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Work Authorization Form

Work authorization form is filled by a person who wants to authorize another person for some work. Work authorization form is a type of employment form. This is used to authorize someone for a new project. Work authorization form can be addressed to whoever it may concern. The individual can be a student, a minor or an alien who is seeking for paid employment in the state of country. Here I am providing you with a sample work authorization form. This form is absolutely free, don’t hesitate to use it. This work authorization form will definitely help you to design your own work authorization form.

Work Authorization Form

1.  USS

 

2.  SYSTEM

 

3.  WAF NO.

 

4.  JSN 5.  DIVISION/LWC/RA
7.  JOB DESCRIPTION

 

6.  TECHNICAL WORK DOCUMENT
 
PREPARATION FOR WORK
8.  POST WORK TESTING AS SPECIFIED:  ( )BELOW     ( ) IN THE TWD      ( ) NO TEST REQD      ( ) FORMAL TEST PROGRAM
9.  RESTRICTIONS/PRECAUTIONS/REMARKS
10.  DIVISION/REPAIR ACTIVITY READY TO COMMENCE WORK.
LPO/DIV OFF /RA __________________________________________________________________________ DATE___________________

AUTHORIZATION TO WORK

11.  SAFETY OF SHIP (Submarine Only): ( ) YES   ( ) NO

RA SSO (if SPOD used) or QUALIFIED WATCH/DUTY OFFICER (if SOSMIL used)

____________    ________________________________________ DATE ____________________

12.  CONCURRENCES:

_______________________ DATE _______        _________________________ DATE _______       _________________________ DATE _______

 

13.  TAGOUT REQUIRED:   ( ) YES    ( ) NO

SYSTEM/COMPONENT IS LINED UP FOR WORK, A TAGOUT IS HUNG, VERIFIED AND SIGNED BY THE REPAIR ACTIVITY (IF REQUIRED) AND SHIP.

 

                TAGOUT NO.____________________________

________________________________________________

WATCH/DUTY OFFICER                                 DATE

14.  PLANT/SHIP CONDITIONS (E.G., DRAINED, DE-PRESSURIZED,
DE-ENERGIZED) SET.  DIVISION/RA IS AUTHORIZED TO START WORK.
________________________________________________

WATCH/DUTY OFFICER                                 DATE

________________________________________________

REPAIR ACTIVITY                                           DATE

NOTIFICATION OF WORK COMPLETION

15.  RESTRICTIONS/PRECAUTIONS/REMARKS

 

16.  WORK IS COMPLETE

LPO/DIV OFF or RA _________________________DATE __________

17.  TESTING IS COMPLETE

WATCH/DUTY OFF or RA _________________DATE__________

18.  WAF CLOSED OUT

RA_____________________________DATE___________  WATCH/DUTY OFF __________________________________DATE_______________

( )  CHECK IF CONTINUED ON ANOTHER SHEET

Sheet _____

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