Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
General informations
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Name of the permit issuer
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May not be the person performing the hot work activity (Hot Work Operator).
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Name of the fire watch
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Name of the person performing hot work
Precautionary measures (50 feet)
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The equipment used to perform the hot work has been verified and is good working order?
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The fire protection system is operational?
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A visual inspection of the sprinkler riser as been done. If the system is not impaired and the valve is in open position the work can be performed.
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The floors were properly swept in a 50ft?
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Are conform retardant panels been using to confined the hotwork area?
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Take a photo of the retardant panels
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The retardant panels must be in good condition, without any holes and must go down completely to the ground (no open space in between the fire retardant panels and the ground)
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The combustible floor coverings were soaked, covered with fire retardant panels?
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The openings, cracks, wall and floor interstices were obstructed?
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If check yes, audit the condition of the used equipment , no holes permitted.
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Take a photo of the screens and used equipment
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The combustible materials were moved away or protected using fireproof screens, barriers or tarps?
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If check yes, audit the condition of the used equipment , no holes permitted.
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Take a photo of the condition of the used equipment
Hot work permit
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The permit issuer is qualified and trained?
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The start time of the work have been noted?
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The description of the work is indicated?
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The permit issuer has check off the appropriate precautionary measures to be taken?
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The name of the fire watch attendant appears in the specified place?
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The permit issuer has signed the permit stating that all precautions have been taken?
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The hot work permit has been filled properly?
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Take a photo of the permit
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Take a photo of the permit
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Part 1: The top copy of the permit shall be posted in an accessible general posting location
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Take a photo
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Part 2: Shall be posted at the location of the hot work
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Take a photo
Fire Watch Attendant
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The fire watch attendant is qualified and trained?
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Fire watch has received a hands on training on fire extinguisher, his familiar with the activation of the alarm and is qualified to stop the job when it becomes hazardous.
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Have fire extinguishing equipment readily available?
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Remain at the work site to check for smoldering fires while work is in progress and for at least 60 minutes following job completion?
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Part 2 post-work fire watch (1 hr), must be signed by the fire watch attendant and finish time to be specified?
Final Check
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Continuous fire watch monitoring the hot work area for three more hours after the fire watch has been completed the 60 minutes following job completion?
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Part 2 Fire monitoring (3 hrs) must be signed and finish time to be specified?
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A final check was performed 4 hours after work completion?
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Part 2 shall be signed by the person completing the final check and returned to the permit issuer or designee.
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Take a photo of the completed permit. Information must be visible
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Part 2 of the Hot Work Permit returned to the permit issuer or designee for archiving?