B08_Attachment_5_-_ITM_Hot_Work_Permit.pdf

Hot Work Permit (Form HW-1)

Hot Work Permitting Hot work shall only be performed in designated or permit-required areas. Before hot work operations begin in a non-designated location, a signed Hot Work Permit, issued by the Permit Authorizing Individual or his/her designee, shall be issued.

Designated Area A designated area shall be a specific area designed for, or approved by the Permit Authorizing Individual or his/her designee for, such work. A designated area can be a maintenance shop or a detached outside location that is of noncombustible or fire-resistive construction, essentially free of combustible and flammable contents, and suitably segregated from adjacent areas. All designated areas shall have been inspected and approved by the Permit Authorizing Individual or his/her designee.

Permit-Required Area A permit-required area shall be an area that is made fire safe and authorized by the issuance of a signed NPS Hot Work Permit. The Hot Work Permit shall be signed by Permit Authorizing Individual or his/her designee.

Non-permissible Areas Hot work shall not be allowed in the following areas:

(a) In areas not authorized by the Permit Authorizing Individual or his/her designee

(b) In sprinklered buildings while such protection is impaired

(c) In the presence of explosive atmospheres (that is, where mixtures of flammable gases, vapors, liquids, or dusts with air exist)

(d) In explosive atmospheres that can develop inside unclean or improperly prepared drums, tanks, or other containers and equipment that have previously contained such materials

(e) In explosive atmospheres that can develop in areas with an accumulation of combustible dusts

GENERAL

Park: District: Building: Floor:

Work to be done:

Special precautions:

PERSON PERFORMING WORK

Contractor Business Name:

Contractor Representative:

Contractor Contact Number:

NPS Employee’s Name:

NPS Office:

NPS Employee’s Contact Number:

CHECK

Work area and all adjacent areas to which sparks and heat might have spread (including floors above and below and on opposite side of wall(s) were inspected every 20 minutes for 1 hour after the work was completed and were found fire safe.

ATTENTION

Before approving any hot work permit, the Permit Authorizing Individual or his/her designee shall inspect the work area and confirm that the proper precautions have been taken to prevent fire, in accordance with the NPS Hot Work Permit Form (Form HW-1) and the NPS Hot Work Policy.

PRECAUTIONS

Sprinklers in service Hot work equipment in good repair

WITHIN 35 FEET OF HOT WORK AREA

Floors swept, clean of combustibles Combustible floors wetted down, covered w/ damp sand or other shields in place All wall and floor openings covered

WORK ON WALLS OR CEILINGS

Combustibles moved away from opposite side of wall

WORK ON ENCLOSED EQUIPMENT (tanks, containers, ducts, dust collectors etc.)

Equipment cleaned of all combustibles Containers purged of all flammable vapors

FIRE WATCH

To be provided during and 60 minutes after operation Supplied with a fully charged and operable fire extinguisher Trained in use of equipment and activating fire alarm system

FINAL CHECK

To be made every 20 minutes for 60 minutes after completion of any operation unless fire watch is provided

Is a fire watch required? Yes No

The location where the work is to be done has been examined, necessary precautions taken, and permission is granted for this work.

Permit Issue Date: Permit Expires:

Permit Authorizing Individual or Designee:

Signature: Date: