Attachment_10_-_DMEA_Hot_Work_Permit.doc

Proposed statement to add to all facility contract Statement of Work:

DMEA has an extensive gas alarm system and fire alarm system that is susceptible to activation from contractor activities (solvent use, grinding, welding, soldering, refrigerant work, etc.). Additionally, DMEA lab, clean room and security systems are sensitive. Therefore, to avoid potential alarms and subsequent facility evacuations caused by contractor activities, or other activities that could potentially disrupt operations, DMEA has implemented a work permit process for all work involving:

· Hot Work:

· Soldering

· Brazing

· Welding

· Seam Sealing

· Grinding

· Solvents/chemicals/gases

· Alcohols

· Paint thinners

· Aerosol cans

· Refrigerants (R-123 and others)

· Odorous Materials

· Paints and Epoxies

· Adhesives including contact cement, PVC and ABS glue, etc.

· Tar

· Roof seam sealing

· Electrical Work (energized and shut down)

· Wiring

· Panel work

· Equipment connection

· Confined Space Work (ARMS 1 Attic)

The work permits shall be filled out by the contractor staff with assistance from the facility/environmental team. The forms will be reviewed and evaluated by the DMEA facility and environmental/safety team before work is initiated. The permit form is attached.

DMEA Work Permit Form

(Hot Work, Odorous Work, Electrical Work, Confined Space)

Company Name

Date

Company Telephone Number

Stop Time:

Technician(s) Name(s) and Cell Number

Describe Work

Work Location and Systems Involved

Chemicals/gases involved

Gas sensors in area?

Smoke Detectors in area?

Precautions (check all that apply)

Technicians to have fire extinguisher, emergency numbers (911 and 231-1667*) and know where emergency equipment is and evacuation routes and assembly area

Gases shutdown and lines/equipment purged

30 minute fire watch after work complete with fire extinguisher and water source on-hand

Covers suspended beneath work to collect sparks

Other special precautions (describe use additional sheets if required):

Electrical Work: Equipment to be shutdown and locked out and tagged out

Electrical Work: Energized – Contractor to provide all necessary safety equipment and procedures

OPR:

Contractor Signature__________________________________ Date:________________________________ DMEA Approval Signature _____________________________ Date:________________________________

Work Complete and Precautions followed certification:

Contractor Signature__________________________________ Date:________________________________

*NOTE: Contact the DMEA Security Booth in the event of an emergency (after calling 911). Security will assist the first responders (Fire, Ambulance/EMT, etc.) .