EHS Hot Work Procedure North America
Appendix D: Designated hot work permit application
Instructions:
PERMIT EXPIRES ON:
1. Review the Annual Permit Process and select one of the
2.
four options for a designated area.
Complete the application below, including a drawing of
DD-MMM-YYYY
the proposed area (or attach a sketch). (To be completed by Regional SM/FM upon approval)
3. Attach photos of the proposed area.
4. When using welding curtains, provide the manufacturer APPROVED BY DATE
information (cut sheet) and the listing agencies approval EHS Name
documentation. Manager
5. Submit the application, including the above information to Signature
your EHS Manager and Regional RME Manager. (If EHS
Manager not available, use Regional or Sub-Regional EHS Regional Name
Manager to complete) RME
6. Once approved, post the approved annual permit in the Manager Signature
designated area.
LOCATION NAME: Click here to enter text. NAME OF APPLICANT: Click here to enter text.
SITE EHS MANAGER: Click here to enter text. APPLICANT EMAIL: Click here to enter text.
Indicate whether the following is true by selecting the box to the left of the question:
☐ Building is equipped with sprinkler protection. (If not, hot work activities must be conducted outside).
☐ Choose your designated welding area option:
☐ Option #1: create a 35 ft radius.
☐ Option #2: using approved welding curtains.
☐ Option #3: using ½ in thick gypsum board (sheet rock).
☐ Option #4: any combination of the above three (3) options.
☐ Describe the location of the proposed area (i.e. northwest corner of FC): Click here to enter text.
☐ The proposed area has a concrete floor.
☐ For locations near an exterior wall, the wall is concrete or noncombustible.
☐ All wall openings have been repaired closed with welding curtains or other flame proof material.
☐ The welding table is steel or constructed of noncombustible materials.
☐ The welding area is equipped with a system sufficient to exhaust harmful welding fumes, or ☐ other ventilation has approved
by your EHS Specialist. Describe: Click here to enter text.
☐ Area is free of combustible and flammable materials, and anything that would cause a slip/trip or fall hazard.
☐ There are two (2) 10 lb. extinguishers mounted in the proposed area.
☐ Appropriate PPE is available for those performing hot work (gloves, glasses/face shield/welding helmet, apron)
☐ Signage is posted including: hot work checklist and annual permit, arc flash warning, and no combustible storage or flammable
materials allowed.
Provide comments and explanation for all items above that are unchecked:
Click here to enter text.
EHS Hot Work Procedure North America
Provide a drawing below (hand-sketch is okay) of the proposed area, or provide an attached sketch when you submit your
application.
NOTATE THE FOLLOWING ITEMS:
Two (2) fire extinguishers
Required Signage:
Hot work checklist with annual
permit posted
Arc flash warning sign where
applicable
“No combustible storage or
flammable materials allowed”
Nearest walls, welding curtains, or similar
boundaries
Welding table, grinding equipment, etc.
Floor plan dimensions of the proposed
area. Include distances to nearest walls or
boundaries
EHS Hot Work Procedure North America
Appendix E: Designated hot work area checklist template
Designated hot work area checklist
Is the fire system FULLY functional? (i.e. no current
impairments)
Is the annual hot work* permit posted and Annual permit
current?
If applicable, are curtains in place to prevent
sparks from leaving the hot work area?
Are there two (2) 10lb. extinguishers mounted and
charged in the designated hot work area?
Is the floor clean and free of hazards,
combustibles/flammables, and dust? Post the approved and signed copy of the annual hot work
Have you performed your pre-hot work application here.
equipment check (e.g. hoses, tanks, etc.)?
Do you have the appropriate PPE to perform your
task (i.e. weld, braze, grind, etc.)?
Is appropriate clothing being worn (i.e.
sleeves/collar buttoned, cuffs rolled down, no
frayed clothing, welding apron)? * The annual hot work permit is valid if the conditions within the
designated area do not change from those approved in the permit
IF THE ANSWER TO ANY OF THESE QUESTIONS IS ‘NO’, application. If changes are made to the designated area, a new permit
HOT WORK MAY NOT PROCEED. must be requested and/or corrections made to make the area safe to
perform hot work.
EHS Hot Work Procedure North America
Appendix I: Hot work procedure implementation steps
Instructions for use: This document is intended to be used as a worksheet to aid the site during the implementation process.
Action required Implementation complete
date/responsible party
1. Safety manager to read and understand the requirements of the Hot Work Program.
2. Safety manager and site leader (or designee) to identify and assign a leader with
responsibility for the implementation of the Hot Work Program, herein referred to as the
Hot Work Manager.
3. Establish a process for those doing or supervising hot work (welding, cutting, brazing,
etc.) to obtain, submit, and review hot work permits.
4. Identify the number of affected personnel at this site and the level of training required.
5. Establish location to file completed hot work permits as well as the location of the hot
work visual center.
6. The location of completed hot work permits is:
The location of the hot work visual center is:
7. Schedule this site's annual self-review of compliance against the NA Operations Safety
Program, to take place during the subsequent quarter.
8. The next program self-evaluation is scheduled for:
9. Close out the action item in the Safety Compliance Calendar related to implementation
of the Hot Work Program.
10. Conduct annual self-review.
11. Establish process to close any identified findings generated from internal or external
audits.