Permit Request • CampusOptics

This Hot Work Permit is required for any operation involving open flames or producing heat and/or sparks. This includes but is not limited to: brazing, cutting, grinding, soldering, torch-applied roofing and welding. Copy of permit should be posted onsite where the hot work is being conducted.

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Name* Required

Additional Location Details

General Information

Hot work by:* Required

Company

Project/Job* Required

Nature of Job* Required

Name of person performing hot work* Required

Signature of person performing hot work* Required

Initial Inspection- Required Precautions Checklist

Hot work equipment in good working condition.* Required

Sprinklers in service and fire extinguisher present.* Required

Initial Inspection-Requirements within 35ft (11M) of hot work

Flammable liquid, dust, lint and oily deposits removed.* Required

Explosive atmosphere in area eliminated.* Required

Floors swept clean.* Required

Combustible floors wet down, covers with damp sand or fire-restrictive sheet.* Required

Combustible material removed where possible. Otherwise, protect with approved welding pads, blankets and curtains, fire-restrictive tarpaulins or metal* Required

All wall and floor openings covered.* Required

Approved welding pads, blankets and curtains installed under and around work.* Required

Protect or shut down ducts and conveyors that might carry sparks* Required

Initial Inspection-Hot work on walls, ceilings or roofs

Construction is noncombustible and without combustible covering or insulation.* Required

Combustible material on other side of walls, ceilings or roofs is moved away.* Required

Initial Inspection-Hot work on enclosed equipment

Enclosed equipment cleaned of all material.* Required

Containers purged of flammable liquid/vapor.* Required

Pressurized vessels, piping and equipment removed from service, isolated and vent* Required

Initial Inspection-Fire watch/hot work area monitoring

Will be provided during and for 60 min. after work including any break activity.* Required

Fire watch is supplied with suitable extinguishers.* Required

Fire watch is trained in use of equipment and in sounding alarm.* Required

Fire watch may be required in adjoining areas, above and below.* Required

Monitor hot work for an additional (3) hours after the 60 min. fire watch* Required

Initial Inspection-Other precautions taken

Other precautions taken* Required

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files

Hot Work Management Permit Permit Request

Requester Info

Permit Date & Time

Fire Watch Date & Time

Location

General Information

Initial Inspection- Required Precautions Checklist

Initial Inspection-Requirements within 35ft (11M) of hot work

Initial Inspection-Hot work on walls, ceilings or roofs

Initial Inspection-Hot work on enclosed equipment

Initial Inspection-Fire watch/hot work area monitoring

Initial Inspection-Other precautions taken

Add Supporting Documents

Requester Info

Permit Date & Time

Fire Watch Date & Time

Location

General Information More information

Initial Inspection- Required Precautions Checklist More information

Initial Inspection-Requirements within 35ft (11M) of hot work

Initial Inspection-Hot work on walls, ceilings or roofs

Initial Inspection-Hot work on enclosed equipment

Initial Inspection-Fire watch/hot work area monitoring

Initial Inspection-Other precautions taken More information

Add Supporting Documents

General Information

Initial Inspection- Required Precautions Checklist

Initial Inspection-Other precautions taken