HOT WORK PERMIT(New)

HOT WORK PERMIT

All temporary operations involving open flames or producing heat and/or sparks require a Hot Work Permit. This includes, but is not limited to, brazing, cutting, grinding, soldering, thawing, welding, adhesive bonding, roofing operations, thermal spraying and thawing pipes.
INSTRUCTIONS FOR FIRE SAFETY SUPERVISOR

1. Verify precautions listed at right (or do not proceed with the work

2. Complete the permit and retain for job files.

3. Post PLY 2 in the vicinity of hot work
Project #(Wrong project # = Invalid Submission)
Project Name
Submitter Name((Don't include any special characters include "* ? / \ - : < > " |", letters only)
Submitter Email
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
LOCATION/BUILDING&FLOOR (Be Specific)
DESCRIPTION OF WORK BEING PERFORMED
NAME OF PERSON DOING HOT WORK
COMPANY NAME
The above location has been examined, the precautions checked on the Hot Work Checklist have been taken to prevent fire, and permission is authorized for this work.
Print:

(Fire Safety Supervisor)
Initial:

(Fire Safety Supervisor)
Print:

(Person Doing Hot Work)
Initial:

(Person Doing Hot Work)
Print:

(Fire Watch)
Initial:

(Fire Watch)
Started: Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time

Hour Minutes

AM/PM Option
Permit Expires: Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time

Hour Minutes

AM/PM Option
Post rask sign off(select one method for final inspection)
Final inspection completed by:
Print:
Initial:

Hot Work Checklist

Rows	Yes	N/A
Sprinklers and fire hose streams in service/operable.
Hot Work equipment in good condition (e.g. power source, welding leads, torches, etc)
Multi-purpose fire extinguisher and/or water pump can.

Requirements within 15 meters or work

Rows	Yes	N/A
Dust, lint, debris, flammable liquids and oily deposits removed.
Explosive atmosphere in area eliminated.
Combustible floor (e.g., wood, tile, carpeting) wet down, covered with damp sand or fire blankets.
Flammable and combustible material, remove where possible. Otherwise protected with fire blankets, guards or material shields.
All wall and floor openings covered
Walkways protected beneath hot work

Work on walls or celings

Rows	Yes	N/A
Combustibles moved away from other side of wall

FIRE WATCH/HOTWORK AREA MONITORING

Rows	Yes	N/A
Work area to be confirmed fire safe either by inspection 4 hours after the task is completed or by the use of a thermal imaging camera..
Fire watch is supplied with an extinguisher, and/or water pump can, also making use of other extinguishers located throughout work area.
Fire watch is trained in use of this equipment and familiar with location of sounding alarm.
Fire watch is required for opposite side of walls, above, and below floors and ceilings.

Fire watch will be provided during and for 60 minutes after work, including any coffee or lunch breaks.
Fire Watch Initial:
Other Precautions Taken

HOT WORK PERMIT

IN CASE OF AN EMERGENCY