TERP ASIA

Construction Corporation
HOT WORK PERMIT

Reference No: ________________

Date: _____________________
SECTION 1 – DESCRIPTION
I. General
Name of Project Time Start
Location/Area Time finished
Immediate Supervisor
Work Description:
Signature

II. Type of Hot Work

Arc Welding Oxygen-Acetylene Others. Please specify: ________________

III. Name of Workers

1 4
2 5
3 6

SECTION 2 – CHECKLIST
I. Work safety
NO. DESCRIPTION YES NO
1 Workers are oriented on the work safety and its corresponding hazards.
2 Workers are equipped of the appropriate PPE specified for the job.
3 Stand-by fire watcher with appropriate training and PPE.
4 Welders are professionally trained and have an NC II TESDA certificate.
5 Explosive / flammable materials around the working area are removed.
6 Good ventilation in the area.
7 Housekeeping is done before and after the activity.
8 Proper fire-fighting equipment i.e. fire extinguisher.
9 Tin/sheet fire blanket to prevent sparks from spreading
10 Safety warning signs and barriers are in place.
11 Welding machine is in good working condition.
12 Welding cables are in good condition.
13 Gas cylinder and fittings are free from cracks, grease, etc.,
14 Gas cylinders are kept upright and secured.
15 Flash back arrester installed to the gas cylinder
16 Proper platforms/scaffolding is used (for activities in an elevated area)
17 Others (please specify):
II. Job Hazards

PARTICULARS YES NO
Arc Flash
Burn
Electrocution
Eye Irritation
Fall
Fire
Welding Fumes
Others: ___________________

Requested by:
Name Designation Signature & Date

SECTION 4 – INSPECTION OF WELDING AREA & APPROVAL OF HOT WORKS

The work permit of the above mentioned work at the location specified is issued after personally inspecting
the area to ensure that the precautions mention in Section 2 have been complied.

This permit is valid from _____hours to ______hours on date ______________ until _______________ ONLY.

Approved by:
Name Designation Signature & Date