Title Page

  • UNIT

  • UNIT AREA

  • DATE & TIME

  • AUDITORS NAME

  • AUDITORS NAME

  • AUDITORS NAME

  • DESCRIPTION OF JOB/TASK

  • HOT WORK EQUIPMENT BEING USED

  • Was Hot Work permit issued to the craft?

  • List deficiencies:

  • Are gas test results for Hot Works acceptable?

  • List deficiencies:

  • Was the proper notification made to Operations Supervisor?

  • List deficiencies:

  • Is all equipment/potential energy properly identified, isolated, locked out, tried and stored energy released?

  • List deficiencies:

  • Are proper Hot Work controls in place and being followed?

  • List deficiencies:

  • Is continuous monitoring being performed for open flame or spark producing HW, where work is taking place?

  • List deficiencies:

  • Is the PPE marked on the permit being utilized and used correctly?

  • List deficiencies:

  • Is a Fire Watch being utilized as required for open flame or spark producing HW?

  • List deficiencies:

  • Is the fire watch aware of their responsibilities and knows the required time for watching after the work stops? (10 min. for grinding & 30 min. for welding, torching)

  • List deficiencies:

  • Immediate Corrective Actions taken:

  • List action:

  • List action:

  • list action:

  • Is further follow up required?

  • Describe follow up needed:

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