Hot Work Permit Template
Hot Work Permit Template
Hot Work Permit Template
Description of job: Combustible floors wet down, covered with damp sand or fire-resistive
sheets
PPE Required: Remove other combustible material where possible. Otherwise, protect with
Welder’s hood with appropriate lenses approved welding pads, blankets and curtains or metal shields
Leather jacket/clothing
Fire resistive covers and metal shields provided as needed
Head Protection
Protect or shut down ducts and conveyors that might carry sparks to distant
combustible material
Hearing Protection An appropriate fire extinguisher is located in the hot work area
Respirator Type/cartridge: Hot work on walls, ceilings or roofs
Other: Construction is noncombustible and without combustible covering or
insulation
Person Doing Hot Work
Name:
Combustible material on other side of walls, ceilings or roofs is moved away
Hot work on enclosed equipment (i.e., welding on the outside of tanks)
Signature: Enclosed equipment cleaned of all combustible material
I verify the above information has been examined, the Containers purged of flammable liquid/vapor
precautions checked on the Required Precautions Pressurized vessels, piping and equipment removed from service, isolated and
Checklist have been taken to prevent fire, and permission vented
is authorized for this work.
Hot work inside of enclosed spaces (i.e., inside of tanks)
Hot Work Supervisor Approval Adequate ventilation provided
Name: Atmosphere checked with gas detector per confined space permit
Signature: Area purged of any flammable or toxic vapors
Other permits completed as required: Lock-out/tag-out, working at heights, live
Date: electrical work
Hot work/Fire Safety Notifications
Permit Dates
Location of nearest fire alarm known
Permit Starts Date: Time:
If no alarm present, what method will be used to raise the alarm? (List in other
precautions area below)
Permit Expires Date: Time:
Escape routes maintained and known by personnel
Fire Watch/Hot work area monitoring
Fire watch will be provided for a minimum of 60 minutes after work has
Final Fire Watch Date: Time: ceased.
Check-up
Fire watch is provided with suitable extinguishers
Fire Watch Inspector Signature (below) Fire watch trained in use of equipment and in sounding alarm
Signature: Other Precautions/Special Instructions:
WARNING!
HOT WORK IN PROGRESS
WATCH FOR FIRE!
In case of emergency:
Edinburg : 665-3690
Brownsville : 882-5930