Hot Work Permit vr1

• PTW #

• Contract #:

• Project:

• What3Words:

• Site Manager Present:

• PTW Issued by:

• Location of works:

Personnel

• Signatories: These are to record that the contractor understands the requirement for a safe system of work to be in place before work sequences commence. Equally, the signature of the person authorising this permit denotes their satisfaction that the contractor has fulfilled their legal obligation to this end. Signatories should know their job. The authority to apply for this permit procedure is not to be delegated to anyone below supervisory status.

• Is a competent person, trained for hot works going to undertake these works?

  Yes

  No

  N/A

• Full Name of Competent Person

Description of Hot Work

• Start Time

  Date

• What type of work are you doing?

  Select Burning Welding Grinding Other

  • Burning
  • Welding
  • Grinding
  • Other

• Detail the type of work being undertaken

• Estimated Stop Time

  Date

Pre-Work Checklist

• Has all flammable / combustible material been removed from work area?

  Safe

  At Risk

  N/A

• Fire protection systems are present and in working order

  Safe

  At Risk

  N/A

• Equipment and machinery to be used has been inspected and verified to be in a good condition

  Safe

  At Risk

  N/A

• Floor and ground has been cleared of combustible materials (and wet down if applicable)

  Safe

  At Risk

  N/A

• Are fire watch personal present?<br>

  Safe

  At Risk

  N/A

• Work areas have been cleared of combustible / hazardous materials? Fire sheets have been used to isolate hazards where appropriate?

  Safe

  At Risk

  N/A

• Flammable liquids and other hazards removed from area?

  Safe

  At Risk

  N/A

• Is fire watch personal equipped with proper fire extinguisher?

  Safe

  At Risk

  N/A

• Nearby personnel are aware of works and relevant safety procedures?

  Safe

  At Risk

  N/A

• Is proper signage posted?

  Safe

  At Risk

  N/A

• Have the general safety precautions been reviewed?

  Safe

  At Risk

  N/A

• Do relevant personnel have adequate PPE to complete this taks safely?

  Safe

  At Risk

  N/A

Sign off

• Work areas and all adjacent areas to which sparks and/or heat might have spread (such as through floor surfaces, on opposite sides of walls, etc.) were inspected one hour after the work finished and were found safe. I confirm the completion/cancellation of the work described in the issue of this permit.

• Reason for closing the permit

  Works Completed

  Works Paused

  Works Cancelled

• Name & signature of Competent Person closing the permit

  Sign

• Time of close of permit

  Date