Hotworking Permits 2

7/25/2019 Hotworking Permits 2

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Hot Working PermitPage 1 of 3

PART A1 - A6 Completed by Issuer

A2 - PERMIT

A!I" #R$MPermits may onlybe issued up until4pm each day.Permits %re only&%lid 'or one d%y(A ne) permit isre*uired e%+, d%y(

Time

"%te

T$

Time

"%te

A - W$R. "ETAI!/Contr%+tor n%me Person re*uesting permit

E0%+t lo+%tion o' Hot Work

%ture o' Hot Work i(e( Ar+3 g%s )elding3 grinding4

"es+ription o' )orks

A5 - RI/. A//E//MET

HAAR" I"ETI#IE" RI/. C$TR$!/

A7 - I/$!ATI$ $# #IRE A!ARM 8some noti+e m%y be re*uired8"et%ils o' Aut,orised Person

Person ),o )ill dis%ble %l%rm

"et%il ,ere me%sures to isol%te 'ire %l%rm system

A6 - PERMIT A9TH$RI/ATI$By authorising this permit - I confirm that the relevant Site Technical Officer / Site Manager / PremisesOfficer / Maintenance Manager has been notified of the wors!

/igned Print "%te

1. One signed copy of this permit to be retained by the issuer.2. The contractor is to present his copy to the Premises Officer to obtain keys, etc.3. Upon completion of the orks. The contractor is to return the completed form to the issuer.

Form design 10 Aug 2009L R Welling

A1 - Permit umber:


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PART ;1 - ;7 - Completed by Contr%+tor

;1 - Re+eipt by Contr%+tors Represent%ti&eThe contents of the !ot "orking #ssessment ha$e been fully e%plained to me and & understand the re'uirementsand responsibilities placed upon me.

I' %ny +,%nges o++ur in t,e n%ture or s+ope o' t,e )ork3 or un'oresee%ble ,%


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#re facilities a$ailable to summon assistance in the e$ent of an emergency(

; - Re+ord o' In+idents

;5 - CompletionThe ork area must be checked at 3 stages upon completion0 ) &mmediate completion, after 3mins and after 1hour.

IMME"IATE CHEC.

&s ork area clean, tidy and safe(

!a$e checks been made for smouldering debris(!a$e all detector head co$ers been remo$ed(

!a$e all fire alarm ones been checked, confirmed as operational and the system been put online(

= MI CHEC.

"ork area checked at0) 3 minutes

1 H$9R CHEC.

"ork area checked at0) 1 hour

;7 - Completion sign o''

To be signed by the competent person on completion of # tasks;y signing3 I +on'irm t,%tnoti'i+%tion ,%s been gi&en to t,e permit issuer 'or re-%+ti&%tion o' t,e 'ire%l%rm system

/igned Print Time

9pon +ompletion o' t,is permit3 it must be returned to t,e issuing %ut,oriser(

A sket+, o' t,e %re% s,ould be %tt%+,ed(

1. One signed copy of this permit to be retained by the issuer.2. The contractor is to present his copy to the Premises Officer to obtain keys, etc.3. Upon completion of the orks. The contractor is to return the completed form to the issuer.

Form design 10 Aug 2009L R Welling

Documents

Hotworking Permits 2