Hot Work Permit
Non-Electrical Hot Work Permit
Before initiating hot work, can this job be avoided? Is there a safer way?
This Non-Electrical Hot Work/Open Flame Permit is required for any temporary or non-routine operation involving open flame or spark-producing work consistent with Article 49 of the California Fire code. This includes, but is not limited to: Brazing, Cutting, Grinding, Soldering, Chop Saws, Thawing Pipe, Torch Applied Roofing Hot Guns, Space Heaters, Heat or Hot Air Guns, Hot Boxes and all Welding.
Instructions:
Verify precautions listed below or do not proceed with work.
Complete this permit and issue to person(s) performing the work.
Retain this copy in the project file.
| Date: | Job Number: |
|---|---|
| Location of Work: | |
| Purpose of Work: | |
| Name of person(s) doing the work: | |
| Name of fire watch person: |
I verify the above location has been examined, the precautions checked on the Precautions Checklist have been taken to prevent fire, and permission is authorized for this work.
| Supervisor's Name: | Signature: | |
|---|---|---|
| Duration(Hrs): | Start Time: | Stop Time: |
Hot Work Permits may not be authorized for more than one shift!
N/A Item
| Yes | No | N/A | Item |
|---|---|---|---|
| □ | □ | □ | Are water hoses or fire extinguishers available and in good repair? |
| □ | □ | □ | Is hot work equipment in good repair? |
| □ | □ | □ | Have flammable liquids, dust, lint and oily deposits within 35 ft. been removed? |
| □ | □ | □ | Have explosive atmosphere been eliminated? |
| □ | □ | □ | Has the work surface area been cleaned of grease, paint, etc. |
| □ | □ | □ | Have combustible floors been wet down, covered with damp sand or covered with fire resistant sheets? |
| □ | □ | □ | Have surface areas below work area been protected? |
| □ | □ | □ | Have access ways below work area been barricaded? |
| □ | □ | □ | Are UV shields in place? |
| □ | □ | □ | Has enclosed equipment been cleansed of all combustibles? |
| □ | □ | □ | Have all containers been purged of flammable liquids and vapors? |
| □ | □ | □ | Will fire watch be provided during and for 60 minutes after work, including lunch breaks? |
| □ | □ | □ | Has fire watch been provided with suitable fire extinguishing devices? |
| □ | □ | □ | Has the fire watch person been trained in use of fire extinguishing devices and in sounding alarm(s) or other emergency communications? |
| □ | □ | □ | Has additional fire watch been assigned to adjoining areas, above and below? |
| □ | □ | □ | Hot work area will be monitored for 1 hour after completion of work? |
| □ | □ | □ | Other: |
WARNING!
HOT WORK IN PROGRESS
WATCH FOR FIRE!
IN CASE OF AN EMERGENCY
CALL: ______________________________________
AT: ________________________________________