Hot Work Permit

Hot Work Permit

HSEOP-10-02
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*
Date*

MonthDayYear
Date
Time Started*

Hour Minutes

AM/PM Option
Company*
Time Completed*

Hour Minutes

AM/PM Option
Location/Building/Floor*
Work to be done*
1. Available sprinklers, hose streams, and exinguishers are in service and operable*

YesN/A
2. Hot work equipment is in good working condition in accordance with manufacturer's specifications*

YesN/A
Requirements within 35 ft. (11m.) of hot work:
3. Flammable liquid, dust, lint, and oily deposits removed*

YesN/A
4. Explosive atmosphere in area is eliminated. LEL measured at*

YesN/A
5. Floors swept clean and trash removed*

YesN/A
6. Combustible floors wet down or covered with damp sand or fire-resistive/noncombustible materials or equivalent*

YesN/A
7. Workers are protected from electrical shock when floors are wet*

YesN/A
8. Other combustible storage material removed or covered with listed or approved materials (welding pads, blankets, or curtains; fire-resistant tarpaulins) metal shields, or noncombustible materials.*

YesN/A
9. All wall and floor openings covered*

YesN/A
10. Ducts and conveyors that might carry sparks to distant combustible material are covered, protected, or shut down*

YesN/A
Requirements for hot work on walls, ceilings, or roofs:
11. Construction is noncombustible and without combustible coverings or insulation*

YesN/A
12. Combustible material on other side of walls, ceilings, or roofs is moved away*

YesN/A
Requirements for hot work on enclosed equipment:
13. Enclosed equipment is cleaned of all combustibles*

YesN/A
14. Containers are purged of flammable liquid/vapor*

YesN/A
15. Pressurized vessels, piping, and equipent rmeoved from service, isolated and vented*

YesN/A
Requirements for hot work fire watch and fire monitoring
16. Fire watch is provided during and for a minimum of 30 min. after hot work, including break activity*

YesN/A
17. Fire watch is provided with suitable fire exinguishers and, where practical, a charged small hose*

YesN/A
18. Fire watch is trained in use of equipment and in sounding alarm*

YesN/A
19. Fire watch can be required in adjoining areas, above and below*

YesN/A
20. As per the PAI/fire watch, monitoring of hot work area has been extended beyond 30 min*

YesNoN/A
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.
Supervisor Authorizing Hot Work*

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

First NameLast Name
Fire Watch Signature*
*STOP* Revew Hot Work Permit with a member of PCL management. PCL management to complete below:
PCL Management Name*

First NameLast Name
PCL Management Signature*
Should be Empty:

Hot Work Permit

Requirements within 35 ft. (11m.) 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

*STOP* Revew Hot Work Permit with a member of PCL management. PCL management to complete below:

STOP Revew Hot Work Permit with a member of PCL management. PCL management to complete below: