Hot Work Permit

• Location
  Address

• Date

  Date

• Permit Authorizing Individual (PIA)

• Individual Performing Hot Work

• Scope of Work

• Time Started

  Date

• Time Finished

  Date

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Special permission obtained to conduct hot work on metal vessels or piping lined with rubber or plastic

  Yes

  No

  N/A

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; fire-resistive tarpaulins), metal shields, or noncombustible materials

• All walls 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/vapor

• 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 1 hour 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 PAI/fire watch, monitoring of hot work area has been extended beyond 1 hour

  Yes

  No

  N/A