Shipboard Welding and Cutting Permit
Permit No.
Date
Vessel Name
Location/Area
Work Order/Job No.
Duration (From - To)
Description of Work
Personnel Involved
Welder's Name
Certificate No.
Supervisor
Company/Dept.
Gas Watch/Fire Watch
Time On Duty
Pre-Work Safety Precautions
Area inspected and free from flammable materials
Suitable fire extinguishers ready
Adequate ventilation provided
Gas and oxygen bottles properly stored
Electrical equipment checked
Fire watch assigned and stationed
Personal Protective Equipment used
Hot Work signage posted
Boundaries defined and restricted
Atmosphere Testing
Tested By
Date/Time
Oxygen (%)
LEL (%)
Other (Specify)
Final Checks & Approval
Work area re-inspected upon completion
Area safe for normal operations
Gas/Fire Watch remains 30 min after work
No smoldering or hot spots found
Authorized Officer
Signature: ___________________
Date/Time: _________________
Welder
Signature: ___________________
Date/Time: _________________
Supervisor
Signature: ___________________
Date/Time: _________________