Form Code :

HOT WORK PERMIT Revision Date :

Reference No:
This Hot Work Permit is required for any inspection involving open flames or producing heat and/ or
sparks and must be completed by a Competent Safety Officer/ Head and posted at the site.Hot Work
includes, but ics not limited to: Brazing, Torch Cutting, Grinding, Soldering, and Welding.
HOT WORK DONE BY Combustible floors wet down, covered
CONTRACTOR with damp sand or fire resistant sheet
DATE: NO: Remove other combustible where pos
Otherwise protect with fire-resistant
BUILDING NAME,BLDG #, ROOM #, LOCATION tarpaulins,screen or shields.
All wall and floor openings covered.
NATURE OF JOB Fire-resistant tarpaulins suspended be
elevated hot work.
Work on walls or ceilings/enclosed equip
NAME OF HOT WORK OPERATOR Construction is non-combustible and w
combustible covering or insulation.
I verify the above location has been examined, the precautions Combustible on other side of walls mo
checked on the Required Precautions Checklist have been away.
taken to prevent fire, and permission is authorized for work No danger exist by conduction of heat
NAME OF PROJECT ENGINEER /FOREMAN another room or area
Enclosed equipment cleaned of all
Contact # combustible
AM Containers purged of flammable liquid
PERMIT REQUEST DATE TIME
PM and vapors.
AM Fire watch/hot work area monitoring.
PERMIT EXPIRES DATE TIME
PM Fire watch will be provided during an
continuously for 30 minutes after wor
REQUIRED PRECAUTIONS CHECKLIST including during any work breaks.
Fire watch is supplied with suitable
Approved
Expiration Date extinguisher.
Fire watch is trained in use of this equ
Note: and in sounding alarm.
Fire watch may be required for adjoin
areas, above and below.
Available sprinklers,hose streams, and Hot work area inspected 30 minutes a
extinguisher are in the service/operable. job is completed.
Hot work equipment in good repair. Other Precaution Taken
Requirements within 35ft of work Confined space entry permit required
Flammable liquids, dust, lint and oil deposit Area is protected with smoke or heat
removed. detection.
Explosive atmosphere in area eliminated Ample ventilation to remove smoke/
Floors swept clean of combustibles from work area.
Combustible floors wet down Lockout/ tagout required.

Inspected by:________________________
Contractor's Safety Officer

Approved by: ________________________

ate :

No:

own, covered
esistant sheets.
ble where possible
re-resistant
ds.
gs covered.
uspended beneath

nclosed equipment
bustible and without
nsulation.
e of walls moved

uction of heat into

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mmable liquids

onitoring.
ed during and
utes after work,
k breaks.
th suitable

se of this equipment

red for adjoining

30 minutes after

rmit required
moke or heat

move smoke/ vapor