Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
HOT WORK PERMIT
-
The General Hot Work Precautions attached to this permit must be in place
prior to the start of any hot works -
Site name
-
Job Number
-
Permit Number
-
Issued to
-
Company
-
Contact Number
-
Permit Valid: From
-
Permit Valid: To
-
Location of work
-
Description of Works
-
PERMIT ISSUED BY - R.O.
-
Position / Designation
-
Name
-
Contact number
-
Signature
-
Date Issued
-
PERMIT REVIEWED BY
-
Position / Designation
-
Name
-
Contact number
-
Signature
-
Date reviewed
-
PERMIT ACCEPTED BY
-
Company
-
Position / Designation
-
Name
-
Contact number
-
Signature
-
Date Accepted
-
PERMIT CLOSED OUT BY
-
Name
-
Date & Time permit closed out
Additional Precautions
-
Note: The duration of the hot work and location as designated on the Permit must not be exceeded and cannot be changed.
The person carrying out hot work must apply for a new permit if either of these designated features of the permit are varied. -
IN ADDITION TO ANY PRECAUTIONS PRESCRIBED BY THE R.O. OR CLIENT
THE HOT/DUST WORK PERMIT HOLDER MUST APPLY THE FOLLOWING PRECAUTIONS: -
GENERAL HOT WORK PRECAUTIONS
-
Notice is to be provided to the R.O. 24 hours prior to commencing work, with the details relating to the any requirement to isolate any fire detection system.
-
Any people occupying the building are to be notified of the Hot Work prior to commencing the work.
-
A 9-litre water type and a 3.5 kg Carbon Dioxide fire extinguisher is to be provided in the area of the hot work. (See Note below)
-
An attendant or observer is to be provided, on standby in the area where the hot work is being conducted.
-
The permit holder or attendant is to be trained in how to use the firefighting equipment
-
The Hot Work area is to be constantly attended during the hot work and for one hour after the hot work is complete, to check for any potential fire or smouldering.
-
All personnel involved in the hot work are to understand the emergency procedure for contacting the Emergency Services and the R.O.
-
The local zone of the Fire Detection System is to be isolated for the duration of the hot work and the area that is isolated is to be monitored until the system is reinstated.
-
Non-combustible receptacles are to be provided for the disposal of off-cuts, slag, electrode stubs, etc.
-
Flash-back arresters must be fitted on oxy-acetylene welding sets.
-
Spark or flash screens are to be used around the immediate hot work area as appropriate.
-
Flammable or combustible materials, liquids, gases, dusts and oily deposits are to be removed during Hot Work.
-
Combustible floors, structural members, other fixed combustible objects and other material that may be damaged by the work are to be shielded with protective guards.
-
All holes, recesses or shafts where hot metal particles could fall through or lodge undetected are to be fire stopped or shielded with protective guards.
-
The area of hot work is to be barricaded or roped off to prevent access by unauthorised persons.
-
Adequate ventilation is to be provided and fumes or smoke prevented from entering occupied areas.
-
The area in which hot work is to take place is to be swept clean prior to and after performing the works.
-
Insert any additional precautions identified.
PRE/POST HOT WORK PRECAUTION CHECKS
-
PRE HOT WORKS CHECKS
-
Have all the general precautions for hot work processes been applied?
-
Have the additional precautions (if any) prescribed been applied?
-
Has the Hot Work site been inspected to ensure that no other uncontrolled hazards exist?
-
Does the permit holder have a telephone and is aware of the method to raise a fire alarm?
-
POST HOT WORK CHECKS
-
Has any Fire Detection System been restored?
-
Has a thorough inspection of the hot work area been carried out to ensure the site is safe?
-
Has a person remained at the hot work site for one hour after completion of hot work?
-
Has the area been cleaned up of all debris and fine particles and restored to normal use?
-
Has a thorough inspection of the hot work area been carried out to ensure the site is safe?Has a copy of the signed permit been archived in the Life Cycle System (LMS)
-
Notes:
1. Fire extinguishers provided for hot work must not be those installed as part of the building extinguisher inventory.
2. Only Carbon Dioxide type fire extinguishers shall be used on electrically energised (live) circuits or equipment.
3. Protective guards shall be manufactured from non-combustible sheet (e.g. sheet metal) or thermal barrier cloth with a melting temperature of not less than 1650°C (3000°F)