CFMHS 10 - BP Hot Work Permit - version 4

• Site Name

  Select

• Job / Document No.

• Conducted on

  Date

• Completed by

• Discipline

  Fabric

  Fridge

  Other

• Additional Information If Required:

• Please see attached guidance before completing.

Hot Work Permit Job Details This permit to work is issued for the following work as detailed in sections 1 - 7 below. No work other than that detailed must be carried out

• 1. Description of Hot Work Permit

• 2. Duration of permit (in hours and minutes)

• 4. Is the work to be carried out when plant, equipment or systems are in operation?

  Yes

  No

  N/A

• 5. Extra precautions to be taken if plant, machinery or systems are in operation

• 6. Distance from zoned areas (N.B. No hot work is to take place in zoned areas) Please review site DSEAR risk assessment where possible

• 7. Method of isolation/making safe

Precautions

• Ensure hot work equipment is suitable for use and in good order

  Yes

  No

• Ensure location and means of raising alarm

  Yes

  No

• Inspect nearby areas

  Yes

  No

• Remove any flammable liquids/gas containers from the work area (full or empty

  Yes

  No

• Check location and means of raising alarm

  Yes

  No

• Ensure location extinguishers/hose reels etc..

  Yes

  No

• Remove any combustible materials from work area

  Yes

  No

• Provide suitable and adequate protections against sparks and hot particles

  Yes

  No

ISSUE (City FM): I hereby declare that no work other than that stated above will be carried out, and all precautionary measures will be adhered to:

• Signature:

  Sign

• Designation:

• Date and time

  Date

BP Agreement that Permit Conditions are in place (Site Responsible Person)

• Name and signature (Site Operator):

  Sign

• Designation:

• Authorised on

  Date

• You can proceed with your work

Fire Watch on Completion of Works

• Fire watch/hot work area monitoring requirements:

• Continuous fire watch provided during and for at least 1 hours after hot work, including all breaks

  Yes

  No

Cancellation of permit following fire watch (City FM)

• Name & Signature:

  Sign

• Designation:

• Date and time of closure

  Date

Permit Cancellation acknowledgement by BP Responsible person.

• Name & Signature:

  Sign

• Designation:

• Date and time of closure

  Date

• PLEASE SEND THE COMPLETED PERMIT TO YOUR LINE MANAGER AS A PDF AND BP E -MAINTENANCE AT
  bpemaintenance@city-holdings.co.uk