Overview
Complete
Hot Work Permit to Work Template
1a2b3c / 24 Sep 2021 / Brad Smith
Inspection score
18 / 18 (100%)
Flagged items
0
Created actions
0
This Hot Work Permit is required for any operation involving open flames or producing heat and/or sparks. This includes, but is not limited to, Brazing, Cutting, Grinding, Soldering, Thawing Pipe, Torch-Applied Roofing, and Welding.
Permit No.
1a2b3c
Site Location
Avenue 20, Stapleton, NE 69163, USA (41.4876148, -100.6945613)
googleStaticMap
Conducted on

24 Sep 2021

4:07 PM GMT+8

Prepared by
Brad Smith
Audit
18 / 18 (100%)
Nature of Job/Object
Welding of second floor railings
Required Precautions Checklist
18 / 18 (100%)
Available sprinklers in normal automatic mode and valve open.
Hot Work equipment in good repair.
Notes
Using the new welding equipment today.
Assess 35 ft radial “sphere” of work for potential fire hazards:
Floors, work level and below, cleaned or protected.
Notes
Floor directly under the hot work also taken cared of.
All other combustibles removed or shielded from sparks.
Clean horizontal surfaces (e.g. building structures, equipment, ducts, cable trays, etc.) above and below where possible.
Remove flammable liquids, dust, lint, combustible waste, oil deposits, etc., where possible.
If removal/cleaning is impractical, protect with fire-retardant covers, or shield with fire-retardant guards and/or curtains.
N/A
Transmission or conveying of sparks to adjacent areas eliminated or protected.
Tightly cover wall/floor openings with fire-retardant material.
Where openings cannot be sealed, suspend fire-retardant tarpaulins to help protect areas beneath.
Isolate or shut down fans and conveyors to prevent the capturing and conveying sparks to other areas.
N/A
Notes
No fans at this area.
Explosive atmosphere eliminated or potential not present.
Notes
This is open air.
Work on walls, ceilings or enclosed equipment:
Construction materials verified as noncombustible and without combustible covering or insulation.
Combustibles on another side of walls relocated or protected.
Enclosed equipment cleaned and protected from all combustibles.
N/A
Notes
No other equipment in the vicinity.
Containers purged of flammable liquids/vapors.
N/A
Notes
No containers around.
Fire watch/hot work area monitoring requirements:
Continuous fire watch provided during and for at least 30 minutes after hot work, including all breaks.
Notes
There is even a fire watch even on the lower floor.
Fire watch supplied with suitable extinguishers/hoses.
Notes
fire extinguishers on both floors
Fire watch trained in the use of fire equipment and sounding alarm.
Area to be monitored hourly for a minimum 6 hours after job is completed, or longer if required.
Notes
we have security watching over the job site 24 hours
Other precautions that may be required:
Fire watch provided for adjoining areas, above, or below.
Notes
both floors have fire watch
Confined Space or Lock-Out-Tag-Out required/used.
N/A
Notes
hot work location is open air
Area smoke or heat detection disabled to eliminate false trip.
Notes
disabled for the duration of the hot work
Completion
Full Name and Signature of Permit-Authorizing Personnel
Brad Smith
24 Sep 2021 4:18 PM GMT+8
Click + to add names of persons doing the hot work
Employee
Employee 1
Full Name and Signature of Person doing the hot work
Tommy Jones
24 Sep 2021 4:21 PM GMT+8