Post a copy at {Name of university} Make no changes in dates

the job site. or other information after

HOT WORK PERMIT approved.

For Heat Guns, Grinding, Cutting, Welding, or Soldering with Portable Gas, Arc, or Other Equipment Generating Heat or Spark
(References: 1997 Uniform Fire Code Article 49, 2003 International Fire Code Chapter 26, and National Fire Protection Association
Standard NFPA 51B.)

BEFORE INITIATING HOT WORK, CAN THIS HOT WORK ACTIVITY BE AVOIDED? IS THERE A SAFER WAY?
Job Date Start Time Expiration WO #

Name of Applicant Company Phone

Supervisor Phone

Location / Description of work

IS FIRE WATCH REQUIRED?

1. _______(yes or no) Are combustible materials in building construction closer than 35 feet to the point of
operation?

2. _______(yes or no) Are combustibles more than 35 feet away but would be easily ignited by sparks?

3. _______(yes or no) Are wall or floor openings within a 35 foot radius exposing combustible material in adjacent
areas, including concealed spaces in floors or walls?

4. _______(yes or no) Are combustible materials adjacent to the other side of metal partitions, walls, ceilings, or
roofs which could be ignited by conduction or radiation?

5. _______(yes or no) Does the work necessitate disabling a fire detection, suppression, or alarm system
component including concealed duct detectors?

YES to any of the above indicates that a qualified fire watch is required.

Fire Watcher Name(s) Phone______________________

Fire watcher is required to study and complete the checklist on the second page of this form and initial it. All boxes
must be checked.

NOTIFICATIONS
Notify the following groups at least 72 hours prior to work and 30 minutes after work is completed. Write in names of persons
contacted.

Notify in person OR by phone ONLY if question #5 above is answered “yes” or you are unsure:
 Facilities Management Fire Systems Group Supervisor ({Insert number}
Notify by phone or in person: If by phone, write down name of person and send a completed copy of this permit to the
project file at Facilities Management.
 Facilities Management Fire and Life-Safety Group ({Insert number}
 Environmental Health & Safety Industrial Hygiene Group ({Insert number}
 University Project Manager (name) ___________________________________ (phone no.) _____________ __

SIGNATURE REQUIRED

I understand and will abide by the conditions described in this permit. I will fax or submit a signed copy of this
permit to the University project manager prior to start of work and post a copy of it at the entrance to the job
site/room. I will implement the necessary precautions which are outlined on both pages of this permit form. Thirty
minutes after each hot work session, I will reinspect work areas and adjacent areas to which spark and heat might
have spread to verify that they are fire safe, and contact Facilities Management Alarm Technicians to have any
disabled fire protection systems reactivated.

_______________________________ ________________________ Date ___________ Phone

Permit Applicant Company or Department
Doc name: Hot Work Permit2004-v2.doc Hot Work Permit/rev. 3/29/04
PRECAUTIONS FOR HOT WORK
DEFINITION: Hot Work is any temporary operation involving open flames or equipment producing heat or spark.

TYPICAL LIST OF HOT WORKS: list of typical hot work includes: welding
, heat treating
, grinding
, thawing pipe
, hot riveting
, soldering, brazing
, powder-driven fastener operations, torch applied roofing
, glass blowing, using a heat gun to heat/soften floor tiles, and similar activities involving spark, flame, or heat.
COMPLETE THE FOLLOWING CHECKLIST BEFORE PROCEEDING WITH HOT WORK OPERATIONS:
BUILDING SYSTEMS: With regard to building systems, ensure that:
 Fire sprinklers, if existing, are kept operational.
 Building ventilation protected from smoke and fumes.
 Fire alarm system kept operational; detectors disabled only if necessary, i.e., if they would likely be activated by the work;
Facilities Management Fire Systems Group (FSG) requires at least 72 hours notice{Insert number}) to identify the need
and disable detectors. Only FSG is authorized to disable fire alarm devices.
 Cutting and welding equipment in good operating condition and UL listed when applicable.
PERSONNEL / OCCUPANT PROTECTION: With regard to building occupants, ensure that:
 Workers and occupants protected from smoke, fumes, toxic materials by use of exhaust ventilation or other approved
safety measures.
 Vision screens/barriers in place.
 Confined space entry permit/procedures in place when applicable.
 Energized equipment locked/tagged out of service when applicable.
 Workers properly trained in use of equipment.
WITHIN 35 FEET OF WORK: Read and implement the requirements of NFPA-51 B including the 35 foot rule.
Within 35 feet of the area, ensure that:
 Floors swept clean of combustibles.
 Combustible floors swept down & covered with damp sand, metal or other spark/heat shields.
 Combustible and flammable materials removed.
 Flammable liquids, dust, lint, and oily deposits removed.
 Explosive atmosphere in area eliminated.
 Fixed combustibles and flammables covered with fire-resistive covers, guards, and/or shields.
 Wall and floor openings covered with non-combustible covers.
 Fire-resistive covers suspended beneath work to collect sparks.
WORK ON OR NEAR WALLS FLOORS OR CEILINGS: Prior to the start of work ensure that:
 All holes, cracks and penetrations are sealed with non-combustible material.
 Construction is non-combustible and without combustible covering or insulation. Otherwise, combustibles are to be
shielded/protected.
 Combustibles moved away from opposite side of wall and second fire watch provided where required by NFPA-51B or the
UFC.
WORK ON ENCLOSED EQUIPMENT (tanks, ducts, plenums, etc.)
 Confined space entry permit/procedures.
 Compressed gases out of confined space.
 Equipment empty, cleaned of residues, pressure released, purged of vapors, and gas valves shut off.
FIRE WATCH (at work site)
 Fire watcher is to be present 30 minutes before for combustible clean-up, during and for 30 minutes after operation to
ensure that no smoldering fires exist. Fire watcher is to search for any smoldering or flaming ignition and extinguish any
such sources.
 Fire watcher is to be supplied with hose and/or fire extinguishers of proper size and type and be properly trained in use of
same.
 Fire watcher is to be trained in emergency procedures and activating fire alarm.
 The permit applicant or their representative is to protect all combustibles from hot work ignition sources. This includes
sealing of floor and wall penetrations.
 Fire watcher is to stop hot work if any of the safety precautions cannot be met.
 Fire watcher is to locate the nearest fire alarm pull station before hot work begins and pull the alarm immediately if an
emergency occurs.
 Fire watcher is to have access to a telephone to dial 9-1-1 to report emergencies.
OTHER PRECAUTIONS TAKEN
 _________________________________________________________________________________________________

FIRE WATCHER INITIALS: ______

Doc name: Hot Work Permit2004-v2.doc Hot Work Permit/rev. 3/29/04