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HOT WORK permit

The permit is valid for the works as described below, for the undersigned persons and the specified period of
time only. Persons undertaking hot work (cutting, burning, grinding, soldered joints, welding etc.) on site shall
be required to observe all restrictions described within this permit.

PARTY REQUESTING PERMIT ISSUED BY
PERMIT (PRINT) (PRINT)
NAME COMPANY

DESCRIPTION AND
LOCATION OF HOT WORK
DATE: START: AM/PM: FINISH: AM/PM:
DURATION OF WORKS

1. Have combustible materials including liquids been removed from working area?
2. Have any fixed combustible materials been adequately protected?
3. Are suitable fire extinguishers available at the working area?
4. Are any gas cylinders required secured in a vertical position on a trolley?
5. Have all non-essential personnel been removed from the working area?
6. Where work is against partitions has the opposite side been inspected?
7. Have any combustible materials been removed from the opposite side of partition?
8. Has the work area been screened to contain sparks?
9. Are correct regulators fitted to gas cylinders?

If you have answered No to any of the above questions please provide details of mitigating circumstances which support the
answer and evidence of there having been an assessment of the decision with regard to health & safety at the works.
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17160 Hot Works Brochure 28pp A5.indd 17 13/03/2018 16:30