Form-029 Hot Work Permit

Form-029 Hot Work Permit

If vessel on water call Harbour Master for Permit – 04 830 4164
This form must be submitted at least 24 hours before work commences.
A hot work permit is required to help limit the risk of fire. This permit will be required when you are carrying out work that may result in an open flame, sparks or heat (hot enough to ignite nearby materials). Jobs may include brazing, metal cutting, grinding, soldering or welding
Applicant's Information
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Vessel Name
Email
example@example.com
Are these work carried out by Contractor?
Please ensure that only a competent person carries out the work.
Company Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are they Seaview Marina approved Contractor?
All contractors must be approved by Seaview Marina. Please ask your contractor to submit the following documentation to Marina Admin, or contact the office for further information.
1. Public liability insurance (minimum $5 million)
2. Operator competency certificates (for those who will be carrying out work on the SML site)
3. On arrival to site, please ensure they sign in and sign out
Has Contractor completed Seaview Marina Health & Safety Induction?
All Personnel Working at Seaview Marina must complete the Health and Safety induction – this is available on our website under Useful Information > Contractor Information > Health & Safety Induction
Exact Location of Work
List all workers involved in the task
Description of Work
Hot Work Equipment to be Used

Other
PPE and Equipment Required

Other

Safety Precautions

Rows	Yes	No	N/A
Is the work in an enclosed space?
Are you working on tanks?
Are the tanks adequately cleaned, vented, purged of all ignitable liquids/vapours?
Are all Combustible materials in the surrounding area removed or made safe?
Is the area free of Flammable liquids, vapours, gases or dusts?
Are fire extinguishers available and in working condition?
Do you have suitable Fire Blankets for the hot work?
Is a fire watch required?
Protective Personal Equipment available and in use for all concerned in hot work?
Are barriers in place to stop any debris or similar affecting anything else?

Task Analysis
Start of Work

DayMonthYear
Date
Hour MinutesAM/PM Option
Finish of Work

DayMonthYear
Date
Hour MinutesAM/PM Option
Acknowledgment

By submitting this form, I acknowledge that the information I have filled out in this form is correct. I understand I am liable for any damage caused by my actions.
Signature
Seaview Marina Ltd Doc #: Form 029 Hot Work Permit Version #: 1.2 Revised on #: 29/06/2026
Should be Empty:

Form-029 Hot Work Permit

Applicant's Information

Acknowledgment