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Welding, cutting, grinding and open flame work authorisation
Mark each item: Pass (P), Fail (F), or N/A. Record notes for any failed items.
| # | Inspection Item | P | F | N/A | Notes |
|---|---|---|---|---|---|
| Fire Prevention | |||||
| 1 | Combustible materials cleared within 11 metres of work area | □ | □ | □ | |
| 2 | Floor swept clean of dust, shavings and debris | □ | □ | □ | |
| 3 | Fire-resistant blankets or screens in place | □ | □ | □ | |
| 4 | Fire extinguisher (appropriate class) within 5 metres | □ | □ | □ | |
| 5 | Sprinkler system operational (or compensating measures) | □ | □ | □ | |
| 6 | Fire watch assigned and briefed (minimum 30 min post-work) | □ | □ | □ | |
| 7 | Wall/floor openings sealed to prevent spark migration | □ | □ | □ | |
| Personal Protection | |||||
| 8 | Welding helmet/face shield with correct shade lens | □ | □ | □ | |
| 9 | Fire-resistant clothing (no synthetic fabrics) | □ | □ | □ | |
| 10 | Welding gloves in good condition | □ | □ | □ | |
| 11 | Safety boots with steel cap and metatarsal guard | □ | □ | □ | |
| 12 | Hearing protection provided (if noise exceeds 85 dB) | □ | □ | □ | |
| 13 | Respiratory protection provided (fume extraction or mask) | □ | □ | □ | |
| Atmospheric Testing | |||||
| 14 | Oxygen level tested (19.5% - 23.5%) | □ | □ | □ | |
| 15 | Flammable gas reading below 10% LEL | □ | □ | □ | |
| 16 | Toxic gas levels within safe limits | □ | □ | □ | |
| 17 | Ventilation adequate for work area size | □ | □ | □ | |
| 18 | Gas monitor calibrated and within service date | □ | □ | □ | |
| Completion & Sign-off | |||||
| 19 | Area inspected 30 minutes after work ceased | □ | □ | □ | |
| 20 | Area inspected 60 minutes after work ceased | □ | □ | □ | |
| 21 | All hot work equipment switched off and secured | □ | □ | □ | |
| 22 | No evidence of smouldering, hot spots or smoke | □ | □ | □ | |
| 23 | Fire watch released and permit closed out | □ | □ | □ | |
Declaration
I confirm that I have inspected the work area, verified all precautions listed above, and authorise the hot work described. The permit holder must carry this permit while work is in progress and surrender it upon completion.