Title Page
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Issued by
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Issued on
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Work Zone
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Document No.
Hot Work Permit Checklist
Strongbuild Hot Work Permit (One Permit Issued Per Work Zone)
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Issued To (Full Name of Person Performing Work)
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Company
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Trade
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Description of Work
Hot Work Permit Duration (No Greater Than 1 Working Week)
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First Date
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Last Date
Precautions
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A portable fire extinguisher is immediately accessible
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3 mtr clearance of sources of ignition
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Finish surfaces have temporary protection
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All floor or wall penetrations are covered
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Access by others is restricted (Stairwells/overhead work)
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Welding screens are in place
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Smoke detectors are isolated, if applicable
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Photos (optional)
The above items have been jointly reviewed with the Strongbuild supervisor and trade supervisor/worker. If any of the above conditions change during the execution of the works the worker has agreed to stop work and notify the Strongbuild supervisor and implement any agreed control measures.
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Strongbuild Supervisor
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Trade Supervisor/Worker
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Is this Hot Work Permit being issued for more than 1 day?
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A Post Work inspection must be conducted no less than 30 minutes after the task is completed to ensure there is no possible source of ignition
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Post Work Check Conducted By
Progressive Inspections - If the Hot Work Permit is issued for consecutive days then a Pre-Start Inspection must be completed each morning to ensure the initial control measures remain in place and a Post Work inspection must be conducted no less then 30 minutes after the task is completed to ensure there is no possible source of ignition.
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Progressive Inspection
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Enter Date
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Pre-Start Check Conducted BY
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A Post Work inspection must be conducted no less than 30 minutes after the task is completed to ensure there is no possible source of ignition
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Post Work Check Conducted By
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Does this close the Hot Work Permit?
