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HOT WORK PERMIT Area of Work:
Cluster 5
BEFORE INITIATING HOT WORK, CAN THIS JOB BE AVOIDED?
IS THERE A SAFER WAY WITHOUT USING FLAMES OR PRODUCING SPARKS?
This Hot Work (HW) Permit is required for any temporary operation involving open flames or producing heat and/or sparks. Company Name:
Mobile No.: Esan
Hot work activities include but are not limited to: drilling, welding, brazing, cutting, grinding, soldering, thawing pipe, torch applied roofing,
Oxygen / fuel cutting or heating equipment, plasma cutting, heat producing tools or spark producing activities etc. 09915978775
Date of work: Work to be done: Oxygen-Acetylene Welding Machine / Generator Fire Extinguisher
Installation of catch
Tag Control No.: Tag Control No.: Tag Control No. :
15/06/2025 pan/Grinding, drilling,
welding.
N. A EL06 N/A FE05 003
I declared that the job & location has been prepared & that the following precautions have been observed Y N NA
1 Has the Bureau of Fire Permit been secured? Input here the Fire Safety Clearance Number: _____________________ ●
2 Sprinkler protection in service / operable ●
3 Fire detection & alarm system operable. If impairment required, permit shall be approved by Eng'g Exe/Mgr ●
4 Competent & trained Fire watch will be provided. Fire watch will be extended for 1 hr after completion of HW. ●
5 Flammable, combustible materials & dangerous chemicals removed minimum of 10ft (3m.) from area
6 Construction checked in the area & precautions taken in case of combustible (insulation) materials ●
7 Non-combustible cover provided on combustible goods and materials
8 Floor and wall openings within minimal 10m (35ft) covered
9 All hazardous operations discontinued
10 Hose reels and fire hose cabinet available ●
1 meter
11 Adequate fire extinguishers provided at work site, within _______________(distance)
12 Flammable liquid vessels emptied and vented
13 Equipment used for the hot work activity in good condition. ●
J. Cueto/F. Espineda
14 Welders trained & competent. Name: ____________________________ Certificate:
Signature: ________________ ●
15 Personal Protection Equipment (PPE) provided.
Flame proof shield for pedestrian lanes, machines, motors, panels, conduits or affected area/s from welding, sparks, falling
16
objects, etc. are provided
Shutdown or disconnect sensitive equipment or instruments in area (i.e. load cells, sensors, computer etc.). If lock-out
17
required, permit shall be approved by Electrical-Instrument Dept.
18 Hoses,regulators,cylinders & equip't must be inspected first. Gas cylinders are secured in an upright position ●
Cylinder valves are closed completely and lines depressurized when not in use. Acetylene shall not be used over 103 kPa
19
(15psi)
20 Torch equipment are equipped with flashback arrestors ●
21 Others,
Remarks: The precautions above are required for hot works. Pls explain all "No" responses in this box Contractor's SO: (Signature over printed name)
All HOTWORKS will be done as per JSA. KC Lynn Balmes
SECURITY OIC: I am aware that a Hotwork will be SAFETY UL: I have
AUTHORIZED PERSON: I verify that the work site has been examined & I authorize
performed & we will conduct site inspection to the reviewed the
work to be carried out providing the above condition are maintained throughout the
area 4hr after job is completed to ensure area is fire correctness and
term of the permit. (Signature Over printed Name)
safe. (Signature Over printed Name) completeness.
Project Owner: Engineering Exe / Mgr SHE Eng'r/Mgr:
13/06/2025
SO RONQUILLO,E
In Case of Emergency, call: 8 588 7333 - Paco; 444 - Cavite Location of nearest alarm box: Cluster 5
Permit is valid for One Shift (not to exceed 12 hours) Time started: _______:______ Time completed: _______:_______
To be accomplished by the Contractor Safety Officer after HW for the day has been completed & to be forwarded to Security for monitoring.
Reference Printed Name / Signature / Time
Work area & all adjacents areas to which
Fire Watch sparks might have spread were inspected 1 hr after HW by Fire watcher V. Oliquino
Monitoring during the fire watch period were found fire
safe. 4 hrs after HW by Guard-on-Duty Roving guard on duty
