PRIME CONTRACTING AND TRADING
HOT WORK PERMIT AND CHECKLIST
                                                    HOT WORK PERMIT                                                               DATE:
 ISSUING ORGANISATION                                          PRIME                    PERMIT NO.
 1.APPLICATION
 To be completed by the person responsible for carrying out the work
 Building /Site;                     QQ-Marina Beach House (V09 & V10). The Pearl Qatar
 Exact Location of Works                                     Site
 Nature of Hot Work to be undertaken                         Grinding                 Cutting                      Welding
 The above location has been examined and the precautions listed on the reverse side of this
 form have been complied with as indicated.
 SIGNED                               NAME (Block Capitals)
 DATE                                                         POSITION: WELDER
 2.ISSUE AND AGREEMENT
 To be completed by the Authorized Person
 Time of issue of Permit                Permit Expires Time:
 SIGNED                                                         NAME (Block Capitals)
 DATE/                                                          POSITION - SITE SUPERVISOR
 3.FIRE WATCH
 To be completed by the member of staff or contractor responsible for the work before returning this permit
 to the issuer.
 The work area and all adjacent areas to which sparks, and heat might have spread (such as floors below
 and above, and areas on other sides of walls) have been inspected and found to be free of fire following
 completion of the work. Final inspection to take place after completion of work
 Time of inspection
 SIGNED                                                       NAME (Block Capitals)
 DATE                                                         POSITION: FIRE WARDEN
 4. FINAL CANCELLATION
    I acknowledged receipt of the cancellation of this Permit. THE PERMIT IS NOW CANCELLED
    Name.............................................................................. Signed.......................................... Date…………...
HSE_PRI_FRM_015
                                      PRIME CONTRACTING AND TRADING
                                          HOT WORK PERMIT AND CHECKLIST
      HOT WORK PERMIT CHECKLIST
      The person carrying out the check should tick the appropriate boxes.
      Fire protection
      1.    A trained person not directly involved with the work will provide a continuous fire
            Watch during the period of hot work and for at least 30 minutes after it ceases, in
            The work area and those adjoining areas to which sparks, and heat may spread.
      2. At least two suitable extinguishers or hose reels are immediately available. Both The personnel
          undertaking the work and providing the fire watch are trained in their use.
      3.  Personnel involved with the work and providing the fire watch are familiar with the
      Means of escape and method of raising the alarm/calling the fire brigade
      PRECAUTIONS WITHIN TEN METERS OF THE WORK AREA
      4.    Combustible materials have been cleared from the area. Where materials cannot be
      removed, protection has been provided by non-combustible or purpose-made blankets, drapes or
      screens.
      5.    Flammable liquids have been removed from the area----------------------------------------------------
            6.                                                                                       Floo
            rs have been swept clean.
      7.    Combustible floors have been covered with overlapping sheets of non-combustible material
      or wetted and liberally covered with sand. All openings and gaps
      (Combustible floors or otherwise) are adequately covered.
      8.   Protection (non-combustible or purpose-made blankets, drapes or screens) has
      Been provided for:
        Walls, partitions and ceilings of combustible construction or surface finish
        All holes and other openings in walls, partitions/ceilings through which sparks could pass.
      9.     Combustible materials have been moved away from the far side of walls or
      Partitions where heat could be conducted, especially where this incorporates metal.
      10. Enclosed equipment (tanks, containers, dust collectors etc.) has been emptied.
      Moreover, tested, or is known to be free of flammable concentrations of vapor or dust.
      EQUIPMENT
      11. Equipment for hot work has been checked and found to be in good repair.
      12. Gas cylinders are sited at least 3 meters from the burner and have been properly.
      Secured in a vertical position and fitted with a regulator and flashback arrestor.
      13. Hazardous materials will be removed from the Hot Works location as soon as work is
          completed.
      14. Screening prevention in place for Grinding Sparks ejecting into other areas + preventing the
          risk of persons seeing Sparks of welding in progress.
HSE_PLC_FRM_015