HOT WORK PERMIT SF 820D

PERMIT NO……………………PROJECT NO.……………………….PROJECT...... ……….

A) PROPOSAL (To be completed by member of staff or contractor responsible for carrying out the work)

BUILDING AND EXACT LOCATION OF PROPOSED WORK………………………………………………………………………………

NATURE OF HOT WORK TO BE UNDERTAKEN……………………………………………………………………………………………

Conditions & Protection Measures for the issue of the Hot Work Permit:
Risk Assessment Ref: / Method Statement Ref: / Complies
Area clear of loose combustible or flammable material or liquids
Openings in floors walls ceilings roofs or ducts within the Hot Work Area are closed, covered, sealed or otherwise rendered impervious to the passage of fire.
Pipe, bracket etc. penetrations through walls, ceilings & floor identified and checked for combustibles on the other side
Fixed combustible or flammable materials protected by incombustible fire blankets or sheeting
2 gall (9 Litre) water fire extinguisher within 10 m
All those engaged in the Hot Work have been made aware of the location of all fire fighting equipment
Means of raising alarm identified and operation understood by all parties
Person appointed to accompany those carrying out the Hot Work and to be present to act as fire watcher at all times whilst Hot Work is taking place and inspect other side of penetrations through walls etc regularly
NAME COMPANY POSITION
Fire doors closed, sprinkler system operable and where there is a risk of explosive atmospheres forming, ventilation maintained
Means of escape available and checked

The above location has been examined and the above precautions have been complied with as indicated.

SIGNED………………………NAME ………………………...DATE…………..POSITION………………………………………………….

COMPANY NAME……………………………………………………………………………….………………………………………………..

B)AGREEMENT (To be completed by the occupier - client/main contractor company fire officer or othernominated person)

This Hot Work Permit is issued subject to the following conditions:

TIME OF ISSUE OF PERMIT…………………………………… TIME OF EXPIRY OF PERMIT……………………………….………...

ADDITIONAL CONDITIONS REQUIRED……………………………………………………………………………….……………………..

SIGNED………………………NAME ………………………...DATE…………..POSITION………………………………………………….

COMPANY NAME……………………………………………………………………………….………………………………………………..

Note: It is not desirable to issue permits for protracted periods. The maximum duration of a permit shall be one normal shift.

NB Where work is being carried out by a contractor, the issuer of the permit should ensure that the contractor has complied with the requirements prior to work being carried out, and should be satisfied that the area is free of fire when work is completed.

C)FIRE WATCH (To be completed by member of staff or contractor responsible for the work before returning to the issuer for signing off)

The work area and all adjacent areas to which sparks and heat might have spread (such as floors below and above, and areas on other sides of walls) have been continuously inspected for a period of 60 minutes after Hot Work ceased and found to be free of fire.

TIME INSPECTION PERIOD COMPLETED……………….(This must be at least 1 hour after work was completed)

SIGNED………………………NAME ………………………...DATE…………..POSITION………………………………………………….

COMPANY NAME……………………………………………………………………………….………………………………………………..

D) SIGN OFF (To be completed by the issuer when he is satisfied that the Hot Work is complete and the Hot work area is fire safe)

SIGNED………………………NAME ………………………...TIME………………...DATE ………………………………………………….

COMPANY NAME…………………………………………………………..POSITION ……………………………….………………………