SPHW-05
VASAVADATTA CEMENT-SEDAM
HOT WORK PERMIT Permit SR.No. HW/
Section: 1 To be filled by concerned Section Engineers / Officers
Permit Valid from …………….. To …………., if Contractor first line engineer or workmen changed then their signature should be incorporated in the format
Cont. First Line Engr/Sup. Sig.: Date: Time: Department:
Description of work
Location Contractor Name:
Action Taken by Contractor first line Engineer: Please write Yes or No in the box provided.
Sr.No. Safety Checks for compliance Yes/No NA Remark
1 Has the area just below the work spot been cleared from oil, graease , waste cotton , fine coal etc. removed?
2 Has obstruction been placed to stop propagation of spark?
3 Is the compressed gas cylinders securely placed?
4 Have you checked the condition of regulator, flashback arrester, hoses, cutting torch etc.?
5 Have you checked the condition of cables, welding M/c & earthing etc.?
6 Is fire extinguisher and water avalable at work site?
7 Checked availability of ventilation if hot work in confined area.
8 Have you taken confined space entry permit if hot work in confined area?
9 Risk Assessment is been carried out for the job
10 Risk assessment sheet is attached with the permit & displayed at site.
11 Have you taken PTW as per Isolation Matrix?
12 Area under and around is cordoned off.
13 Has all the safety precautions been explained to the workmen?
14 Other specified precautions
PTW Issuer Name Signature Date Time
Area incaharge (VC)
Concerned HOD/DGM
Section-2 : Acceptance To be completed by the person who will carry out the job. Then to be handed back to issuing person.
I have personally checked the specific job site and found it to be strictly in agreement with the requirements of the method
statement and risk assessment recmmendation. No work will be carried out other than the work authorised by this permit.
Signature: Date: Time:
This job will be supervised by (Name). …………………………………………………………………. (Contractor first line Engr/Sup)
Cross Above measures are cross checked and work can be continued Checked By Date Signature
Checking by Additional measures required, if any:
Safety
Engr(VC)
Day Extension / Transfer of permit
Date Signature Date Signature Date Signature Date Signature Date Signature
Contractor first
line
AreaEngineer.
incaharge
(Contractor)
First. Line Eng.
(VC)
Safety Personnel (Cont.)
Safety Personnel (VC)
Night Extension / Transfer of permit
Date Signature Date Signature Date Signature Date Signature Date Signature
Contractor first
line Engineer.
Area
incaharge
(Contractor)
First. Line Eng.
(VC)
Safety Personnel (Cont.)
Safety Personnel (VC)
To be completed by the job supervisor who supervise the work inside the confined area,after the work is
Section-3 : Completion finished.Then to be handed back issuing person.
Signature: Date: Time:
Section-4: Cancellation : I declare that this permit is now cancelled. No further hot work is allowed untill a new permit is issued.
Name Signature Date Time
Note : 1. This permit applies only to work in the location described. Any further hot work must have another permit issued for prescribed validity
2. This permit only applies to the person to whom it is issued. If work has to be continued by someone else, this permit must be returned to issuer for canellation and
another permit issued.
Copy : (1) Contractor first line Engineer (To be displayed at Work Spot) (2) Safety Officer, * Validity Period = (6+1) days Page 1 of 2
SPHW-05
Scope of Application and guidelines for Use
Purpose : This procedure describe the methodology for taking and releasing of written hot work permit .
Scope : This is applicable for hot work in flammable/combustible storage area i.e. DG set, oil tanks, Coal mill/yard, other coal circuit, bag godown etc.
Procedure 1: . All HOD's are responsible for the implmentation of this procedure in their area.
2. Contractor first line engineer under whose direct supervision the job is being carried out is responsible for obtaining
the permit from concerned Engineer.
3.Concerned Engineer, & HOD are authorized to issue the permit
4. Job executor will hand over the second copy of the permit to Safety Deptt. before starting the job
5.The Safety Officer/Concerned HOD shall cross check the permit at site
6. Concerned area in charge of contrator is responsible for obtaining the Electrical work Permit/Process clearance, if required.
7. PTW issuing authority must take all the necessary precautions and verify all the points at work site as mentioned on PTW form.
8. Both Issuer and Acceptor must sign the permit to indicate acceptance of Permit
9. Original copy of work permit to be displayed at working site.
10. Permit will be reviewed & signed on daily basis by Contractor first line Engineer and Issuing authority
11. Permit will become invalid if Job supervisor or workmen and/or both changed for the same activity,
then fresh permit should be taken before starting of the job.
12. One person from the working team should know how to use fire extinguisher.
13. Concerned Permit issuer will cancel the permit after reviewing the work site.
14. Contractor first line engineer will submit the permit in Safety deptt. after cancellation.
15. Retention period of cancelled permit is 7 days.
16.Daily attachment sheet shall be attached with the permit for day and night shift separately
Authority: HODs/Safety Officer can stop the work incase of adequate safety measures are not taken for safe job execution
REMARKS :
Safety Appliances WAH Trained
Sr.No. Name of Workmen Fullbody Safety Hand Signature
Ear plug Dust Mask Yes No
harness Shoe gloves
