ETIHAD RAIL – 2F1

Hot Work Permit

THIS PERMIT IS FOR HOT WORK TASKS NOT UNDERTAKEN INSIDE A CLASSIFIED CONFINED SPACE.
CONFINED SPACE PERMIT IS TO BE USED FOR THIS PURPOSE – NOT TRANSFERABLE

To Date: Permit Number:

Valid from Date: Project Area/Zone:
To Time:

SECTION A – REQUESTED BY - TO BE COMPLETED BY PERMIT USER

Permit User Name: Foreman/Supervisor Company: Signature

SECTION B – TO BE COMPLETED BY PERMIT USER

Fabrication Modification Gas Cutting MMA Welding
Repair Electric Grinding/cutting Maintenance Others (State): __________________________________
Work Area and Location:

Provide Specific Details:

SECTION C – SAFETY PRECAUTIONS REQUIRED FOR THE WORK (X – Mandatory) – TO BE COMPLETED BY PERMIT PERFORMER
X Toolbox Talk X Fire watch (60 mins) X Fire Extinguisher X Flashback Arrestor (if using bottles)
X No combustibles Fire Hose Fire Blanket X Risk Assessment/JSEA Safety Meeting
Restricted access Forced Ventilation Installing Barriers Mechanical Lock-Out Electrical Lock Out
Grounding/Bonding Additional Lighting Spark Screen Others (State): ________________________________________

SECTION D – PERSONAL PROTECTIVE EQUIPMENT (X – Mandatory) – TO BE COMPLETED BY PERMIT PERFORMER

X Hard hat X Safety Boots X Coveralls X Eye Protection Safety Harness

Lifeline Face shield X Leather Apron Breathing Apparatus Ear Protection

Dust Mask Gloves Others: (State)_______________________________________________________________

SECTION E – TASK EQUIPMENT AND TOOLS – TO BE COMPLETED BY PERMIT PERFORMER

Scaffolds Ladders Grinding Equipment Welding Equipment Flame Cutting Equipment
Mobile/ Fixed Crane Lifting equipment Compressed Air Tools Hand Tools Drilling Equipment
HDPE Fusion Welding equipment Others (State): ________________________________

SECTION H –
SECTION G – APPROVAL BY PERMIT COORDINATOR
AUTHORIZATION OF PERMIT BY CONSTRUCTION/TASK MANAGER
The permit coordinator, have reviewed this permit and supporting doc’s and The approving authority, have inspected the work area and hereby confirm it is
confirm that they are in compliance with the permit procedure. safe to perform this task under the conditions of this permit
Name:
Name: Date: Date:
(Subcon)

Signature: Signature:

Hot Work Performer Name:

Name
Date:
(2F1JV)
Signature

Fire Watcher Name:

Signature:
Signature:

SECTION I –– TO BE COMPLETED BY PERFORMER

The performing authority, accept the conditions stipulated in this permit and confirm that all control measures and isolations are in place.
Name:
Designation: Date:
(Subcon)
Name
Designation: Date:
(2F1JV)

SECTION J – THE WORK IS COMPLETE THE WORK IS INCOMPLETE AND LEFT IN THE FOLLOWING CONDITION (STATE REASON)

Performing Authority: I declare that the work for which this permit was issued has been properly performed, and that the area has been left in Safe clean condition
Name: _____________________________ Signature: __________________________ Date: __________________________ Time: _______________________

Approving Authority: I have been inspected the area and declare that the work for which this permit was issued has been properly performed, and that the area has been left in Safe clean
condition

Name: _____________________________ Signature: __________________________ Date: __________________________ Time: _______________________

PTW COORDINATOR: I declare that this permit to work has been closed out as per permit to work procedure and been logged in to the permit to work register under the
document control group.

Name: _____________________________ Signature: __________________________ Date: __________________________ Time: _______________________

 Hot Work Permit | Page 2 of 2

HOTWORK PERMIT CHECKLIST

Sl.
Description YES NO NA
No.
1
The area immediately below the work spot has been cleared
from all combustible materials.
2
All flammable materials/ chemicals cleared from the hot work
area
3
Firefighting equipment and water are available at hot work
area.
4
Tin sheet / fire blanket is available to prevent sparks from
spreading.
5
Welding area screening done to prevent UV rays
6
Flash back arrester installed to the gas cylinder.
7
Gas cylinder and fittings are free from cracks, grease, etc.
8
Gas cylinders are kept upright and secured.
9
Arc welding machine is in good condition.
10
Welding cables are in good condition.
11
Stand-by fire watcher (Must be well trained on types and usage
of FEs)
12
H&S Risk Assessment, Environmental aspect/ impact & Control
measure are in place
13
Operators are in possession of the appropriate PPE specified
for the job.
14
Cutting/ grinding machine discs fitted with guards.
15
Power tools monthly inspection done, and colour coded
16
Power tools accessories available in good condition (i.e., disc
fitting key, extension cords with industrial sockets
17
Others if any:

Time of inspection Inspected by Comments observed & Action taken Signature