Information
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Document No.
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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
Requestor details
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Company Name of Permit requestor
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Contact details of the permit requestor supervisor
Permit Details
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Time and Date permit becomes active
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Time and Date permit will become deactive
RAMS
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RAMS
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Permit issued to
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Description of the Hot Work to be undertaken
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Sketch of location if required
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Fire fighting equipment to be on hand as part of this activity
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Fire extinguisher
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Sand bucket
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Water supply
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Fire blanket
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Other equipment to be at the ready for this activity
Control Measures
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What will be the method for raising the alarm, should a fire break out
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Details of raising the alarm
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Drains and Pits are covered or isolated
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Is the area adequately ventilated
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Spark flash screens in place
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Area isolated or barricaded off
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Fire load reduced, protected or isolated
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Fire equipment has been checked, laid out and is fit for purpose.
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Will weather conditions potentially effect this task, if so what extra precautions will be enlisted
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Other details
Fire watch if required
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Details of how the fire watch will be deployed, location, equipment, time post event still required, communication details between hot work and the fire watch person.
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Sketch the fire watch location if required.
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Fire watch person
Weather conditions if relevant
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If weather conditions such as wind or excessive heat will impact on the activity, what precautions will be taken
Completion of Hot Work Inspection
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Time and Date post activity inspection undertaken
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Details of the post activity inspecton
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Name of person undertaking the post activity inspection
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Signature of inspecting person
Permit Cancelation
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Notes or relevant details if required
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Time and Date permit terminated
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Staff member terminating this permit
