Doc. No.
:-IF/MNT/35
HOT WORK PERMIT Rev. No.& Rev. Date:00 & 00.00.00
Efft. Date:-01/10/2024
Seek an alternative/safer method if possible!
Before initiating hot work, ensure precautions are in place as required. 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.
Date _____________________________ Hot work by ❏ employee ❏ contractor
Location/Building and floor Name and 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.
Time started Time completed Name and signature of permit-authorizing individual (PAI)
THIS PERMIT IS VALID FOR ONE DAY ONLY
❏ Available hydrants 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 10 ft (3 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.
❏ Yes ❏ No Per the PAI/ fire watch, monitoring of hot work area has been extended beyond 1 hour.
Issue and acceptance before work
Acceptance of Work Permission by the person in-charge (Receiver)
I certify that, I have read and verified this work permit and checklist. I have been informed about the risk assessment results. I am aware of the risks that can be exposed to. I commit
that I will be in line with all safety rules mentioned in work permit checklist and will not deflect any of them.
Permit Receiver Name: Signature/Date:
Authority to proceed by authorized person (Issuer)
I reviewed the work permission checklist and checked the working conditions. I have reviewed the all aspects of the task/activity and am satisfied with the arrangements as detailed
have been put in place and certify that the activity detailed above is authorized to proceed
Permit Issuer Name: Signature/Date:
Clearance and cancellation after work or Suspension of permit
Clearance. (Supervisor)
All men, materials, tools equipment, housekeeping etc. under my charge have been withdrawn. The permitted work is complete / not complete.
Name: Signature/Date:
Suspension
This permit is suspended, I have notified the Authorized person specified that the work is not complete the area / equipment is not safe to use.
Name: Signature/Date:
This permit is valid for max 7 days from the date of issue.
