S02_RFP Attachment_VA 01 00 00 Notification Of Hot Work General Requirements - Attachment 2.pdf
PDF 79 KB Posted
- Attached to
- Z1DA--FY23 NRM-Tier 1 (PROJ 673-22-109) D/B: Install Fan Array in AHU OR2-7 and Replace Exhaust Fans
- Solicitation number
- 36C24823R0068
About this file
This document contains a template for notification of hot work operations by contractor personnel at a Department of Veterans Affairs facility. The template requires contractors to provide details of planned hot work, including the project number and title, facility name, building name and floors, date and time of work, description of work to be done, any special precautions, name of fire watch person if applicable, and comments. Spaces are provided for notification and approval signatures by the contractor, contracting officer's representative, and safety staff member.
The related federal contract opportunity is for installation of a fan array in Air Handling Unit OR2-7 and replacement of exhaust fans at the James A. Haley VA Medical Center in Tampa, Florida. Solicitation number 36C24823R0068 provides further details on the project number, point of contact for any questions, and identifies the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8 as the contracting agency.
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Text version
Attachment 2
Notification of Hot Work Operations by
Contractor Personnel (Burn Permit)
SECTION 01 00 00
GENERAL REQUIREMENTS
ATTACHMENT #2
NOTIFICATION OF HOT WORK OPERATIONS
BY CONTRACTOR PERSONNEL
(BURN PERMIT)
PROJECT No. & TITLE:
NAME OF FACILITY:
BUILDING # & NAME:
FLOORS:
ON DATE: Sn M T W Th F St WORK TIME:
WORK TO BE DONE:
SPECIAL PRECAUTIONS:
NAME OF FIRE WATCH PERSON IF APPLICABLE:
COMMENTS:
Section 01 00 00, General Requirements – Attachment #2
Revised March 2018
NOTIFIED BY:
NOTIFIERS SIGNATURE & DATE:
APPROVED WITH COMMENT DISAPPROVED
TITLE & PHONE No.:
CONTRACTOR:
APPROVED
COR NAME:
COR SIGNATURE & DATE:
SAFETY STAFF MEMBER:
SAFETY SIGNATURE & DATE:
Section 01 00 00, General Requirements – Attachment #2
Revised March 2018
| Project # and Title: |
| Name of Facility: |
| Building # and Name: |
| Floors: |
| Work Time: |
| Check Box23: Off |
| Check Box24: Off |
| Check Box25: Off |
| Check Box26: Off |
| Check Box27: Off |
| Check Box28: Off |
| Check Box29: Off |
| Work To Be Done: |
| Special Precautions: |
| Name of Fire Watch Person: |
| Comments: |
| Notified By: |
| Title and Phone #: |
| Contractor: |
| Group38: Off |
| COTR Name: |
| Safety Name: |
| Contract Information: |
| Reset: |
| Print: |
File details come from the government source that posted it. Updated .