HV Electrical Access/Isolation Permit


All staff and contractors must use this form to gain authorisation prior to performing any works on or near HV electrical equipment or HV cables on ADG premises. This Permit is issued only for the occasion specified below. A signed copy of this Permit must remain on site during the works.


Note: registration is necessary before any work on ADG Leased Area is permitted.

*Please register your business with ADG before proceeding.  Please click here to register.


*Please complete the Working on Airport induction before proceeding with the application. 

Part 1 – Application Details
Part 2 – Description of Works
Clear drawing
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Part 3 – Conditions of Isolation

The following precautions have been taken:

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Note: The Conditions of Isolation from points of supply must remain unchanged during the currency of this Permit.
Part 4 – Acknowledgement of Electrical Worker in Charge of Works
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Part 5 – Authorisation to Work
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Part 6 – Commencement of Works
Name of All Recipients (Person in Charge)
Sign On (Date and Time)
Sign Off (Date and Time)


















Part 7 - Work Party Sign On and Off
Worker's Name                                                    
Sign On (Date and Time)  
Sign Off (Date and Time)






























Part 8 – Cancellation of Permit and Completion of Works
Responsible Person
For providing As-built or amendments drawings
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(Photo of the Commencement of Works and Work Party Sign on and off section)
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Part 9 - Cancellation of Permit from the ADG Authorised Person
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