MASTERS MASTERS/PMD/35

Permit - HOT WORK PERMIT

PROJECT NAME:

PACKAGE CONTRACTOR: PACKAGE NO.:

PERMIT NO: DATE: TIME:

JOB DESCRIPTION…………………………………………….

AREA/LOCATION……………………………………………….

TO BE CARRIED OUT BY…………………………………….

DESCRIPTION CHECK
THE ABOVE LOCATION HAS BEEN EXAMINED; THE PRECAUTIONS CHECKED BELOW HAVE BEEN

TAKEN TO PREVENT FIRE.

• ELECTRICAL ISOLATION
- ISOLATION REQUIRED IF ANY, DETAILS OF EQUIPMENT

ISOLATED…………………………………

- ELECTRICAL CABLES

COVERED…………………………………………………………………………………….
• GENERAL PRECAUTIONS
- SPRINKLERS AND /OR FIRE HOSE /FIRE EXTINGUISHERS, IN SERVICE
- CUTTING AND WELDING EQUIPMENT IN GOOD CONDITION.
- AREA TECHNICIAN NOTIFIED FOR THE JOB
- OXYACETYLINE /GAS CYLINDERS ARE KEPT PROPERLY LOCKED TO MOVABLE

TROLLEY
- GOGGLES, HAND GLOVES AND SAFETY SHOES ARE BEING USED
• PRECAUTION WITHIN 50 FEET OF WORK
- FLOOR SWEPT CLEAN OF ALL COMBUSTIBLS
- COMBUSTIBLE FLOORS WET DOWN, COVERED WITH DAMP SAND OR FIRE PROOF

SHEET
- NO COMBUSTIBLE MATERIALS OR FLAMMABLE LIQUIDS PRESENT
- COMBUSTIBLE AND FLAMMABLE LIQUID PROTECTED WITH FIRE PROOF

TARPAULIN OR METAL SHIELDS

- ALL WALL AND FLOOR OPENINGS COVERED.
• WORK ON WALLS AND CEILINGS
- CONSTRUCTIONS ARE NON COMBUSTIBLE AND WITHOUT COMBUSTIBLE

COVERINGS OR INSULATION
- COMBUSTIBLES MOVED AWAY FROM OPPOSITE SIDE
• WORK ON ENCLOSED EQUIPMENT (TANKS, CONTAINERS, DUCTS, DUST COLLECTORS ETC.)
- EQUIPMENT CLEANED OF ALL COMBUSTIBLES
- CONTAINERS PURGED OF ALL FLAMMABLE VAPOURS
- ADEQUATE AIR FLOW THRU ENCLOSED EQUIPMENT TO BE PROVIDED WHILE

CUTTING/WELDING IS DONE.
• FIREWATCH
- TO BE PROVIDED DURING WORK AND 60 MINUTES AFTER OPERATION.
- SUPPLIED WITH EXTINGUISHERS OR SMALL HOSE.
- PERSON TRAINED IN USE OF EQUIPMENT AND IN SOUNDING ALARM.

MASTERS MANAGEMENT CONSULTANTS Page 1 of 2

 MASTERS MASTERS/PMD/35

FINAL CHECK UP

WORK AREAS AND ALL ADJACENT AREAS TO WHICH SPARKS AND HEAT MIGHT SPREAD (SUCH AS FLOORS

ABOVE AND BELOW AND ON OPPOSITE SIDES OF WALLS) WERE INSPECTED FOR AT LEAST 60 MINUTES AFTER

THE WORK HAS BEEN COMPLETED AND WERE FOUND TO BE SAFE.

I HAVE PERSONALLY EXAMINED THE AREA AND CERTIFY THAT THE CHECKED PRECAUTIONS HAVE BEEN TAKEN.

PERMISSION IS GRANTED FOR THIS WORK.

PERMIT EXPIRES DATE ……………………… TIME………………………

TIME STARTED ………………………. TIME FINISHED………………………

……………………………………………………….

NAME AND SIGNATURE OF SITE ENGINEER (Sub-Contractor)

……………………………..

NAME AND SIGNATURE OF MMC

MASTERS MANAGEMENT CONSULTANTS Page 2 of 2