Hot Work Permit

Permit no :
Project :
Specific job Location :
Permit required from: hrs (Date) to: hrs (Date)
Specific Job description:
Name of equipment (s) used: ……………………………………………………………………………………………………
Identification no. of equipment(s) used: …………………………………………………………………………………..
Name of Contractor :
JSA Ref no:
DESCRIPTION YES NO NA REMARKS

Is equipment is in good condition, only inspected

equipment should be allowed to work.
Tool box talks given to all contract workers (Before
starting of hot work / Contract worker should be trained
or Briefed about the work) and record to be maintain.
Is the area free of combustible substances?

Is there any naked /damaged wire connections are

observed?
Is Localized body earth was available at the job?

Is welding machine power source connected to the

RCCB?
Is there availability of suitable fire extinguisher in place
and it to be good condition?
Is “Hot work in progress” signage has displayed and area
to be barricaded?
Is fire sand buckets are in place (Check the dryness of the
sand)?
Is the availability of dedicated fire watcher at hot work
location?
Are cylinders used for Gas cutting kept in upright and
secured properly?
Are regulators, Pressure gauges and flash black arrestors
provided at the both end of torch and cylinders?

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 Are power tools in good condition and inspection tag in
place?
Is RPM of grinding wheel greater than the grinding
machine? (Applicable for grinding & cutting machine)
Is work specific PPE’s available with workers?
(Leather gloves, Apron, Welding Googles/Shield)
In case of hot work at height are the welding sparks
contained?
Is Fire blanket provided? If applicable

Is Lock out and tag out ensured for

electrical/mechanical?
Discard of electrode bits in designated collection box?
(Ensure the availability of collection box)
A. Permit Initiation & Issue

Details Name Signature, Date & Time

Declaration of initiator /Contractor :
a. All the above safety precautions have been put in place, based on Job safety analysis as per method
statement and verified by me on ground personally.
b. I shall ensure all the necessary precautions, till end of the work & I shall take full responsibility in case
of any deviations or lapses noticed on site.
c. Work should be carried out only after complying the approver comments.
Permit Initiator
(Contractor PM / Engineer)
The safety precautions and safe conditions mentioned above have been checked and put in place.

Comments by Approver
Checked and Approved By
(Contractor Safety Officer)

Comments by PMC

Permit is issued based on work progress schedule & on the above declaration from the contractor. In case of
any NC noticed by PMC/ consultant/client during site rounds, necessary actions as per Contract/Statutory
conditions shall be taken.

Permit is granted & valid up to date ………………………………& time: from………………. to ………………………..

Reviewed by PMC

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B. Permit Cancellation :

Permit On Date & Cancellation Reason for cancellation

hold/Cancelled by Time Acknowledged
(Name & Sign) by(Name & Sign)

C. Permit Closure:
The above-mentioned job has been completed, all persons and materials withdrawn & removed from site.
Date…………………………………. & Time ……………………………… this permit is closed.

Details Name Signature, Date & Time

Permit Initiator
(Contractor PM / Engineer)
Permit closed by Approver

Permit closed by PMC

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