HOT WORK PERMIT

Permit No.
WORK DETAILS

1 PROJECT/AREA:

LOCATION:

2 HOTWORK DETAILS:

Tools/Equipment to be used:

3 WORK SITE PREPARATIONS AND PRECAUTIONS[ Tick if required]

Available sprinklers/ hose streams and extinguishers Work on enclosed equipment
are serviceable/operable
Hot work equipment in good repair Enclosed equipment cleaned of all combustibles

Requirements within 11 metres of work Containers purged of flammable vapours/liquids

Flammable liquids, dust, lint, oily deposits removed Pressurised vessels, piping and equipment removed
from service, isolated and vented
Explosive atmosphere in area is eliminated
Fire watch/Hot work area monitoring
Floors swept clean
Fire watch will be provided during and for 60 minutes
Combustible floors wet down, covered with damp after work, including any meal breaks
sand or fire resistive sheets
Fire watch has suitable extinguishers and, where
Other combustibles removed where possible or practical, a charged small hose
protected with fire resistive tarpaulins
Fire watch is trained in use of equipment and
All floor and wall openings covered sounding alarm

Fire resistive tarpaulins suspended beneath work Fire watch provided in adjoining areas as needed

Ducts and conveyors shut down or protected to Area to be monitored for 4 hours after job completed
prevent passage of sparks to other combustibles

4 PURTICULAR HAZARDS AND SPECIAL PRECAUTIONS:

PERMIT ISSUE AND REVIEW

5 PERMIT ISSUE by CM and Review by OSHE Team I confirm the requirements in sections 3&4 above have been met

Issuer: Signature Date Time

Reviewer: Permit valid untill Date Time

PERMIT ACCEPTANCE
6 ACCEPTANCE by Performer-[Execution incharge/ site engineer]
I have read and understood this permit
I will undertake to work in accordance with the precautions/ conditions defined in this permit and in associated approvals
I will undertake to brief all those in the hot work team to ensure compliance
Name: Signature Date Time

PERMIT CLOSURE
7 CLOSURE
A] Declaration by performer
Work Complete*/ Not Complete Name: Date
Work site clear & equipment left in safe condition
Housekeeping is satisfactory Signature Time

B] Permit Closure by issuer

I confirm work site has been left in safe condition Name: Date
Housekeeping is confirmed as satisfactory
THIS HOTWORK PERMIT IS NOW CLOSED Signature Tme

Original- Performer Copy 1- Issuer, Copy 2- OSH

Ref: OSHE-F-09