Scribd
Upload
51 views1 page

SM - Hot Work Permit

The document is a Hot Work Permit template that outlines the necessary precautions and requirements for conducting hot work safely. It includes sections for contractor details, personal protective equipment, and a checklist of safety measures to be confirmed before and after the work. The permit requires signatures from various personnel to certify that safety protocols have been followed.

Uploaded by

marksameersa786
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
51 views1 page

SM - Hot Work Permit

The document is a Hot Work Permit template that outlines the necessary precautions and requirements for conducting hot work safely. It includes sections for contractor details, personal protective equipment, and a checklist of safety measures to be confirmed before and after the work. The permit requires signatures from various personnel to certify that safety protocols have been followed.

Uploaded by

marksameersa786
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

HOT WORK PERMIT

Permit No-
Permit Date-
Contractor name:- Area &Location:-
No.of.workers
Work area In-charge:- Tool & Equipment's involved:
Contact Number:-
Name:
Designation:- PERSONAL PROTECTIVE EQUIPMENT:-
Date of issue:- Safety Helmet □,Safety Shoes □, Leather Hand gloves □
Valid from time:- Nose mask □, Ear protection □, Reflective Jacket □
Valid up to:- Face sheild □, Boiler suit □, Fire Bucket □
Fire Blanket □, Fire extinguisher □, Sign board □
Exact Description of work:-

The following precautions are to be taken:-


SL.No Discription Yes No N/A Remarks
Is Tool Box 1Talk conducted for all the workers?

2 Is Proper Access/ Exit available?


3 Are the General instruction about the Hot work briefied to the workers?

4 Is supervisor available to monitor the activity?


5 Welding machine placed in a clean and dry area?

6 Are the Power tools and equipments in good condition?


Welding machine grounded at the equipment & proper leakage current protection device (ELCB) provided
7
for welding machine?
8 Is adequate illuminiation and ventilation available at work area?
Welding machine, Input / Output Cables, welding holder and weld return clamp ( Holder ) insulated & in
9
good condition?
10 Welder and fitter trained to use the equipments?
Gas Cylinders stacked vertically and not below the welding/cutting area. Regulator Key, pressure gauge,
11
Flash back arrestor is available with cylinders?
12 In case of pits, water removed from the pit & wood /rubber insulation provided?

13 Display warning Sign board in place?


Adequate & suitable nos. of fire extinguisher provided? (DCP,CO2,FOAM,FIRE BUCKET, FIRE EXTINGUISHER.
14
FIRE BLANKET, ETC)
15 Is the work area free from combustible materials and is housekeeping done?

16 Is the calibration certificate available for welding M/C?

17 Is fire watcher available during the operation?

18 Are the workers using ncessary PPE"S?


Additional points if any:-

PRE JOB CERTIFICATION:- POST JOB CERTIFICATION:-


CONTRACTOR -EHS/ENGINEER DEPT:- The above work area has been checked 1
CONTRACTOR -EHS DEPT:- I have personally examined the area and certify,
hour after completion of work. All equipments & work area are in safe condition
precautions have been taken for the above mentioned area.
to proceed and are free from risk.

Name&Sign:
TIME
CONTRACTOR ENGINEER:- I have read & understood the conditions & accept
Name&Sign:
responsibilities to carry out the work.
Time
SM- EHS/PM Dept:- I have inspected the work after being handed over &
Name&Sign:
confirm the safe & tidy condition of the work and work area.
Time
SM- EHS/PM Dept:- I have confirm all above points and permit can be issued for
the work.

Name&Sign: Name&Sign:

Time Time

SMDC/EHS/PTW/F04

You might also like