Integrated Management System

DOCUMENT TITLE:

Doc Ref. No QAB-IMS-HSE-04 Issue Date Page No 10 Nov 2012 Page 1 of 3

HOT WORK PERMIT

Welding
Permit No. SECTION 1: DETAILS OF THE RECEIVER
Name of Welder ID Number Contact No. Under the employ of Engineer Responsible Safety officer In-charge

Gas Cutting

Brazing

Grinding
Procedure Ref#

Others

SECTION 2: PERMIT VALIDITY

Date of Issue Time of Issue Area of Work Date(s) of Validity Valid till what time Equipment to Work No. of Shift of Validity Expiring After

SECTION 3: PREREQUISITE

No work involving cutting/welding, open flame or spark producing materials should be done without observing the under-mentioned procedures. Work may be stopped if any of the following is not complied with.
Hazards and Precaution Checklist Yes No N/A Controlled

Flammable materials have been removed from the location and inspection carried out by authorized person Appropriate fire extinguisher readily provided in the area of work Operator or Welder is trained in the use of fire extinguishers. Adequate and appropriate PPE is in use. Welding Gen set and terminal insulations in place with adequate earthling. Fire Watch Personnel is present. Cutting, Welding or spark producing equipment is in order All sources of flammable vapors or combustible dusts have been eliminated. Area of work now clean and dry The area of work is properly barricaded against unauthorized entrants. Adequate safety warnings and signs are now in place. The flash back arrestor gas cylinder is in place and cylinders are kept in trolley and secured Equipment and containers been cleaned and purged of all combustibles flammable liquids respectively. Fire watch size corresponds with the size of available extinguisher and personnel aware of fire alarm location.

SECTION 4: DECLARATION BY THE PERMIT RECEIVER I, representing hereby declare that I have checked the location and have briefed the welder/operator of all the prerequisites and emergency procedures and he is now informed. Name _________________________________________ Name and Address of employer (if other than QAB) Company Name: .. Nature of job: P.O. Box No. ..Tel No .. Page 1 of 3

Signed__________________________ Date______________

Contact Number (Site Rep.)

SECTION 5: PERMIT APPROVAL The Receiver, being a competent and responsible person, and having satisfactorily met the requirements as in section 3 of this permit, is hereby given permission to carry out the work as indicated above and on the equipment as demanded. PERMIT AUTHORISED BY: SIGNATURE: PRINT NAME: ___________________________ ____________________________ Being an authorized person: POSITION: ______________________________ Date:_______________ Time ______________

SECTION 6: CLEARANCE

At the end or completion of work, the recipient must declare his freedom clearance from the site and equipment. I confirm after thoroughly checking physically in the afore mentioned Hot Work area that proper housekeeping is done, leaving behind the area safe, hence closing Hot Work Permit. Closed by (Receiver): _________________________ Designation _______________________________

Signature: ___________________________________

Date:_______________ Time: _____________

-----------------------------------------------------------------------------------------------------------------------------------------------HOT WORK PERMIT DIRECTION NOTE

PERMIT SCOPE: This permit is designed to serve the purpose of authorizing all employees, contractors and sub-contractors who have need to cut, weld, braze, grind or solder metal in and for Qatar ALPHA Beton Ready Mix Co W.L.L. This however, does not include welding or cutting activities being performed in the designated welding area(s) of the company. It is intended also to keep the HSE office informed and alerted as to when and where a hot work is to be performed in or by the company. It also aims at reassuring the competence of the Hot Work performers, as well as check excesses. DESCRIPTION: The Hot Work Permit is to be included with all bids submitted by the QAB Works and Maintenance Manager to employees, contractors or sub-contractors while assigning them any duty involving cutting, welding or any spark producing work. The Works& Maintenance Manager, with appropriate precautionary inspection of the work area, obtains the permit from Health Safety & Environment (HSE) office and issues to the receiver. The prerequisite that must be complied with is hereby stated in section 3 and it forms the condition for the release of the form by the HSE. NOTIFICATION: Prior to the commencement of the work, the receiver communicates the HSE officer with the start time and date(s) as provided in the validity in section 2. If a contractor or sub-contractor is involved, an approved copy of this permit must be submitted to the Security Officer in-charge for security purposes.

EMERGENCY NUMBER: In case of fire outbreak or any other life threatening emergency, please call Qatar Alpha Beton Safety Officer on company emergency number:77343524 and in extreme situations call 999.

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 PERMIT REMAINS SECURED AT THE WORKSITE UNTIL THE WORK IS COMPLETED, AND THEREAFTER, FORWARDED TO THE HSE DEPARTMENT.

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