HOT WORK PERMIT DATE: TIME HOT WORK BEGINS: PERMIT EXPIRATION TIME AND DATE: DESCRIPTION OF WORK: ‘THIS PERMIT IS SUBJECT TO THE FOLLOWING PRECAUTIONS: CHECKLIST FOR HOT WORK PROCEDURE CONSIDERATIONS: Have you personally inspected the area to ensure itis clean and free of all ol, yas and chemicals? Was a Gas Detection Test performed? _ %LEL, ‘No work is to be performed ifthe % LEL is above 10%! Was the combustible gas indicator calibrated before u Were the calibration results within mamufacturer’s specifications? Is the equipment or area sufficiently open to allow ventilation? Is all electrical equipment within range isolated to prevent sparks? Is the welding machine in a safe place? Is sufficient firefighting equipment available and does it have a current inspection certificate? Have other personnel affected by this work been notified? Docs adjacent equipment present hazards? ‘THIS PERMIT IS VALID AS LONG AS WORK CONDITIONS EXISTING AT THE TIME OF ITS ISSUANCE CONTINUE. THESE CONDITIONS MUST BE VERIFIED AFTER ANY EXTENDED BREAK ING THE JOB. IF A FIRE WATCH IS SET, THE AREA MUST BE SURVEYED PERIODICALLY DURING THE WORK TO ENSURE THE LEL DOES NOT EXCEED 10% EMPLOYEE NAME (Print) EMPLOYEE SIGNATURE, ‘SUPERVISOR NAME (PRINT). a SUPERVISOR SIGNATURE. HOT WORK EXPIRATION: TIME: DATE: KEEP PERMIT ON FILE FOR 30 DAYS BEYOND THE EXPIRATION DATE,