Scribd Logo
Upload

Welcome to Scribd!

  • 500 views

    Ace Hot Work Permit Application Form PDF

    Uploaded by

    kevin
    This document is a hot work permit from ACE Insurance Limited. It provides instructions and requirements for completing hot work, such as welding or cutting, outside of a workshop. The permit requires inspection of the work area to ensure fire safety precautions are in place, such as removing combustibles within 10 meters and having a fire watch during and after the work. It details the responsibilities of those involved, including having emergency procedures and contact information ready. Authorized company representatives must inspect and sign off on the permit before, during, and after the hot work is done.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Ace Hot Work Permit Application Form PDF

    Uploaded by

    kevin
    500 views3 pages
    This document is a hot work permit from ACE Insurance Limited. It provides instructions and requirements for completing hot work, such as welding or cutting, outside of a workshop. The permit requires inspection of the work area to ensure fire safety precautions are in place, such as removing combustibles within 10 meters and having a fire watch during and after the work. It details the responsibilities of those involved, including having emergency procedures and contact information ready. Authorized company representatives must inspect and sign off on the permit before, during, and after the hot work is done.

    Original Title

    ace-hot-work-permit-application-form.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a hot work permit from ACE Insurance Limited. It provides instructions and requirements for completing hot work, such as welding or cutting, outside of a workshop. The permit requires inspection of the work area to ensure fire safety precautions are in place, such as removing combustibles within 10 meters and having a fire watch during and after the work. It details the responsibilities of those involved, including having emergency procedures and contact information ready. Authorized company representatives must inspect and sign off on the permit before, during, and after the hot work is done.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    500 views3 pages

    Ace Hot Work Permit Application Form PDF

    Uploaded by

    kevin
    This document is a hot work permit from ACE Insurance Limited. It provides instructions and requirements for completing hot work, such as welding or cutting, outside of a workshop. The permit requires inspection of the work area to ensure fire safety precautions are in place, such as removing combustibles within 10 meters and having a fire watch during and after the work. It details the responsibilities of those involved, including having emergency procedures and contact information ready. Authorized company representatives must inspect and sign off on the permit before, during, and after the hot work is done.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3
    At a glance
    Powered by AI
    A hot work permit is required for any cutting, welding, or other hot work done outside of a workshop. It must detail the location and type of work, equipment used, emergency procedures, and precautions taken to prevent fires.

    A hot work permit is required for any non-production or maintenance operation involving cutting, welding, grinding, open flames or producing heat/sparks outside of a workshop. This includes using equipment like welders, grinders, or gas torches for tasks like brazing or soldering.

    Before authorizing hot work, the permit issuer must inspect the work area and ensure combustible materials have been removed or protected within 10m, openings are covered, fire watches are arranged, and fire equipment is ready.

    ACE Insurance Limited

    The ACE Building


    28 OConnell Street
    Sydney NSW 2000
    Australia

    GPO Box 4065


    Sydney NSW 2001
    Australia

    (02) 9335 3200 main


    (02) 9232 5042 fax
    www.aceinsurance.com.au

    Hot Work Permit


    Can this job be avoided? Is there a safer alternative?

    Permit no:

    A Hot Work Permit is required for any non-production or maintenance operation involving cutting, welding, grinding, open flames or producing heat and/
    or sparks that is not completed in a dedicated workshop area. This includes, but is not limited to, the use of any electric, oxy-acetylene, laser or similar
    welding or cutting equipment, grinders, gas torches or blow lamps (including electric hot air blowers) for brazing, soldering, thawing pipes, torch
    applied flooring or roofing materials or removal of any materials. The Permit must be displayed at the work site & returned upon completion of work.
    (See page 3 for additional information & instructions on completing this Permit.)
    CAUTION: Hot Work is not to be completed on any type of plastic or foam insulated construction material (refer ACE Plastic Foam Construction Material
    (PFCM) Permit). Specialist or High Hazard process or storage facilities may require additional precautions.

    1. Application for Hot Work


    Company performing work

    Dept

    Person performing work

    Phone (bus)

    Phone (mobile)

    Location of work
    Description of Work

    Equipment to be Used

    2. Permit duration (Maximum duration 1 shift / 12 hrs*)


    Permit begins

    Date

    Time

    am/pm
    am

    Permit expires

    Date

    Time

    am
    am/pm

    3. Emergency information
    If a fire occurs, call

    At phone

    Activate nearest fire alarm at

    Continued overleaf

    ACE Insurance Limited ABN 23 001 642 020

    Page 1 of 3

    4. Authorisation by company representative


    Prior to authorising the work, the Authorised Company Representative shall inspect the work area and confirm that
    the following precautions have been taken. Each item is to be checked prior to commencement of the work. (Delete &
    initial if & where Not Applicable). All applicable precautions are to be adhered to for the duration of the work.
    GENERAL PRECAUTIONS
    n Sprinklers &/or thermal detectors in service
    (where installed)
    n Smoke detectors isolated in work area (where installed)
    & Impairment Procedures followed
    n Work area adequately ventilated

    n Flash screens, barricades &/or guards provided


    n Hot work equipment inspected & in good condition
    n Contractors aware of Company Fire Safety Procedures
    n Contractor liability cover checked & adequate

    WITHIN 10 METRES OF WORK AREA (Combustible & flammable materials must be removed or protected)
    n Floors are swept clean to remove combustibles
    n All floor, wall & ceiling openings are covered
    n Combustible floors are wet down or covered with
    n Covers are suspended beneath elevated work to
    damp sand, metal or other shields
    catch sparks
    P
    
    its,
    trenches,
    etc.
    and
    surroundings
    are
    inspected
    C
    
    n
    n ombustible materials that cannot be removed are
    & cleared of combustible materials, flammable liquids,
    protected with non-combustible curtains, metal guards
    gases or vapours
    or flameproof covers (not ordinary tarpaulins)
    WORK ON WALLS, FLOORS, CEILINGS, EQUIPMENT & ENCLOSED PLANT
    (e.g. tanks, containers, ducts, dust collectors)

    n Concealed or enclosed spaces are inspected for


    n

    combustible materials or linings & all such material


    removed or protected
    Combustible materials are moved at least 10m away
    from either side of walls

    n Construction materials are non-combustible


    n Machinery & equipment is cleaned of combustible
    n

    residue
    Enclosed plant is cleaned & purged of flammable
    vapours

    FIRE WATCH (Trained personnel)

    n Work & adjacent areas patrolled during & for


    n

    30 minutes after the hot work process


    Fire extinguisher &/or hose reel provided & ready
    in work area

    n Fire watch trained in the use of fire equipment &


    n

    sounding alarm
    Appropriate PPE to be worn

    Agreement by permit applicant


    I warrant that I am qualified to complete the work and to the best of my knowledge, my equipment is in good condition.
    I have read and agree to the precautions specified above and will cease work if the precautions cannot be maintained
    or I am aware of an unsafe condition.
    Applicant
    Signed
    Date

    Time

    am
    am/pm

    PERMIT AUTHORISATION
    The work area has been inspected, the necessary precautions specified above have been taken and authorisation for this
    work is granted.
    Authorised by
    Signed
    Date
    ACE Insurance Limited ABN 23 001 642 020

    Time

    am
    am/pm
    Page 2 of 3

    5. Work completed & area safe


    FIRE WATCH (Trained personnel)
    am
    am/pm
    The work was completed at Time:
    The fire watch continued at least 30 minutes after the work was completed.
    am
    am/pm
    Fire watch was completed at Time:
    The work and adjacent areas were inspected and found to be safe.
    Name
    Signed
    Date
    (Permit to be returned to the Authorised Company Representative, or designate, on completion of the work)
    Authorised Company Representative (Final Check)
    1. T
     he work area and all adjacent areas to which sparks and heat may have spread, including floors above and below and
    other sides of walls, were inspected personally between 30 minutes & 2 hours after the work was completed and
    found to be safe.
    2. Fire protection / detection systems have been re-instated.
    Name
    Signed
    Date

    Time

    am
    am/pm

    (Permit to be filed and retained for 12 months)


    HOT WORK POLICY
    The Company has established a Hot Work Policy so that all hot work conducted outside of designated workshop areas is authorised by a Hot Work Permit.
    Permits can only be issued by designated personnel (Authorised Company Representatives) who have completed and passed the Companys Permit
    Issuers course. A register of Permit Issuers is to be maintained. Hot work procedures and completed Permits will be reviewed on a regular basis through
    an audit process.
    PERMIT PROCEDURE
    1. Personnel needing to carry out hot work are to complete Section 1 (Application for Hot Work) of the Permit.
    2. The Permit Issuer is to inspect the work area and complete Sections 24 of the Permit. All applicable precautions are to be adhered to without
    exception. Specific attention is drawn to the following points:
    Sprinkler / thermal systems are to be operational during hot work as a standard procedure.
    If fire protection / detection systems are isolated or operation is otherwise impaired, a Fire Protection Impairment Form is to be raised and
    additional precautions taken as determined by the Permit Issuer.
    A Permit can be issued for a maximum period of either one shift or 12 hours. (As determined by the Permit Issuer*)
    Hot work, where possible, should be scheduled during planned shutdowns of hazardous operations.
    3. Periodic checks of the work area to be completed by the Permit Issuer (or designate) to ensure all precautions are being maintained and the work is
    being done in a safe manner.
    4. On completion of the hot work, the fire watch is to continue for at least 30 minutes, after which time a check of the work area is to be carried out.
    The person responsible for the work is to complete the Initial Check part of Section 6, recording the time the work was completed and the time the
    inspection of the work area was completed. The Permit is then to be signed and dated and returned to the Permit Issuer (or designate).
    5. The Permit Issuer (or designate) is to carry out a full check of the work area and all adjacent areas to which sparks and heat may have spread,
    including floors above and below and other sides of walls between 30 minutes and 2 hours after the work was completed. The Permit Issuer (or
    designate) is to sign and date the Final Check part of Section 6 and the completed Permit placed on file for a minimum period of 12 months.
    HOT WORK OPERATOR
    1. Inspect all equipment to ensure it is in safe condition.
    2. Obtain a Hot Work Permit from a Permit Issuer prior to commencing hot work operations.
    3. Display the Hot Work Permit at, or in close proximity to, the area where the hot work is being carried out.
    4. Continually monitor and review the work site and cease hot work if unsafe conditions develop.
    5. Know the procedure for sounding the alarm, and the location of the nearest telephone and fire alarm manual call point.
    FIRE WATCH
    1. Understand the hazards of the work site and the affect hot work has on them.
    2. Ensure safe conditions are maintained during hot work operations. Cease hot work if unsafe conditions develop.
    3. Ensure the fire fighting equipment is in good condition, in-date for service and readily available. Be trained in its use.
    4. Check for fires in all areas and attempt to extinguish fires if it is safe to do so.
    5. Know the procedure for sounding the alarm, and the location of the nearest telephone and fire alarm manual call point.
    6. Maintain a fire watch during and for at least 30 minutes after completion of the hot work.

    ACE Insurance Limited ABN 23 001 642 020

    Page 3 of 3

    You might also like