Hot Work Permit Sample Form PDF Details

When it comes to performing any hot work, such as cutting or welding, the safety of the workplace and its individuals cannot be overstated. The Hot Work Permit Sample form is an essential tool in ensuring that all necessary precautions are taken before commencing such hazardous tasks. This form details crucial information including the company name, date, work location, and the type and timing of the work planned. It employs a comprehensive checklist addressing several safety protocols: from verifying the training and availability of personal protective equipment (PPE) for the person doing the work, ensuring fire extinguishers are readily accessible, to confirming that the surrounding area is free from combustible materials and potential fire hazards. Moreover, it mandates measures like covering or dampening combustible floors, moving flammable materials a safe distance away, and even advising on-site contractors of the ongoing hot work. Additionally, the form highlights the importance of post-work inspections to affirm the area's safety and the maintenance of a fire watch during and after operations. Ultimately, by covering a spectrum of precautions – including equipment checks, environmental preparations, and personnel notifications – this form plays a pivotal role in workplace safety, all while adhering to established General Industry Standards and Construction Standards, ensuring compliance and promoting a culture of safety and responsibility.

QuestionAnswer
Form NameHot Work Permit Sample Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshot work permit template, permit template, sample hot work permit, hot work permit sample

Form Preview Example

SAMPLE HOT W ORK PERMI T FOR CUTTI NG OR W ELDI NG

Company Name:

Date:

Work Location:

Type of Work:

Start Time:

Finish Time:

 

 

 

CHECKLI ST FOR HOT WORK

 

YES NO

Person doing hot work has been trained in safe operation of equipment , and how to work safely

Appropriate PPE (eye protection, helmet, protective clothing, respirator, gloves, et c.) available

Where work permits, welding booth screens will be used

Fire extinguishers placed for immediate use

Floors swept clean of combustible materials for a radius of 35 feet

Combustible floors dampened, covered wit h damp sand, or protected with fire-resistant shields

Combustible materials and supplies moved at least 35 feet away from hot work location

Wall and floor openings (windows, etc) within 35 feet of work location have been covered

Equipment not to be used near flammable vapors or liquids, or containers that have contained flammable vapors or liquids

Fire hazards that can’t be moved protected by appropriate guards

Dusts and conveyor systems such as duct work t hat might carry sparks cleaned, protected and shut down where necessary

Any pipe lines to containers disconnected or blanked

Equipment to be used is in good condition

I f welding a container, container has been thoroughly cleaned and ventilated

On-site contractors advised of hot work

Warning sign(s) posted to warn other workers

I f working in confined space, confined space permit has been issued

I nspect work area after work is done to ensure it is safe

Maintain a fire watch during operations and for 30 minutes after work has been completed

Authorized Signature

Date

For specific requirements, refer to General I ndustry St andards 1910.146, 1910.252, 1910.253, 1910.254, 1910.272, and Construction Standards 1926.803, 1926.350, 1926.352, 1926.343.

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1. Start completing your hot work permit format with a group of major fields. Collect all the important information and make sure nothing is overlooked!

A way to fill in hot work permit template portion 1

2. Once the prior part is completed, go to enter the applicable information in these - Combustible materials and supplies, Wall and floor openings windows, Equipment not to be used near, Fire hazards that cant be moved, Dusts and conveyor systems such as, Any pipe lines to containers, Equipment to be used is in good, I f welding a container container, Onsite contractors advised of hot, Warning signs posted to warn other, I f working in confined space, I nspect work area after work is, and Maintain a fire watch during.

Step number 2 of filling in hot work permit template

Be really mindful when filling out Dusts and conveyor systems such as and Equipment to be used is in good, as this is where many people make mistakes.

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