HOT WORK PERMIT

Permit Number: [PERMIT-NUMBER] Issue Date: [ISSUE-DATE] Time Issued: [ISSUE-TIME] Time Expires: [EXPIRY-TIME] (Must not exceed end of shift)

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1. JOB DETAILS

Company Name: [COMPANY-NAME] Site Location: [SITE-ADDRESS] Specific Work Area: [SPECIFIC-AREA] Description of Work: [DESCRIPTION-OF-WORK] Equipment to be Used: [EQUIPMENT-LIST]

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2. HAZARD IDENTIFICATION

Check all hazards present in the work area:

• Flammable liquids (e.g. fuel, paint, solvents)
• Flammable gases (e.g. LPG, acetylene)
• Combustible materials (e.g. paper, wood, cardboard)
• Dust or fibres that could explode
• Combustible walls, ceilings or floors
• Confined space
• Other: [OTHER-HAZARDS]

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3. FIRE PREVENTION & CONTROL MEASURES

Confirm the following actions are completed before work starts:

• Fire extinguishers are ready and within 10 metres (Class A and B or appropriate type)
• Flammable materials have been moved at least 11 metres away or covered with fire-resistant blankets
• Floors are swept clean of combustible debris
• All floor and wall openings are covered or plugged to prevent sparks passing through
• Adequate ventilation is provided
• Fire alarm system is operational (if applicable)
• Fire Watcher appointed: [WATCHER-NAME]

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4. AUTHORITY & SIGN OFF

I acknowledge that I have inspected the work area and am satisfied that all necessary precautions have been taken.

Authorised Person (Supervisor/Manager) Name: [AUTHORISER-NAME] Signature: __________________________ Date: [AUTHORISER-DATE]

I acknowledge that I have read and understood this permit and will follow all safety controls.

Lead Worker / Permit Holder Name: [WORKER-NAME] Signature: __________________________ Date: [WORKER-DATE]

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5. WORK COMPLETION & CLEARANCE

Work completed at: [FINISH-TIME] Area inspected for fire for 30 minutes post-work: [YES/NO] Fire Extinguishers returned: [YES/NO]

Authorised Person (Sign off): __________________________ Date: [CLEARANCE-DATE]