Hot Work Permit
Hot Work Permit
Cargo/Ballast _________________________________
Reason for work_____________________________________________________________________________________
Location of work ___________________________________________________________________________________
This permit is valid : From ___________hrs Date______________ To ___________hrs Date_______________
( Validity of this permit should not exceed 12 hours)
Has an enclosed space entry permit been issued ?
YES / NO
Reason if 'NO' _____________________________________________________________________________________
Personnel carrying out hotwork _______________________________________________________________________
Personnel responsible for hotwork _____________________________________________________________________
Person responsible for safety _________________________________________________________________________
Yes
No
N/A
% LFL
Oxygen
Sign
Signature
Rank
Date
Time
Signature
Approval by Master
Rank
Date
Time
I am satisfied with safety precautions and hereby give my permission to commence work.
Signature
Date
Time
D. On completion of Hotwork
The work has been completed, equipment secured, permit closed and Company has been informed.
DE-23B