Hot Work Permit

• Document No.

• Client / Site

• Audit Title

• Conducted on

  Date
• Location
  Address

• Personnel

Approvals and Documentation

Identification

• General Contractor Name:

• SubContractor Name:

Description of Hot Work:

• Start Time:

  Date

• Stop Time:

  Date

• What type of burning are you doing?

  Select Burning Welding Other

  • Burning
  • Welding
  • Other

• Description of work?

Pre-Burn Checklist

• Has all flammable / combustible material been removed?

  Safe

  At Risk

• Have the general safety precautions been reviewed?

  Safe

  At Risk

• Are fire watch personal present?<br>

  Safe

  At Risk

• Is fire watch personal equipped with proper fire extinguisher?

  Safe

  At Risk

• Are workers in surrounding areas protected?

  Safe

  At Risk

• Is proper signage posted?

  Safe

  At Risk

Approvals (Signature Required)

• Controlling Contractor:

  Sign

• Contractor Supervisor:

  Sign

Post-BurnChecklist

• Fire Watch has inspected all affected areas for hot slag?

  Safe

  At Risk

• Fire Watch has verified there is no evidence of visible flames or smoldering of debris or material?

  Safe

  At Risk

• Fire Watch Signature:

  Sign

• Select date

  Date

• Return to Controlling Contractor.