Hot Work PRE-TASK and POST Inspection Checklist
动火作业检查表
Hot work permit no:（作业票号）
Specific Location:（具体位置）
Please put √ or N/A (Not applicable) on appropriate box 在表中“√”（N/A不涉及）
PRE-TASK INSPECTION 作业前检查 DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7
Date: Date: Date: Date: Date: Date: Date:
√ N/A √ N/A √ N/A √ N/A √ N/A √ N/A √ N/A
A. Work Area动火区
No Flammable or combustible materials present.
a.1
不存在易燃可燃材料 。
Flammable or combustiable materials must be removed or 9
a.2 meters away from the hot work activity
易燃材料必须清除或远离动火区 9米以上。
Area is clear,not congested of any materials that will
a.3 cause smoldering undetected & obstruction at access way
区域彻底清除，没有未发现的可燃物或通道阻塞 。
Fire extinguisher&other fire fighting equipment (fire bucket,water,etc)is
a.4
in place灭火器及其他灭火设备 (消防水桶、水等)已就位
Hot work activity is properly covered with fire blanket to contain
a.5
hot slug & splinters动火作业使用防火毯覆盖 ，包含所有飞溅物 。
Proper working platform & access are provided
a.6
提供适当的工作平台和通道
a.7 Barricade the area,if necessary 如需要，设警戒防护栏
B.Welding Machine (if any)电焊作业（如涉及）
Inspected with current month inspection sticker
b.1
有当月有效检查标签
Cables are free from cuts or insulation damage,no splice and color coded
b.2
电缆无绝缘损坏 ，无绞接，有色标。
b.3 Electrode handle is properly insulated 焊把线正确绝缘
b.4 Welding equipment connected to the earth grounding焊机接地
b.5 Fire extinguisher 已配备灭火器
C.Oxy-Acytelene cylinders(if any) 氧气乙炔瓶（如涉及）
c.1 Free of any physical damage 外表无磕碰损坏
Provided cylinder valve cap and fitted snugly when not in use
c.2
不使用时安装气瓶帽
Stored in upright position and secured w/chain strap on the cart trolley
c.3
垂直放置并用链条固定
Pressure regulator/gauges are operational and in good condition
c.4
调节阀可操作使用正常
c.5 Soap liquid for leak test 配备防漏肥皂液
D.Gas hoses and cutting torch 燃气软管和割把
d.1 Hose is free of any physical defects or leak软管无任何缺陷泄漏
Hose is equipped w/flash back arrestor on the regulator side & flow check
d.2 valve on the torch side软管在调整器侧装有止回阀 ，割把侧装有流量
止回阀。
Hose is free of splice (modified tube & GI wire not acceptable.)
d.3
软管不带接头(改装后的管子、用铁丝绑扎的不可用 )
d.4 Torch adjusting knobs are all operational 割把调整可用
d.5 Equipment with friction lighter带摩擦打火设备
Appropriate wrench is available at acetylene cylinder valve.
d.6
乙炔汽缸阀，有合适的扳手。
E.Hot work permit 动火作业票
e.1 With current,approved hot work permit available 有批准作业票
e.2 Trained fire watcher is present 已培训监火员在场
e.3 pre job tbt conducted by supervisor 管理人组织作业前 TBT
Assigned fire watcher 指定监火员
(Print name and signature)签字
Note:Fire watcher must be…
Name
Name
Name
Name
Name
Name
Name
signature
signature
signature
signature
signature
signature
signature
*Trained and competend for the job (with valid ID) *Wearing
reflective orange vest注：监火员（有有效ID）必须是已培训可
胜任的*穿着橙色反光马夹的
Work area preparation inspected by FM/SUPV
由班长或管理人员检查工作区域的准备情况
(Print name and signature)签字
Note:FM/SUPV should ensure that the fire blanket is
sufficiently
provided on hot work activity,fire extinguisher is in place
Name
Name
Name
Name
Name
Name
Name
signature
signature
signature
signature
signature
signature
signature
and no flammable material is present注：由班长或管理人员确
保防火毯足够 ，灭火器已就位，无可燃易燃物质 。
Conformed by area safety representative 区域安全员确认
(Print Name and signature)签字
Note: HSE Representative to stop the hot work activity if
Name
Name
Name
Name
Name
Name
Name
signature
signature
signature
signature
signature
signature
signature
any of the safety provision mentioned above is not
completed 安全员发现以上安全措施未完成应停止作业
