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Hot work permit template

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Preview — Organised table

Hot Work Permit

Date: Date

The permit is void if conditions change or it expires. Work must not start before approval.

Work

| Item | Details |

| --- | --- |

| Location | Location |

| Work Type | Work Type: welding / cutting / grinding |

| Contractor | Contractor |

| Worker | Worker |

| From Time | From Time |

| To Time | To Time |

Safety checklist

| No. | Requirement | Done | Note |

| --- | --- | --- | --- |

| 1 | Requirement 1 | Done 1 | Note 1 |

| 2 | Requirement 2 | Done 2 | Note 2 |

| 3 | Requirement 3 | Done 3 | Note 3 |

| 4 | Requirement 4 | Done 4 | Note 4 |

| 5 | Requirement 5 | Done 5 | Note 5 |

| 6 | Requirement 6 | Done 6 | Note 6 |

| 7 | Requirement 7 | Done 7 | Note 7 |

| 8 | Requirement 8 | Done 8 | Note 8 |

Fire watch

| Item | Details |

| --- | --- |

| Fire Watcher | Fire Watcher |

| Watch Time after Work | Watch Time after Work |

| Extinguisher Present | Extinguisher Present: yes / no |

Requester: Requester

Safety Officer: Safety Officer

Permit Issuer: Permit Issuer

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