Hot Work Permit
Permit Number
Issued To (Name/Company)
Location of Work
Date Issued
Start Time
End Time
Description of Work
Type of Hot Work
Welding
Cutting
Grinding
Soldering
Other
Precautions Checklist
Fire extinguisher available
Area cleared of combustibles
Appropriate PPE provided
Permit displayed at site
Fire watch assigned
Gas test conducted (if applicable)
Ventilation provided
Additional Precautions / Notes
Permit Issuer Signature
Date
Time
Permit Receiver Signature
Date
Time
Fire Watch Signature
Date
Time