Hot Work Permit
Validus Energy
***Notice***
If the work can be relocated to an approved hot work shop, STOP and relocate work.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Job Supervisor
First Name
Last Name
Supervisor Email
example@example.com
Operating Group
Drilling
Completions
Construction
Production
Maintenance
Wellservice/Workover
Location where hot work will occur
Description of work to be performed
Fire watch(s)
Atmosphere
Atmosphere must be constantly monitored using personal monitor and documented every half hour. (click save to open additional entry)
Controls
Check if each of the below hazards are appropriately controlled. If any answer is no, STOP and correct the situation.
Rows
Yes
No
N/A
Are water hoses or fire extinguishers available and in good repair?
Is hot work equipment in good repair?
Have flammable liquids, dust, lint and oily deposits within 35 ft. been removed?
Have explosive atmosphere been eliminated?
Has the work surface area been cleaned of grease, paint, etc.?
Have combustible floors been wet down, covered with damp sand or covered with fire resistant sheets?
Have surface areas below work area been protected?
Have access ways below work area been barricaded?
Are UV shields in place?
Has enclosed equipment been cleansed of all combustibles?
Have all containers been purged of flammable liquids and vapors?
Will fire watch be provided during and for 60 minutes after work, including coffee and/or lunch breaks?
Has fire watch been provided with suitable fire extinguishing devices?
Has the fire watch person been trained in use of fire extinguishing devices and in sounding alarm(s) or other emergency communications?
Hot work area will be monitored for 30 minutes after completion of work?
Acceptance
Fire Watch(s)
Fire Watch(s) Signature(s)
Workers
Workers Signature(s)
Supervisor Signature
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Submit
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