HSEOP-10-02: Hot Work Permit

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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.
Date

MonthDayYear
Date
Time Started
Company
Time Completed
Location/Building/Floor
Work to be done
THIS PERMIT IS GOOD FOR 24 HOURS
YesNA
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 Permit Name

First NameLast Name
Supervisor Authorizing Hot Work Signature
Permit Authorizing Individual (PAI) Name

First NameLast Name
Permit Authorizing Individual (PAI) Signature
Fire Watch Name

First NameLast Name
Fire Watch Signature
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:

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