Hot Works Permit Request - Facilities Management

A Hot Work Permit 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, soldering, thawing pipe, torch applied roofing, and welding.

Instructions:

  1. Complete the checklist below indicating that all precautions have been considered and will be taken whenever possible.
  2. Click “Submit”. The permit request will then be sent to EH&S for review and approval.
  3. If all precautions have been met to the reviewers’ satisfaction, you will receive an approved Hot Work permit via email.

After receiving the approved permit, it must be posted at the job site until all hot work activity has been completed. When the job is finished, fill in the “Work Completion Notice” section at the bottom of the approved permit and email it to safety@uci.edu. Keep a copy of the permit for your records.

PRECAUTIONS CHECKLIST:
Note: If necessary, please use the comments area below to further explain why a listed precaution cannot be taken in the manner described.

Available sprinklers, hose streams, and fire extinguishers are in service and operable.
Hot Work equipment is in good repair.
Fire detection equipment protected from false activation and damage.
PPE is used to protect worker from physical hazards while performing Hot Work.

Within 35 feet (11 meters) of work:

Flammable liquids, dust, lint and oily deposits are removed.
Explosive atmosphere in area is eliminated.
Floors are swept clean.
Combustible floors are wet down, and covered with damp or fire-resistive sheets.
Other combustibles are removed when possible. Otherwise, fire-resistive tarpaulins or metal shields are used.
All wall and floor openings are covered.
Fire resistive tarpaulins are suspended beneath work.
Ducts and conveyors that might carry sparks to distant combustible material are protected or shut down.

Work on walls, ceilings, and or roofs:

Construction is noncombustible and without combustible covering or insulation.
Combustibles on both sides of walls, ceilings, roofs are moved away.
Does not apply.

Work on enclosed equipment:

Enclosed equipment is cleaned of all combustibles.
Containers have been purged of flammable liquids/vapors.
Pressurized vessels, piping and equipment are removed from service, isolated and vented.
Does not apply.

Fire Watch/Hot Work area monitoring:

Fire Watch will be provided during and for at least 30 minutes after work (including lunch and any break times).
Fire Watch is supplied with suitable fire extinguishers and fire fighting equipment.
Fire Watch is trained in the use of fire extinguishing equipment and in sounding emergency alarm.
Fire Watch may be required in adjoining areas, above and below.
Fire Watch will verify isolated fire detection equipment returned to normal operation.

Other Precautions Taken:

Comments:

PLEASE COMPLETE ALL FIELDS BELOW

Hot Work is being performed by:

UC Irvine employee
Contractor under UC Irvine supervision


Person performing Hot Work:

Company/Department:

Phone Number (###-###-####):

Trained: Yes No

Person performing Fire Watch:

Company/Department:

Phone Number (###-###-####):

Job Start Date: Start Time:

Job End Date: End Time:

Location - building/floor/room:

Job Description:


TRADES SUPERVISOR OR PROJECT MANAGER AUTHORIZING WORK:

I have verified that the above location has been examined and that all precautions selected on the checklist will be taken to prevent fire. I have also reviewed this job with the Trades Supervisor or Project Manager identified above and have received permission to perform this work.

Submitter:

Phone Number (###-###-####):

Email Address: