HOT WORK PERMIT

HOT WORK PERMIT
Before initiating hot work, ensure precautions are in place as required by NFPA 51B, OSHA 1917.152, and ANSIZ49.1

Make sure an appropriate fire extinguisher is readily available.

This Hot Work Permit is required for any operation involving open flame or producing heat and/or sparks. This work includes, but is not limited to, welding, brazing, cutting, grinding, soldering, and thawing pipe.

*All Hot Work must be reported to the management BEFORE the work has started*
Date

MonthDayYear
Date
Location of work
Hot work by:
Work to be done
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Start Time of Hot Work

Hour Minutes

AM/PM Option
End Time of Hot Work

Hour Minutes

AM/PM Option
Name (print) and signature of person doing hot work:
Permittee's Name
Have the following been verified?
Requirements within 35 ft. (11 m) of hot work.
Requirements for hot work on walls, ceilings, or roofs
Requirements for hot work on enclosed equipment
Name of Person doing Fire Watch:
Requirements for hot work fire watch and fire monitoring
Per the PAI/fire watch, monitoring of hot work area has been extended beyond 1 hour.
Requirements for hot work outside:
Comments or additional information
Should be Empty: