Document No. IMSP -10.3\6.1.
Revision No. 00
Section INTEGRATED MANAGEMENT SYSTEM Effective Date 01/01/2022
Subject HOT WORK PERMIT Page No. Page 1 of 4
Note: This Hot Work Permit covers all activities, however, if the activities are carried out
under confined conditions eg in a workshop as part of business as usual operations the
requirement for a permit is waived but the principles of risk mitigation covered in
Sections 3-5 should be followed and included in a Standard Operation Procedures (SOP)
document.
Overview
'Hot work' means any work which will be carried out near flammable or explosive material and
which creates a significant risk of igniting that material, such as welding carried out near a fuel
tank. Hot work is any process involving grinding, welding, brazing, oxy cutting, heat treatment
or any other similar process that generates heat or continuous streams of sparks. A number of
International Standards provide that a person should hold a hot work permit in order to carry
out such work.
This permit should be completed by the authorised person prior to all hot work.
Section 1 – Details of Applicant and Authorised Person
Name of Applicant:
Permit number: (use this box for permit numbering system) #
Name of Authorised Person:
Section 2 – Details of Hot Work
Issue date: Issue time: Hot work location (incl. floor, building name etc.)
Valid for _____ hours/days*
*if multiple days work, every day Section 4,5,6,7,8
must be reviewed to ensure no changes.
Description of work required:
Section 3 – Hot Work Activities
Details of work being conducted (please tick)
□ Welding – Oxy, Arc, Mig, Tig etc □ Brazing or soldering
□ Hot Cutting – Oxy, Plasma etc □ Electric power tools (ignition source) near
combustibles
□ Grinding □ Heating
□ Other heat or spark producing activity. Details:
Section 4 – Hot Work Controls
These Controls are to be implemented before starting hot work
FIRE PROTECTION
Fixed equipment operational Yes / No
Fire hose supplied (if required) Yes / No
Document No. IMSP -10.3\6.1.
Revision No. 00
Section INTEGRATED MANAGEMENT SYSTEM Effective Date 01/01/2022
Subject HOT WORK PERMIT Page No. Page 2 of 4
Correct class fire extinguisher available Yes / No
Automatic fire protection Yes / No
(detectors/sprinklers etc) isolated
If fire protection systems isolated, a Yes / No
Fire Protection System Impairment Permit
has been completed
Safety observer appointed Yes / No
Workers and observer aware of fire alarm Yes / No
and phone facilities available at location
SAFETY PRECAUTIONS FOR OTHER SITE USERS
Access to area restricted (warning signs, Yes / No
area taped off etc.)
Access to area prevented (barricaded, Yes / No
taped off etc.)
Warning signs in place Yes / No
Equipment protected in adjacent areas (incl. Yes / No
below and above)
Protective screens in place Yes / No
Safety Observer appointed Yes / No
Effective communication (2-way radio, Yes / No
phone etc.) in place
Correct PPE in use Yes / No
Section 5 – Reducing the Fire Risk
Surrounding and adjacent area cleared of Yes / No
combustible materials
Clear area of oil or flammable liquid spills Yes / No
Extension leads and tools clear or Yes / No
protected
Prevailing conditions (i.e. weather, Yes / No
ambient temperatures etc.) considered
Adequate ventilation available Yes / No
Safe entry and egress provided Yes / No
Section 6 – Atmospheric Testing
Is atmospheric testing required? Yes / No
Is continual monitoring required? Yes / No
Detector type: Detector serial number:
Next calibration due date:
Test date: Test time:
Test result (<5% LEL required)
Document No. IMSP -10.3\6.1.
Revision No. 00
Section INTEGRATED MANAGEMENT SYSTEM Effective Date 01/01/2022
Subject HOT WORK PERMIT Page No. Page 3 of 4
Testing Officer: ___________________________________
Signature: _______________________________________
Document No. IMSP -10.3\6.1.
Revision No. 00
Section INTEGRATED MANAGEMENT SYSTEM Effective Date 01/01/2022
Subject HOT WORK PERMIT Page No. Page 4 of 4
Section 7 – Issue of Hot Work Permit
The above prescribed hot works will be conducted is safe and all control measures required are in
place and sufficient. During the hot works, if there are any safety concerns, cease all hot
works.
Name of authorising officer Name of person carrying out Name of safety observer
_________________________ work _________________________
_ _________________________ _
_
Signature Signature
Signature
_________________________ _________________________
_ _________________________ _
_
Safety Observer onsite Yes The fire watch will be implemented for ______ (time) after the
completion of work (Minimum of one hour)
Section 8 – Safety Observer Handover
Should the safety observer need to be relieved the following is to be completed
Relieving safety officer
I accept responsibility for maintaining the safety observer and fire watch duties (if applicable) from:
Date: _________________________ Time: _________ for ________ hours or until __________
time
Name: ___________________________________ Signature:
_______________________________
First safety observer
I hand over responsibility for the safety observer duties to:
__________________________________
Date: _____________________ Time: __________ Signature:
_____________________________
+++Section 9 – Sign Off of Hot Work Permit on Completion of Work
All hot work connected with this permit is now complete? Yes / No
All specific control measures have been removed? Yes / No
All fire detection and alarm systems have been restored to normal operation? Yes / No
A complete inspection of the area has been conducted and no hazards Yes / No
connected with the hot work exist?
The fire watch has been completed for the prescribed period? Yes / No
Signature (person carrying out work) Signature (authorising officer)
________________________________ ________________________________
