Hot Work Permit

Hot Work Permit
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hot Work Supervisor

First NameLast Name
Is this a Subcontractor or IWS employee/affiliate filling out the form
Supervisor Email
example@example.com
State
Project Name
Project Number
Is this a printed/paper permit?
Upload printed permit or any supplementary documents

Cancelof
Hot Work Area Inspection and Checklist

Before hot work is permitted and at least once per day while this permit is in effect, the hot work area shall be inspected by the individual responsible for authorizing the hot work operations to ensure that it is a fire safe area.
Conditions Required by this Checklist must be Verified Prior to Signing the Permit
Work on Walls, Ceilings, or Enclosed Equipment
General Safety Requirements
Additional Precautions or Requirements
Special Conditions (Requires Safety Director approval prior to work)
Notes or Special Conditions
Signature
Date & Time
Should be Empty: