Hot Work Permit
This permit is to be issued to cover all work involving flame cutting apparatus, oxyacetylene welding apparatus, electric welding
apparatus, blow torches, grinding equipment, bitumen boilers or any other equipment producing flame, intense heat or sparks.
1. Proposed work – this section to be completed by the school:
Permit No.
Type of hot work:
Risk Assessment attached
Location:
Safe System of Work/Method Statement attached
The following precautions are required and are a condition to the permit being issued. Tick where appropriate.
Area cleared of all loose combustible material
Flammable liquids/gases removed or protected
Other sides of walls or partitions checked to ensure
combustible materials will not be ignited by conducted heat
Exposed wooden floors or other immovable combustible
materials covered with non-combustible materials
Welding, cutting or grinding work screened using noncombustible material
Smoke/heat detectors rendered inoperable by
disconnection or enclosing with plastic bag and to be made
operable immediately after work completed
If working close to a gas supply, gas to be turned off and
piping protected
Gas cylinders to be stored in vertical position
Flashback arrestors to be fitted to gas cylinders
Smoking not allowed
Tar boilers to be supervised by experiences persons and never
left unattended unless switched off
Tar boilers, or similar equipment, only to be used on roofs if a
non-combustible heat insulating base is used to prevent the heat
igniting the roof
Gas cylinders to be stored a minimum of three metres from the
burners
Appropriate extinguishers to be located in the working area
Competent person to be standing by with fire extinguisher
while work is in progress
When hot working on a roof, provision must be made for an
alternative way off, in case of fire
Working area to be checked for heat or fire one hour after the
completion of hot works
In case of fire, please dial this number
…………………………….………………………… (insert number)
Additional precautions required (e.g. emergency procedures, fire fighting equipment, isolations, materials/equipment storage, and personal protective
equipment).
This permit is valid from ...……..…….. (start time) to ….……..…… (finish time) on ……..……………………………………….(date).
Note: this permit will not be issued for more than one day at a time, if the permit needs to be extended the appropriate
sections overleaf, or a new permit, should be completed.
2. Authorisation before work starts – this section to be completed by school and contractor:
I have seen, and am satisfied (within the limits of my knowledge and expertise,) with the risk assessment and safe system of
work/method statement for this above works and have agreed the above conditions with the contractor. I thereby authorise the work
to start in line with the agreed conditions of this permit.
Name of permit issuer (school representative):
Signed:
Date:
I have read and understood the conditions of this permit and will ensure that the work is carried out in accordance with the risk
assessment, the safe system of work/method statement and the agreed conditions outlined in this permit.
Name of Permit Acceptor:
Acceptance Signature:
Date:
3. Permit cancellation after work is completed – this section to be completed by school and contractor:
The above work has/has not (delete as appropriate) been completed.
The work area and all adjacent areas to which sparks and heat might have spread (including floors above and below and on the
other side of walls), have been periodically inspected for a minimum of one hour immediately after the work was completed and
there were no signs of heat or fire. The site has been left in a safe condition.
Name of permit acceptor:
Date:
Time work completed:
Time of last inspection:
Signature:
I have checked and am satisfied that all disabled
heat/smoke detectors have been made operable.
Name of school representative:
I am satisfied that the above work has/has not (delete as appropriate) been
completed, that all disabled heat/smoke detectors have been made operable
and the site has been left in a safe condition.
Name of permit issuer (school representative):
Signed:
Signature:
Hot Work Permit Version 1
Date:
Date:
Time:
4. Extension authorisation 1 – to be completed by school and signed by the school and contractor before work starts:
Permit valid from …..…………….……… (start time) to ………………………... (finish time) on
I thereby authorise the work to start in line with the agreed
conditions of this permit as stated overleaf.
……………………………………… (date).
Name of permit issuer (school representative):
I will ensure that the work is carried out in accordance with the risk
assessment, the safe system of work/method statement and the
agreed conditions outlined in this permit.
Name of permit acceptor:
Signed:
Signed:
Date:
Date:
5. Extension permit cancellation after work is completed - to be completed by school and contractor:
The hot work has/has not (delete as appropriate) been completed.
The work area and all adjacent areas to which sparks and heat might have spread (including floors above and below and on the
other side of walls), have been periodically inspected for a minimum of one hour immediately after the work was completed and
there were no signs of heat or fire. The site has been left in a safe condition.
Name of permit acceptor:
Date:
Time work completed:
Time of last inspection:
Signature:
I have checked and am satisfied that all disabled
heat/smoke detectors have been made operable.
Name of school representative:
I am satisfied that the above work has/has not (delete as appropriate) been
completed, that all disabled heat/smoke detectors have been made operable
and the site has been left in a safe condition.
Name of permit issuer (school representative):
Signed:
Signature:
Date:
Date:
4.1 Extension authorisation 1 – to be completed by school and signed by the school and contractor before work starts:
Permit valid from …..…………….……… (start time) to ………………………... (finish time) on
I thereby authorise the work to start in line with the agreed
conditions of this permit as stated overleaf.
……………………………………… (date).
Name of permit issuer (school representative):
I will ensure that the work is carried out in accordance with the risk
assessment, the safe system of work/method statement and the
agreed conditions outlined in this permit.
Name of permit acceptor:
Signed:
Signed:
Date:
Date:
5.1 . Extension permit cancellation after work is completed - to be completed by school and contractor:
The hot work has/has not (delete as appropriate) been completed.
The work area and all adjacent areas to which sparks and heat might have spread (including floors above and below and on the
other side of walls), have been periodically inspected for a minimum of one hour immediately after the work was completed and
there were no signs of heat or fire. The site has been left in a safe condition.
Name of permit acceptor:
Date:
Time work completed:
Time of last inspection:
Signature:
I have checked and am satisfied that all disabled
heat/smoke detectors have been made operable.
Name of school representative:
I am satisfied that the above work has/has not (delete as appropriate) been
completed, that all disabled heat/smoke detectors have been made operable
and the site has been left in a safe condition.
Name of permit issuer (school representative):
Signed:
Signature:
Date:
Date:
Once the above boxes have been completed, a new permit must be issued if the hot work is to continue.
Hot Work Permit Version 1