PTW Hot Work Uoko3a

PTW
Document Number
Hot Work
Project Permit No
Company Date
SECTION I PERMIT REQUEST

Description of hot work:  Welding  Gas Cutting  Soldering  Brazing  Blow torch  Abrasive wheel cutting
Location: ________________________________________________ No. of personnel involved: ______ (list on reverse)
Name of Welder/ cutter: ____________________________________ Name of Fire watcher: ______________________

Duration of work - Date: __________________ from ____________ hours to______________ hours.
Safety Requirement Checklist

Yes N/A Yes N/A
1. Safety Induction- All persons have completed safety 2. Competency of Operatives- Persons engaged are qualified,
induction. trained and competent to do the job.
3. Equipment/ Machine / Tools- Well maintained and in 4. PPEs- Required PPEs as per risk assessment are provided /
good condition. available.
5. Housekeeping- workplace is clean and free from 6. Fire Extinguisher- Sufficient suitable fire extinguishers
flammable and combustible materials. provided / available.
7. Risk assessment- addressed to the crew and all are aware 8. Safety Precautions- all precaution on Risk assessment
of the same.. implemented.
9. Fire Blanket/Fire Resistance Cloth- Available. 10. Supervision- Will be available full time.
11. Working platform- Proper working platform provided/ 12. Fire Watcher- Provided full time. 1 hour fire watching to be
available. completed after hot work.
13. Gas/ LPG Cylinders:- 14. Grinder / Cutting Machine:-
 Kept on the trolley, fittings are free from oil, grease,  Abrasive wheels are of EN/ BS standard.
leakage and in good condition.  Machine spindle speed is less than that of the
 Placed at safe place and properly labeled. maximum speed of the wheel / Disc.
 Flash back arrester provided.  Abrasive wheel flange (front or back) is of right size
 Spark light on available. and fitting.
15. Location plan / Layout attached. 16.
Important Instructions (Read and Tick )
* Permit is issued only for a shift (day /night).

* Permit should be available and displayed at workplace till completion of fire watch time.
* Permit extension is allowed only for one time till the end of same shift.
* Site Manager, Engineer, Supervisor and Safety Officer must inspect the workplace to ensure the correct implementation of permit to
work.
* Permit to work will be suspended by the inspecting official if any non-compliance noticed.
* Permit should be closed-out upon completion of work and handed over to Safety office on the same day.
Declaration of Work in Charge
I hereby declare that:  the above requirement / precautions are in place and addressed to the team and we are fully aware of the same.  I will
be responsible for the proper implementation of this permit  ______________________________________
Work-in-charge (Name): ___________________________ Signature: _______________________ Date: _______________
Site Manager / Engineer (Name): ___________________________ Signature: _______________________ Date: _______________
Safety Officer / Representative (Name): ___________________________ Signature: _______________________ Date:_______________
SECTION II PERMIT ISSUE

This Permit is valid till (Date): Time: Hours.
Site Manager / Engineer Safety Officer
Prepared by: Engr. Mohsin www.hsefiles.com

PTW
Document Number
Hot Work
Name: ________________________ Signature: _________________ Name: _________________ Signature: ______________________
SECTION III CREW DETAILS

Sr. No Induction Number Name of Operative Designation / Trade
1.
2.
3.
4.
5.
6.
7.
8.
Note: Attach separate sheet if necessary
Work-in-charge (Name): ___________________________ Signature: ___________________________
SECTION IV PERMIT INSPECTION

Name Designation Company PTW Date Time Signature
Compliance
(Yes / No)
SECTION V PERMIT CANCELLATION
This permit is cancelled due to:-  Recommended precautions not in place:  Fire Watcher not available
 Other (specify) ______________________
Cancelled by Name: _________________________ Signature: ________________ Date: ___________ Time: ________
SECTION VI PERMIT EXTENSION
Request to extend the Permit till (Date): ___________________ Time _________________ Hrs.
Time:
Work in charge / Site Engineer Safety Officer
Name: _____________________ Signature: ___________ Name: ____________________ Signature: ________________
SECTION VII PERMIT CLOSURE
It is to confirm that the work completed on ____________at __________hours . One hour fire watch period completed  The area inspected and
found safe  Permit closed at _____________ hours.
Work in charge (Name): ______________________ Signature: _______________ Date: ____________ Time: ___________

PTW
Document Number
Hot Work

PTW Hot Work Uoko3a

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What safety precautions must be followed when performing hot work?

What safety precautions must be followed when performing hot work?

What steps must be completed before, during, and after hot work?

What steps must be completed before, during, and after hot work?

PTW

SECTION I PERMIT REQUEST

Name of Welder/ cutter: ____________________________________ Name of Fire watcher: ______________________

Safety Requirement Checklist

* Permit is issued only for a shift (day /night).

Declaration of Work in Charge

Work-in-charge (Name): ___________________________ Signature: _______________________ Date: _______________

Site Manager / Engineer (Name): ___________________________ Signature: _______________________ Date: _______________

Safety Officer / Representative (Name): ___________________________ Signature: _______________________ Date:_______________

SECTION II PERMIT ISSUE

Prepared by: Engr. Mohsin www.hsefiles.com

Name: ________________________ Signature: _________________ Name: _________________ Signature: ______________________

SECTION III CREW DETAILS

Note: Attach separate sheet if necessary

Work-in-charge (Name): ___________________________ Signature: ___________________________

SECTION IV PERMIT INSPECTION

SECTION V PERMIT CANCELLATION

Cancelled by Name: _________________________ Signature: ________________ Date: ___________ Time: ________

SECTION VI PERMIT EXTENSION

Name: _____________________ Signature: ___________ Name: ____________________ Signature: ________________

SECTION VII PERMIT CLOSURE

Prepared by: Engr. Mohsin www.hsefiles.com

Prepared by: Engr. Mohsin www.hsefiles.com

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Name of Welder/ cutter: ______________ Name of Fire watcher:

Work-in-charge (Name): _______________ Signature: _ Date: _____

Site Manager / Engineer (Name): _______________ Signature: _ Date: _____

Safety Officer / Representative (Name): _______________ Signature: _ Date:_____

Name: ________________ Signature: _ Name: _ Signature: ______________

Work-in-charge (Name): _ Signature: _

Cancelled by Name: _______________ Signature: Date: _ Time: ____

Name: _______________ Signature: _ Name: Signature: