Hot Work Permit
Can this job be avoided? Is there a safer alternative? Permit No.: __________________________
A Hot Work Permit is required for any non-production or maintenance operation involving cutting, welding, grinding, open flames
or producing heat and/or sparks that is not completed in a permanently designated hot work area. This includes, but is not limited to,
the use of any electric, oxy-acetylene, laser or similar welding or cutting equipment, grinders, gas torches or blow lamps (including
electric hot air blowers) for brazing, soldering, thawing pipes, torch applied flooring or roofing materials or removal of any materials.
The Permit must be displayed at the work site & returned upon completion of work. (See page 4 for additional information &
instructions on completing this Permit.)
CAUTION: Hot Work is not to be completed on any type of plastic or foam insulated construction material (refer to the Chubb Plastic
Foam Construction Material (PFCM) Permit). Special or High Hazard process or storage facilities may require additional precautions.
1. Application for Hot Work
Company performing work Dept
Person performing work
Phone (bus) Phone (mobile)
Location of work
Description of Work
Equipment to be Used
2. Permit duration (Maximum duration – 1 shift/12 hrs*)
Permit begins Date Time am/pm
Permit expires Date Time am/pm
3. Emergency information
If a fire occurs, call At phone
Activate nearest fire alarm at
4. Authorisation by company representative
Prior to authorising the work, the Permit Authorising Individual shall inspect the work area and confirm that the following precautions
have been taken. Each item is to be checked prior to commencement of the work. (Delete & initial if & where Not Applicable).
All applicable precautions are to be adhered to for the duration of the work.
General Precautions
In accordance with local health & safety requirements, perform Ensure hot work equipment is in good repair prior to and for the
a risk assessment to determine if there is a safer alternative to duration of the hot work operation.
performing the job without using hot work. Available sprinkler &/ Special permission obtained to conduct hot work on metal
or heat detectors, other fire suppression systems, hose streams vessels or piping lined with rubber, plastic, or any other
and extinguishers are in service and good repair. combustible material.
Smoke detectors isolated in work area (where installed) & Chubb Hot work not being performed in a hazardous/classified zone
Impairment Procedures followed. Note only the zone where the identified as having an explosive atmosphere, unless air samples
hot work is being carried out should be isolated for the period have been taken and the area is certified as being safe. Constant
whilst hot work is in progress. hazard assessment (monitoring) should be performed prior to
Work area adequately ventilated. and during the duration of the hot work service.
Have appropriate fire extinguishers available for use, and where Contractors and all hot work operators are aware of Company
practical small hoses, at worksite. Ensure the hot work operators Fire Safety Procedures.
and fire watch are trained in the use of the extinguishing All parties involved with the hot work are familiar with means of
equipment. escape and raising the fire alarm/calling the emergency services.
Page 1 of 6
Within Minimum 11 metres of the Hot Work Area
(this may need to be extended in some circumstances depending on risk assessment – e.g. where overhead hot work is undertaken)
Wet down combustible floors, or cover with damp sand or other Cover all wall, floor, and ceiling openings with non-combustible
non-combustible shield. drapes or screens.
Pits, trenches, etc. and surroundings inspected and cleared of Suspend fire resistant covers beneath work.
combustible materials, flammable liquids, gases or vapours. Move or cover combustible materials and equipment with fire-
Use certified ATEX rated and calibrated combustible gas resistive barriers.
detectors/meters to monitor potentially explosive atmospheres Protect personnel from electrical shock when floors are wet.
and do not perform Hot Work if quantities exceed recommended Shutdown or protect ducts and conveyors that might carry sparks
levels. to other areas.
Remove flammable liquids, volatile materials, dust, lint and oily
deposits.
Work on or Near Walls, Floors, Ceilings, and Enclosed Equipment
Move combustibles a minimum distance of 2m away from both Concealed and enclosed spaces with combustible materials or
sides of walls. linings are removed and/or protected.
Where Hot Work is being considered on or near composite Construction should ideally be non-combustible or covered with
panels/“sandwich panels”/Exterior Insulated Finishing Systems properly sized fire resistive barriers.
the type of insulation materials must be assessed as such Sweep floors clean of combustibles.
systems can incorporate combustible materials. If combustible Machinery and equipment is cleaned of combustible residue.
insulation is identified or suspected alternative methods must
Purge equipment (enclosed plant) of flammable and other
be adopted and no Hot Work carried out. If unable to determine
volatile vapors. Use certified ATEX rated and calibrated
the specification of insulation materials it must be assumed that
combustible gas detectors/meters to monitor potentially
combustible materials are present and alternative methods are
explosive atmospheres and do not perform Hot Work if quantities
adopted. Please also refer to Chubb Plastic Foam Construction
exceed recommended levels.
Material (PFCM) Permit.
Remove from service, isolate or vent pressurized vessels, piping
and equipment.
Fire Watch and Work Area Monitoring
Fire watch should be provided during Hot Work and at least 60 Fire watch may be required above, below and in adjacent areas
minutes after work is completed. from where the work takes place.
Train fire watch in use of hot work equipment and alarm systems. Extend fire watch beyond 60-minutes per Permit Authorising
Individual. Yes No
Final Work Area Check
Work area and all adjacent areas to which sparks and heat may Fire protection/detection systems have been fully reinstated.
have spread, including floors above and below, and areas on Waste materials such as welding rods have been removed and
either sides of walls, were inspected and found to be free of disposed of safely.
smouldering materials and flames.
Agreement by Hot Work Operator
I warrant that I am qualified to complete the work and to the best of my knowledge, my equipment is in good condition. I have read and agree
to the precautions specified above and will cease work if the precautions cannot be maintained or I am aware of an unsafe condition.
Hot Work Operator/Applicant
Signed
Date Time am/pm
Permit Authorisation
The work area has been inspected, the necessary precautions specified above have been taken and authorisation for this work is granted.
Permit Authorising Individual
Signed
Date Time am/pm
Page 2 of 6
5. Work completed & area safe
Fire Watch (Trained personnel)
The work was completed at Time: am/pm
The fire watch continued at least 60 minutes after the work was completed.
Fire watch was completed at Time: am/pm
The work and adjacent areas were inspected and found to be safe.
Name
Signed
Date
(Permit to be returned to the Permit Authorising Individual, or designate, on completion of the work)
Permit Authorising Individual (Final Check)
1. The work area and all adjacent areas to which sparks and heat may have spread, including floors above and below and other sides of walls,
were personally inspected between 60 minutes and 4 hours after the work was completed and found to be safe.
2. Fire protection/detection systems have been re-instated.
Name
Signed
Date Time am/pm
(Permit to be filed and retained for 12 months)
Page 3 of 6
Hot Work Policy
The Company has established a Hot Work Policy so that all hot work conducted outside permanently designated hot work areas
is authorised by a Hot Work Permit. Permits can only be issued by designated personnel (Permit Authorising Individuals) who
have completed and passed the Company’s Permit Issuers course. A register of Permit Issuers is to be maintained. Hot Work
procedures and completed Permits will be reviewed on a regular basis through an audit process.
Permit Procedure
1. Personnel needing to carry out hot work are to complete Section 1 (Application for Hot Work) of the Permit.
2. The Permit Authorising Individual is to inspect the work area and complete Sections 2–4 of the Permit. All applicable
precautions are to be adhered to without exception. Specific attention is drawn to the following points:
• Sprinkler/thermal systems are to be operational during hot work as a standard procedure.
• If fire protection/detection systems are isolated or operation is otherwise impaired, a Fire Protection Impairment Form
is to be raised and additional precautions taken as determined by the Permit Authorising Individual.
• A Permit can be issued for a maximum period of either one shift or 12 hours. (As determined by the Permit Authorising
Individual*)
• Hot Work, where possible, should be scheduled during planned shutdowns of hazardous operations.
3. Periodic checks of the work area to be completed by the Permit Authorising Individual (or designate) to ensure all
precautions are being maintained and the work is being done in a safe manner.
4. On completion of the hot work, the fire watch is to continue for at least 60 minutes, after which time a check of the work
area is to be carried out. The person responsible for the work is to complete the “Permit Authorisation” part of Section 4,
recording the time the work was completed and the time the inspection of the work area was completed. The Permit is then
to be signed and dated and returned to the Permit Authorising Individual (or designate).
5. The Permit Issuer (or designate) is to carry out a full check of the work area and all adjacent areas to which sparks and heat
may have spread, including floors above and below and other sides of walls between 60 minutes and 4 hours after the work
was completed. The Permit Authorising Individual (or designate) is to sign and date the ‘Final Check’ part of Section 5 and the
completed Permit placed on file for a minimum period of 12 months.
Hot Work Operator
1. Inspect all equipment to ensure it is in safe condition.
2. Obtain a “Hot Work Permit” from a Permit Authorising Individual prior to commencing hot work operations.
3. Display the “Hot Work Permit” at, or in close proximity to, the area where the hot work is being carried out.
4. Continually monitor and review the work site and cease hot work if unsafe conditions develop.
5. Know the procedure for sounding the alarm, and the location of the nearest telephone and fire alarm manual call point.
Fire Watch
1. Understand the hazards of the work site and the affect hot work has on them.
2. Ensure safe conditions are maintained during hot work operations. Cease hot work if unsafe conditions develop.
3. Ensure the fire fighting equipment is in good condition, in-date for service and readily available. Be trained in its use.
4. Check for fires in all areas and attempt to extinguish fires if it is safe to do so.
5. Know the procedure for sounding the alarm, and the location of the nearest telephone and fire alarm manual call point.
6. Maintain a fire watch during and for at least 60 minutes after completion of the hot work.
Page 4 of 6
Privacy Notice
If you are providing personal data to Chubb Insurance Malaysia Berhad (Chubb), please read the following:
The Protection of Your Personal Data is Important to Us
We, Chubb, are committed to protecting your personal data and respect the privacy of individuals and the use of their personal
data. We will deal with your personal data in compliance with the requirements of the Personal Data Protection Act 2010 (“PDPA”)
and ensure that any personal data we collect about you is treated with the appropriate degree of protection and confidentiality.
What Personal Data Do We Collect?
Depending on the purpose, we may collect personal data that includes but is not limited to your name, date of birth, NRIC number,
gender, family status, occupation, address including e-mail address, telephone number, financial details (including credit card or
other payment details), previous and current insurance experience, and information relating to your insurance requirements.
We may also collect sensitive personal data, such as details about your health or condition, if any and if necessary.
Why Do We Collect Personal Data?
We collect and process personal data for the purpose of processing your insurance application/proposal, provision of insurance
related products or services or any addition, alteration, variation, cancellation, renewal or reinstatement thereof, performing
statistical/actuarial research or data study, promoting products and services, and other related purposes (collectively, “Purpose”).
How Do We Collect Personal Data?
We will only collect personal data by lawful and fair means. We collect personal data from time to time, when you fill up
documents; liaise with us or our representatives; or give it to us or our representatives in person, over the telephone, through
websites or from third parties you have consented to.
Consequence of Not Providing Us Your Personal Data
Although you are not obliged to provide us with your personal data, we will not be able to process your application for insurance
cover or process your claim if you fail to provide all requested information.
Disclosure to Third Parties
Your Personal Data may be disclosed to any related company or any other company carrying on insurance or reinsurance
related business, an intermediary, a claims, investigation or other service provider and to any association, federation or similar
organisation of insurance companies that exists or is formed from time to time for the Purpose or to fulfil some legal or regulatory
function or is reasonably required in the interest of the insurance industry. In such instances, it will be done in compliance with the
PDPA.
We may also disclose your Personal Data where such disclosure is required under the law, court orders or pursuant to guidelines
issued by regulatory or other relevant authorities, if we reasonably believe that we have a lawful right to disclose your Personal
Data to any third party or that we would have had your consent for such disclosure if you had known of the same, and/or if the
disclosure is in the public interest.
Your personal data may also be transferred to our related companies and third party providers, which may be located outside
Malaysia for the Purpose. In the event that we use external service providers, specific security and confidentiality safeguards have
been put in place to ensure your privacy rights remain unaffected.
How to Access, Correct, Update or Limit the Processing of Your Personal Data with Chubb
You may make inquiries, complaints or request for access to or correction of your personal data or limit the processing of your
personal data at any time hereafter by submitting such request to us at:
Chubb Insurance Malaysia Berhad (9827-A)
Manager, Customer Service Unit
Wisma Chubb,
38 Jalan Sultan Ismail,
50250 Kuala Lumpur, Malaysia.
TF 1800-88-3226
E Inquiries.MY@chubb.com
Page 5 of 6
About Chubb in Malaysia
Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides
commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance
and life insurance to a diverse group of clients. As an underwriting company, we assess, assume and manage risk with insight
and discipline. We service and pay our claims fairly and promptly. The company is also defined by its extensive product and
service offerings, broad distribution capabilities, exceptional financial strength and local operations globally. Parent company
Chubb Limited is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index. Chubb maintains
executive offices in Zurich, New York, London and other locations, and employs approximately 31,000 people worldwide.
Chubb’s operation in Malaysia (Chubb Insurance Malaysia Berhad) provides a comprehensive range of general insurance
solutions for large corporates, small and medium-sized businesses, as well as individuals through a multitude of distribution
channels. With a strong underwriting culture, the company offers responsive service and market leadership built on financial
strength. Chubb in Malaysia has a network of 23 branches and more than 2,500 agents.
Notice
This form is furnished by Chubb as a matter of goodwill, and Chubb accepts no responsibility for the validity of this form.
Contact Us
Chubb Insurance Malaysia Berhad
(formerly known as ACE Jerneh Insurance Berhad) (9827-A)
(Licensed under the Financial Services Act 2013 and regulated by Bank Negara Malaysia)
Wisma Chubb
38 Jalan Sultan Ismail
50250 Kuala Lumpur
Malaysia
O +6 03 2058 3000
F +6 03 2058 3333
www.chubb.com/my
© 2017 Chubb. Chubb®, its respective logos, and Chubb. Insured.SM are protected trademarks of Chubb.
Published S26/04/17/V1 Page 6 of 6
