BYK HOT WORK PERMIT

• Hot Work Permit shall be issued for any work involving welding, torching, plasma cutting, soldering, grinding, open flames, or the use of general duty electrical devices in electrically classified hazardous locations. Permit Duration shall not exceed one production shift.

SECTION 1: Hot Work Information

• Date

  Date

• Building/Area

• Start Time

  Date

• End Time

  Date

• Work Type Being Done (Cutting, Burning, Grinding, Welding, Brazing, Soldering, Equipment/tools not rated for hazardous location, Electrical work with possible arcs/sparks)

• Individuals Performing Work (Must list name and company)

• Description of Work Being Performed

• Equipment Required to Complete Tasks

SECTION 2: Hazard/Risk Assessment

• H = High Risk, N = Normal Risk, L = Low Risk/Not Applicable

• Slip/Trip/Fall

  High

  Normal

  Low

• Pinch Points

  High

  Normal

  Low

• Pressurized Equipment

  High

  Normal

  Low

• Falling Objects

  High

  Normal

  Low

• Welding Arc

  High

  Normal

  Low

• Sun/UV/Radiant Heat

  High

  Normal

  Low

• Hot Surface >120F

  High

  Normal

  Low

• Moving/Rotating Equipment

  High

  Normal

  Low

• Fall From Heights

  High

  Normal

  Low

• High Noise

  High

  Normal

  Low

• Energized Equipment

  High

  Normal

  Low

• Vibration

  High

  Normal

  Low

• Sparks/Static

  High

  Normal

  Low

• Heat Stress

  High

  Normal

  Low

• Ergonomic Concerns

  High

  Normal

  Low

• Cold Surface <32F

  High

  Normal

  Low

SECTION 3: Personal Protective Equipment (PPE)

• Consult HMIS, SDS, or EHS for proper selection

• Hard Hat

  Yes

  N/A

• Hearing Protection

  Yes

  N/A

• Safety Glasses

  Yes

  N/A

• Safety Shoes

  Yes

  N/A

• Protective Suit/Apron

  Yes

  N/A

• What Type?

• Gloves

  Yes

  N/A

• What Type?

• Welding Shield

  Yes

  N/A

• Face Shield/Goggles

  Yes

  N/A

• Supplemental Ventilation

  Yes

  N/A

• Personal Fall Arrest System

  Yes

  N/A

• Full Face Respirator

  Yes

  N/A

SECTION 4: Hazard Controls and Precautions

• Is the hot work equipment inspected and in good working condition?

  Yes

  N/A

• Are the compressed gas cylinders secured?

  Yes

  N/A

• Is the area protected by a sprinkler or fire suppression system?

  Yes

  N/A

• Is the fire suppression system active?

  Yes

  N/A

• Is the hot work being conducted within a 35 foot radius of flammable and/or combustible materials?

  Yes

  No

  N/A

• Has the floor been swept clean of combustible and/or flammable materials?

  Yes

  No

  N/A

• Are combustible floors covered with damp sand or fire-resistant sheets?

  Yes

  No

  N/A

• Have flammable and combustible materials been removed from the area?

  Yes

  No

  N/A

• Are flammable and combustible materials that must remain in the area shielded/protected?

  Yes

  No

  N/A

• Are all floor and wall openings adequately covered?

  Yes

  No

  N/A

• Are fire resistant tarps or guards suspended beneath elevated work?

  Yes

  No

  N/A

• Are any additional permits required?

  Yes

  No

  N/A

• What additional permits are required?

  Select Lockout/Tagout Permit Line and Equipment Opening Permit Confined Space Entry Permit

  • Lockout/Tagout Permit
  • Line and Equipment Opening Permit
  • Confined Space Entry Permit

• Are there combustibles on the other side of the walls where the work is being conducted?

  Yes

  N/A

• Have those combustibles been moved away from the wall?

  Yes

  No

  N/A

• Are the walls/ceilings constructed of noncombustible materials and without combustible covering/insulation?

  Yes

  N/A

• Is there any danger that exists by conduction of heat into another room?

  Yes

  N/A

• Have all flammables and combustibles been removed from any enclosed equipment?

  Yes

  No

  N/A

• Has the enclosed equipment been thoroughly cleaned, vented, and purged?

  Yes

  No

  N/A

• Have lines and connections on enclosed equipment been disconnected or blanked?

  Yes

  No

  N/A

• Is this permit considered "High Risk" by nature of open sources of ignition?

  Yes

  N/A

• Have barricading and fire watch been established for this activity?

  Yes

  No

  N/A

• Is the fire watch supplied with a suitable fire extinguisher?

  Yes

  No

  N/A

• Is the fire watch trained in the use of a fire extinguisher?

  Yes

  No

  N/A

• Has the fire watch reviewed the facility alarm activation requirements and location of emergency exits?

  Yes

  No

  N/A

• Name of fire watch

• Signature

  Sign

SECTION 5: Permit Authorization

• Permit authorization requires THREE SEPARATE people to sign off and those people MUST perform a joint walk down of the work in the field.

• Worker Representative

• Worker Representative Signature

  Sign

• Area Contact

• Area Contact Signature

  Sign

• Permit Authorizer

• Permit Authorizer Signature

  Sign

SECTION 6: Permit Closeout

• Worker Representative must be the same Worker Representative as Section 5

• Worker Representative

• Worker Representative Signature

  Sign

• BYK Walkthrough of Permit Area

  Select Housekeeping is acceptable Tools/Materials are acceptable Barricades/Signage is acceptable

  • Housekeeping is acceptable
  • Tools/Materials are acceptable
  • Barricades/Signage is acceptable

• BYK Walkthrough of Permit Area Signature

  Sign

• Permit Authorizer

• Permit Authorizer Signature

  Sign