Free EEWP · Excel

Free Energized Electrical Work Permit Template

An EEWP covering the elements NFPA 70E 130.2(B) requires — justification, shock and arc flash risk assessment, boundaries, PPE, access control, job briefing, and approvals — with live checks and a justification guide. De-energize first.

  • Circuit / equipment, voltage, source, arc flash label + study date
  • Justification dropdown — flags schedule / cost / convenience
  • Shock assessment: boundaries, glove class vs. voltage, test date
  • Arc flash assessment: incident energy vs. PPE arc rating
  • Barricade distance, access control, and job briefing sign-in
  • Approvals + one PERMIT STATUS line that reads AUTHORIZED only when ready
  • Filled-in example + Energized Work Justification guide

Energized Electrical Work Permit

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Excel (.xlsx) · works in Excel, Google Sheets, Numbers

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01

EEWP

Blank permit: Part A requester, Part B qualified persons (work steps, shock and arc flash assessments, access control, briefing), Part C approvals, and close-out.

02

EEWP Example

The same permit filled in for a 480Y/277V critical-branch panel in an occupied ICU, so every check shows a result.

03

Energized Work Justification

Decision sequence, what is and isn't a justification, tasks that may not need a written permit, and the minimums before you start.

04

Instructions

How each part is filled out and who signs.

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Frequently asked questions

When is an energized electrical work permit required?

Under NFPA 70E 130.2(B), a written energized work permit is required when work is performed inside the restricted approach boundary or when an employee interacts with equipment where the conductors or circuit parts are not exposed but there is an increased likelihood of injury from an arc flash — in both cases, work permitted under 130.2(A) because an electrically safe work condition could not be established. The standard exempts certain tasks done by qualified persons with proper practices and PPE — such as testing, troubleshooting, and voltage measuring — from the written permit, though the risk assessments still apply. Check the edition your AHJ or contract adopts.

What has to be on an EEWP?

NFPA 70E 130.2(B) lists the elements. In plain terms: a description of the circuit and equipment and where it is; why the work has to be done energized; how the work will be done safely; the results of the shock risk assessment (voltage, approach boundaries, shock PPE); the results of the arc flash risk assessment (incident energy or PPE category, arc flash boundary, PPE); how unqualified people will be kept out; evidence of the job briefing; and the approval signatures. The template has a section for each.

What is a valid justification for energized work?

OSHA allows energized work only when de-energizing would create an additional or increased hazard — like interrupting life-support equipment, deactivating emergency alarms, or shutting down hazardous-location ventilation — or is infeasible because of equipment design or operational limits, such as testing that requires the circuit to be live (1910.333(a)(1) and its notes). Schedule, cost, and convenience are never justifications. The template flags them automatically.

Does this template calculate arc flash boundaries or PPE?

No. Boundaries, incident energy, and PPE come from your arc flash study and a qualified person applying NFPA 70E. The template records those results and checks for obvious mismatches — rubber glove class below system voltage (OSHA 1910.137 Table I-4), gloves past their 6-month retest, PPE arc rating below the incident energy, and a study more than 5 years old.

Who signs an energized work permit?

The requester, the qualified person(s) doing the work, and whoever your electrical safety program designates to approve — typically the electrical superintendent or manager, the safety manager, and often the owner or facility representative. The template lets you set how many approvals your program requires before the status reads AUTHORIZED.

Justify it, assess it, brief it, approve it — or de-energize

An energized electrical work permit documents why a circuit can't be put in an electrically safe work condition, what a qualified person found in the shock and arc flash risk assessments, how the area will be controlled, and who approved the work. If the justification can't survive being written down, the work gets done de-energized.

This free Excel template organizes the NFPA 70E 130.2(B) elements in its own layout and adds checks for under-rated gloves, out-of-test gloves, PPE rated below the incident energy, and invalid justifications. Plan the task first with an electrical JSA.

The permit is not a substitute for a qualified person's assessment or your arc flash study. Field PM keeps permits and JSAs on your crew's phones, signed at the panel and filed to the job.

Energized work is the exception — the permit proves it

Every electrician has heard some version of "just do it hot, we can't shut it down." Most of the time that isn't true — the outage is inconvenient, not impossible. The energized electrical work permit (EEWP) exists to make that decision visible: someone has to write down why the equipment can't be de-energized, a qualified person has to assess the shock and arc flash risk, and people with authority have to sign their names to it. If the justification can't survive being written down, the work gets done de-energized.

The free template above gives you a blank permit, a filled-in example, and an Energized Work Justification guidance tab. The permit organizes the elements NFPA 70E 130.2(B) requires (in our own layout and wording) and adds live checks that roll up into one PERMIT STATUS line — it won't read AUTHORIZED if the justification is schedule or cost, the gloves are under-rated or out of test, the PPE arc rating is below the incident energy, the qualified person says No, or the approvals aren't in.

Important: the permit records a decision. It does not make energized work safe, and it is not a substitute for a qualified person's shock and arc flash risk assessment or your arc flash study.

De-energize first: what the rules say

OSHA's construction rule, 29 CFR 1926.416(a)(1), doesn't allow employees to work close enough to contact an electric power circuit unless they're protected by de-energizing and grounding it, or by guarding it effectively with insulation or other means. The general-industry rule, 1910.333(a)(1), requires live parts to be de-energized before work unless de-energizing introduces additional or increased hazards or is infeasible because of equipment design or operational limitations — and its notes give examples of each.

NFPA 70E makes an electrically safe work condition the primary protective strategy (Article 120 covers establishing it: identify sources, open disconnects, lock out, test for absence of voltage, ground where needed). Section 130.2(A) limits energized work to the same kinds of justification, and 130.2(B) requires a written permit when the work is energized. Verify the section numbers and requirements against the edition adopted by your AHJ or required by your contract.

What the permit covers

Part A — the requester

  1. Circuit and equipment. Equipment ID, location, nominal voltage and system, what feeds it, drawing references, and whether a current arc flash label is on the equipment.
  2. Justification. A category from the dropdown and a specific explanation. "Greater hazard," "infeasible," and "diagnostic testing" are recorded; "schedule / cost / convenience" turns the status to NOT AUTHORIZED.

Part B — the qualified persons

  1. Work description and safe work practices, step by step, with the hazard and control at each step.
  2. Shock risk assessment. Voltage, limited and restricted approach boundaries (from the NFPA 70E 130.4 table for your voltage), rubber glove class and last test date, and other shock protection. The sheet checks glove class against voltage using the OSHA 1910.137 maximum-use voltages and flags gloves past the 6-month retest.
  3. Arc flash risk assessment. Method (incident energy analysis or PPE category method), working distance, incident energy, arc flash boundary, PPE category if used, and the arc rating of the PPE selected. The sheet flags PPE rated below the incident energy and studies older than 5 years.
  4. Keeping unqualified people out. The barricade distance is calculated as the greater of the arc flash boundary and limited approach boundary, plus a checklist for barricades, signs, attendant, and door control.
  5. Job briefing. Date, who led it, the topics covered, and signatures of everyone inside the boundaries.
  6. Qualified person's agreement that the work can be done safely as planned. A No stops the permit.

Part C — approvals

Up to four approval lines, with a cell for how many your program requires. Close-out records when work finished, that covers and dead-fronts were reinstalled, and any problems or near misses.

Writing a justification that holds up

A good justification is specific and checkable: "Panel CR-4B feeds ICU life-support receptacles in 12 occupied beds; the hospital cannot relocate patients or back-feed the branch; the owner reviewed an after-hours outage with patient transfer and rejected it in writing." A bad one is "customer won't allow a shutdown" or "it's only 277 volts."

Before accepting energized work, push on the alternatives: a planned outage on nights or a weekend, a temporary generator or back-feed, re-sequencing the work so the tie-in happens during an existing shutdown, or splitting the task so only the unavoidable part is done live. The Justification tab walks through the sequence and lists what is and isn't a valid reason.

Tasks that may not need a written permit

NFPA 70E 130.2(B)(3) exempts some tasks from the written permit when qualified persons do them using the required safe work practices and PPE — for example testing, troubleshooting, and voltage measuring; thermography and visual inspection that stay outside the restricted approach boundary; and access to areas with energized equipment where no electrical work is done. The risk assessments, PPE, and boundaries still apply, and many companies require a permit anyway. Picking "Diagnostic testing / troubleshooting" on the template records that note.

The example tab

The EEWP Example tab shows a completed permit for installing a breaker in a 480Y/277V critical-branch panel serving an occupied ICU — a legitimate greater-hazard case. Incident energy is 5.8 cal/cm² at 18 inches with an 8 cal/cm² PPE rating, Class 0 gloves tested within six months, barricade at 4.1 ft, three approvals. Change any value — pick Class 00 gloves, drop the arc rating to 4, or switch the justification to schedule — and watch the status change. The values are illustrative; your numbers come from your study and your qualified person.

Common EEWP mistakes

  • Permit as a formality. If the permit is always approved, it isn't a control. Track how many are requested versus approved.
  • No label, no study, "Category 2 should be fine." Without a study or a table-method case that fits the equipment, nobody knows the incident energy.
  • Out-of-test gloves. Rubber insulating gloves must be electrically retested at 6-month intervals once issued (1910.137 Table I-5) and air-tested before each day's use.
  • Barricade at the wrong distance. Unqualified people belong outside the larger of the arc flash and limited approach boundaries.
  • Briefing skipped because "we've done this a hundred times." That is exactly when the step that changed gets missed.
  • No emergency plan. Someone trained in release-from-contact and CPR/AED, and a known AED location, before the cover comes off.

Beyond the spreadsheet

A signed EEWP is only useful if you can find it. Field PM's safety module keeps permits, JSAs, and inspections on your crew's phones, signed at the panel and filed to the project; the form library keeps every crew on the same version. See how Field PM works for electrical contractors, or start a free 30-day trial.

Related templates and tools

This template is a field aid, not engineering or legal advice. NFPA 70E is cited by section and described in our own words — verify against the edition adopted by your AHJ. Boundaries, incident energy, and PPE must come from a qualified person's assessment and your arc flash study.

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