A hot work permit is required in advance of any work requiring heat or open flame to complete within a facility owned, leased or managed by UHV. Hot work procedures include welding, torch cutting, grinding, brazing, flame soldering, thawing pipes with torches, and other work where there is potential for fire. If you are requesting this permit, you should be working from either a work order, university purchase order, departmental order or a signed contract. Do not proceed with work if an order or contract has not been issued.
Requestor: (check 1) Employee __ Contractor/Vendor __
| Name of Requestor: ______________________________ | Name of Company______________________ |
| Phone: __________ Pager: _________ Cell # __________ | Address (if external)____________________ |
| Address _____________________________ |
Description of Hot Work to be Performed (be specific): _______________________________________________________________________________________
_______________________________________________________________________________________
| Location of Work: | _________________ | ______________ | ______________ |
| Bldg | Floor | Room/Area |
Start: Day ______Date: ______Time: ____AM PM End: Day ______Date: ______Time: ____AM PM
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This section is to be completed by UHV Facilities Coordinator (Mark all blocks “Yes” or “NA”)
__
Sprinklers and fire system is operational.
__
Floors and surfaces clean of combustibles
__
Combustibles and flammable liquids protected with fire-proof tarp or
removed.
__
Fireproof tarpaulins suspended beneath work to collect sparks and protect
pedestrian.
__
For wall or ceiling work, combustibles moved away from opposite side.
__
For equipment work, equipment cleaned of all combustibles.
__
For equipment work, there is adequate air flow through equipment.
__
I have verified with Purchasing that a current certificate of
insurance is on file for this vendor.
__
I have notified the operator to contact me immediately upon completion of
this job.
__ Yes
__ No
A fire watch is required. (A
fire watch is required by the University when the type of work or the work area
indicates such a precaution would be prudent and reasonable to protect life and
property from fire. All hot work operations must be conducted
between the hours of 8:30AM – 4:00PM Weekdays.
Any hot work outside of these times will require a University manned fire
watch. The fire watch person maintains
vigilance,
looking for the presence of fire or hazardous conditions within the hot work
area. After the work is
complete, the fire watch will re-inspect the area
to make it is fire safe. Fire
watch personnel should be trained in the use of ABC type fire extinguishers,
familiar with the facility and/or equipment, know the procedure for sounding
fire alarms, notifying building occupants in case of fire, and notifying the
fire department (9-911). If a fire
should occur, the fire watch should attempt to extinguish or smother the fire
using the extinguisher and/or fire tarp at the work site.)
I
have personally examined the proposed hot work area and reviewed this request.
I certify that the checked precautions have been taken or will be taken
prior to the start of hot work for this job unless I have noted otherwise
below. If a
Comments:______________________________________________________________________________
__________________________________________________________________________
Signature of Facilities Coordinator: _______________________________ Date: _____________________
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Hot Work Permit Approved: _______________________________________ _____________________
Facilities Coordinator or Safety and Risk Manager
Date
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Final Re-Inspection by Facilities Coordinator or Fire Watch Employee
Within one hour after the hot work was
completed, I re-inspected the area
including adjacent areas to which sparks and heat may have spread and found the
area to be fire safe.
Signature : ___________________________ Printed Name:_______________________ Date: _________