HOT WORK PERMIT

• EDGE RIG #

  Select 5 6 7 8 9 12 601 602 603 604 605 606 607 608

  • 5
  • 6
  • 7
  • 8
  • 9
  • 12
  • 601
  • 602
  • 603
  • 604
  • 605
  • 606
  • 607
  • 608

• The Permit-Authorizing Individual must:
  a) Verify precautions listed (or do not proceed with the work)
  b) Complete this form
  
  Note: The Required Precautions are not optional. They are required for fire-safe hot work.

• DATE / TIME OF HOT WORK

  Date

WHO , WHEN , WHERE

• NAME OF PERSON DOING HOT WORK

• LOCATION OF HOT WORK.

  Select RIG FLOOR RIG MUD PUMP AREA MUD TANK AREA GEN HOUSE HPU DOG HOUSE FUEL TANK AREA OTHER RAT HOLE FLOOR RAT HOLE RIG WITHIN 35 FEET OF HOLE ( RAT HOLE )

  • RIG FLOOR
  • RIG
  • MUD PUMP AREA
  • MUD TANK AREA
  • GEN HOUSE
  • HPU
  • DOG HOUSE
  • FUEL TANK AREA
  • OTHER
  • RAT HOLE FLOOR
  • RAT HOLE RIG
  • WITHIN 35 FEET OF HOLE ( RAT HOLE )

• TYPE OF HOT WORK

  Select WELDING ACETYLENE TORCH WORK GRINDING OTHER

  • WELDING
  • ACETYLENE TORCH WORK
  • GRINDING
  • OTHER

REQUIRED PRECAUTIONS LIST ASSESS 35 FT RADIAL “SPHERE” OF WORK FOR POTENTIAL FIRE HAZARDS

• is there the potential for explosive atmosphere

  YES

  NO

• USE 4 GAS MONITOR TO MONITOR ATMOSPHERE PRIOR TO THE START OF THE JOB AND CONTINUOUS THROUGHOUT THE JOB.

• DAYS UNTIL CALIBRATION DUE ?

• H2S PPM

• CO PPM

• O2 %

• LEL %

• Hot Work Equipment in good repair.
  Floors, work level and below, cleaned or protected.
  All other combustibles removed or shielded from sparks.
  Remove flammable liquids, dust, lint, combustible waste, oil deposits, etc., where possible.
  Transmission or conveying of sparks to adjacent areas eliminated or protected.
  Cover wall/floor openings with fire-retardant material.
  Explosive atmosphere eliminated or potential not present.
  Combustibles on other side of walls relocated or protected.
  Containers purged of flammable liquids/vapors.
  Fire watch/hot work area monitoring requirements:
  Continuous fire watch provided during and for at least 30 minutes after hot work, including all breaks.
  Fire watch supplied with suitable extinguishers/hoses.
  Fire watch trained in the use of fire equipment and sounding alarm.
  Fire watch provided for adjoining areas, above, or below.
  

• NAME OF ASSIGNED FIRE WATCH

  Sign

• I verify the above location has been examined, the precautions on the Required Precautions List have been taken to prevent fire, and permission is authorized for work.

  Sign

• THIS HOT WORK PERMIT MUST BE RENEWED AT ANY SHIFT CHANGE .

• ENTER DATE / TIME PERMIT CLOSED

  Date