Northwest Steel Companies- Hot Work Permit

• Hot Work Permit Number

• Date of Hot Work.

  Date

• Project Name (Jobsite)

  Select

• Time Hot Work Begins.

  Date

• Time Expires.

  Date

• Time Hot Work Ended.

  Date

• Requested by

• Person(s) performing Hot Work

• Person(s) responsible for fire watch (within sight and 35 feet for response if needed)

• Type of Hot Work?

  Select

Hot Work Questions

• Flammable and combustible liquids been removed from the area?

  Yes

  No

• Fire extinguisher(s) placed in immediate reach of workers in the area of Hot Work?

  Yes

  No

• Combustibles move form the area to prevent fire?

  Yes

  No

• Ground or floor area debris and other Slip Trip Fall hazards eliminated or moved from area clean of the Hot Work?

  Yes

  No

• Welding blankets covering combustibles which can not be moved in the Hot Work/Room area?

  Yes

  No

• Welding/Cutting equipment has been inspected and found to be safe?

  Yes

  No

• Fire sprinkler system in service?

  Yes

  No

Fire Watch

• Fire Watch name, #1?

• Assisting Employee

• Fire Watch name, #2?

• Assisting Employee

• Print and signed by Northwest Steel Companies job site supervisor.

  Sign