Hot Work Permit Application

HOT WORK PERMIT APPLICATION

BEFORE INITIATING HOT WORK, CAN THIS JOB BE AVOIDED? IS THERE A SAFER WAY?

This Hot Work Permit is required for any temporary operation involving open flames or producing heat and/or sparks. This includes, but is not limited to: Brazing, Cutting, Grinding, Soldering, Torch-Applied Roofing and Welding.

A MINIMUM OF 24 HOURS NOTICE IS REQUIRED FOR PROCESSING.

AN APPROVED PERMIT WILL BE AVAILABLE FOR PICK UP AT CAMPUS SAFETY THE NEXT BUSINESS DAY AND MUST BE DISPLAYED ON THE JOB SITE.

INSTRUCTIONS:

Complete ALL information Return completed form to Campus Safety (fax 585-475-2966)

HOT WORK BEING DONE BY (check one):

□ RIT EMPLOYEE

□ CONTRACTOR ______

CONTACT PHONE NUMBER: ______

DATE WORK WILL BE DONE: ______

RIT JOB NUMBER: ______

LOCATION/BUILDING AND FLOOR: ______

NATURE OF JOB: ______

NAME OF PERSON DOING WORK: ______