Hot Work Permit UM 2024 - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Requestor details

• Company Name of Permit requestor

• Contact details of the permit requestor supervisor

Permit Details

• Time and Date permit becomes active

  Date

• Time and Date permit will become deactive

  Date

undefined

• Permit issued to

  Sign

• Description of the Hot Work to be undertaken

• Sketch of location if required

  Drawing

• Fire fighting equipment to be on hand as part of this activity

• Fire extinguisher

  Yes

  No

  N/A

• Water supply

  Yes

  No

  N/A

• Other equipment to be at the ready for this activity

General control Measures

• What will be the method for raising the alarm, should a fire break out

• Details of raising the alarm

• Drains and Pits are covered or isolated

  Yes

  No

  N/A

• Look for gaps in walls and floors.

  Yes

  No

  N/A

• Loose flammable materials, liquids and goods must be removed and solid resizable materials must be covered in a fire-resistant manner.

  Yes

  No

  N/A

• Is the area adequately ventilated

  Yes

  No

  N/A

• Spark flash screens in place

  Yes

  No

  N/A

• Area isolated or barricaded off

  Yes

  No

  N/A

• Fire load reduced, protected or isolated

  Yes

  No

  N/A

• Fire equipment has been checked, laid out and is fit for purpose.

  Yes

  No

  N/A

• Will weather conditions potentially effect this task, if so what extra precautions will be enlisted

  Yes

  No

  N/A

• Other details

Roofing/roof repair

• Convince yourself of the flammable properties of the roof, roof curbs, eaves and roof penetrations.

  Yes

  No

  N/A

• When removing gravel and old roof layers, roof insulation material must be prevented from becoming visible.

  Yes

  No

  N/A

• The bitumen boiler may not be placed on the roof.

  Yes

  No

  N/A

• Propane gas bottles must be equipped with a flow limiter. The gas bottles should remain on the ground floor as much as possible.

  Yes

  No

  N/A

• Provide good communication options.

  Yes

  No

  N/A

• Roofer work must be carried out by at least two people.

  Yes

  No

  N/A

• At least two 12kg ABC (or equivalent) powder extinguishers must be available on the roof.

  Yes

  No

  N/A

Work on walls and ceilings.

• Shield flammable construction parts.

  Yes

  No

  N/A

• Remove flammable materials from the back of the wall or ceiling.

  Yes

  No

  N/A

Fire watch if required

• 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.

• Sketch the fire watch location if required.

  Drawing

• Fire watch person

  Sign

Weather conditions if relevant

• If weather conditions such as wind or excessive heat will impact on the activity, what precautions will be taken

Completion of Hot Work Inspection

• Time and Date post activity inspection undertaken

  Date

• Details of the post activity inspecton

• Name of person undertaking the post activity inspection

• Signature of inspecting person

  Sign

Permit Cancelation

• Fire can also occur after completion of work that poses a fire risk. Therefore, follow-up checks (with a minimum frequency of once every 20 minutes) must be carried out by or on behalf of the client for 60 minutes after completion of fire-hazardous work at the end of each working day and/or at the end of the work.

• Notes or relevant details if required

• Time and Date permit terminated

  Date

• Staff member terminating this permit

  Sign

In-control table.

• 0 - 20 minutes

• Name

• Signature

  Sign

• 20 - 40 minutes

• Name

• Signature

  Sign

• 40 - 06 minutes

• Name

• Signature

  Sign