Information

  • Date / Start Time

  • Permit Required (check if YES)

  • Observer

  • Work Group

  • Job Description

  • Work Area / Location
  • Equipment

  • Is there a Permit to Work for the job?

  • Do you have an SOP for the Job task?

  • Did you share the SOP with the crew prior to performing the job task?

  • Has the crew performed this task within the last 6 months?

  • % of SSE

  • Crew Count

  • SSE Count

  • Result

Section 1

  • A) How do you know atmospheric conditions are safe for Hot Work? Must answer all below.

  • * Have the proper monitoring equipment.
    * Know how to operate the monitor. (Demonstration)
    * Monitor is calibrated and agrees with other monitor(s) used on this job. (Check date)

  • B) At or above what LEL level must Hot Work be shut down? Must answer correctly.

  • * MSW states 10%
    * Verify crew understands the meaning of “10% LEL” (see diagram)

  • C) What is the acceptable LEL level to begin (or restart) Hot Work? Must answer correctly.

  • * 0%

  • D) How do you perform initial gas testing prior to performing Hot Work? Must answer all below.

  • * Take monitor readings at potential LEL sources (open flame/closed flame).
    * Monitor entire area within 50’ of potential sources such as drains, vents, wells, vapor recovery units, etc. (open flame) to ensure 0% LEL immediately before introducing the ignition source.
    * Monitor classified area plus a 50’ buffer zone (closed flame)

  • E) How do you protect open drains from ignition sources when open flame hot work is conducted? Any of the answers below are correct.

  • * Fill with water. Utilize a plumber’s plug if applicable.
    * Seal with non-flammable barrier such as a fire blanket.

  • F) How do you control your jobsite to ensure that ignition sources under the control of others are not introduced (site control)? Must answer correctly

  • * Place cones, meet & greet cone, caution tape and signage as necessary.
    * Communicate hazards to all persons working on or around your jobsite.
    * In addition to persons directly entering your jobsite be cautious of crews working nearby who may introduce ignition sources.

  • G) How do you conduct continuous monitoring while performing hot work? Must answer correctly.

  • * Continuously monitor the atmosphere in the area adjacent to the hot work area beginning immediately after initial monitoring is completed but no longer than 30 minutes after initial monitoring. If more than 30 minutes elapse before continuous monitoring begins, revalidation monitoring must be conducted and documented by API and PLW.

  • H) Describe for us the duties of a person performing fire watch.

  • * Fire watch has no other job tasks than to watch for fires during hot work activities.
    * Should know that fire watch is to remain on site for 30 minutes following completion of open-flame hot work.

Section 2

  • 1) Are the correct type and size of fire extinguishers in place for the work being performed?

  • 2) Are other fire prevention devices such as spark boards and shovels onsite and properly deployed?

  • 3) Has dry combustible material such as vegetation been removed or wet down within 35’ of open flame hot work?

  • 4) What Is the appropriate safety equipment and PPE for Hot Work?

  • 5) Are the persons performing fire watch duties knowledgeable about the requirements to notify workers of dangerous situations?

  • 6) Are the PTW and HW Certificate completed by the API/PLW and reviewed with the persons performing Hot Work?

  • 7) Is the required contact information documented?

  • 8) Are open drains identified on the HW Certificate?

  • 9) Is the system in a zero-energy state with adequate isolation (if applicable)?

  • 10) Are precautions associated with hot tapping identified prior to beginning work (if applicable)?

  • 11) Are spark producing devices identified on the HW Certificate?

  • 12) Are the measures intended to prevent fire/explosion identified on the HW Certificate?

  • 13) Is the Hot Work Certificate revalidated before continuing work after a work interruption resulting from stop work authority, adverse weather conditions, alarms, or other unforeseen dangerous conditions?

  • 14) If the permitted work has been completed, does the PTW contain the required closeout information?

  • 15) Do closed-out Hot Work Certificates include PLW initials and time of closeout?

  • 16) Do closed-out Hot Work Certificates include fire watch signature and end time?

  • 17) Was site hazard identification/recognition discussed with crew?

  • Hazards discussed/identified with crew

  • Comments/Nuggets

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.