HotWork Permit Form – Ric-Man Construction Florida Inc

Before initiating hot work, ensure precautions are in place as required by NFPA 51B and ANSI Z49.1. Make sure an appropriate fire extinguisher is readily available.

This Hot Work Permit is required for any operation involving open flame or producing heat and/or sparks. This work includes, but is not limited to, welding, brazing, cutting, grinding, soldering, thawing pipe, torch-applied roofing, or chemical welding.

Email to

Date

Hot work by

Employee

Contractor

Location/Building and floor

Name of person doing hot work

signature of person doing hot work

Work to be done

I verify that the above location has been examined, the precautions marked on the checklist below have been taken, and permission is granted for this work.

Name of permit-authorizing individual (PAI)

Signature of permit-authorizing individual (PAI)

Time started

Time completed

THIS PERMIT IS GOOD FOR ONE DAY ONLY

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Available sprinklers, hose streams, and extinguishers are in service and operable

Hot work equipment is in good working condition in accordance with manufacturer’s specifications

Special permission obtained to conduct hot work on metal vessels or piping lined with rubber or plastic

Requirements within 35 ft (11 m) of hot work

Flammable liquid, dust, lint, and oily deposits removed.

Explosive atmosphere in area eliminated

Floors swept clean and trash removed.

Combustible floors wet down or covered with damp sand or fire-resistive/noncombustible materials or equivalent.

Personnel protected from electrical shock when floors are wet

Other combustible storage material removed or covered with listed or approved materials (welding pads, blankets, or curtains; fire-resistive tarpaulins), metal shields, or noncombustible materials.

All wall and floor openings covered

Ducts and conveyors that might carry sparks to distant combustible material covered, protected, or shut down.

Requirements for hot work on walls, ceilings, or roofs

Construction is noncombustible and without combustible coverings or insulation

Combustible material on other side of walls, ceilings, or roofs is moved away.

Requirements for hot work on enclosed equipment

Enclosed equipment is cleaned of all combustibles.

Containers are purged of flammable liquid/vapor

Pressurized vessels, piping, and equipment removed from service, isolated, and vented

Requirements for hot work fire watch and fire monitoring

Fire watch is provided during and for a minimum of 1 hour after hot work, including any break activity.

Fire watch is provided with suitable extinguishers and, where practical, a charged small hose

Fire watch is trained in use of equipment and in sounding alarm

Fire watch can be required in adjoining areas, above and below.