Hot Work Permit

Date

Hot Work Supervisor

First NameLast Name

Supervisor Email

example@example.com

State

Project Name

Project Number

Is this a printed/paper permit?

Yes

Upload printed permit or any supplementary documents

Hot Work Area Inspection and Checklist

Before hot work is permitted and at least once per day while this permit is in effect, the hot work area shall be inspected by the individual responsible for authorizing the hot work operations to ensure that it is a fire safe area.

Conditions Required by this Checklist must be Verified Prior to Signing the Permit

All hot work equipment is in satisfactory operating condition and in good repair.Hot work site is clear of combustibles for a 30' peramiter.Exposed construction consisting of combustible materials is protected.All wall and floor openings are protected and/or tightly covered.Floors are clean, combustible floors are wet down and covered with damp sand or fireresistant sheets.No exposed combustibles are located on the opposite side of partitions, walls, ceilings or floors where heat could cause ignition.Within the hot work area, remove all exposed combustible materials where possible (within 30’), otherwise protect with fire-resistant tarpaulins, screens, or shields to prevent contact with sparks, slag, and radiant and convective heat.If applicable, fire-resistant tarpaulins have been suspended beneath elevated hot work.

Work on Walls, Ceilings, or Enclosed Equipment

No danger exists by conduction of heat into another room or area.Combustibles have been moved or protected.Enclosed equipment has been cleaned of all combustibles.Fire watch is provided during hot work and continuously for 30-minutes after hot work, including during any breaks from work.Fire watch personnel have readily available a minimum 10 lb. ABC rated fire extinguisher which shall be located within 30’ of the hot work area.Fire watch personnel are trained in the use of portable fire extinguishers and in sounding an alarm if needed.Additional fire watch personnel may be required for adjoining areas including above and below hot work area.

General Safety Requirements

Where applicable, adequate ventilation is provided to remove smoke/vapors from hot work area.All hot work workers shall be trained in the Company hot work procedures.

Additional Precautions or Requirements

Is a Confined Space Entry Permit Required?Is Lockout/Tagout or Energy Isolation required?

Special Conditions (Requires Safety Director approval prior to work)

1. Hot work in any area containing flammable liquids, vapors, and/or hazardous materials.2. Hot work in an area with fire protection devices such as smoke and/or heat detection when deactivated.3. For hot work in areas with automatic sprinkler protection the sprinkler heads must be protected by non-combustible barriers or damp cloth guards. Shields or covers must be removed immediately after work has been completed.4. If a building’s fire sprinkler system is impaired (shut off), notification must be made to the local fire department and police dispatch phone numbers. DO NOT make this notification to 911.

Notes or Special Conditions

Signature

Date & Time