MAD - Hot Work Permit

• CAN THIS WORK BE DONE WITHOUT CREATING FLAMES OR SPARKS?

  Yes

  No

INSTRUCTIONS:

• This Hot Work Permit should ONLY be used when the project owner or GC does not provide a permit for use!

• This Hot Work Permit is required for any temporary operation involving open flames or producing heat and/ or sparks. This includes but is not limited to: Brazing, Soldering, Welding, and Chop Saws.

JOB INFORMATION

• Location:
  Address

• Date:

  Date

• Type of Hot Work being performed:

  Select Welding Soldering Brazing Cutting Grinding Other

  • Welding
  • Soldering
  • Brazing
  • Cutting
  • Grinding
  • Other

• Work to be performed by:

  Select Employee Subcontractor

  • Employee
  • Subcontractor

• Name of subcontracted company:

• Name of person performing work:

• Is a fire watch needed?

  Yes

  No

• Name of fire watch:

REQUIRED GENERAL PRECAUTIONS:

• Has the owner / GC confirmed that sprinklers, hose streams, and extinguishers are in service, operable and available?

  Yes

  No

• Is Hot Work equipment (torches, welding leads, etc.) in good condition?

  Yes

  No

• Does the building have a fire detection/fire sprinkler system which needs to be shut down prior to Hot Work starting?

  Yes

  No

  N/A

REQUIREMENTS WITHIN 20' OF HOT WORK:

• Have flammable liquids, dust, lint, and oily deposits been removed?

  Yes

  No

  N/A

• Has the potential for an explosive atmosphere in the area been eliminated?

  Yes

  No

  N/A

• Are the floors swept clean?

  Yes

  No

  N/A

• Are combustible floors wet down, covered with damp sand or fire blankets?

  Yes

  No

  N/A

• Have other combustibles been removed if possible?

  Yes

  No

  N/A

• Have the combustibles been protected via metal shields or fire blankets?

  Yes

  No

• Are wall and / or floor openings covered?

  Yes

  No

  N/A

• Is duct work capable of transferring sparks protected or shut down?

  Yes

  No

  N/A

WORK ON ENCLOSED EQUIPMENT

• Will enclosed equipment be cleaned of all combustibles?

  Yes

  No

  N/A

• Will containers be purged of flammable liquids / vapors?

  Yes

  No

  N/A

• Will pressurized vessels, piping and equipment be removed from surface, isolated, or vented?

  Yes

  No

  N/A

FIRE WATCH / HOT WORK MONITORING

• Will fire watch be provided during hot work?

  Yes

  No

  N/A

• Is fire watch equipped with suitable extinguishers which are functional?

  Yes

  No

  N/A

• Is the fire watch trained in the use of equipment and sounding the alarm?

  Yes

  No

  N/A

• Are fire watches present in adjoining areas, above and below where required?

  Yes

  No

  N/A

OTHER PRECAUTIONS

• List other precautions taken:

• EMAIL FORM TO PROJECT MANAGER AND SAFETY REPRESENTATIVE IMMEDIATELY!

• Signature:

  Sign