L016-OHSE Hot Work Permit Format

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Project Management, India

Hot Work Permit


Permit no : Date:
Project :
Location :
Job description:
Contractor :
The area of work has been examined, precautions checked mentioned below have been taken to prevent
fire.
DESCRIPTION YES NO REMARKS
Safety precautions:
The technician must inspect the proposed
precautions taken to prevent fire.
Electrical Isolations:
Electrical isolation required for equipment isolated
Electrical cables covered
General Precautions:
Fire extinguishers are in service
Cutting and welding machines are in good condition
Area technician notified
Precautions near area of work:
Nearby area swept clear of combustibles
No combustible, flammable liquids are near by
Fire watch:
To be provided during operation
Supplied with fire extinguishers
Trained in use of equipment for fire fighting
Additional preventive measure may be added if needed:(Use additional sheet if needed)

I have personally examined the area and certify, precautions have been taken for the above mentioned
area.
Name & Signature of the technician:
PERMISSION ISSUING AUTHORITY:
Permission issued for this work from ……….….hrs. to ……….…… hrs.
Permit expiry date:
Name & Signature of issuing authority:
Name &Signature of the permittee:

Permit Closure:
Date & Time …………………………………………………………. this permit is closed.
Name & Signature of Permittee.
Name & Signature of issuing authority:

CBRE South Asia Pvt. Ltd Page 1 of 1


Format No. L016-OHS-HoP-Fr-016/Rev02/May2015

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