V-HSF024 Hot Work Permit

• Site Conducted

  Select

• Conducted On

  Date

• Permit No.

• Equipment Used

• Supervisor

Precautions To Be Taken:

• Hot work must cease at least one hour before end of shift. Areas where hot works have been carried out should be checked before leaving site.

  Yes

  No

  N/A

• Services affected must be isolated before work commences.

  Yes

  No

  N/A

• Isolate smoke detectors in the vicinity of hot works

  Yes

  No

  N/A

• A suitable fire extinguisher must be available and be kept close at hand, at all times.

  Yes

  No

  N/A

• Supervisors must ensure suitable person protective equipment (PPE) is provided and worn by operatives.

  Yes

  No

  N/A

• All cylinders must be transported and secured upright.

  Yes

  No

  N/A

• Valves and hoses must be in good condition

  Yes

  No

  N/A

• All cylinders must have flashback arrestors fitted.

  Yes

  No

  N/A

• When not in use, cylinders must be shut off and returned to store.

  Yes

  No

  N/A

• LPG cylinders must not be left in the building overnight without formal approval.

  Yes

  No

  N/A

• Arc welding equipment will comply with current standards.

  Yes

  No

  N/A

• Spent welding rods must be immersed in a bucket of water.

  Yes

  No

  N/A

• Minimum radius of hot works must be 2m from other persons working. Screens should be erected if needed.

  Yes

  No

  N/A

• Where hot works are required adjacent combustible material, a fireproof protective mat should be placed between the material and the heat source during the hot works. (Check both sides of partition walls to ensure that heat has not been transferred by conduction to combustible materials).

  Yes

  No

  N/A

• Work areas to be kept tidy and free from combustible materials.

  Yes

  No

  N/A

• When operatives are working in riser shafts or on staging with cylinders, work will be secured and openings to other levels covered with a fire blanket or other non-combustible materials).

  Yes

  No

  N/A

• Operatives must remain in the area for 15 minutes after completing work to ensure there is no hot-spot residue.

  Yes

  No

  N/A

Operatives Carrying Out Hot Work Must:

• Understand the permit conditions and the fire and safety precautions

  Yes

  No

  N/A

• Be in possession of a permit at all times

  Yes

  No

  N/A

• Stop work if required to do so by an authorised person

  Yes

  No

  N/A

• Immediately report any hazard likely to affect the fire and safety precautions

  Yes

  No

  N/A

• Ensure satisfactory access to and egress from the work area

  Yes

  No

  N/A

Confirmation by Contractor's Supervisor:

• I confirm that the precautions specified above will be complied with and I will ensure that the persons carrying out the work described above are fully briefed on the safe method of work.

  Sign

Confirmation by Operator:

• I understand the precautions to be taken in carrying out the hot works.

  Sign

Site Management Authorisation:

• I certify that the above work can commence with the precautions listed above.

  Sign

Cancellation of permit by: (Note: hot works must cease one hour before end of shift).

• Operator - I confirm that the work has been completed and the area has been checked and is safe.

  Sign

• Site Management - I confirm that the work has been completed and the area has been checked and is safe.

  Sign

• Inspection of area covered by hot-work permit by fire warden/site management after cancellation of permit

  Sign