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Hot Work Permit

This document contains a hot work permit form for work taking place at IREO, SEC-58 GURGAON, HARYANA. The permit seeker provides details of the location and nature of the hot work activity taking place from [TIME] to [TIME] on [DATE]. They confirm that various safety measures are in place, such as electrical isolation, warning signs, fire blankets, required PPE, and fire extinguishers. Their immediate superior verifies the safety status and recommends permission. The tower incharge of the civil contractor then grants permission by permit number on [DATE] at [TIME]. Once the work is completed, the permit seeker requests closure, which is then verified and approved by the permit issuer

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719 views

Hot Work Permit

This document contains a hot work permit form for work taking place at IREO, SEC-58 GURGAON, HARYANA. The permit seeker provides details of the location and nature of the hot work activity taking place from [TIME] to [TIME] on [DATE]. They confirm that various safety measures are in place, such as electrical isolation, warning signs, fire blankets, required PPE, and fire extinguishers. Their immediate superior verifies the safety status and recommends permission. The tower incharge of the civil contractor then grants permission by permit number on [DATE] at [TIME]. Once the work is completed, the permit seeker requests closure, which is then verified and approved by the permit issuer

Uploaded by

varunstuff
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IREO,SEC-58 GURGAON

HARYANA

SAFE WORK PERMIT FORMS


HOT WORK PERMIT
(No overwriting no alteration permitted)

SC SAF
FM-30

Hot Work Permit .To be filled by permit seeker


Kindly issue a work permit for Hot Work
Location:
Nature of activity to be executed:

Date:

Time

from_____

To ___________

I confirm the following Safety Status for carrying out the above hot work.
Descriptions
Observation Descriptions
(Yes/No/NA)
ELECTRICAL ISOLATION OF
WELD JOB IF REQUIRED
EQUIPMENT ISOLATED
WARNING SIGNS
LOOKOUT SENTRY
FIRE BLANKET TO BE USED
WELDING SHIELD FOR WELDER
FIRE PRECAUTION: AREA CLEAR
OF COMBUSTIBLES
HAZARD MARKERS AND LIGHTS
REQUIRED
BODY EARTH PROVIDED IN
WELDING M/C
WELDING APRON

Signature:

Observation
(Yes/No/NA)

BARRIERS REQUIRED
PORTABLE LIGHTING
NO SMOKING OR NAKED FLAME
SCAFFOLDING ETC. REQUIRED
FIRST AID KIT
FIRE EXTINGUISHER KEPT AT
WORK PLACE
REQUIRED PPE AVAILABLE
WELD SHIELD, APRON,S BOOTS
INSPECTION TAG PUT ON THE
WELDING M/C
WELDING LEAD WITH LUGS &
FREE OF JOINTS
OTHERS (IF ANY)

_____________________ Name:__________________Designation: ________________

Company Name:___________________Date:_______________Time:_____________________
______________________________________________________________________________
To be filled by immediate superior of person applying for permit
I have verified the Safety status and permission to above mentioned is recommended.
Signature: ____________Name:_________________Designation:_____________________

Company Name:__________________Date:__________________Time:_____________________
________________________________________________________________________________
To be issued by the tower incharge of Civil Contractor.
Permission granted vide permit no:_________________Dated ________________Time:_________
Signed:__________________Name:___________________Designation___________________

Company Name:_________________Date:______________Designation:__________________
__________________________________________________________________________________
Disposal: I have completed the required work. Permit may be closed.
Signature of permit seeker__________________Date: ___________ Time:____________________
__________________________________________________________________________________
Closure: The safety status has been verified and the permit is closed.
Signature of permit issuer_________________Date:___________________Time:______________

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