Title Page
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Hot Work includes, but is not limited to, Brazing, Cutting, Grinding, Soldering, Thawing Pipe, and Welding.
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Permit No.
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Site Name and #
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Conducted on (Good for 24 hours only!)
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Prepared by
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Site Location
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Nature of Hot Work being performed
Required Precautions Checklist
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Available sprinklers in normal automatic mode and valve open.
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Hot Work equipment in good repair.
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Assess 35 ft radial “sphere” of work for potential fire hazards:
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Floors, work level and below, cleaned or protected.
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Remove flammable liquids, dust, lint, combustible waste, oil deposits, etc., where possible.
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All other combustibles removed or shielded from sparks.
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If removal/cleaning is impractical, protect with fire-retardant covers, or shield with fire-retardant guards and/or curtains.
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Transmission or conveying of sparks to adjacent areas eliminated or protected.
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Tightly cover wall/floor openings with fire-retardant material.
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Where openings cannot be sealed, suspend fire-retardant tarpaulins to help protect areas beneath.
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Isolate or shut down fans and conveyors to prevent the capturing and conveying sparks to other areas.
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Explosive atmosphere eliminated or potential not present.
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Work on walls, ceilings or enclosed equipment:
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Construction materials verified as noncombustible and without combustible covering or insulation.
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Combustibles on another side of walls relocated or protected.
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Enclosed equipment cleaned and protected from all combustibles.
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Containers purged of flammable liquids/vapors.
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Fire watch/hot work area monitoring requirements:
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Continuous fire watch provided during and for at least 30 minutes after hot work, including all breaks.
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Fire watch supplied with suitable extinguishers/hoses.
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Fire watch trained in the use of fire equipment and sounding alarm.
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Area to be monitored hourly for a minimum 6 hours after job is completed, or longer if required.
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Other precautions that may be required:
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Fire watch provided for adjoining areas, above, or below.
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Confined Space or Lock-Out-Tag-Out required/used.
- Lockout/Tagout
- Confined Space
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Have you performed the appropriate Lockout/Tagout procedures?
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Have you inspected the confined space for atmospheric hazards that would prevent safe entry?
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Area smoke or heat detection disabled to eliminate false trip.
Completion
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Full Name and Signature of Permit-Authorizing Personnel
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I verify the above location has been examined, the precautions checked on the Required Precautions Checklist have been taken to prevent fire, and permission is authorized for work.
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Full Name(s) and Signature(s) of Person(s) doing the hot work. Click + to add names of persons doing the hot work
Employees performing Hot Work
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I verify the above location has been examined, the precautions checked on the Required Precautions Checklist have been taken to prevent fire, and permission is authorized for work.
