• Hot Work Permit

Part A

  • Permit No:


  • Work Location:

  • Purpose / Type of Work:

  • Permit Expires:

  • Select date

  • Department / Contracting Company:


  • For work likely to produce a source of ignition, including welding, gas cutting, blast cleaning and the use do sparking producing tools or portable equipment, or other determined sources of ignition

  • Are persons entering and working in the hot work area trained and competent

  • Do persons have a current risk assessment for the hot work area and the work to be done

  • Other permits required

  • Other Permits
  • Permit Type

  • Permit No.

Task Details

  • Task

  • Location

  • Add location
  • Start Date & Time

  • Finish Date & Time

Risk Controls

  • Portable fire extinguisher available

  • Running hose water required

  • Fixed fire suppression systems operational

  • Combustible materials removed from 15 m radius

  • Shielding around combustible materials where clearance is not possible

  • Barricading around job site required

  • Phone or 2-way radio required

  • Emergency services advised

  • Fire Authority or Council authorisation in place

  • Area below work area cleared

  • Hot work signs required

  • Interaction with other works considered

  • Additional protection for rubber/combustible lining considered

Special Conditions

Fire Watch

  • Is a Fire Watch required

  • Fire Watch
  • Fire Watch name

  • Fire Watch signature

  • Fire Watch Date & Time

  • Is a Post Fire Watch required (min of 30 mins to 2 hours)

  • Post Fire Watch
  • Post Fire Watch Name

  • Post Fire Watch signature

  • Post Fire Watch START Time & Date

  • Post Fire Watch END Time & Date

  • Is a flammable gas test required

  • Gas Tester name

  • Gas Tester signature

  • Parameter

  • Parameter result

  • Time & Date of Test

Responsible Person

  • I accept this permit, agree to be bound by the conditions above and the associated procedures and accept the responsibility as the person directly in charge of the work in hot work area nominated

  • Responsible Person Name:

  • Acceptor signature

  • Date & Time

Part B

Part B (Permit Issue to complete)

Authorised Person (Permit Issuer)

  • I have inspected the work area where the hot work is to be conducted and satisfied the risk controls are place . I authorise the entry to this hot work area subject to the conditions and risk controls on the risk assessment and as stated on this permit

  • Permit Issuer

  • Permit Issuer signature

  • Issue Date & Time

  • Is hot work being conducted in a hazardous area. Hazardous areas include any area that has rubber lined vessels or spirals.<br><br>Additional sign-off by the Project Manager or Site Manager is required

  • Site Manager

  • Site Manager signature

  • Site Manager Date & Time


  • Required if Permit Issuer leaves site prior to cancellation of permit. I have inspected the workplace where the hot work is being performed and satisfied the risk controls identified in the risk assessment and this permit are in place

  • Transfer name
  • Permit Issuer

  • Permit Issuer signature

  • Transfer Date & Time:

Part C

Section D

Cancellation (Permit Issuer to complete)

  • All work associated with this permit has been completed. The work area and adjacent areas have been inspected for the duration of fire watch and post fire watch monitoring as stated in this permit. The work area has been cleared of any any debris and equipment is now ready to return to service. This permit is now relinquished.

  • Permit Issuer Name

  • Permit Issuer signature

  • Cancellation Time & Date:

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.