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    Hot Work Permit Form

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    N.J
    This hot work permit document outlines the necessary precautions and approvals required before hot work can be performed. It requires specifying the location and description of work, dates of work, and special precautions. It must be signed by the person performing the work and a responsible officer once the work site has been inspected. A fire watch may be required during and after work. The fire panel must be isolated before starting and de-isolated after work is complete. A checklist is also included to ensure all necessary precautions have been taken.

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    Attribution Non-Commercial (BY-NC)
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    Hot Work Permit Form

    Uploaded by

    N.J
    752 views2 pages
    This hot work permit document outlines the necessary precautions and approvals required before hot work can be performed. It requires specifying the location and description of work, dates of work, and special precautions. It must be signed by the person performing the work and a responsible officer once the work site has been inspected. A fire watch may be required during and after work. The fire panel must be isolated before starting and de-isolated after work is complete. A checklist is also included to ensure all necessary precautions have been taken.

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    This hot work permit document outlines the necessary precautions and approvals required before hot work can be performed. It requires specifying the location and description of work, dates of work, and special precautions. It must be signed by the person performing the work and a responsible officer once the work site has been inspected. A fire watch may be required during and after work. The fire panel must be isolated before starting and de-isolated after work is complete. A checklist is also included to ensure all necessary precautions have been taken.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    752 views2 pages

    Hot Work Permit Form

    Uploaded by

    N.J
    This hot work permit document outlines the necessary precautions and approvals required before hot work can be performed. It requires specifying the location and description of work, dates of work, and special precautions. It must be signed by the person performing the work and a responsible officer once the work site has been inspected. A fire watch may be required during and after work. The fire panel must be isolated before starting and de-isolated after work is complete. A checklist is also included to ensure all necessary precautions have been taken.

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    Property and Facilities Division

    Form
    10/01/05
    HOT WORK PERMIT PF220

    (Hot Work is not permitted unless this form is completed and signed by
    Responsible Officer and WCC notified of hot works location.)

    Name of person/company performing Hot Work:

    Date of Work: ___________________________ Permit No:______________________


    (Work Order Number)
    Location of Work:
    (be specific including building and room number)

    Description of Work:

    This permit is valid from am/pm on ___/___/___ to am/pm on ___/___/___

    Special Precautions:

    The work site has been inspected by me, I have arranged for the fire panel to be isolated and all
    other necessary precautions taken.

    Name: Signed: Date:


    (Person performing the work)

    The fire alarm and panel has been isolated and the work site has been inspected by me, and declared
    safe for hot-work to proceed.

    Name: Signed: Date:


    (Responsible Officer)

    FIRE WATCH (if required)

    Work site and all adjacent areas where sparks may have spread were inspected by me during, and
    for at least thirty (30) minutes after the work was completed and no fire conditions were noted. The
    fire panel has been de-isolated.

    Name: Signed: Date:


    (Fire Watcher)

    The fire alarms and thermal/smoke detectors must be isolated before hot works commences.
    This is done by informing security (07 3365 1234 or internal 51234) of location of hot works
    and requesting a fire alarm isolation.

    Hot works commenced at am/pm Hot works completed at am/pm

    * This form to be filed for review by Insurance Officer. *


    PRECAUTIONS CHECKLIST
    GENERAL PRECAUTIONS Yes No N/A
    Are flammable and combustibles removed or protected?
    Are available sprinklers, hose streams and extinguishers in service/operable?
    Is floor swept clean and wet down where necessary?
    Is arc flash shielding in place?
    Is ventilation adequate?
    Is hot-work equipment in good repair?
    Is fire watch required?
    Is fire panel isolated? (Checked with Security)
    Are smoke/thermal detectors isolated? (Checked with Security)
    Has Works Control Centre (WCC) been informed of details of hot work?

    PRECAUTIONS WITHIN 12 METRES OF WORK


    Are combustible liquid, vapour, gasses removed or protected?
    Are combustible floors protected?
    Are flammable liquids, dust, lint removed or protected?
    Is explosive atmosphere in area eliminated?
    Are all wall and floor openings covered?

    WORK ON WALLS OR CEILINGS


    Is construction non-combustible and without combustible coverings or
    insulation?
    Are combustibles on the other side of wall or ceiling moved away?
    Are fire resistant coverings under works to collect sparks?

    WORK ON ENCLOSED EQUIPMENT


    Is enclosed equipment cleaned of all combustibles?
    Are containers purged of flammable liquids/vapours?

    FIRE WATCHER
    Is Fire Watcher required?
    If required, has Fire Watcher been organised?
    Is Fire Watcher trained in use of this equipment and sounding alarm?
    Is Fire Watcher supplied with appropriate fire extinguisher?
    Has fire panel been de-isolated?

    Other precautions taken:

    **All questions are to be answered.**

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