Fillable NJIT Hot Work Permit Before initiating hot work, (New Jersey Institute of Technology)

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NJIT Hot Work Permit Before initiating hot work, (New Jersey Institute of Technology)

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The NJIT Hot Work Permit Before initiating hot work, (New Jersey Institute of Technology) form is 2 pages long and contains:

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  • 69 check-boxes
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Country of origin: US
File type: PDF

U.S.A. forms for New Jersey Institute of Technology

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NJIT Hot Work Permit
Before initiating hot work, can this job be avoided? Is there a safer way?
This Hot Work permit is required for any temporary operation that involves open flames or produces heat and/or sparks. This
includes but is not limited to: Brazing, Grinding, Soldering, Thawing Pipe, Torch Applied Roofing and Welding. Other than
emergency situations, Hot Work requests should be submitted 72 hours in advance.
Instructions:
1. Verify precautions listed below or do not proceed with work.
2. Complete this permit and issue to person(s) performing the work.
3. Retain this copy in the project file, post page 2 at jobsite, scan and e-mail signed copy to: firesafety@njit.edu
4. Other than emergency situations, Hot Work requests should be submitted 72 hours in advance.
Permit #:
Date of Work:
Shift:
☐
Reg. Hours
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Off Hours
Work Order#:
Location of Work (Building/Room):
☐
Inside
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Outside
Description of Work or Condition:
Name of person(s) doing work:
Worker Affiliation(s):
☐
NJIT Personnel
☐
Contractor
☐
Other (Specify):
Company Name (if applicable):
Name of fire watch person(s):
I verify that the above location has been examined and that the precautions below have been properly checked
and planned for in order to minimize the chance of fire.
Supervisor’s Name: Signature:
Duration (in hours): Start Time: Stop Time:
Hot Work Permits may not be authorized for more than one shift!
Yes
No
N/A
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Fire Watch:
☐
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Public Safety:
Yes No
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WARNING!
HOT WORK IN PROGRESS
WATCH FOR FIRE!
In Case of Emergency:
Contact #1:
Phone Number:
Contact #2:
Phone Number:
Contact #3:
Phone Number:
WARNING!
Fire Watch/Monitor Record
Checked by
(initials):
Date
Time
Checked by
(initials):
Date
Time
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NJIT Hot Work Permit Before initiating hot work, (New Jersey Institute of Technology)

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Completed 24 August 2020

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