Hot Work Permit

PCL HSE OPERATING PROCEDURES

Hot Work Procedure HSEOP-10-02
Hot-Work Permit

Seek an alternative/safer method if possible!
This Hot-Work Permit is required for any operation that involves burning, welding, using an open flame, fire- or spark- producing tools, or that produces a source of ignition. This work includes, but is not limited to, welding, brazing, cutting, grinding, soldering, thawing pipe, torch-applied roofing. and chemical welding.
Project Name*
Project Number
Company*
CN_PDF
Signee Email*
This email address will be used to send a copy of this completed document. (Required)
Date*

MonthDayYear
Date
Time Started*

Hour Minutes

AM/PM Option
Time Completed*

Hour Minutes

AM/PM Option
Location/Building/Floor*
Work to be done*
THIS PERMIT IS GOOD FOR 24 HOURS
YesN/A
YesN/A
Requirements within 35 ft. (11 m of hot work):
YesN/A
YesN/A
YesN/A
YesN/A
YesN/A
YesN/A
YesN/A
YesN/A
Requirements for hot work on walls, ceilings, or roofs:
YesN/A
YesN/A
Requirements for hot work on enclosed equipment:
YesN/A
YesN/A
YesN/A
Requirements for hot-work fire watch and fire monitoring:
YesN/A
YesN/A
YesN/A
YesN/A
YesNoN/A
Supervisor Authorizing Hot Work Name

First NameLast Name
Supervisor Authorizing Hot Work Signature
Fire Watch Name*

First NameLast Name
Fire Watch Signature*
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Select the name of the Form Approver *
An email will be sent to the approver once you submit the form.
Approver Email
example@example.com
Shared Mailbox Email
example@example.com
MXHERO
example@example.com
Shared Mailbox Email (2)
example@example.com
ALL SUBMISSIONS
example@example.com
THIS SECTION BELOW IS FOR APPROVER/PCL USE ONLY. PLEASE SELECT SUBMIT
Approval Status
Approver will review submission and select status.
Permit-Authorizing Individual (PAI) Name*

First NameLast Name
Permit Authorizing Individual (PAI) Signature*
PCL Reference Number
I verify that the above location has been examined, the precautions marked on the checklist above have been taken, and permission is granted for this work.
Should be Empty:

PCL HSE OPERATING PROCEDURES

Hot-Work Permit

THIS PERMIT IS GOOD FOR 24 HOURS

Requirements within 35 ft. (11 m of hot work):

Requirements for hot work on walls, ceilings, or roofs:

Requirements for hot work on enclosed equipment:

Requirements for hot-work fire watch and fire monitoring:

THIS SECTION BELOW IS FOR APPROVER/PCL USE ONLY. PLEASE SELECT SUBMIT