CTCI & CINDA ENGINEERING

HOT WORK PERMIT

Doc No: XA74-5366-014-HWP Rev. 00 Date :01/09/2023

Permit No………………………….

Project Name: - Foxconn Elephant Project, Bangalore

Project No: - 23C5366A

Work Performed by Agency Name:

Work Location

Start Date Start Time Valid Up to Valid Upto Time

Describe work to be Done …………………………………………………………………………………………….…………………………………………

………………………………………………………………………………………………………………………………………………………………………………..

COMPLANCE
SL STATUS Remarks
NO PRECAUTIONS Yes No NA

1. Workplace clear of combustibles

2. Welding equipment in good working order and correctly positioned
3. Fire extinguisher visible and available within 5 meters of hot work
4. Fire watch trained and present
5. Earth and bonding correct
6. Welding screens provided to contain harmful infra-red /ultra violet rays
7. Fire proof blanket available and in use to protect other equipment and
persons at workplace
8. Safe access available
9. Correct Job Specific PPE for welder and welder’s assistant
11 Job Safety Analysis available and contents briefed to workmen
.
12 Copy of hot work permit present at workplace
.

Any Additional Suggestion: ________________________________________________________________

WORK PERMIT APPROVAL (Completed by CINDA Project Site Manager/Permit Issuer)

Name Sign Date Time

INSPECTION OF WORK PLACE (Completed by Permit Receiver and CINDA HSE Officer)

I Checked all the precautions listed are in place as
indicated
Name Of Permit Receiver………………………………
Company: ……………………Sign ……………………… Sign …………………………………
Date………………….……..Time…………………
I conform that all the precautions listed are in place
Name of CINDA HSEO….……………………………
Date…………………………………….Time……………

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 CTCI & CINDA ENGINEERING
HOT WORK PERMIT
Doc No: XA74-5366-014-HWP Rev. 00 Date :01/09/2023

GRAND OF PERMIT AND EXTENTIONS

Sl. Validity Period Working Time Permit Issuer Permit Receiver Sub-Contractor HSE Dept.
from___ to____ from____ to_____ CINDA Safety Officer CINDA
No. (……………..)

1.

2.

3.

4.

5.

6.

10

11

12

13

REMARKS IF ANY:

PERMIT CLOSURE (Completed by Permit Receiver and CINDA Permit Issuer)

The work is complete. The area has been cleared of Permit closed for filling
barricades, sings and hot work equipment. The area is
safe.

Permit Receiver Name …………………………………… Permit Issuer Name (CINDA)…………………….

Company: ……………………………Sign ………………… Sign …………………………………

Date……………………………..Time……………… Date……………………………..Time………………
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