HOT WORK PERMIT

Before starting hot work, review all safety precautions.

This hot work permit is required for any temporary operation involving open flames or producing heat and/or sparks such as welding, cutting, brazing,
grinding, soldering, or torch-applied activities.
1. Work Description (by permit applicant)
Work Site Location Equipment No Area Classification Work Description

Instructions Required Precautions Checklist – Check all that apply

Supervisor: • Sprinkler protection in service (if present) and hose and extinguishers
>Complete precaution checklist at right available
>Complete this form and retain Part 1 • Hot work equipment is in good working order
>Issue Part 2 to competent person performing hot work
>Keep Part 2 to on file for future reference, including signed confirmatiion that the post work fire Requirements within 35 ft. of hot work
watch and monitoring have been completed. • Flammable liquid, dust, lint and oily deposits removed and floor swept clean
>Sign off the final check Part 2. • Explosive atmosphere in area eliminated (hot work is not to be conducted in
a classified area unless made safe)
• Nearby activities evaluated for conditions that could be effected by hot
Permit Information work
Hot work done by: • Path of likely sparks evaluated
• Employee • Combustible floors wet down, covered with damp sand or fire-resistive
• Contractor sheets
Location/ • Remove other combustible material where possible. Otherwise, protect with
building and floor: approved welding pads, blankets and curtains or metal shields
• All wall and floor openings covered
Description of job:
• Fire resistive covers and metal shields provided as needed
• Protect or shut down ducts and conveyors that might carry sparks to distant
PPE Required: Equipment :
combustible material
• Welder’s hood with appropriate lenses • Fire Extinguisher
• An appropriate fire extinguisher is located in the hot work area
• Welder’s gloves • Fire Blankets / Screens
• Leather jacket/clothing • Drain Covers
• Head Protection • Non Sparking Tools Hot work on walls, ceilings or roofs
• Hearing Protection • Scaffold • Construction is noncombustible and without combustible covering or
• Respirator • Toxic Gas insulation • Combustible material on other side of walls, ceilings or roofs is
Type/cartridge: • Barricades / Warnings moved away
Other: • Spill Containment
Communication : • Pressurized Water Hose Hot work on enclosed equipment (i.e., welding on the outside of
• Operator presence • Additional Lighting tanks)
• Supervisor notification • Shoring / Banking • Enclosed equipment cleaned of all combustible material
• Board Operator Notification • Other (Specify ) • Containers purged of flammable liquid/vapor
• Radio Communication • Pressurized vessels, piping and equipment removed from service, isolated
• Fire Watch and vented

Person Doing Hot Work Hot work inside of enclosed spaces (i.e., inside of tanks)
Name: • Adequate ventilation provided
• Atmosphere checked with gas detector per confined space permit
Signature: • Area purged of any flammable or toxic vapors
I verify the above information has been examined, • Other permits completed as required: Lock-out/tag-out, working at heights,
the precautions checked on the Required live electrical work
Precautions
Checklist have been taken to prevent fire, and Hot work/Fire Safety Notifications
permission is • Location of nearest fire alarm known
• If no alarm present, what method will be used to raise the alarm? (List in
Hot Work Supervisor Approval other precautions area below)
Name: • Escape routes maintained and known by personnel

Signature: Fire Watch/Hot work area monitoring

Date: • Fire watch will be provided for a minimum of 60 minutes after work has
ceased. • Fire watch is provided with suitable extinguishers
Permit Dates
• Fire watch trained in use of equipment and in sounding alarm
Permit Starts Date: Time:
Other Precautions/Special Instructions:
Permit Expires Date: Time:

Final Fire Watch Date: Time:

Check-up
Fire Watch Inspector Signature (below)
Signature:
 HOT WORK PERMIT
Before starting hot work, review all safety precautions.
This hot work permit is required for any temporary operation involving open flames or producing heat and/or sparks such as welding, cutting, brazing,
grinding, soldering, or torch-applied activities.
1. Work Description (by permit applicant)
Work Site Location Equipment No Area Classification Work Description

Instructions Required Precautions Checklist – Check all that apply

Person Doing Hot Work :- Record time started and display permit at hot work area. After hot work • Sprinkler protection in service (if present) and hose and extinguishers
is completed, record time and leave the permit displayed for fire watch. available
Fire Watch :- Watch area during hot work and after work completion. Prior to leaving the area, • Hot work equipment is in good working order
perform final inspection,sign, leave permit displayed and notify fire Monitor or permit authorizer.
Fire Monitor
Permit:- Information
Monitor area after post-work fire watch completion. perform final inspection, sign Requirements within 35 ft. of hot work
• Flammable liquid, dust, lint and oily deposits removed and floor swept clean
Hot work done by: Employee Contractor • Explosive atmosphere in area eliminated (hot work is not to be conducted in
Location/ a classified area unless made safe)
building and floor: • Nearby activities evaluated for conditions that could be effected by hot
Description of job: work
• Path of likely sparks evaluated
PPE Required: Equipment : • Combustible floors wet down, covered with damp sand or fire-resistive
Welder’s hood with appropriate lenses Welder’s Fire Extinguisher sheets
gloves Fire Blankets / Screens Drain Covers • Remove other combustible material where possible. Otherwise, protect with
Leather jacket/clothing Head Protection Hearing Non Sparking Tools Scaffold approved welding pads, blankets and curtains or metal shields
Protection Toxic Gas • All wall and floor openings covered
Respirator Barricades / Warnings Spill Containment • Fire resistive covers and metal shields provided as needed
Type/cartridge: Pressurized Water Hose Additional • Protect or shut down ducts and conveyors that might carry sparks to distant
Other: Lighting Shoring / Banking Other (Specify combustible material
Communication : ) • An appropriate fire extinguisher is located in the hot work area
Operator presence Supervisor notification Board
Operator Notification Radio Communication
Hot work on walls, ceilings or roofs
Fire Watch
• Construction is noncombustible and without combustible covering or
insulation • Combustible material on other side of walls, ceilings or roofs is
Person Doing Hot Work moved away
Name:
Signature: Hot work on enclosed equipment (i.e., welding on the outside of
tanks)
I verify the above information has been examined,
• Enclosed equipment cleaned of all combustible material
the precautions checked on the Required
• Containers purged of flammable liquid/vapor
Precautions
• Pressurized vessels, piping and equipment removed from service, isolated
Checklist have been taken to prevent fire, and
and vented
permission is
Hot Work Supervisor Approval
Hot work inside of enclosed spaces (i.e., inside of tanks)
Name: • Adequate ventilation provided
• Atmosphere checked with gas detector per confined space permit
Signature:
• Area purged of any flammable or toxic vapors
Date: • Other permits completed as required: Lock-out/tag-out, working at heights,
live electrical work
Permit Dates
Hot work/Fire Safety Notifications
Permit Starts Date: Time: • Location of nearest fire alarm known
• If no alarm present, what method will be used to raise the alarm? (List in
Permit Expires Date: Time: other precautions area below)
• Escape routes maintained and known by personnel

Final Fire Watch Date: Time: Fire Watch/Hot work area monitoring
Check-up • Fire watch will be provided for a minimum of 60 minutes after work has
ceased. • Fire watch is provided with suitable extinguishers
• Fire watch trained in use of equipment and in sounding alarm
Fire Watch Inspector Signature (below)
Other Precautions/Special Instructions:

Signature:
WARNING!
HOT WORK IN PROGRESS WATCH FOR FIRE!
In case of emergency:

Contact Number