HOT WORK PERMIT

Before starting hot work, review all safety precautions. Can this work be avoided or done in a safer way? If not, ensure fire precautions are in place! Fire sprinklers must be in service and extinguishers available.

This Hot Work Permit is required for any operation involving open flames or producing heat and/or sparks. This includes, but is not limited to, brazing, cutting, grinding, soldering, welding, or using torch to thaw piping or heat material. The permit applies to only this job, in the area specified, during the date and time noted. Note: The required precautions are not optional. They are required for fire-safe hot work.

Instructions

Facilities Management will

a) Verify precautions listed below (or do not proceed with the work)

b) Complete and retain this page

c) Provide person(s) doing the work a copy of this permit

Precaution and Safeguard Checklist

Requirements Within 35FT of Work

Fire Watch

Permit Information

I verify the above location has been examined, the precautions checked on the required PRECAUTIONS AND SAFEGUARDS have been taken to prevent fire, and permission is authorized for work

Permit Expiration