Effective Date: 30/4/2008

FM.DMS/OMP.01-5
Issue: 1
Revision: 3
Page 1 of 1
Approved By:
Managing Director

Application For Work

Form
Date: 03/04/2011

Request No: AASD70

Scheme No:

Location: Al Ain city

Contract No: G3923

Nature and extent of work to be done: Powering up of AMR modules inside the substation
Working Area (Feeder/PY/SS Effected): MT0003, MT0004, MT0005, MT0007, MT0012
Apparatus required for work:

Transformer

Switchgear

DC System

Others

OHL

Cable

Protection & Control System

Equipment Identification: LV incomer Transformer feeder #1 and #2Error! Bookmark

not defined.Error! Bookmark not defined.
Safety document to be issued:

Permit to Work

Primary Earths Required Yes

Sanction for Test

Limited Access Permit

at :. Risk of trip Yes

NO

No

Additional Earths Require Yes

Date and Time
of work

NO
at :.
From
To
Can the Apparatus be Restored Daily
Yes
No
Date
18/4/2011
Date 18/4/2011
Notice period required for re-energizing in case of Emergency

Time

8:00 hrs

Time

13:00 hrs

Work requested by (Competent Person) Mohmmed Hashim

Name: Mr Saeed Nasouri Date : 10/04 /2011 Signature :. .
Tel: 0557846551..

Fax: ..

Consultant :

Tel : ..

Name: Date :

Signature :

.Hrs.

Projects Division :
Name:

Date :

Signature :

Maintenance/OHL/Cable Section:
Name: Date : /
Testing & Protection Section :

Signature :

Name: Date :

Signature :

Field Operation Engineer (To Confirm Apparatus & Extent of Work, and determine Safety Doc. and Points of Isolation)
Name: .. Signature: Date: / /
Consumers affected > 3 min. Yes
No
Primary Earths at:

VIP affected

Yes

No ,If Yes confirm pre-approval and fax to PNSD-OSG

Points of Isolation at
Comments:
Operation Section Head :

This section to be filled by Distribution Management System Division

Work Approved : Yes

No

If consumer affected >3; inform CSD-CC

&LV
Name: : Signature : Date : Comments : ..

...

Operation Planning Section Head: MF No:

Network Control Section Comments: ..
Distribution Management System Admin. Fax: 03 -762 7944
Control Centre Section Fax. 03 7623439
Customer Services Division Call Centre Fax: 03 762 9949