Raynow Hot Work Permit Request

  • Hot Work Permit Request

  • Hot Work presents real danger of fires starting long after the work is completed from sparks or hot metal slag concealed in cracks, crevices or raining down between partitions. The Hot Worker shall rigorously follow this permit format. It shall be signed by the Hot Worker and by the Superintendent PRIOR to starting any hot work and closed off after the hot work is completed or at the end of each day or work period – whichever shall occur first. Permits shall be issued for each hot work period – including return from a lunch break.

  • Date of Permit Request*
     - -
  • Work Site Name*

  • Answer the following questions

  • 1. Is worker(s) trained, certified and competent in the use of the equipment?*
  • 2. Is the Hot Work worker trained in fire extinguisher use?*

  • No work starts until training completed.

  • 3. Do the worker(s) have the proper PPE required by OH&S Act, [company name] safety manual and equipment manufacturer (fire/cut resistant clothing, gloves, apron, visor, respirator, etc.)?*

  • No work can start until the correct CSA/ANSI/WHS approved PPE is worn & worker(s) trained in use.

  • 4. Are work materials properly braced or supported?*

  • No work starts until corrected.

  • 5.  Is there adequate ventilation for hazardous fumes and/or smoke removal?*

  • No work will start until ventilation installed and tested.

  • 6. Has the work area been cleared and suitably isolated from combustible materials?*

  • No work can start until the area is cleared of combustible materials.

  • 7. Will hot work be conducted in a hazardous fumes atmosphere?*

  • No work can start until fumes are properly vented and air confirmed safe by air monitor test.

  • 8.  Will debris or sparks fall behind, in or on any flammable surfaces, between cracks or behind/between partitions?*

  • No work shall start until CSA/ANSI approved fire resistant blankets/material(s) laid to protect the surfaces/partitions.

  • 9.  If fire/smoke alarms are in the area - have they been disconnected, removed/covered?*

  • Ensure permission is obtained prior to disconnection, removal/cover.

  • 10. Is the fire/spark watch person appointed to watch the Hot Work Worker adequately trained in the following:

  • 10a. Fire extinguisher use?*

  • No work start until corrected.

  • 10b. How to rescue the Hot Work worker safely?*

  • No work start until corrected.

  • 10c. How to shut-off the Hot Work equipment in an emergency?*

  • No work start until corrected.

  • 10d. Who to notify if there are spark and/or slag problems?*

  • No work start until corrected.

  • 10e. Not to leave the Hot Work worker alone?*

  • No work start until corrected.

  • 10f. Not to leave the Hot Work area until at least one hour has passed after the hot work is completed – for any reason, including short breaks.*

  • No work start until corrected.

  • 11: Are the Fire Extinguishers?

  • 11a. Correct for use on the equipment/material in use?*

  • No work start until corrected.

  • 11b. Fully serviceable and inspected up-to-date?*

  • No work start until corrected.

  • 11c. Of sufficient capacity to extinguish a small fire?*

  • No work start until corrected.

  • 11d. Easily accessible at all times during the Hot Work?*

  • No work start until corrected.

  • 11e. Are all workers aware that extinguisher(s) must be easily accessible in the work area until the fire watch period is over?*

  • No work starts until corrected.

  • Hot Work

  • HOT WORK PERMIT REQUESTER STATEMENT AND SIGNATURE
    I have made all statements & answers to the questions accurately and truthfully to the very best of my knowledge and belief. I understand I am personally responsible for the correct conduct of the Hot Work in accordance with the OH&S ACT, Regulation & Code, the equipment manufacturers’ operation instructions & Raynow's Health and Safety Manual.

  • {HotWorker} Click SUBMIT below to send to the Site Superintendent for Approval.

  • HOT WORK PERMIT PERMISSION

  • Date and Time Permit Issued*
     - -
  • Status*

  • I have reviewed the information stated in this permit request and have made such checks and asked such questions as satisfy me that the hot work shall be permitted to proceed subject to any comments

  • {WorkSiteSuperintendent} Click SUBMIT to send Approved HWP to Worker and Firewatch. If you need more information speak directly to {HotWorker} to clarify before approving.

  • FIRE WATCH COMPLETION

  • Fire watch completed at*
     - -

  • I confirm that I constantly monitored the hot work area for sparks, hot spots and fire, bewtween the times stated above and completed the fire watch as required.

    I confirm that all areas and conditions are satisfactory to complete the fire watch. (i.e. areas are cold, and giving off no hot spots, sparks, or flames).

  • {FireWatchName} Add fire watch times and click SUBMIT below.

    Do not add your signature until the Firewatch is completed.

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