Hot Work Permit Template Details

Employers in the United States are required to protect their employees from potential workplace hazards, including those that can result in serious injuries or fatalities. One such hazard is working with or near objects that are too hot to touch. OSHA has specific regulations governing the use of personal protective equipment (PPE) when working with hot objects, and failure to comply can result in citations and fines. The Hot Work Permit Form is a tool employers can use to ensure their workers are using the appropriate PPE for each job.

You can find details about the type of form you wish to prepare in the table. It will tell you how much time it may need to finish hot work permit, exactly what parts you need to fill in, and so on.

QuestionAnswer
Form NameHot Work Permit
Form Length1 pages
Fillable?Yes
Fillable fields35
Avg. time to fill out7 min 19 sec
Other nameshot works permit, hot work permit forms, hot work forms, work permit format

Form Preview Example

Appendix A

PERMIT #_______________

 

HOT WORK PERMIT

BEFORE INITIATIANG HOT WORK, ENSURE PRECAUTIONS ARE IN PLACE.

This Hot Work Permit is required for any operation involving open flames or producing heat and/or sparks. This includes, but is not limited to: Brazing, cutting, Grinding, Soldering, Thawing Pipe, Torch-applied Roofing, and welding.

Date of Hot Work: ______________ Location__________________________________

Nature of Job:____________________________________________________________

Personnel doing Hot Work __________________________________________________

Type of Hot Work: Soldering ___ Welding ___ Cutting ___ Roofing ___ Other _______________

Complete Hot Work Precautions Check List prior to any hot work in any area not designated for hot work. Check each box where the statement is true. If any statements are not true, then hot work should not begin until that issue has been safely resolved.

Required Precautions Checklist

Required Safety Precautions

Fire extinguisher is available and operable.

Hot work equipment is in good repair.

Smoke/fire detectors in immediate area temporarily disabled.

Building occupants protected

Drums, barrels and tanks cleaned,

purged, vented, any feeds closed. Other Requirements

Flammable and ignitable materials and debris moved at least 35’ away or protected with fire resistant materials.

All wall and floor openings covered

Floors swept clean

Combustible floors covered with fire – resistive material

Walls or ceilings construction is noncombustible and without combustible covering or insulation.

Combustibles on other side of walls moved away.

Enclosed equipment clean of all combustibles

Containers purged

Ample ventilation

Fire Watch/hot work area monitoring

Fire watch will be provided for 30

minutes after work Y N If No reason________________

Fire watch may be required for adjoining areas, above and below

Originated: 1/12/06

Revised:9/22/09

Reviewed:9/22/09

When work is completed: Inspect work area and any potentially affected surrounding areas, for fire, fire damage, or potential for fire. Reactivate smoke/fire detectors if they were disabled, or contact Public Safety.

Contacted Service Desk 865-1800 Time:________ Name:_____________

Call Service Desk between 8:00 am -5:00pm after hours contact UNK Police Services

Is additional person required for fire watch during hot work? Y N

If Yes name of person doing Fire Watch

________________________________

Fire Watch is necessary for 30 minutes following Hot Work Y N

If Yes name of person doing Fire Watch

________________________________

Time Fire Watch Started:____________

Time Fire Watch Ended:_____________

If not 30 minutes, reason_____________

_________________________________

Fire Watch Completed by:

_________________________________

Page 4 of 4

How to Edit Hot Work Permit

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