ࡱ> GIFO Ebjbj4)4) 4VCeVCea 4!!!h4L!T $-CCC"@T $ #nCCdCC:G,CЭZ9"s $0T} "$["$"$8`>,$```p```T"$````````` : HOT WORK PERMIT APPROVAL FORM This Hot Work Permit Approval Form is required for any temporary operation involving open flames or producing heat and/or sparks. This includes, but is not limited to: Brazing, Cutting, Grinding, And Soldering, Thawing Pipe, Torch Applied Roofing, And Welding. INSTRUCTIONS Fire safety supervisor: Verify precautions listed at right (or do not proceed with the work). Retain this approval form on work site. DATE: JOB NO. LOCATION/BUILDING & FLOOR:  I verify the above location has been examined, the precautions checked on the Required Precautions Checklist have been taken to prevent fire, and permission is authorized for this work.  SIGNED ( CAMPUS FIRE SAFETY /OPERATIONS SUPERVISOR):  Farmingdale State Physical PlantPERMIT EXPIRESDATETIME A.M. P.M. THIS PERMIT IS GOOD FOR ONE DAY ONLY UNLESS APPROVED OTHERWISE! REQUIRED PRECAUTIONS CHECKLIST  FORMCHECKBOX  Available sprinklers, hose streams and extinguishers are in service/operable.  FORMCHECKBOX  Hot Work equipment in good repair. Requirements within 10 m (35 ft.) of work  FORMCHECKBOX  Flammable liquids, dust, lint and oily deposits removed.  FORMCHECKBOX  Explosive atmosphere in area eliminated.  FORMCHECKBOX  Floors swept clean.  FORMCHECKBOX  Combustible floors wet down, covered with damp sand or fire-resistive sheets.  FORMCHECKBOX  Remove other combustibles where possible. Otherwise protect with fire-resistant tarpaulins or metal shields.  FORMCHECKBOX  All wall and floor openings covered.  FORMCHECKBOX  Fire resistant tarpaulins suspended beneath work. Work on walls or ceilings/enclosed equipment  FORMCHECKBOX  Construction is noncombustible and without combustible covering or insulation.  FORMCHECKBOX  Combustibles on other side of walls moved away.  FORMCHECKBOX  Danger exist by conduction of heat into another area.  FORMCHECKBOX  Enclosed equipment cleaned of all combustibles.  FORMCHECKBOX  Containers purged of flammable liquids/vapors.  FORMCHECKBOX  Pressurized vessels, piping and equipment removed from service, isolated and vented. Fire watch/hot work area monitoring  FORMCHECKBOX  Fire watch will be provided during and for 30 minutes after work, including any coffee or lunch breaks.  FORMCHECKBOX  Fire watch is supplied with suitable extinguishers.  FORMCHECKBOX  Fire watch is trained in use of this equipment and in sounding alarm.  FORMCHECKBOX  Fire watch may be required for adjoining areas above, and below.  FORMCHECKBOX  Monitor Hot Work area for 30 minutes after job is completed. Other precautions taken  FORMCHECKBOX  Confined space entry permit required.  FORMCHECKBOX  Area protected with smoke or heat detection.  FORMCHECKBOX  Ample ventilation to remove smoke/vapor from work area.  FORMCHECKBOX  Lockout/tagout required. Note: When used in accordance with NFPA 51B, this permit is to be used for, but not limited to, the following: welding, cutting, grinding, open-flame soldering, thawing pipe, and torch-applied roofing. 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