电力第一种工作票单位______________________________ No. _______________1. 工作负责人（监护人）________________ 班组______________________2. 工作班组人员（不包括工作负责人）_________________________________________________________________________________________________________________________________________________________________________________________________共______人。3. 工作的线路或设备双重名称（多回路应注明双重称号）____________________________________________________________________________________________________________________________________________________________________________________________4. 工作任务工作地点或地段（注明分、支线路名称、线路的起止杆号）工作内容5. 计划工作时间自__________年__________月__________日__________时__________分至__________年__________月__________日__________时__________分6. 安全措施（必要时可附页绘图说明）6.1 应改为检修状态的线路间隔名称和应拉开的断路器（开关）、隔离开关（刀闸）、熔断器（保险）（包括分支线、客户线路和配合停电线路）_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________6.2 保留或邻近的带电线路、设备________________________________________________________________________________________________________________________________________________________________________________________________________________6.3 其他安全措施和注意事项：_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________6.4 应挂的接地线线路名称及杆号接地线编号工作票签发人签字__________________ __________年...
