Get Virginia Work Permit

This guide provides clear instructions on completing the Virginia Work Permit online. Whether you are new to this process or seeking a refresher, this step-by-step approach will assist you in successfully filling out the form.

Follow the steps to effectively complete the Virginia Work Permit online

1. Click ‘Get Form’ button to obtain the permit document and open it for completion.
2. Fill in the date of the request in the designated field.
3. Enter the Job or Work Order number in the appropriate section.
4. Indicate the start and expiration dates for the work permit, ensuring that you provide clear and accurate dates.
5. Provide the address of the work location, including any relevant details such as building name, floor, and room number.
6. Specify the Equipment ID, Circuit, or Panel associated with the work, making sure to list specific identifiers.
7. Describe the nature of the work to be performed in detail, providing sufficient context for reviewers.
8. Justify why the circuit or equipment cannot be turned off during the work described. If it is not applicable, note that as well.
9. In Part II, the electrically qualified person must fill in their information, including the voltage rating of the equipment.
10. Detail job procedures and safe work practices that will be implemented during the work to ensure safety.
11. Perform a Shock Hazard Analysis by numerically defining the limited and restricted approach boundaries.
12. Specify the necessary shock, personal, and other protective equipment to safely perform the assigned tasks.
13. Complete the arc flash assessment and list both the incident energy level and necessary arc flash PPE.
14. Document the means employed to restrict the access of unqualified persons from the work area.
15. Confirm that the Job Hazard Analysis has been completed, and attach it if required.
16. Check if a pre-job briefing has been conducted by a supervisor, recording their name.
17. Gather final approvals from relevant supervisors and qualified persons, ensuring they provide their names and contact details.
18. Once the work is complete, remember to scan and email the form to the designated contact.
19. Finally, retain the form for one year for future review.

Start completing your Virginia Work Permit online today for a smooth application process.