Hot Work Permit

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HOT WORK PERMIT

For cutting, welding, open flame or spark producing equipment

SITE:

TASK LOCATION PERMIT No:


PERMIT HOLDER TASK SUPERVISOR:
PERMIT ISSUER DATE:
Do not start work until all the necessary precautions have been taken.
The worksite has been inspected by the supervisor requesting the permit and this permit has been signed on.

SCOPE OF WORKS:

GENERAL SAFETY CONTROLS


Identify which PPE is required (below):
☐ Face Shield ☐ Safety Glasses ☐ Gloves ☐ Foot Protection
☐ Welding Mask ☐ Welding Boots ☐ Welding Gloves ☐ Welding Apron
☐ Respiratory Protection ☐ Other:
Is PPE suitable and fit for purpose? YES / NO / NA
Are workers trained and competent? YES / NO / NA
Is the work area isolated (e.g., screens or enclosures)? YES / NO / NA
Are work pieces restrained from inadvertent movement? YES / NO / NA

FIRE CONTROLS
Fire extinguisher at task YES / NO / NA
Are combustible materials removed from work area? YES / NO / NA
Is fire equipment suitable, fit for purpose and ready? YES / NO / NA
Is wind direction satisfactory? YES / NO / NA
Cutting & welding equipment in good YES / NO / NA
Gas test required YES / NO / NA (LEL % _____ O2 %)

FIRE WATCH
Is a stand-by person (fire spotter) required? YES / NO / NA

Is a post work fire watch required? YES / NO / NA

If yes in the previous question, write the duration:

SIGN OFF (OPEN PERMIT)


This permit is active from (date and time): Until:
Permit extension, if required (date and time):
PERMIT HOLDER SIGNATURE:
PERMIT ISSUER SIGNATURE:

SIGN OFF (CLOSE PERMIT)


The work area and all adjacent areas (including floors above and below and on opposite sides of walls) were inspected after the work was completed
and were found to be fire safe and all combustibles removed from the area .
The work was finished at (date and time):
PERMIT HOLDER SIGNATURE:
PERMIT ISSUER SIGNATURE:

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