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HOT WORK PERMIT

LOCATION: NO. OF MEN ON JOB: Permit. NO.:

Contractor:- DATE & TIME:

SL.NO. Particulars Yes No Remarks


1 Equipment / work area inspected and Shield against spark.
2 All are aware of JSA / HIRA of activity.
3 Surrounding area checked and all flammable materials removed.
4 Equipment blinded / disconnected / closed isolated.
5 Considered hazards from other routine/ non-routine operations & all
are informed.
6 Below areas water flushed or fire blanket provided.
7 Gas / Oxygen deficiency test done (Oxygen level -19.6% - 23%).
9 Precautionary tags/boards provided.
10 Fire water hose/ portable extinguisher provided.
11 All persons provided with proper PPE.
12 Proper ventilation and Lighting provided.
13 Area cordoned off.
14 Suitable working platform provided.
15 Equipment electrically isolated / Grounded and tagged.
16 Flash back arrester provided to gas cutting set.

NOTES
1.In the event of an emergency:
a. Shut down equipment being used. 7. If work is in progress on shift change, incoming
b. Proceed to designated assembly area. operator must check conditions, and initial workman’s
c. Do not resume work until advised by supervisor. permit.
2. Stop work on operator’s request. 8. Incase of any change in work condition inform to issuer.
3. Smoking only in designated areas. 9.Stop work if any unusual odour, sound or vapour is
4. All hazardous work requires a permit. detected. Check with supervisor.
5. This permit valid for one shift only. 10. All electrical equipment must be grounded type.
6. Permit issuer & receiver must check the site before 11. Safe entry and egress in place.
closing the permit.

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HOT WORK PERMIT

Persons involved in Hot work


SL.NO. JOB TO BE CARRIED OUT FOR JOB TO BE CARRIED BY LOCATION
1

All the points mentioned in the above checklist have been checked & found OK

Contractor Supervisor Safety Dept

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