Hot Work Permit

Before stating hot work, welding, or cutting review all safety precautions. Can this job be avoided or is there a safer way?

This permit is required for temperary operations involving open flame or producing heat and/or sparks: welding, cutting, brazing, grinding, soldering, or using a torch to thaw piping or heat materials. The permit applies only to this job, in the area specified, during the time and date noted.

Name: *

Telephone Number: *

Email: *

Department: *

Hot work performed by: *

University Employee

Contractor

Hot work permit date needed for: +

Work order number:

Location/Building: *

Floor: *

Room: *

Description of work to be performed:

Precaution & Safeguard Checklist

Fire extinguisher available

Hot work equipment in good repair

Hazardous energy locked out

Contact Facilities Services Alarm Shop Prior to Work

Requirements within 35 feet of work:

Flammable liquids and combustible material removed from area

Floors swept and overhead structure cleaned of dust, lint, and debris

Fire-resistive covers and metal shields provided as needed

All floor and wall openings covered and/or protected

Walls/ceilings: remove combustibles away from opposite side or adjacent structures

Work on enclosed/confined equipment:

Adequate ventilation is provided

Atmosphere checked with gas detector

Purge any flammable vapors

Confined Space Permit obtained, if required

Fire watch:

Trained and equipped Fire Watch provided during operations and at least 30 minutes after

By clicking this I acknowledge: *

I have verified that the above location has been inspected and the required precautions & safeguards have been taken. Permission is authorized only for the work described above.

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