Paradeep Phosphates limited

Application for temporary Electrical connection

Date:-
To

Sub:- Application for temporary Electrical connection.

Name of contractor:-

Work order no. :-

Name of contractor’s supervisor:-

Name of PPL Engineer supervising the job:-

Whether power is to be given on chargeable/ Non-chargeable basis.

Details of Power requirement:-

Location:-

Sl. No. & make of the machine:-

i.

ii.

iii.

iv.

Type of power with voltage:-

Maximum current:-

Appx. Time at which connection is required: -

Declaration by the contractor:-

I On behalf of M/S ______________________________________request

for power connection as above. I under take to abide by all necessary
safety precautions as per Indian Electricity Rules, Indian Electricity Act
& Factory Act etc.

Signature with seal of the contractor Signature of the Job I/C

Points to be checked before giving Electrical connection by Electrical.

i. General condition of the machine (OK/ Not OK)

ii. Isolating switch near the machine (OK/ Not OK)
iii. Earthing of the machine (OK/ Not OK)
iv. Fuse rating:-
v. Condition of Power cable & welding cable ( with socket):-

vi. IR value of the Equipment: -

vii. Condition of the Power socket & plug top (OK/ NotOK)

The above connection has been released w.e.f. ____________ AM/PM, on

dtd.____________________.

Signature of technician

Signature of Electrical Engineer