HOT WORK PERMIT

Vessel : Date :
Location of work : (See Note 1)
Description of work :
Has the enclosed space permit issued ? Yes/No Permit No :
Work to be done by Rank/Contrator Name :
Period of validity From Date : Time :
(Not to exceed 12 hours To Date : Time :
(unless extension obtained) (See Note 2)
Office Authorization Reference No : Date : Time :

1. GENERAL PRECAUTIONS

CHECK
NO DESCRIPTIONS
NO N/A
Has the surrounding area been checked with a combustible gas indicator for
1
Hydrocarbon vapours?
2 Is necessary PPE available?
3 Is working area free from combustible material?
4 Are adjacent areas and spaces free from combustible material?
Are other permits for use in conjunction with this permit been completed? Provide
5
details
6 Is working area free of thermally sensitive equipment?
7 Is working area ventilation adequate (augmented if necessary)?
Are fire precautions provided at work location and any other risk area? (Fire main
8
MUST be kept pressurized)
9 Are common scuppers sealed?
10 Is safe access provided?
11 Is briefing by Supervisor done?
Is the equipment or pipeline free of combustible liquid? Has the line been purged? If
12
applicable
13 Has the equipment or pipeline been blanked or isolated? If applicable
Are the equipment isolated electrically, if applicable? (Electrical Circuits work permits
14
SHE-38 Issued)
15 Has Risk Assessment for this hot work carried out?
Has permission been requested from Office? (attach copy of message sent) (Tankers
16
See Note 3A)
Has permission been granted by Office? (attach copy of Message received) (Tankers
17
See Note 3A)
18 Additional Office requirements have been implemented (if received)
19 Has Master held a Safety Meeting to discuss planned work and safety precautions?
20 Have all personnel involved in the preparation and hot work operation been briefed?

2. EQUIPMENT PREPARATION (delete as necessary)

NO N/A

A. ELECTRIC ARC
Are cables, connections and electrode holder in good condition?
Are quick disconnect coupling free and operational?
 HOT WORK PERMIT

Is negative return connected direct to work piece?

B. OXYGEN/ ACETYLENE
Are regulators, gauges, hoses and connections in good condition?
Are back fire preventers connected?
Is torch in good condition and fitted with correct tip?

3. SPECIAL PRECAUTIONS IF ANY -- specify

4. PROTECTIVE CLOTHING/ SAFETY EQUIPMENT REQUIRED – specify

5. AREA AUTHORITY
I have checked the above conditions and consider it safe to carry out the work stated during the period stated
above, provided that the conditions laid down are followed

Signature: (Suptd, Ch. Off, Safety Off, Ch. Engr., 2nd Engr.)

Name / Rank/ Date:

6. ACCEPTANCE
I understand the precautions to be taken and will return this permit for cancellation in accordance with Section 9

Signature: (By the person carrying out the work)

Name / Rank/ Date:

7. WORK AUTHORITY
Permission to carry out the work stated is granted subject to the conditions above

Signature: Master/Superintendent

Name / Rank/ Date:

Office Approval for hot work (if applicable): Approved / Not Approved (Mark as applicable)

8. AUTHORIZATION OF CONTINUED VALIDITY (To be checked every four hours)

Permit validity
Date Time Gas Trst Until
Extended
Tested by By
HC% O2% At (time) Date Time
(Name/Rank/Signature) (Master)
 HOT WORK PERMIT

9. PERMIT CLOSURE
The work has been completed /suspended and all persons under my supervision, materials and equipment have
been withdrawn

Authorized person in charge: Name Rank:

(Suptd, Ch. Off, Safety Off, Ch. Engr., 2nd Engr.)
Time : Date :

Permit Closed: Master Time : Date :

Company advised of completion/suspension of work: [See Note 4] (Ref. (Msg. No)……………/ Date… ............... )

GENERAL INSTRUCTIONS

a. Starting/finishing time must not exceed the time allocated by the Authorized Signatories.
b. Specific location of work is to be given.
c. Description of work to include type of equipment to be used.
d. No hot work should be carried out on the deck / bulkheads above bunker tanks containing bunkers within
500mm from such decks.
e. If hot work is to be undertaken at a height greater than 500mm above the fuel tank deck, tanks within a radius
of at least 30Mtr around the working area must be cleaned and gas freed to less than 1% LEL.
f. Hot work is prohibited during bunkering operations.
g. For all Hot work - A full risk assessment (Form RA01), Work plan, HW Permit & Minutes of the Safety meeting
must be prepared. Details of work proposal and procedure must be discussed.
h. Hot work on pipelines containing oil: The necessary section to be removed from its place by cold work and
repaired in designated workshop.
i. Tests for combustible gas should be carried out immediately before commencement of hot work and at
frequent intervals as long as the work is in progress.
j. This permit must be displayed at the site of HW and must be returned to the authorized person upon
completion of the Hot work.
k. Any change in the conditions, which were agreed to, when issuing this hot work permit will invalidate it.
l. Hot work must stop immediately and must not be restarted until all safety precautions have been rechecked
and a new permit issued.

Note 1 : For Hot work in designated Engine room workshop this Hot work permit is not to be used

Note 2 : Consult office for extensions where concerned.

Note 3 : APPLICABLE TO TANKERS

a. Applies to all hot work outside the designated workshop area in machinery space.
b. For all Hot work - A full risk assessment (Form RA01), Work plan, HW Permit & Minutes of the Safety meeting
must be prepared & submitted to the company for review.
c. Hot work can only be conducted when a positive reply from the company is received.

Note 4 : Tankers : Informing office about completion/suspension of hot work is Mandatory

RISK ASSESSMENT REF: _____________________