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Hot Work Permit

Welding, cutting, grinding and other spark-producing work — authorised, gas tested and fire watched.
HOT PASS QA/QC Document Control
hotpassqc.com
Project
Job No.
Client
Sheet ____ of ____
Description of Work
WeldingCutting / BurningGrindingBrazing / SolderingOpen Flame / TorchAbrasive BlastingNon-Rated ElectricalOther
#Precaution — verified before work startsYesNoN/A
1Combustibles removed, or moved 35 ft clear of the work
2Combustibles that cannot be moved are covered with fire blankets or shields
3Floor swept clean; wood floors wetted or covered
4Wall and floor openings, drains, sumps and trenches covered
5Equipment purged, drained, vented and isolated of flammables
6Lines blinded, blanked or disconnected; lockout / tagout applied
7Atmosphere tested below 10% LEL and re-tested per the interval set below
8Adjacent areas, decks below and the far side of walls inspected and protected
9Fire extinguisher(s) and/or charged hose in place and inspected
10Fire detection or suppression isolated / impairment logged, and restored after
11Ventilation adequate; fumes and gases will not accumulate
12Cylinders secured, hoses and leads inspected, flashback arrestors fitted
13Barricades, screens and signage in place to protect others from arc and sparks
14Confined space entry permit also raised where the work is inside a space
TimeO2 %LEL %CO ppmH2S ppmInstrument / Serial No.Tested By (initials)
Typical acceptable limits: oxygen 19.5–23.5%, flammable vapour below 10% LEL, CO below 25 ppm, H2S below 10 ppm, or the stricter site limit. Re-test interval: ____________
YesNo
Permit issued by (authorising) / Date & Time
Work performed by / Date & Time
Fire watch / Date & Time
Closure — the permit is not complete until this is signed
HP-HW-01  |  Rev 0 Free blank form from HOT PASS QA/QC — hotpassqc.com