HOT WORK PERMIT A T T E N T I O N

No. ______________
20-0455 Before providing any cutting and welding permit, a Safety Engineer or his representative shall inspect
the work area and confirm that precautions have been taken to prevent fire in accordance with the
NOTE:
Date : June / 26 / 2020 the approved guidelines.
mm dd yy Pls ensure the following are
Expires on : July 26, 2020 / 5PM THIS CHECKLIST SHALL BE ACCOMPLISHED PRIOR TO HOT WORKS. present at site (Safety
(date) (time) Checklist, JHA, Hotwork Permit,
Name of Facility / Bldg. : NL608 RMEDTRINID PRECAUTIONS RAAWA)
Location : Brgy. Camachile,Doña Remedios Trinidad,Bulacan Sprinklers in service Complete Body harness for
Floor : Cutting and welding equipment in good order riggers/welders
Contractor : JEZKA CONSTRUCTION CORP. Welder wearing personal protective equipment Provide Welding shield and
Description of work to be done : TOWER RETROFITTING Proper grounding for (electrical equipment welding slags collector
PERSONNEL LISTING AND LOGSHEET (CONTRACTOR) Proper ventilation of work area (i.e., Smoke Extraction System) Fire Extinguisher at work area
Designation Name WITHIN 35FT OR WORK
Fire Watcher
Project Eng'r. / Supervisor Jeffrey Anor Floor swept clean of combustibles
Ensure all openings on installed
Welder Van nikko Lanugon Combustible floors wet down, covered with damp sad, metal, or other shields
telecom accessories are sealed
Fire Watch Personnel Cyd Barrientos No combustible and flammable liquids
Others (specify) Roel Consultado
to prevent slags from entering
Combustible and flammable liquids protected with covers, guards or metal shields
All wall and floor openings covered
Covers suspended beneath work to collect sparks
Prepared by (Contractor's Representative): WORK ON WALLS OR CEILINGS
Construction noncombustible and without conbustible covering
April Pambid Combustibles moved away from opposite side of wall
(signature over printed name) WORK ON ENCLOSED EQUIPMENT (Tanks, containers, dust collectors, etc.)
Equipment cleaned of all combustibles
Special Instruction(s) Containers purged of flammable vapours
FIRE WATCH
To be provided during and 30 minutes after operation
Approved by Supplied with extinguisher and small hose.
Safety Department Trained in use of equipment and in sounding fire alarm
FINAL CHECK
POST SERVICE INSPECTION To be made 30 minutes after completion of any operation unless fire watch is provided
(To be accomplished by Project Eng'r. / Supervisor or Fire Watch Personnel after completion of work)
Signed by:
Work area and all adjacent areas to which sparks and heat might have spread (including
floors above and below on opposite side walls) were inspected 30 minutes after the
work was completed and were four firesafe.
Site Admin / Site Engineers / Site Security / Project Safety Engineer
Signed
Project Engineer / Supervisor or Firewatch Personnel LEGENDS:  OK  NOT OK (needs correction) n/a NOT APPLICABLE

Checked by (Security Guard on Duty): Log-Out Time PLEASE RETURN THIS PERMIT TO THE SAFETY DEPARTMENT
COMPLETION OF WORK

(signature over printed name) Note:

1. At least one (1) 15 or 20 lb. ABC fire extinguisher should be available at the work area.
HOT WORK PERMIT NO. : 2. The contractor shall make sure that there will be no damage to the surrounding area
EXPIRES ON : 3. Any damage to the surrounding area caused by negligence shall be charged to tha contractor
FACILITY / BLDG. : 4. Contractor must clean up area after work.
CONTRACTOR : CONFORME
PROJECT ENGINEER / SUPERVISOR : Contractor's Representative: April Pambid
FIREWATCH PERSONNEL : Date: 26-Jun-20