Hot Work Permit
13-06-2016 No.:
Contractor (company or department):................................................................................................................................................................
Location (company, building, storey, room):.......................................................................................................................................................
Blowtorch Cutting / Welding Grinding Brazing Shrinking/Hot-bonding Roof work .......................................................
Work order:........................................................................................... to be carried out by:............................................................................
Beginning of work:...................................... Planned end:.................................... Actual end:..........................................................................
Maximum validity: 1 shift
Emergency number: Nearest phone / push-button alarm:
Measures to be taken prior to beginning with the work
Topic Action Req.* Compl.**
Define the hazardous area, cordon off the area (radius at least 10 m, secure steel grating floors below)
Safety instructions by the supervisor
Remove any inflammable substances (gases, liquids, solids)
Work area or cover with non-combustible panels, mats
Wash/clean pipes/containers/appliances
Cover/close openings, cracks, joints
Inspect safety of work equipment
Provision of extin- CO2 Dry powder Foam Water extinguisher
guishing agents Wall hydrant, pressurised hose in work area
1. Supervisor 2. Executing contractor 3. Fire watch
If fire alarm systems are shut down, inform / coordinate with fire brigade
Plant technology
Specify alternative measures!
Fire watch Instructions for fire watch
Other
Measures to be taken during the work
Topic Action Req.* Compl.**
Fire watch Continuous inspection of the hazardous area (also during work breaks)
Person who carries out the work must secure the work equipment (close valves on gas cylinders, isolate
Interruption
electrical equipment)
Measures to be taken after completion of the work
Topic Action Req.* Compl.**
Remove all work equipment from the area
Work area
Remove all covers with due care and attention
Reconnect automatic fire alarm system
Fire alarm system
Inform fire brigade
Inspection for up to 30 minutes after completion of the work (fire extinguishers at the workplace)
Supervision of the
Checks every ½ hour for up to 4 hours (fire extinguishers at the workplace)
work area
Mobile fire alarm system
Completion Remove barricade
(after the Remove fire extinguishers and take them back to their correct location
supervision) Record any incidents, if applicable
Release of the work
Parties Action Name Date/ Signature
involved (in print) time
Supervisor Above listed measures are appropriate to cover any hazards that might occur
The work may only be started once all required fire protection measures
Executing have been implemented and the fire watch is present
contractor
Knowledge of the listed measures
Fire watch Has taken note of the listed measures
Transfer of the workplace following completion of the work
Parties Action Name Date/ Signature
involved (in print) time
Executing Execution of the listed measures
contractor
Fire watch Execution of the listed measures
403-HRC316 201603
Supervisor Execution of the listed measures and reconnection of fire alarm system
*Required ** Completed
Further explanations and examples of protection measures are listed in the HDI “Hot Works” Risk Engineering Guideline.
HDI Risk Consulting GmbH π HDI-Platz 1 π 30659 Hannover π www.hdi.global
