Date of Application:-

Number of person involved:-

HOT WORK PERMIT

Project Name: _________________________ Location of work: _____________________

Description of work: ________________________________________________________

Date: ______________Permit valid from: _______________Hrs. To: ______________Hrs

Sr. Remark
Description Yes No
No. (If any)
Welding Work
1. Physical fitness of Machine must be check before use.
1. Are double earthings provided to machine?
2. Is electrical supply provided through ELCB/RCCB?
3. Is condition of welding lead & electric cable ok?
4. Are adequate fire protection measures taken?

5. Are the mandatory PPE's provided (Hand gloves, Face

Shield, Helmet, safety shoes etc.)
6. Is the condition of welding machine good?
7. Barricading of below area if work at height?
Gas Cutting
1. Are there any flammable materials close to work location?
NRV, Flash Back Arrestor and double pressure gauge
2. installed?
3. Handling of cylinders in trolley with secure by chain?
4. Are there any damage in cutting torch & hose?
5. Are the fire extinguisher provided?
6. Cylinder cap provided.

7. Use of Industrial Lighter?

Common Points
Has the area immediately below the work spot been cleared
1.
from flammable materials?
2. Have fire extinguisher been kept handy at site?
3. Has teen sheet/ wet gunny bag/ fire retardant cloth been
 placed to prevent spark from causing fire?
4. Use of fire blanket in case working on height.
4. Any other precaution taken (Specify)

Permit initiated by:

Name Designation Signature

Permit checked and reviews by

Name Designation Signature

Permit Issued by:

Name Designation Signature

Permit Closure by:

Name Designation Signature