Hot Work Permit Application Form
Date
Permit No.
Location of Work
Description of Work
Requestor Name
Department
Start Time
End Time
Type of Hot Work
Welding
Cutting
Grinding
Other
Precautions Checklist
Fire Extinguisher Provided
Area Cleared of Combustibles
Proper Ventilation
Fire Watch Assigned
Additional Precautions
Authorization
Authorized By
Date
Signature