Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Hot Work FORM
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Was an issuing date provided?
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Was a issue time provided?
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Was the type of work to be done completed?
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Was the location provided?
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Did the form have a permit number?
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Was the date and time for each day been entered?
Signature Section
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Was the Single Signature Area signed?
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Was the Dual Signature Area signed?
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Was the Hazardous Signature Area signed?
Precautions
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Portable /Dedicated fire extinguisher obtained?
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Piping and Vessels have been purged of explosive/toxic gases?
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Appropriate LOTO Clearance utilized?
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Was the Air Monitoring done if in a Hazardous Area?
Within 35 Feet of Work
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Floors swept clean of combustibles?
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Combustible floors wet down or covered?
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All wall and floor openings covered beneath work to collect sparks as appropriate?
Walls/ Ceiling
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Combustible walls/ceiling: fire resistant shield shall be used
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Non Combustible Walls: Combustible material located on opposite side must be relocated away from Hot Workarea.
Ducts/ Conveyors System
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Nearby ducts and conveyor systems have been shut down or protected to prevent conveying of sparks or flames to other area
Cylinders
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Are cylinders legibly marked with required labeling?
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Are all connections, torches and cylinder free of oil/grease?
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Are the hoses free of wear/defects that prevent it from being used safely?
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Are the proper gas and pressure regulators being used?
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Are flashback arrestors provided on the regulator end?
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Are the cylinders secure and located away or protected from falling sparks and electrical circuits?
Pipes
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If pipe to be cut or welded is in contact with a combustible structure (wall, ceiling or roof) is a fire watch posted on the opposite side of the structure?
Fire Watch
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Is the Hot Work Permit posted on the jobsite?
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Is area supplied with fire extinguisher?
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Emergency response has been established?
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Is the time Hot Work stopped recorded?
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Is the time the Fire Watch left the area recorded?
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Has the area been signed for the 30 continuous minutes inspection?
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Has the area been signed for the 60 continuous minutes inspection?
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Has the area been signed for the 60 continuous minutes inspection and 1 hour after the 60 minutes continues minutes been signed??
Signatures
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Has the Responsible Person performing the Hot Work been signed?
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Has the area for the Authorizing Person (Supervisor or Designee) been signed?
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Has the Hazardous area on the permit been signed?
Comments
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Is work safely being done in the area?
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Is work safely being done in the area?
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Is work safely being done in the area?
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Is work safely being done in the area?
Inspetors
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Add signature
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Select date
