BOS Hot Work Permit

• FIRST NAME/LAST NAME/Hot Work Permit

• Client Name / Rig Name

• Hot Work Start Date and Time

  Date

• Hot Work Stop Date and Time

  Date
• Location
  Address

Location Description

• Hot Work being done by

  Employee

  Contractor

• Type of Hot Work

  Select Cuttings Roofing Welding Other

  • Cuttings
  • Roofing
  • Welding
  • Other

• Complete PJRA for Hot Work Permit

Required Safety Precautions

• Fire suppression sprinklers, fire hoses or fire extinguishers with the proper rating are available and operable

• Hot work equipment is operable and in good repair

• Smoke/fire detectors in the immediate area of the hot work have been temporarily disabled until the hot work is complete

• Building/Area occupants have been protected or isolated from the hot work area

• Drums, barrels and tanks have been cleaned and purged of flammables and toxics, all tank feeds are closed and the tank is vented

• Work area is NOT a confined space ( if it is, confined space permit is needed with Hot Work Permit)

Work on Walls or Ceilings

• Construction is noncombustible and has no combustible covering or insulation

• Areas adjacent to walls being worked on are checked for combustibles and any combustibles are either removed or protected

Requirements within 35 feed when flame, sparks or slag are created

• Floor swept clean

• Explosive atmosphere in area eliminated

• Flammable and ignitable liquids, dust, lint and oily deposits removed

• Cracks or holes in floors, walls and ceilings (including ductwork) are covered or plugged

• Combustible construction or floors covered with fire restrictive material

• Protect or shutdown ducts and conveyors that might carry sparks to distant combustibles

Requirements within 50 feet when flame, sparks, or slag are created

• Explosives, compressed gas cylinders or stored fuel have been moved at least 50 feet from the hot work area or have been protected from hot work

• Fire Watch required during Hot Work and a minimum of 30 minutes following completion of work

• Report ALL incidents and Near Misses Immediately to the company man/supervisor.

When work is completed and area is returned to its original conditions

• Inspected work areas and any potentially affected surrounding areas, for fire, fire damage, or potential for fire

• Reactivated smoke/fire detectors that were disabled because of the Hot Work

• I verify that the above location has been examined and the necessary precautions have been taken to prevent the outbreak of the fire due to Hot Work

• Signature of employee completing work

  Sign

• Date and Time:

  Date

• Authorization Supervisor:

  Sign

• Date and Time:

  Date