Hot Work Operations - Aviva Loss Prevention Standard - Property V2.1

• Conducted on

  Date

• Prepared by

• Location
  Address

• To view our Loss Prevention Standard that supports this checklist please visit the following link: https://broker.aviva.co.uk/documents/view/aviva_hot_work_operations_lps.pdf

• A copy to be displayed in the work area and another in the issuing office.

• PERMIT NUMBER

• ISSUING COMPANY

• OTHER RELEVANT PERMIT DETAILS

SECTION A - PROPOSAL

• To be completed by the Permit Issuer.

• COMPANY NAME & SITE ADDRESS

• EXACT LOCATION OF PROPOSED WORK
  Address

• NATURE OF WORK TO BE UNDERTAKEN/TYPE OF HOT WORK/ITEMS WORKED ON

• NAME OF HOT WORK OPERATOR & COMPANY

• NAME OF PERSON SUPERVISING THE WORKS

• PERMIT VALID ON DATE

  Date

• START TIME

  Date

• EXPIRY TIME

  Date

• NAME OF FIRE WATCHER(S)

• ANTICIPATED EARLIEST TIME OF FINAL FIRE WATCH CHECK

• CONTINUOUS FIRE WATCH

• INTERMITTENT FIRE WATCH

SECTION B - ISOLATION & IMPAIRMENTS

• DETAILS OF SYSTEMS AND AREA(S) ISOLATED

• NAME & POSITION OF PERSON COMPLETING ISOLATION/REINSTATEMENT

• DATE AND TIME OF ISOLATION

  Date

• DATE AND TIME OF REINSTATEMENT

  Date

SECTION C - ISSUE

• I confirm the work area and other areas that may be impacted by the works have been inspected and checked for the presence of combustible materials. I have reviewed and completed the attached checklist and I am satisfied that all appropriate precautions and risk controls are in place.

• NAME AND SIGNATURE OFR PERMIT ISSUER

  Sign

SECTION D - ACCEPTANCE

• I understand the scope of work and precautions to be taken and will adhere to the safe method of work and report any problems or difficulties to the Permit Issuer, in safely completing the works.

• HOT WORK SUPERVISOR NAME AND SIGNATURE

  Sign

• FIRE WATCHER NAME AND SIGNATURE

  Sign

• FIRE WATCHER NAME AND SIGNATURE

  Sign

SECTION E - FOLLOWING COMPLETION OF WORK

• The work area and all adjacent areas to which sparks and het might have spread (such as floors below and above and areas on other sides of walls) have been inspected and found to be free of smouldering materials and flames.

  Yes

  No

  N/A

• Stub ends of welding rods and other hot waste materials have been removed and disposed of safely.

  Yes

  No

  N/A

• All equipment, including gas cylinders, has been removed to a safe area.

  Yes

  No

  N/A

• HOT WORK OPERATOR NAME AND SIGNATURE

  Sign

CONTINUOUS FIRE WATCH

• The permit should then be returned to the issuer.

• TIME INSPECTION COMPLETED (this must be at least 60-minutes after work has been completed as determined by the fire risk assessment for the task)

  Date

• FIRE WATCHER NAME AND SIGNATURE

  Sign

• FIRE WATCHER NAME AND SIGNATURE

  Sign

INTERMITTENT FIRE WATCH CHECKS

• Should be one of the Fire Watchers.

Intermittent Checks (every 20 minutes for at least a further 1-hour)

• TIME

  Date

• INITIALS

• All fire protection systems are in service and operable and equipment isolated has been reinstated where safe to do so. (Check Section B has been completed fully.)

• PERMIT ISSUER NAME AND SIGNATURE

  Sign

SECTION F - CANCELLATION

• SIGNED OFF BY ISSUER OF PERMIT
  
  I have inspected the works area and all tools, equipment and waste has been removed.
  The fire watch has been completed in accordance with the risk assessment and thermal images taken of the work area and other areas that may have been affected by the works.
  The area has been returned to a condition which is safe for normal/planned occupancy and operations.

• NAME AND SIGNATURE

  Sign

• GENERAL
  Wherever practicable the use of hot work should be avoided, and a safer way employed. If you cannot comply with the following points, do not go ahead with the hot work

• Risk assessments and method statements have been provided and reviewed prior to authorisation of the works.

  Yes

  No

  N/A

• Evidence of appropriate Public Liability Insurance has been provided.

  Yes

  No

  N/A

• All fire protection systems are in service and operable (if not complete Section B on the permit).

  Yes

  No

  N/A

• Competence of operatives have been reviewed and confirmed. The works area and any other areas which could be affected have been investigated for the presence of combustible materials. This includes the identification of any voids. Hot works will not take place on/or affecting combustible composite panels or other materials known to be combustible. There are no other permits to work in operation or other planned activities that will be adversely impacted by these works.

  Yes

  No

  N/A

PRECAUTIONS WITHIN 10-METRES (MINIMUM) OF THE WORK AREA

• Combustible materials have been cleared from the area. Where materials cannot be removed, protection has been provided by non-combustible or purpose-made blankets, drapes or screens.

  Yes

  No

  N/A

• Flammable liquids and gas cylinders have been removed from the area.

  Yes

  No

  N/A

• Floors have been swept clean. Combustible floors have been covered with overlapping sheets of non-combustible material or wetted and liberally covered with sand. All openings and gaps (combustible floors or otherwise) are adequately covered.

  Yes

  No

  N/A

• Protection (non-combustible or purpose-made blankets, drapes or screens) has been provided for:<br><br>• Walls, partitions and ceilings of combustible construction or surface finish; and<br>• All holes and other openings in walls, partitions and ceilings through which sparks could pass.

  Yes

  No

  N/A

• Where work is being carried out on building panels, an assessment has been made of insulating or other materials behind or forming the core of the panels which confirms they are non-combustible.

  Yes

  No

  N/A

• Combustible materials have been moved away from the far side of walls or partitions where heat could be conducted, especially where these incorporate metals.

  Yes

  No

  N/A

• Enclosed equipment (tanks, containers, dust collectors, etc.) has been emptied, purged and tested, or is known to be free of flammable concentrations of vapour or dust. Where there is a possibility of such, atmosphere air sample monitoring must be in place.

  Yes

  No

  N/A

• Unauthorised access to the work area has been prevented.

  Yes

  No

  N/A

• Equipment for hot work has been checked and found to be in good repair. Gas cylinders have been properly secured and any gas cylinders not in use have been removed at least 15-metres away from the work area.

  Yes

  No

  N/A

FIRE PROTECTION

• Where sprinklers are installed, they are operative. (In sprinklered premises, hot work should not be carried out when the water supply to the sprinkler system is shut off.)

  Yes

  No

  N/A

• Where an automatic fire detection system has been installed, it will be kept operative. Only the zone where the hot work is being carried out will be isolated for the period whilst hot work is in progress.

  Yes

  No

  N/A

• A trained person not directly involved with the work will provide a continuous fire watch during the period of hot work. Following completion of each period of work, the continuous fire watch will remain in place for at least 60-minutes, with further checks at regular intervals up to 180-minutes, or a period as determined by the fire risk assessment, after completion to ensure that the working area and all adjacent areas, including the floors below and above, and areas on the other side of walls, screens, partitions and above false ceilings, are free of smouldering materials and flames.

  Yes

  No

  N/A

• At least two appropriate extinguishers are immediately available. The personnel undertaking the work and providing the fire watch are trained in their use.

  Yes

  No

  N/A

• Personnel involved with the work and providing the fire watch are familiar with the means of escape and method of raising the alarm/calling the fire brigade.

  Yes

  No

  N/A

SIGN OFF

• NAME AND SIGNATURE

  Sign