Hot Work Permit

• This Hot Work Permit is required for any operation involving open flame or producing heat and/or sparks.

• Site conducted

• Area Hot Work is being performed at

• Type of Hot Work being performed

  Select Welding Brazing Cutting Grinding Soldering Pipe Thawing Torch-Applied Roofing Chemical Welding Other

  • Welding
  • Brazing
  • Cutting
  • Grinding
  • Soldering
  • Pipe Thawing
  • Torch-Applied Roofing
  • Chemical Welding
  • Other

• List type of Hot Work

• Conducted on

  Date

• Name of person(s) doing Hot Work

• THIS PERMIT IS VALID FOR 12 HOURS ONLY

• Time Hot Work started

• Time Hot Work completed

• I verify that the above location has been examined, the precautions marked on the checklist below have been taken, and permission is granted for this work.

• Name of Permit-Authorizing Individual

• Available sprinklers, hose streams, and extinguishers are in service and operable.

• Hot Work equipment is in good working condition in accordance with manufacturer's specifications.

• Special permission obtained to conduct Hot Work on metal vessels or piping lined with rubber or plastic

• Permission received from?

Requirements within 35 ft (11 m) of Hot Work

• Flammable liquid, dust, lint, and oily deposits removed

• Explosive atmosphere in area eliminated

• Floors swept clean and trash removed

• Combustible floors wet down or covered with damp sand or fire-resistive / noncombustible materials or equivalent

• Personnel protected from electrical shock when floors are wet

• Other combustible storage material removed or covered with listed or approved materials (welding pads, blankets, or curtains, and/or fire-resistive tarpaulins), metal shields, or noncombustible materials

• All wall and floor openings covered

• Ducts and conveyors that might carry sparks to distant combustible material covered, protected, or shut down

Requirements for Hot Work on walls, ceilings, or roofs

• Construction is noncombustible and without combustible coverings or insulation

• Combustible material on other side of walls, ceilings, or roofs is moved away

Requirements for Hot Work on enclosed equipment

• Enclosed equipment is cleaned of all combustibles

• Containers are purged of flammable liquid and vapors

• Pressurized vessels, piping, and equipment removed from service, isolated, and vented

Requirements for Hot Work fire watch and fire monitoring

• Fire watch is provided during and for a minimum of 30 minutes after Hot Work, including any break activity

• Fire watch is provided with suitable extinguishers and, where practical, a charged small hose

• Fire watch is trained in use of equipment and in sounding alarm

• Fire watch can be required in adjoining areas, above and below

• Per the Permit-Authorizing Individual, does the fire watch need to be extended beyond 30 minutes?

  Yes

  No

• How much longer has the fire watch been extended?

Additional Comments

• Additional Comments