State Electricity Board, Uttar Pradesh
(Hydro-electric unit)
Emergency work permit

Number .........................                     

Sub-station
Power house

Time ..............................
Date .........................., 196

Application for work

I (Name and Designation) ............................, have obtained permission from ................................................... (name and designation) by telephone-

Job description
............................................................................................................
............................................................................................................

Signature ........................................
Designation .........................................

Certificate for completion of work

I (name and designation), ............................, have informed ........................ ………..(name and designation) by telephone that the above mentioned work has been completed by me and that device is ready for energizing.

Signature ...........................
Designation .............................

Date .......................... 196.