PTW No.

002
工作許可證號碼
PERMIT TO WORK
Mabar Power Station 工作許可證 Key Safe No 013
儲匙箱號碼

1. Issue 發出
To 發給 Bob Lee of 所屬 Electrical Maintenance Section
Plant /Apparatus Identification 裝置識別

(KKS) Station Transformer No. 1

Work to be Done 工作內容
Routine maintenance

2. Isolation And Earthing 隔離及接地

(i)The points of Isolation are 隔離點:

Station Transformer No. 1 (1) (KKS) Incomer SS1 and (2) (KKS) Outgoing Switch SS2 locked open with the
open/close fuses removed. All points of isolation cautioned.

(ii) Earthing: * Circuit Main Earths have been applied at 接地*電路主接地已在下列各點連接:

Station Transformer No. 1 Earth Switches (1) (KKS) (SE1) and (2) (KKS) (SE2) closed to earth.
3 (PE1, PE2, PE3) Additional Earths (Nos.) * 已發出附加接地線數目* 33 P3 3 have been Issued.
Caution Notices have been applied at All Points of Isolation and Circuit Main Earths.
已在所有隔離點和電路主接地點附上小心標誌。

3.Additional Precautions: State additional precautions taken to achieve and maintain safe working
conditions, these shall include DRAINING, VENTING, PURGING AND CONTAINMENT OR
DISSIPATION OF STORED ENERGY:
附加安全措施: 列出所採取的附加安全措施，以達到和維持安全的工作環境，包括排放、排氣、吹掃和抑
制或釋放儲存能量： Nil

Supplementary Sheet issued? 已發附頁？□Yes 是 □No 否

Other Associated Permit Nos. 其他有關工作許可證號碼: Nil

4. Declaration 聲明
I certify that the precautions stated in Sections 2 (where applicable) and Section 3 of this certificate are adequate to
provide Safety from the System in respect of the work detailed in Section 1.
本人證實載於本許可證第 2(如適用)第 3 項的安全措施已足夠從系統中提供安全，以進行列於第 1 項的工作。
Signed 簽署: Alex Lo being a Senior Authorised Person 為高級被授權人員
Time 時間: 0830 hrs Date 日期: 8/6/2015

5. Issue 發出 I hereby issue this PTW in person to the recipient below.

本人將此許可證發給下述人員。
Signed 簽署: Alex Lo being a Senior Authorised Person 為高級被授權人員
Time 時間: 0831 hrs Date 日期: 8/6/2015

6.Receipt 接受 I understand and accept my responsibilities under this certificate.

本人明白和接受載於本許可證的責任。

Signed 簽署: Bob Lee being a Competent Person 為幹練人員

Time 時間: 0831 hrs Date 日期: 8/6/2015

7. Clearance 撤離 I certify that all persons working under this certificate 本人證實在本許可證下工作的所有人員

(i) have been withdrawn from, and warned not to work on, the Plant or Apparatus detailed in Section 1. All
Additional Earths, if applied, have been removed.
(ii) all tools and equipment have been removed, guards and access doors replaced with the following exception.
下列除外，所有工具和設備已移走，圍欄和通道門亦已恢復原狀。
Exception 例外: Nil

Signed 簽署: Bob Lee

Time 時間: 1630 hrs Date 日期: 8/6/2015
-------------------------------------------------------------------------------------------------------------------------------------------
8. Cancellation 注销

i) I confirm that I have checked in No(s)* 3 (PE1, PE2, PE3) Additional Earths.
本人確認已點收附加接地線數目*
ii) I confirm that:
本人確認：
this Permit to Work and all copies are cancelled. Supplementary Sheet returned? □Yes 是
註銷本證及所有已收回附頁？ □N/A 不適用

Signed 簽署: Alex Lo being a Senior Authorised Person 為高級被授權人員

Time 時間: 1630 hrs Date 日期: 8/6/2015

* Enter N/A if not applicable 如不適用，填寫「不適用」

□ Select the appropriate box 選擇合適的方格