Hot Work Permit Application
Permit No.
Date
Location of Work
Description of Work
Company / Contractor
Personnel Involved
Duration (From - To)
Equipment / Tools Used
Hot Work Checklist
Fire watch assigned
Suitable fire extinguisher available
Flammable and combustible materials removed or protected
Adequate ventilation provided
Personal Protective Equipment worn
Fire alarm and area notified
Other precautions taken
Details (if any)
Authorization
Applicant Signature / Date
Permit Issuer Signature / Date
Hot Work Closure
Remarks / Actions taken after work completion:
Work Completion Signature / Date
Permit Close Signature / Date