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Hot Work Permit

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chrisbrownies7
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21 views2 pages

Hot Work Permit

Uploaded by

chrisbrownies7
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
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HOT WORK PERMIT

PROJECT INTERGRATED FACILITIES (PIF)


1. INFORMATION 2. RESPONSIBLE PERSON & CONTACT NUMBER 3. PERMIT NO. & WORKING PERIOD
Company: Responsible ENGINEER Name & Cellphone No: Permit Number
Location: From:
Date
Description of Work: Responsible FOREMAN Name & Cellphone No: To:
Working Hour
4. HAZARD IDENTIFICATION 5. PRECAUTIONS
Unsafe access Confined space Toolbox talk is done Machinery and equipment are checked and in good condition
Adverse weather conditions Vibration Suitable access and egress is provided Scaffold are daily checked and checklist filled
Work at height Equipment not maintained Barriers and Signs are in place All lifting devices and equipment to be examined visually
Scaffolding / Ladder Lack of communication Site traffic is under control, Signs are in place Fall arrest equipment to be visually inspected
Work with manlift UV radiation All chemicals are tagged and stored properly Workers to be aware of emergency procedure
Fall objects Others: Manlift operator has to put appropriate mudsills under All electrical tools and cables have to be checked monthly and
Lifting operation outriggers and outriggers fully extended daily before use, color coded

Transporting Operators to have certificate on lifting equipment Fixed platform to be provided with guard and handrails
Work with chemicals 6. PPE
Lack of signs Safety Helmet Gloves Full Body Harness
Work with electrical hand tools Safety Boots Coverall Dust Mask
Poor lighting Safety Goggle Respiratory Protection Positive Pressure BA set
Noise Face Shield Hearing Protection Other:
7. ACCEPTANCE 9. CLOSURE
PERMIT APPLICANT PERMIT APPLICANT

Name: Position: Sign: Date/Time:


Name: Position: Sign: Date/Time:
□ JOB COMPLETED

PERMIT REVIEWER PERMIT REVIEWER

Name: Position: Sign: Date/Time:


Name: Position: Sign: Date/Time:
□ JOB COMPLETED

PERMIT ISSUER (HSE) PERMIT ISSUER (HSE)

Name: Position: Sign: Date/Time:


Name: Position: Sign: Date/Time:
□ JOB COMPLETED □ JOB CANCELLED

8. DAILY SIGNATURE (PREMIT EXTENSION)


DAY/DATE Day 1 ( date ) Day 2 ( date ) Day 3 ( date ) Day 4 ( date ) Day 5 ( date ) Day 6 ( date ) Day 7 ( date )
PERMIT APPLICANT (signature and time) (signature and time) (signature and time) (signature and time) (signature and time) (signature and time) (signature and time)

PERMIT REVIEWER (signature and time) (signature and time) (signature and time) (signature and time) (signature and time) (signature and time) (signature and time)

PERMIT ISSUER (HSE) (signature and time) (signature and time) (signature and time) (signature and time) (signature and time) (signature and time) (signature and time)

ORIGINAL : Display at the work area 2nd : Display at PTW Board 3rd: Retain in the PTW Book

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