SHIMIZU - ULTICON - TAKENAKA JV
Davao City Bypass Construction Project (DCBCP),
Package I-1, Sta. 12+800 TO Sta. 23+500, Phase I
HOT WORK PERMIT
Prepared by Submitted by Approved by Noted By
LOCATION :
DATE OF WORK :
Site Engr. / Civil /
Site Manager Safety Officer PM/PD
M&E
BEFORE INITIATING HOT WORK, CAN THIS JOB BE AVOIDED? IS THERE A SAFER WAY?
This Hot Work Permit is required for any temporary operation involving open flames or producing heat and sparks. This includes, but is not limited to:
INSTRUCTIONS REQUIRED PRECAUTIONS CHECKLIST
1. Person doing Hot Work: Indicate time started and post permit at
Hot Work location. After Hot Work, indicate time completed and Available sprinkler, fire extinguisher and fire drums are in
service/operable.
leave permit posted for Fire Watch.
2. Fire Watch: Prior to leaving area, do final inspection sign, leave Hot Work equipment in good condition.
permit posted and notify Firesafety Supervisor. Requirements within 35FT (11M) of work
Flammable liquids, dust, lint and oily deposit removed.
3. Monitor: After 2 hours Firewatchman to do final inspection and Explosive atmosphere in area eliminaed.
return to Firesafety Supervisor. Is grounding of machine and safety ground connections of
Name of Person doing Hotwork: welding machine check?
Floors swept clean.
Hot work location:
Combustible floors wet down, covered with damp sand
or fire resistive sheets.
TIme Started: Time Done: Remove other combustibles where possible. Otherwise
I verify the above location has been examined, the precautions protect with approved welding pads, blankets, curtains, fire
resistive tarpaulins or metal shields.
checked on the Required Precautions checklist have been taken
All wall and floor coverings covered.
to prevent fire and permission is authorized for this work. Approved welding pads, blankets, and curtains, installed
under and around work.
Protect or shut down ducts and conveyors that might carry
sparks to distant combustibles.
The areas of hot works have barricade and signage.
Remarks in Hot Work Work on walls, ceiling or roofs
Construction is noncombustible and without combustible
Hot work areas have been checked and maintained to covering or insulation.
be clear from fire. Combustibles on other side of walls, ceilings or roofs are
moved away.
Work on enclosed equipment
__________________________________
Enclosed equipment cleaned of all combustibles.
FIRE WATCHMAN Container purged of flammable liquid/ vapors. Pressurized
vessels, piping and equipment removed from service,
isolated and vented.
FIRE WATCH/ HOT WORK AREA MONITORING
Fire watch will be provided during and for 60 minutes after
work, including any coffee or lunch break.
Fire watch is supplied with suitable fire extinguishers and
where practical, a harged small hose.
Fire watch is trained in use of equipment and sounding alarm.
Fire watch may be required in adjoining areas above and
below.
Hot Work Permit Expires: Monitoring Hot Work area for 2 hours after the job is completed.
Date _____________________
Other precautions taken:
Time ______________________________________________
NOTE: EMERGENCY NOTIFICATION ON BACK OF FORM. ______________________________________________
USE AS APPROPRIATE FOR YOUR FACILITY. ______________________________________________
ITEM DESCRIPTION YES NO N/A COMMENTS
Is there a Work Permit?
Is there an accomplished Job Safety Analysis/JSA?
Is
Arethere a sufficient
personnel number
involved of Fire Extinguishers?
knowledgeable/trained on how
tothe
Is operate the fire extinguisher/fire
assigned/designated alarm?
fire watchman
knowledgeable of the location of fire fighting equipment
Is there adequate ventilation?
Is there a fume extractor or inductor?
Is the hot work equipment properly inspected and with
appropriate tag?
Is the hot work equipment properly positioned?
Is there a receptacle for welding rod ends?
Does gas cylinder have flash back arrestors fitted?
Is there a leak test conducted for the gas cylinder?
Are gas cylinders placed inside a cylinder trolley?
Is the torch of the gas cylinder away of five (5) meters
from theagas
Is there bluecylinder?
sheet or fire blanket installed to isolate
the workplace?
Is the workplace properly prepared for the hot work?
Is the gas level within the acceptable limit?
Are all personnel involved wearing a complete set of
appropriate PPEs?
Is the area properly housekept?
FIRE WATCH SIGN OFF FINAL CHECK-UP
Work area and all adjacent areas to which sparks and Work area was monitored for 3 Hrs after Hotwork
heat might have spread were inspected during the Time
watch period and were found safe of fire. finished: Working Person Time Signature
After 30
Minutes: FireWatch Name Time Signature
_____________________________ After 1
Hour:
FIRE WATCHMAN Site Engineer Time Signature
After 2
Hours: Safety Officer Time Signature
Work area was monitored for HRS.following hot work
and found fire safe. (30min - 1st hr - 2nd hr - 3rd hr)
