Are you or your employees working with hot materials in the workplace? If so, then it is important to ensure that all necessary safety procedures are in place and understood before performing any work with these types of materials. To organize this type of safe work practice, many companies utilize a Hot Work Permit form, which is essential for outlining key rules and expectations when working with potentially dangerous substances. In this blog post, we’ll provide an overview of what a Hot Work Permit entails as well as some tips for effectively using one. Keep reading to learn more about staying safe when engaging in hot work activities!
| Question | Answer |
|---|---|
| Form Name | Hot Work Permit Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | format ww blanked template, work permit blanked pdf, get xekxo com get, work permit blanked form |
HOT WORK PERMIT
After this is filled out and signed, send to _________________________ _____________________
for recordkeeping in the____________________________________ file.
Type of work:
Permit is good for one shift only, or not to exceed the time limit. |
TIME LIMIT: |
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Area: |
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Describe work to be done: |
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Note: Check Yes or No. If question does not apply, indicate it with N/A (not apply).
1.Can this equipment be removed from the building?
2.Have all process materials been removed from equipment?
3.Have all connections been blanked off and switches been locked open?
4.Has equipment been ventilated?
5.Can sparks ignite material in vicinity lower level?
6.Is the work area clear of all explosive, flammable, and hazardous material
7.Is all combustible material removed from the work area or protected
8.Has a fire watch been assessed?
9.Is an operational fire extinguisher readily available?
10.Has the nearest fire alarm pull station been located?
11.Does the operator have the correct personal protective equipment (e.g., eye protection, gloves, face shield)?
12.Is the area where the work will occur adequately ventilated?
13.Have the dangers associated with the following been eliminated or specifically addressed?
a)Penetrating a pressurized system?
b)Penetrating a container of hazardous chemicals?
c)Affecting an item that is potentially radioactive
d)Damaging property?
14.SPECIAL PRECAUTIONS TO BE OBSERVED:
YES NO
I have personally inspected and approve conditions for above.
Signed: |
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Department: |
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(Operating Supervisor) |
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and/or Signed: |
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Time: |
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Date: |
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(Safety Department) |
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HW.P/ELE5000(12/97)
Example of the Hot Work
Fire
Door
Fire Wall |
Fire Wall |
35 ft. (11m)
Rack
Heavy
Storage
Work
Area
Storage
Cart of |
35 ft. (11m) |
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Canned |
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Palletized |
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Paint |
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Storage |
70 ft. (21m)
•Remove or shield from sparks all potential fuels within 35 ft. (11m) of the work area. In this case, the paint cart and palletized storage.
•Empty racks on which the work is to be done of all storage.
•Close fire doors and seal floor openings such as the area surrounding process piping with noncombustible caulking.
•Cover heavy combustible storage that is impractical to move with a