Hot Work Permit Form
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1Hot Work Permit
A Hot Work Permit must be issued prior to any Hot Work being conducted on Brieser property or at a jobsite by any person,
employee, or contractor. Hot work is any operation that generates heat, spark or open flame. This includes, but is not necessarily
limited to welding, cutting, brazing, grinding, soldering, heat gun use and similar activities.
Before initiating Hot Work, determine if there is a safer way to complete the work.
Permit Valid From Date: ___________ Time: ____________
To Date: ___________ Time: ____________
Location Description:
__________________________________________________________________________________________
Type of Hot Work:
Soldering
Welding
Cutting
Grinding
Other ___________________________
Hot Work Precautions Check List: Complete prior to any hot work beginning in any area, including outdoors. 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 Safety Precautions:
Post This Permit Near Worksite
Fire suppression sprinklers, fire hoses or fire extinguishers (minimum 2-A:
20-B: C) rating is available and operable.
Hot work equipment is operable and in good repair.
In case of FIRE call ________
Smoke/fire detectors in the immediate area of the hot work have been
temporarily disabled until the hot work is complete.
Fill in emergency #
No Hot Work in Confined Spaces without
Building occupants have been protected or isolated from the hot work area.
prior approval from Brieser Safety.
Drums, barrels, pipes and tanks have been cleaned and purged of
Supervisors shall keep completed permit for
flammables and toxics, all tank feeds are closed, and the tank is vented.
Work area is NOT a Confined Space. (See definition in policy.)
at least 48 hours after permit has expired.
Requirements within 35 feet when flame, sparks or slag are created:
Area within 35 feet of the work area has been properly swept to remove any combustible debris.
Flammable and ignitable materials and debris have been moved at least35 feet from the hot work area or covered and
protected with fire resistant materials.
Cracks or holes in floors, walls and ceilings (including ductwork) are covered or plugged.
Combustible floors wet down, covered with damp sand or fire-resistant sheets.
Fire-resistant tarpaulins suspended beneath elevated hot work.
Requirements within 50 feet when flame, sparks, or slag are created:
Explosives, compressed gas cylinders or stored fuel have been moved at least 50 feet from the hot work area or have been
protected from the hot work.
Work on walls or ceilings:
Construction is noncombustible and has no combustible covering or insulation.
Areas adjacent to walls being worked on are checked for combustibles and any combustibles are either removed or protected.
Fire Watch required during Hot Work and a minimum of 30 minutes following completion of work.
Yes ____
No ____
Name: ___________________________
A Fire Watch is needed for all Hot Work activities unless the Hot Work area has no fire hazards or combustible exposures. The
Fire Watch must have fire extinguishing equipment readily available and be trained in its use. The Fire Watch must also be
familiar with the procedures for sounding an alarm in the event of a fire. The Fire Watch will watch for fires in the exposed areas
and is responsible for extinguishing spot fires and communicating alarms immediately.
When work is completed and area is returned to its original condition (Initials):
______ Inspected work area, and any potentially affected surrounding areas, for fire, fire damage, or potential for fire.
I verify that the above location has been examined and the necessary precautions have been taken to prevent the outbreak of fire
due to Hot Work.
Employee or Contractor Signature: ________________________________ Date: ___________
Time: _______________
Trained Supervisor or EHS Signature: ____________________________
Date: ___________
Time: _______________
Brieser Construction
Page
Section 23
Safety, Health & Environmental Manual
7
Hot Work
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