HOT WORKS PERMIT
SECTION 1: to be completed by CNTC Project PTW Appointed Persons / safety department
PROJECT: Pixel Makers District, Reem Island PERMIT NUMBER:
(number to place onto permit register)
Who requires hot works permit: Tick one box DATE PERMIT OPENED:
CNTC Sub-Contractor: Name:
SECTION 2: To be completed by Person in charge of Work area
NAME OF PERSON IN CHARGE: NAME OF WELDER / FABRICATOR / OPERATOR:
LOCATION OF HOT WORK: (Tower, basement, floor, room, etc) Approximate duration of work:
Time start:_____________ Time Finish:____________
DESCRIPTION OF WORK: (Tick one box)
Welding Gas Cutting Soldering Brazing Blow torch Abrasive wheel cutting Other____________
Crew engaged are fully qualified and trained for activity? Yes No
Workers fully aware of risk assessment on activity? Yes No
The area immediately below the work should be cleared of flammable material (5M radius)? Yes No
Suitable firefighting equipment has been placed near area for hot works (fire extinguisher) / Yes No
water?
Wet fire-resistant cloth / fire blanket has been kept to control falling sparks? Yes No
Operatives are in possession of suitable PPE specified for the activity? Yes No
Supervisor available to monitor hot works all time? Yes No
Welding / Gas cutting checklist completed? Yes No N/A
Hot work activity area must be checked after completed the Task at least for 30 to 45 Minutes Yes No N/A
I request for hot work permit for the above-mentioned activity in location specified in section 2. I have personally inspected the work
area to ensure that the precautions mentioned above in section 2 are in place and will be implemented for hot works.
Name:___________________________ Designation:_________________ Signature:__________________ Date:_____________
SECTION3: to be completed by CNTC project safety department
Work shall be carried out only in conformance with the precautions given in section 2 and tick on relevant ones of this permit.
The permit is valid from:
Date: _________ Time Start: _______________ Time Finish: _____________
Name:___________________________ Designation:______________________ Signature:________________ Date:___________
ECTION 4: Close out of PTW: To be completed by Person in charge of Work area
The task has been completed and the area checked for any signs of fires starting by person in charge of area and signed by safety
dept:
Name:___________________________ Designation:________________ Signature:________________ Date& Time :___________
Safety: Name:_________________________ Signature:_____________________________ Date and Time:__________________
If renewal of permit is required then a continual sheet to be opened and this permit to be attached.
