HOT WORK PERMIT

SECTION 1 - DESCRIPTION / LOCATION

Location :

Description of Work :

Work Permit required for :

(Name of the Company)

Approximate duration of the work :

Name of Supervisor/ Engineer incharge :

SECTION 2 - CHECKLIST

No. Description YES NO NA

1 The area immediately below the work spot has been cleared from all combustable materials.
2 Fire fighting equipment and water at welding area.
3 Tin sheet / fire blanket to prevent sparks from spreading.
4 Flash back arrester installed to the gas cylinder.
5 Gas cylinder and fittings are free from cracks, grease, etc.
6 Gas cylinders are kept upright and secured.
7 Arc welding machine is in good condition.
8 Welding cables are in good condition.
9 Stand-by fire watcher (Must be well trained on types and usage of FEs)
10 H&S Risk Assessement, Environmental aspect/ impact & Control measure are in place
11 Operators are in possession of the appropriate PPE specified for the job.
a. Hard hat
b. Hearing protection
c. Eye protection
d. Face protection
e. Filter lens shade number
f. Foot protection
g. Hand gloves
h. Body protection
i. Others (specify)
Comments :

SECTION 3 - INSPECTION OF WELDING AREA

The work permit for the above mentioned work at the location specified is issued after personally inspecting
the area to ensure that the precautions mentioned in Section 2 have been complied with.

This is valid from …………………. hours to ………………….. hours on date ……………………… (1 day only).

Name of Engineer / Supervisor ARABTEC HSE team / Officer Name:

Company Checked by: Approved by :

Signature Signature Signature:

SECTION 4 - CLOSEOUT OF PERMIT

Actual work completed and area has been cleared. Permit closed

Time …………….. hours. Date………………………. Sign of Arabtec HSE

(To be returned to the Arabtec HSE team once the work is completed) team.

Form # 10012-Rev 3-Jun 09