Akij Biax Films Limited

HOT WORK PERMIT

This hot work permit is required for any temporary operation including open flames, or producing heat and/ or sparks. This includes, but is not limited to
welding, brazing, grinding and power tools operation.
Permit Validity: Issue/Rev:
The permit shall close at the end of shift within that day. Issued Date:
Shift:
Hot Work Being Done By:
Electrical Production Required Precautions Checklist:
Mechanical Civil / Other
Area / Unit Location Equipment Requirements within 35 ft (10m) of Work:-
Flammable Liquids, Dust, lint, and oil deposits removed.
Permit Requestor Name & Position Sign. with Date Floors swept clean.
Combustible floors wet down, covered with damp sand or fire-resistant sheet.
Department / Contractor
Equipment isolated by Valves.
1- Work Details:- Equipment free from chemicals.

Work on walls or ceilings/enclosed equipment:-

Construction is noncombustible and without combustible covering or insulation.

Combustibles on other side of walls moved away.

2- Permit Issuer-Area Owner:- Enclosed equipment cleaned of all combustibles.

Mainten Wareho HR &
Production Project
I understand the work scope and precautions to be taken anduse
ance Admin
agreed to perform the work Fire work area monitoring:-
mentioned in the first part of the permit, which can be equipped with performance,
Fire work is supplied with suitable extinguishers.
requirements and precautions listed at right. I issue the work Permit as per above
information which given by the permit requestor. Monitor hot work area for 30 minutes after job is completed.

Name Designation Sign. with Date

Work on Enclosed Equipment (Tanks, Containers, Ducts, etc.):-

3- Permit Approval:- Section Head Utilities (e.g. Electricity, Gas, Oil) supply to the equipment disconnected.
I understand and undertake the safety precautions to carry out the requested Equipment cleaned of all combustibles.
job without disturbing other operations. Pressured vessels, piping & equipment removed from service, isolated and vented.

Name Designation Sign. with Date General Precautions Taken:-

Confined space entry permit required.
Is area protected with smoke or heat detection.
4- Permit Approval:- Dept. of Safety Lock-out/Tag-out required.
I verify the avove location has been examined, the precautions checked on the
Available sprinklers, hose streams, and extinguishers are in service/operable.
required precautions checked on the required precautions checklist have been
taken to prevent fire, and permission is authorized to work. Stand by person informed for fire watch.

Name Designation Sign. with Date Personal Protective Equipment (PPE) Provided:-
Safety Shoes Safety Helmet Rubber Hand Gloves
Ear Plug Safety Belt Chemical Resistant Apron
6- Permit Closure/Job Completion:- (Area Owner) Dust Musk Safety Googles Hand Gloves Cotton
(Fill by area supervisor after completion of job)
Respirator Heat Resistnce Gloves Electrical Hand Gloves
a) The work is complete & Resume to Operation-
b) The area has been left in safe & clean condition- Face shield

Area Supervisor Date Time Sign.