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Hot Work Permit

The document is a Hot Work Permit for L&T Technology Services detailing the work description, hazards, and required precautions for a specific job. It includes sections for permit issuance, acceptance, closure, and extension, along with a checklist for safety measures. The permit requires signatures from the requestor, acceptor, and authoriser to ensure compliance with safety protocols.

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diwakar.bhatt2
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55 views2 pages

Hot Work Permit

The document is a Hot Work Permit for L&T Technology Services detailing the work description, hazards, and required precautions for a specific job. It includes sections for permit issuance, acceptance, closure, and extension, along with a checklist for safety measures. The permit requires signatures from the requestor, acceptor, and authoriser to ensure compliance with safety protocols.

Uploaded by

diwakar.bhatt2
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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L&T Technology Services

AGRISTO_BIJNOR-UDAAN
D0751401-V-CE-00-HS-FOR-
Hot Work Permit D0751401
027
Name of Contractor: Permit No:
Job No: Date:
Work Description: Location :
I. WORK PERMIT DESCRIPTION
Time Start: Time End:

II. HAZARDS AND PRECAUTIONS


Hazards PPE CHECKSHEET (Yes/No/NA)
Explosives Helmet 1.Ensure Gas Cylinder is kept in trolley?
Flammables Safety shoe 2.Is flashback arrestor provided for gas cylinders ?
Compressed Gas Gloves - Leather 3.Hose for cylinder in good condition?
Hot Materials Goggles 4.Does experienced person handling the job?
Fume / Dust Faceshield 5. Insulation set for welding set in good condition ?
High / Low pressure Others 6.are they using industrial plug top ?
Overhead Danger 7.Circuit breaker in working condition?
Moving Machine Others precuations 8. Emergency procedure explained to all?
Autostart Equipment LEL List 9.Is Fire extinguisher kept near working area?
Inadequate Ventilation Fire fighting Equipments 10. Any other flammable material kept near hot work?
Combustible Materials Welding set Earthing 11. Is ambulance readily available?
Others Proper Ventilation Special Precautions
NRV in cutting set

III. PERMIT ISSUE AND ACCEPTANCE


Permit Requestor
I understand the workscope, Hazards, Precautions to be taken and ensure compliance

Name Sign Date: Time:

Permit Acceptor
I understand the workscope, Hazards, Precautions to be taken and ensure compliance

Name Sign Date: Time:

Permit Authoriser
I have reviewed the workscope, Hazards and precautions and authorise for proceeding the work

Name Sign Date: Time:

IV PERMIT CLOSURE
Permit Requestor
The job described in this permit has been completed, all safety devices put back, area cleared and person on
the job withdrawn

Name Sign Date: Time:

Permit Authoriser

I have reviewed the worksite, satisfied and accept for closing this permit

Name Sign Date: Time:


V PERMIT EXTENSION
Permit Requestor
I understand the workscope, Hazards, Precautions to be taken and ensure compliance

Name Sign Date: Time:

Permit Authoriser
I have reviewed the workscope, Hazards and precautions and authorise for proceeding the work

Name Sign Date: Time:

Remarks

D0751401-V-CE-00-HS-FOR-027

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