ANNEXURE - 1 REQUISITION FOR LINE CLEAR PERMIT Date // (dd/mm/yyyy) Time I Mr./Mrs.

---------------------- request Line Clear Permit on the following HT/EHT Line/Equipment. a. HV/EHV Apparatus/Line Identification b. Details of works to be carried out c. Estimated time required for completion Name and Signature .

(Requesting Safety Coordinator) Designation Date

(In charge of the Crew) . .

FOR USE IN SUBSTATION FROM WHERE LINE CLEAR PERMIT WILL BE ISSUED (a) Line Clear Permit issued: Yes/No (b) Number and Date of Issue (Code No.): (c) Time of Issue: (d) Date & Time of Return: (e) Remarks: See Check List LCP - F RECEIPT OF LCP I have received confirmation from .. (Name of Issuing Safety Coordinator) at . (Location) that the safety precautions have been established and the instructions will not be issued at his location for their removal until his LCP-E is cancelled. Name and Signature (Requesting Safety Coordinator) In charge of the Crew at .(Time) on (Date) (To be printed on the reverse of LCP-E: Checklist of Line Clear Permit)

CONDITIONS: (a) This permit is valid only for working in the Feeder/Equipment mentioned herein and not in any other Feeder/Equipment. (b) Only authorized persons are allowed to work on Feeders/Equipments for which the permit has been issued. (c) Works as per requisition only should be carried out. (d) Before touching any part of the Feeder/Equipment the same should be earthed at two points on either side through standard discharge rods connected with good Earths. Temporary Earths may only be removed after completion of all works and after all the men have come down from the Feeder/Equipment. (e) Work should be so planned that the Line Clear is returned before or at the time indicated. If unavoidable delay is anticipated advance information should be given to the location from where the Line Clear is issued. (f) Before return of the Line Clear, it should be ensured that all the men, materials, tools/tackles etc. on line have returned and reported that all temporary earths removed. There should also be a check on the material, Tools and Plant issued for the work to ensure that nothing is left behind on the Line or Equipment. (g) Only authorized persons should return Line Clear. (h) In case the Line Clear cannot be returned in person, the same may be returned to the Line Clear Issuing Authority over Telephone by naming the Code Words assigned and the telephone number which is used for naming the Code Words assigned. In case two or more different Code Words are issued to the two or more persons in whose favor the permit is given, those persons must jointly return the Line Clear by naming their own Code Words. The Line Clear Return will not be deemed to be accepted unless returned by all these persons. (i) The Line Clear issuing authority should go over the checklist of Line Clear Return before accepting it. (j) If Line Clear is returned over telephone, the Line Clear Return Form duly filled and signed should be sent to the Line Clear Issuing Authority by post immediately for record. (k) Control persons should keep all the required data of LCP issued & LCR received. He should monitor and keep specific note in log sheet when more than one LCP are issued on same line/ equip/bay along with code words.

ANNEXURE - 2 CHECK LIST FOR LINE CLEAR PERMIT AND LINE CLEAR PERMIT LCP-F Number. DatedTime.................. CHECK LIST OF THE LINE CLEAR PERMIT: (a) Name of location for which line clear is issued. (b) Reference and Authority requisitioning line clear: (Indicate original LCP-E number including suffix and prefix). (c) Identity of HV Apparatus. (d) Sources from which the Line/Equipment is charged. (e) No./name of Circuit Breaker/Isolating Switch open at each of above sources. (f) Whether confirmed that the Line is disconnected at both ends. (g) Whether line is Earthed at both ends. (h) Whether the Circuit Breaker truck removed in case of indoor switchgear controlling the Feeder/Equipment for which line clear is given. (i) Whether fuses of control supply voltage of the Circuit Breaker/Isolating Switches controlling the feeder/equipment for which line clear is given are removed and kept in safe custody. (j) Time of issue of Line Clear Permit and LCP-E No. (k) Name of requesting Safety Coordinator on whom LCP-E is issued. (l) Approximate Time for returning LCP-E as ascertained from the Requesting Coordinator. Name and Signature.. (Issuing Safety Coordinator) Designation. LINE CLEAR PERMIT LCP - F No. I Mr./Mrs ------------- (Issuing Safety Coordinator) do hereby issue permission to Mr/Mrs -------------- (Requesting Safety Coordinator) for carrying out works as per requisition No..date..Time ........ The EHV/ HV Line/equipment herein described are declared safe. The permission is subject to the conditions given in LCP-E. Name and Signature.. (Person issuing Line Clear Permit)

Designation.

ANNEXE 3 LINE CLEAR RETURN LCP - G Number. Date .Time.............. LCP-F No.. Dated. I Mr/Mrs --------------- hereby return the LCP no -----at time ------- for the following HT/EHT Line/Apparatus. I declare that all the crew who were sent on work have been withdrawn, temporary earth(s) removed, all repair tools and materials checked and the Feeders/Equipments mentioned below are safe to be energized. (a) HV/EHV Apparatus/Line Identification: (b) Safety Precaution no longer required: (c) Isolation [State locations and each point of Isolation indicating means by which Isolation was achieved.] (d) Earthing [State location at which Earthing was established and identify each point of Earthing means, which achieved Earthing.] (e) Details of work done CHECK LIST TO BE TICKED OFF: (a) Whether all men withdrawn: Yes (b) Whether all temporary Earth removed: Yes (c) Whether materials, Tools and Plant used in the work have been checked: Yes (d) Code Number (If used when Line Clear is returned over phone) ----------------Name and Signature. (Requesting Safety Coordinator) Designation In-charge of the Crew -----------------------(Designation) ******