ENVIRONMENT HEALTH & SAFETY

MANAGEMENT SYSTEM
Document Type Form Document No: FR-01-EHS-028
HOT WORKS PERMIT

Project: Validity Date:_________________

07/08/2024 Permit Extension
Chewee Valid Until
0700
Time Start of Activity:__________ (time):_________________
Time End of Activity:___________
1600 Inspected and sign by:
_______________________________
Company: Gridline / Axis / Location:
b3

Details of work to be undertaken: Supervisor: SHANE BATILES

______________________________
Installation of Steel Door B3 Fan Room Authorized welder: ______________________________
JUMAWID RUBEN
Fire watcher: ACAL SAMUEL
______________________________
Helper: ______________________________
Type of Hot work (Please check):
Oxy-Acetylene ✔
Arc Welding Blow torch Power tools Others:__________
REQUIREMENTS YES NO NA REMARKS
1. Work area and close vicinity clear of flammable/combustible materials ✔

2. Work area with proper ventilation ✔

3. Appropriate Fire extinguisher located at the location for each hot work ✔
activity
4. Have all involved personnel undergone proper training / safety briefing
5. Has a documented WAT been completed and all involved personnel aware
✔
of the identified hazards and the required controls
6. Proper housekeeping is done during and after the activity. ✔

7. Welding machine and accessories are in good condition. ✔

8. Gas cylinders, hoses and cutting accessories are in good condition ✔

8. Proper tapping of welding/electrical machines ✔ ✔

9. Welder and fire watcher are complete with the required PPE ✔

10. Warning signs and barriers are in placed (also below if required) ✔

11. Dedicated fire watcher in place

12. Fire blanket/catch required and in place ✔

13. Flashback arrestor (for oxy-ace or oxy-LPG) fitted to regulator and torch ✔

14. With proper platform( when activity is in critical area or elevated area)
15. Oxy-Acetylene cylinders are upright and properly secured. ✔

16. All gas cylinders are fitted with working pressure regulator
16. Certified welder (by TESDA or any recognized Agency)
HAZARDS PRESENT AT WORK LOCATION
Yes No Hazard Potential to fall from heights
✔ Open flame or sparks Falling objects and falling hot slag and sparks
✔ Restricted ventilation for fumes Flammable or explosive materials or chemical
✔ Electricity (Potential Electric Shock) Confined space
Conditions: 1. Processing of this permit must not continue if any of the above requirements is not complied.
2. This permit will be invalid for any changes of conditions and work environment
INSPECTED BY: NAME SIGNATURE DATE
MDC/SC OPERATION SHANE BATILES
APPROVED BY: NAME SIGNATURE DATE
MDC OPERATION SUPV/ SUPT. SHANE BATILES
MDC EHS PERSONNEL
NOTE: This permit must be posted at work area all the time. Erasures, Tampering and/or Unauthorized signatories will be considered INVALID.

REV CODE: 01 EFFECTIVE DATE: JULY 4, 2022 PAGE: 1 of 1