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CSC Hot Work Permit

The document is a Hot Work Permit that outlines safety requirements and procedures for conducting hot work activities, valid for seven days. It includes sections for contractor and project manager details, job descriptions, safety measures, and required personal protective equipment. The permit must be signed off by relevant personnel and displayed at the worksite, with specific instructions on cancellation and compliance with safety protocols.

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safety.nagoor1992
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50 views3 pages

CSC Hot Work Permit

The document is a Hot Work Permit that outlines safety requirements and procedures for conducting hot work activities, valid for seven days. It includes sections for contractor and project manager details, job descriptions, safety measures, and required personal protective equipment. The permit must be signed off by relevant personnel and displayed at the worksite, with specific instructions on cancellation and compliance with safety protocols.

Uploaded by

safety.nagoor1992
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Hot Work Permit Permit No :

( Permit valid for seven (7) days ) Filled by Contractor Engineer

Tick (✔ ) the appropriate box applicable


Type of permit Type of standard work followed Hot work area
⬜ JSA Avail ⬜ HIRA Avail ⬜ Ground ⬜ Height
⬜ New ⬜ Renewal
⬜ Pit / Tank
⬜ SOP Avail
Hot work access through, Tick (✔ ) the appropriate box applicable
⬜ Welding ⬜ Grinding ⬜ Cutting ⬜ Soldering
⬜ Gas Cutting ⬜ Brazing ⬜ If other Specify : __________________
Details of Client Project In-Charge Details of Contractor Project Manager
Name of The In-Charge : Name of Job In-charge :
Department and Designation : Name of the Contractor firm :
Extn No. / Mobile No : Mobile No :

Job Description :- Location :- Date of Permit Issue : Work Shift Time


Date of Start of work : ⬜ A ⬜ B From :
Date of Work Completion : ⬜ G ⬜ Night To:

Safety requirement for hot work : Please tick Yes- (✔ ), NA (✔ ) in the appropriate box Daily wise check points
Sl
No Confirm below safety measures taken at work site YES NA

1 Ensure good condition of welding blanket available to cover combustible material

2 Flammable liquid/ gases removed, combustible material removed / isolated from hot work zone
[ Surrounding 10 meter diameter ]

3 Ensure suitable and good condition of fire extinguisher available

4 Equipment used are with safe electrical connection [Free from damage, Proper earthing & 30mA
ELCB/RCCB ]
5 Hot work poster & Barricaded the working zone [ Ground & Height ]
6 Trained fire fighting person & Trained fire watcher person available @ working zone
7 All working team member trained in hot work safety
8 All equipment which is used for Hot work checked and found healthy condition before check
9 Isolated the energy source , provided LOTO & Communicated stakeholders
10 Ensure VOC fumes / LPG vapors / any other flammable / explosive fumes not available
11 Member not carrying any cigarette/ beedi / match box / lighter / or any ignition source
12 Workers aware Emergency Response Procedure & Free from obstruction path way Safe Point

Required Personal Protective Equipment (PPE'S) for Hot work (Tick( ✔ ) the appropriate)
⬜ Leather apron ⬜ Grinding face shield ⬜ Nose mask ⬜ Helmet*
13
⬜ Leather hand gloves ⬜ Welding face shield ⬜ Safety goggle ⬜ Safety Shoe*
⬜ If other please specify _____________________ [Mandatory PPE]

Contractor Engineer : I Personally checked above safety check points before work start

Contractor Safety Officer : I Personally confirmed above safety check points before work start

CSC (PMC) : I Personally Confirmed & approved above safety check points before work start N/A

Note : In-case of change Project Engineer update & Ensure Safety measures of Sl no 01 to 13.
Additional safety requirements / remarks :- Contractor Contractor CSC PMC CSC PMC CSC PMC
1. Project Engineer Project Manager Project Engineer Project Manager Safety Officer
2. Sign: Sign: Sign: Sign: Sign:
3.
4. Name: Name: Name: Name: Name:
Date: Date: Date: Date: Date:

Note* :- 1. Permit to be handover to the CSC (PMC) Safety Department after expiry of validity date or completion of Hot work.
2. White Copy : To be displayed at workplace after sign off. 3. Red copy handover CSC (PMC) Safety Department after sign off.
Safety Instructions : This hot work permit canceled
1. No hot work should be attempted / to be done without work permit / Invalid permit due to Insufficient safety
2. Apart from work permit requirements, JSA Instructions / HIRA Procedure are to be strictly followed measures as mentioned below
3. This hot work permit to be carry at work site at all time. Name: Dept :
4. Workers must be briefed (TBT) about imminent dangers involved in the job. Sign: Date/Time:
5. One hot work permit is valid for one work place, in-case of multiple location need individual hot work permit. Permit cancellation communicated to:
6. Permit valid for 7 days from date of work start
7. Without supervisor single person working on hot is not allowed
8. Hot work prohibited during without green tag on machinery, supervisor must inspect the safety thoroughly before working Date : Time:

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