Permit Request • CampusOptics

BEFORE STARTING HOT WORK, can this hot work be avoided? Is there a safer way?

A hot work permit is required to be authorized to work with open flame or generate sparks outside of designated areas. Prior to hot work contractors must:

Implement their company’s own hot work permit program as required by NAC 618.5315 and comply with NFPA and OSHA requirements using their own hot work permit system.
Notify EHS through the project or construction manager of any hot work to be conducted on CSN property (or other areas of CSN responsibility).
If needed, the contractor may use CSN’s hot work permit and EHS can serve as the permit authorizer. Hot work permit must be submitted to EHS for authorization at least 24 hours prior to the start of hot work.
Designate their own qualified permit authorizing individual(s).
Have adequate training on the use/maintenance of equipment used for hot work.
Supply their own hot work equipment, approved fire extinguishers, signage/barricades, and personal protective equipment (PPE).
Ensure that all conditions of the hot work permit are met during and after hot work operations.
Hot work permits must be maintained on location during the work and retain copies of hot work permits for the duration of the project and have them available should a CSN Project Manager, Facilities Leadership, EHS, or regulatory agency request copies.

See Hot Work Guidance Document for additional information on fire impairments, fire watch, and fire monitoring durations. If you have any questions or need assistance completing this permit request, contact ehs@csn.edu.

Requester

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

General Permit Information:

Contractor Name:* Required

Permit Number: * Required

Work Order Number:

CSN Project Manager:* Required

Work Description:* Required

Work Area Risk Assessment:

1. Automatic sprinklers are fully operational (see guidance document link at top of page)* Required

2. Hot work equipment is functional, secure, and in good repair * Required

3. First Aid and Fire Extinguisher are operable and available * Required

Within 35 ft (10 m) of the work area:

1. Remove ignitable liquids, combustible dust/lint, and combustible residues (floors and overhead) * Required

2. Remove combustible materials or cover with fire resistant pads, blankets, or curtains * Required

3. Protect floor and wall openings against spread of sparks or embers* Required

4. Shut down ventilation and conveying systems * Required

For Hot Work on/in tanks, enclosed equipment, ductwork, or piping, Complete this section:

1. Adequate ventilation is provided?

2. Equipment is isolated from service and purged of all flammable vapors?

3. Purging and ventilation id verified with a gas detector?

Fire Watch and Fire Monitoring:

1. Fire watch to be provided continuous during and after hot work* Required

2. Duration of fire watch post-work (hours) [see guidance document link at top of page]* Required

3. Duration of fire monitoring post-work (hours) [see guidance document link at top of page]* Required

4. Additional Precautions

Hot Work Being Performed By:

Hot Work Performer(s):* Required

Fire Watch Attendant(s):* Required

Hot Work Operations Supervisor:* Required

Certification:

I certify that the Hot Work Performer(s), Fire Watch Attendant (if applicable), and Hot Work Supervisor acknowledge this permit request and will ensure all permit conditions are met prior to the start of hot work.* Required

Name of Person Certifying Permit Request* Required

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files