HOT WORKS PERMIT B

Requested by:
Time:
Date
Purpose:
Work Order No.:
Type of hot works:
Location:

To be filled up by the Assistant Chief Engineer Only

ID Conditions Conforme
1 Portable fire extinguisher available within 5 meters of the work area.
2 Nearest fire hose and back-up fire extinguisher identified.
3 Nearest emergency exit identified.
4 No combustible material present or stored within 3 meters of the work area.
5 Work area clean. No obstruction.
6 Equipment clean and in good working condition.
7 Primary cable clean and in good working condition.
8 Secondary cable clean and in good working condition.
9 Grounding cable and clamp clean and in good working condition.
10 Hotworks outfit complete.
11 Technician in excellent working condition.

Note:
1 condition failing: No Hotworks permit issuance.
Post in work area.

Hot Work Approved:

Assistant Chief Engineer
Time:
Date:

To be filled up by Technician only

Date Finished:
Time Finished