HIC - Hot Work

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Hot Work Permit Permit no.

1. Application must be submitted at least one day in advance prior to work commencement.
2. This permit is valid for the date of issuance from 09:00 am to 06:00 pm only. Unless stated and approved otherwise.

Part 1: Application – To Be Completed By HIC

Name of Company

Name of Welder/Gas Cutter: Contact No.:

Location of work: (Sketch Attached)

Date of Hot Work: From: To: No. of workers:

Time of Hot Work: From: To:

Safety Requirements to be complied with Prior Application of hot work permit:


YES/NO/NA YES/NO/NA
 Has the area immediately below the work  Has water hose connection been made
spot, been cleared of oil, grease & waste for continuous water spray? (If applicable)
cotton& flammable substance? 
  Have proper staging, platform handrails been
 Has the concentration been tested in case provided for welding at heights? Ducts?
there is gas valve/gas line nearby? 
 
 Have fire extinguishers/ fire bucket  Do the work men deployed for welding
been kept near working location? have adequate experience?
 
 Has tin sheet/ wet gunny bag/ fire  Any other precautions taken (specify )
retardant cloths/ sheet been placed
to prevent sparks from causing fire?

Description of Work:

Requested by HIC Manager/Site Engineer Requested by HIC Safety Person

Name: Name:

Signature: Signature:

Date/Time: Date/Time:

Part 2: Endorsement By Aragen Part 3: Approval By Aragen Safety Manager /


Construction Manager Engineer

Acknowledge work to be done The above mentioned work is


Checked and confirmed location of intended work APPROVED / NOT APPROVED

Name / Signature Date / Time Name / Signature Date / Time

Part 4: Notification Of Completion Of Work By Contractor

Name: Signature: Completion Time:

All the appropriate signatures must be obtained before work starts.

Page 1 of 1

You might also like