Whsmp · OPW16/0021

                                                                                                             Hot Work Permit
                                                                                                                          HB-HSEQ-F-076
                                                                                                                              Version: 3




Section 4 – Additional Hot Work Controls within Confined Spaces                                         NA (Section Not Applicable)
Requirement                                                                                                               Yes      NA
Locate equipment outside the space where practicable
(such as gas cylinders, hoses, etc unless involved with respiratory devices)
Where an extraction fan is used, the inlet is to be located as close as practicable to the contamination source
Contaminants are to be expelled from the confined space so that they cannot be recirculated and will not harm
other workers
As arc-welding activities are to be suspended for substantial periods, power sources will need to be de-
energised, electrodes removed from holders and holders placed so that accidental contact or arcing cannot
occur
As gas welding/cutting activities are to be suspended for substantial periods, torch and cylinder valves are to be
closed with the torch and hose connections removed from the space and depressurised
Permit Request:
This acknowledgement signifies a formal request to commence hot works. As the person requesting this permit, I hereby certify
that:
  I am competent to coordinate this hot work in accordance with the Hot Work Permit details;
  I shall undertake to implement all planned and necessary controls to ensure safe hot work methods; and
  I shall monitor the hot work hazards and control methods throughout the hot work.

Name:                                          Signature:                                          Date:             Time:
Hutchinson Builders Authorisation:
This Hutchinson Builders Authorisation signifies that the planning component of the Hot Work Permit has been completed and
that hot work is authorised to commence in accordance with the Permit Request.

Name:                                          Signature:                                          Date:             Time:
Section 5 – Implementation
Hot Works Authorisation (Work Coordinator in Direct Control):
The procedures, control measures and precautions appropriate for the safe execution of hot work have been implemented and
the persons required to work have been advised of and understand the requirements of the Hot Work Permit.

Name:                                          Signature:                                          Date:             Time:

Constraints:     This Authorisation is valid until the following occurs, or the date and time shown:



                                                                                                   Date:             Time: