HOT WORK PERMIT
All temporary operations involving open flames or producing heat and/or sparks require
a Hot Work Permit. This includes, but is not limited to, Brazing, Cutting, Grinding,
Soldering, Tha
wing, and Welding.
PART A
INSTRUCTIONS FOR FIRE SAFETY
SUPERVISOR
1. Verify precautions listed at right (or do not proceed with
the work).
2. Complete Part A and retain for job files.
3. Complete Part B & post in vicinity of hot work.
DATE: __________________ JOB NO:____________
LOCATION/BUILD
ING & FLOOR (Be Specific)
_______________
_______________________________
DESCRIPTION OF WORK BEING PERFORMED
______________________________________________
NAME OF PERSON (& COMPANY) DOING HOT WORK
______________________________________________
The above location has been examined, the precautions
che
c
ked on the Hot Work Checklist have been taken to
prevent fire, and permission is authorized for this work.
SIGNED:_____________________________________
(Environmental Health & Safety)
SIGNED:_____________________________________
(Person doing Hot Work)
SIGNED:_____________________________________
(Fire Watch)
TIME STARTED: Date: ____________Time:________ AM/PM
PERMIT EXPIRES: Date:__________ Time:________
AM/PM
FILL OUT EMERGENCY INFORMATION ON PAGE 3.
HOT WORK CHECKLIST
Sprinklers and hose streams in service/operable.
Hot Work Equipment in good condition (e.g., power
source, welding leads, torches, etc.)
Multi-purpose fire extinguisher and/or water pump can.
Issue LUPD with building drawing showing work area.
REQUIREMEN
TS WITHIN 35 FEET OF WORK
Dust, Lint, Debris, Flammable Liquids and oily deposits
removed.
Explosive atmosphere in area eliminated.
Combustible floors (e.g., wood, tile, carpeting) wet down,
covered with damp sand or fire blankets.
Remove flammable & combustible material where possible.
otherwise protect with fire blankets, guards, or metal shields.
All wall and floor openings covered.
Walkways protected beneath hot work.
Fume Extraction equipment operable
Protection of passers by, from Arc Eye installed
Local HVAC systems shutdown to reduce fume dispersal
WORK ON WALLS OR CEILINGS
Combustibles moved away from other side of wall.
WORK IN CONFI
NED SPACES
Confined space cleaned of all combustibles (example:
grea
se, oil, flammabl
e vap
o
rs).
Containers purged of flammable liquids/vapors.
Follow confined space guidelines.
FIRE WATCH/HOT WORK AREA MONITORING
Fire watch will be provided during and for 30 minutes
after wo
rk, including any coffee or lunch
breaks.
Fire watch is supplied with an extinguisher, and/or
water pump. Can also make use of other extinguishers
located throughout work area.
Fire watch is trained in use of this equipment and
familiar with location of sounding alarm.
Fire watch may be required for opposite side of walls,
above, and below floors and ceilings.
OTHER PRECA
UTIONS TAKEN:
HOT WORK PERMIT
All temporary operations involving open flames or producing heat and/or sparks require
a Hot Work Permit. This includes, but is not limited t
o, Brazing, Cutting, Grinding,
S
oldering, Thawing, and Welding.
PART B TO BE POSTED IN VICINITY OF HOT WORK
INSTRUCTIONS FOR FIRE SAFETY
SUPERVISOR
1. Verify precautions listed at right (or do not proceed with
the work).
2. Complete Part A and retain for job files.
3. Complete Part B & post in vicinity of hot work.
DATE: __________________ JOB NO:____________
LOCATION/BUILDING & FLOOR (Be Specific)
______________________
________________________
DESCRIPTION OF WORK BEING PERFORMED
______________________________________________
NAME OF PERSON (& COMPANY) DOING HOT WORK
______________________________________________
The above location has been examined, the precautions
checked on the Hot Work Checklist have been taken to
prevent fire, and permission is authorized for this work.
SIGNED:_____________________________________
(Environmental Health & Safety)
SIGNED:_____________________________________
(Person doing Hot Work)
SIGNED:_____________________________________
(Fire Watch)
TIME STARTED: Date: ____________Time:________ AM/PM
PERMIT EXPIRES: Date:__________ Time:________ AM/PM
FIRE WATCH SIGN OFF
Work area & all adjacent areas to which sparks & heat might have
spread were inspected during the fire watch period and were
found fire safe. SIGNED ______________________________
FINAL CHECKUP (minimum 30 minutes after Hot Work) Work
area was monitored for ____ hour(s) following Hot Work & found
fire safe. SIGNED _____________________________
HOT WORK CHECKLIST
Sprinklers and hose streams in service/operable.
Hot Work Equipment in good condition (e.g., power
source, welding leads, torches, etc.)
Multi-purpose fire extinguisher and/or water pump can.
Issue LUPD with building drawing showing work area.
REQUIREMENTS WITHIN 35 FEET OF WORK
Dust, Lint, Debris, Flammable Liquids and oily deposits
removed.
Explosive atmosphere in area eliminated.
Combustible floors (e.g., wood, tile, carpeting) wet down,
covered with damp sand or fire blankets.
Remove flammable & combustible material where possible.
otherwise protect with fire blankets, guards, or metal shields.
All wall and floor openings covered.
Walkways protected beneath hot work.
Fume Extraction equipment operable
Protection of passers by, from Arc Eye installed
Local HVAC systems shutdown to reduce fume dispersal
WORK ON WALLS OR CEILINGS
Combustibles moved away from other side of wall.
WORK IN CONFINED SPACES
Confined space cleaned of all combustibles (example:
grea
se, oil, flammabl
e vap
o
rs).
Containers purged of flammable liquids/vapors.
Follow confined space guidelines.
FIRE WATCH/HOT WORK AREA MONITORING
Fire watch will be provided during and for 30 minutes
after wo
rk, including any coffee or lunch breaks.
Fire watch is supplied with an extinguisher, and/or
water pump. Can also make use of other extinguishers
located throughout work area.
Fire watch is trained in use of this equipment and
familiar with location of sounding alarm.
Fire watch may be required for opposite side of walls,
above, and below floors and ceilings.
OTHER PRECAUTIO
NS TAKEN:
WARNING !
HOT WORK IN PROGRESS
WATCH FOR FIRE
LIBERTY UNIVERSITY Field Operations P:\Life Safety\HOT WORK PERMIT.doc
IN CASE OF EMERGENCY:
CALL LUPD
AT 434 582 – 3911
INFORM THEM THE NATURE OF THE EMERGENCY &
THE LOCATION. GIVE THEM DETAILS OF ANY
FLAMMABLE LIQUIDS OF GASES WHICH ARE NEARBY
TO THE FIRE.
WARNING !