Information
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permit No.
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Client / Site address
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Location
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Prepared by
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Conducted on
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Sub contractor
Introduction
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Site / Project
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Is a competent person, trained for hot works going to undertake these works?
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Full Name of Competent Person
Description of Hot Work
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Start Time
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What type of work are you doing?
- Burning
- Welding
- Grinding
- Soldering
- Other
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Detail the type of work being completed
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Describe the work being completed
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Estimated Stop Time
Pre-Work Checklist
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Has all flammable / combustible material been removed from work area?
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Fire protection systems are present and in working order
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Equipment and machinery to be used has been inspected and verified to be in a good condition
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Floor and ground has been cleared of combustible materials (and wet down if applicable)
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Are fire watch personal present?<br>
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Work areas have been cleared of combustible / hazardous materials? Fire sheets have been used to isolate hazards where appropriate?
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Flammable liquids and other hazards removed from area?
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Is fire watch personal equipped with proper fire extinguisher?
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Nearby personnel are aware of works and relevant safety procedures?
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Is proper signage posted?
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Have the general safety precautions been reviewed?
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Do relevant personnel have adequate PPE to complete this taks safely?
I certify that i have checked the work area to be undertaken,the site where it is to take place and the precautions to be taken
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Name & signature of Site Foreman / Supervisor
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Name & signature of Competent Person completing works
Final Check:
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Work area have been checked and found to be safe at least one hour after finished
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Name and signature of site foreman
