Hot Works Permit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Site address
  Address

• Case Number

• Is it a Total Fire Ban Day?

  Yes

  No

• Is it Emergency works?

  Yes

  No

• Stop Work.

• Has the area been cleared of combustible material for 15 metres?

  Yes

  No

  N/A

• If not, why?

• Have all drains within 15 metres been covered with a wet fireproof blanket?

  Yes

  No

• If not, why?

• Are appropriate Fire Extinguishers available on site?

  Yes

  No

• If not, why?

  Yes

  No

  N/A

• What type?

  Water

  Dry Powder

  Foam

  CO2

  Wet Chemical

• Is a Water Hose or 2 Knapsack Water Sprays available and tested on site?

  Yes

  No

• If a water hose or 2 knapsack water sprays are not available, hot works must not commence.

• Is extra ventilation required?

  Yes

  No

• What type, and where is it to be located?

• Are welding machines/gas bottles at least 8 metres from entry?

  Yes

  No

  N/A

• Reason?

• Name of Welder?

Total Fire Ban Permit