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Hot Work Permit Guidelines

This hot work permit document outlines the necessary safety precautions and authorizations required for hot work such as welding to be performed at a site. It requires identification of the location, work description, responsible parties, and dates of the hot work. It also lists pre-work safety checks such as ensuring combustible materials have been removed and proper ventilation and fire protection are in place. The permit must be authorized by both an issuer and acceptor to confirm the safety checks have occurred and authorize the work to proceed.

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Quentin Klynsmith
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132 views1 page

Hot Work Permit Guidelines

This hot work permit document outlines the necessary safety precautions and authorizations required for hot work such as welding to be performed at a site. It requires identification of the location, work description, responsible parties, and dates of the hot work. It also lists pre-work safety checks such as ensuring combustible materials have been removed and proper ventilation and fire protection are in place. The permit must be authorized by both an issuer and acceptor to confirm the safety checks have occurred and authorize the work to proceed.

Uploaded by

Quentin Klynsmith
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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HOT WORK PERMIT

PERMIT NUMBER: CPS/HWP………….. DATE ………………………

1. GENERAL
Location on site where hot work will be performed :
Description of hot work to be performed :
Name of the Authorized Issuer of the Permit :
Name of the Authorized Acceptor of the Permit :
Name of the Fire Watch :
Name of Contractor performing work :

The permit is valid from ………………………. hrs on ……………………………….. to ……………………………hrs on …………………………..………….

2. PRE-WORK PRECAUTIONS (To be checked by Authorized Issuer of the Permit) Confirm by stating “YES” of “NO”

Has the obvious combustible hazards, i.e. dust, flammable gases, etc. been identified
Has the surrounding area been made safe, at least 10 m from hot work?
Has the area been made safe for hot work performed from an elevated position – 15m from hot work?
Has the correct fire extinguisher been determined and is it available?
Is there proper ventilation in the area?
Has the necessary welding shield been put in place?
Are emergency and evacuation procedures established and understood?
Has equipment been locked out, if necessary?
PPE TO BE ISSUED FOR THE HOT WORK
Face Shield Gloves Safety Shoes Respirator Apron Welders Cap Ear Plugs

Special conditions /precautions


3. AUTHORIZATION AND HANDOVER OF PERMIT
Authorized Issuer of the Permit:
(I have physically assessed the area and
Date Time
declare it safe for hot work to be
performed in the area) Name and Signature
Authorized Acceptor of the Permit:
(I confirm that actions on the list has
Date Time
taken place, and therefore accept the
permit) Name and Signature

4. WORK INCOMPLETE
The work has not been completed and a new permit needs to be issued.
Authorized Issuer of the Permit:
(I instructed the permit acceptor stop all Date Time
work) Name and Signature
Authorized Acceptor of the Permit:
(I understand that I no longer have the Date Time
authority to continue to work) Name and Signature

5. WORK COMPLETE
The work has been completed and all persons, materials and equipment have been withdrawn and the area is neat and tidy, and work was up to standard.
Authorized Issuer of the Permit:
(I confirm that the work is complete) Date Time
Name and Signature
Authorized Acceptor of the Permit:
(I have completed the work request) Date Time
Name and Signature
Rev 0
Page 1 of 1 HOT WORK PERMIT
HSE 05-016a

Copy to be kept at work area

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