decide whether energized work is justified, verify NFPA 70E compliance, perform a full IEEE 1584 arc flash study, validate shock approach boundaries, select PPE, satisfy OSHA duties, or replace the employer electrical safety program and qualified-person review.

Pro Tip: Use this template with values from the current electrical safety program, equipment labels, approved incident-energy study, current NFPA 70E review, and qualified person. Auto helpers are field-reference screens only and should not be used to authorize energized work.

Calculate incident energy and PPE requirements to fill in the permit

Arc Flash Incident Energy Calculator →

Screen shock boundary prompts before qualified review

Shock Approach Boundary Calculator →

Look up PPE category from the table method

PPE Category Table Method →

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Energized Work Permit Template
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How It Works

  1. Enter Job Information

    Fill in facility name, job location, equipment identification, and a description of the work to be performed.

  2. Document Justification

    Enter the justification supplied by the qualified person or employer electrical safety program. The app does not decide whether energized work is allowed.

  3. Enter Hazard Analysis Results

    Enter shock approach boundaries, incident energy, PPE field, and arc flash boundary from the approved study, equipment label, current NFPA 70E review, or qualified-person determination.

  4. Review Safety Checklist

    Use the checklist as a prompt for PPE, barricades, access control, job briefing, diagrams, and LOTO or adjacent-equipment review. Employer procedures control the actual required items.

  5. Export and Review

    Export the template to PDF for review, signatures, and filing under the employer program. A generated PDF is not authorization by itself.

Frequently Asked Questions

The permit requirement depends on the current NFPA 70E edition, adopted employer program, task, exposed energized conductors or circuit parts, exemptions, and whether an electrically safe work condition can be established. Use current source text and qualified review rather than this template alone.
No. The permit documents values from a hazard analysis or approved study. The local auto helpers are rough screens only and do not replace IEEE 1584 analysis, equipment labels, current NFPA 70E tables, or qualified electrical engineering review.
Signature requirements come from the employer electrical safety program, facility procedures, contracts, and applicable standards. The app provides blank lines only; it does not determine who is qualified or who has authority to approve energized work.
Disclaimer: This tool generates a documentation template only. It does not authorize energized work, determine compliance with NFPA 70E or OSHA, perform a full IEEE 1584 arc flash study, validate approach boundaries, select PPE, verify worker qualification, or replace the employer electrical safety program. Always verify incident energy values, approach boundaries, PPE, justification, procedures, signatures, and retention requirements with a qualified person and current source material before work begins.

Learn More

Safety

Shock Approach Boundaries: Who Can Cross Which Line

NFPA 70E shock approach boundaries for AC and DC systems. Limited, restricted, and prohibited distances, who needs what training, and what PPE is required at each boundary.

Read Guide →
Safety

Energized Electrical Work Permits: When You Need One and How to Fill It Out

NFPA 70E 130.2(B) energized electrical work permit requirements. When energized work is justified, what goes on the form, and the approval process.

Read Guide →

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