📍 When to use this template
- Before starting any welding, gas cutting, grinding, brazing, or other spark-producing activity.
- A new permit is required for each shift or each day, for a specific location and task.
- Filled by the Contractor's Supervisor, checked by the Safety Officer, and approved by the Area-in-Charge/PMC Engineer.
Sections & fields
Preview of the template structure. Download Excel to fill on site.
1Permit Header & Work Details8 fields
Project Name
_____________
Contract / Package No.
_____________
Permit Validity (From Time / To Time)
_____________
Exact Location of Work (Building/Floor/Grid)
_____________
Work Order / Drawing Ref.
_____________
Description of Hot Work (e.g., MS pipe welding, rebar cutting)
_____________
2Personnel & Equipment6 fields
Executing Agency / Contractor Name
_____________
Supervisor's Name & Contact
_____________
Name of Welder / Grinder Operator
_____________
Name of Helper / Fire Watcher
_____________
Equipment to be Used (e.g., Welding Machine, Grinder, DA Set)
_____________
All personnel have undergone site safety induction? (Y/N)
_____________
3Fire Prevention Checklist8 fields
Area cleared of combustibles (wood, paper, plastic, etc.) within 11m radius? (Y/N/NA)
_____________
Flammable liquids/gases/paints removed from area? (Y/N/NA)
_____________
Floors/Openings covered with fire-resistant blankets? (Y/N/NA)
_____________
Drains, pits, and trenches covered? (Y/N/NA)
_____________
Fire Extinguishers (min. 2 nos. DCP/CO2 type) available & inspected? (Y/N)
_____________
Charged water hose line or pressurized water can available? (Y/N/NA)
_____________
Fire Watcher assigned and trained on his duties? (Y/N)
_____________
Smoke detectors / fire alarm system in area temporarily isolated/covered? (Y/N/NA)
_____________
4Gas Cutting / Welding Safety (If Applicable)5 fields
Gas cylinders secured upright in a trolley? (Y/N)
_____________
Flashback Arrestors fitted at both torch and regulator ends? (Y/N)
_____________
Hoses, gauges, and regulators in good condition (no leaks)? (Y/N)
_____________
Cylinder keys/spanners in place? (Y/N)
_____________
DA and Oxygen cylinders separated by a fire wall during storage? (Y/N/NA)
_____________
5Electrical Safety (For Arc Welding / Grinding)4 fields
Welding machine / Grinder body properly earthed? (Y/N)
_____________
Cables and holders fully insulated, no exposed wires or tape joints? (Y/N)
_____________
Industrial 3-pin plug top used for connection? (Y/N)
_____________
Power source is through a tested ELCB/RCCB? (Y/N)
_____________
6Authorization & Closure7 fields
Requested By (Contractor Supervisor Name & Sign)
_____________
Reviewed By (Safety Officer Name & Sign)
_____________
Approved By (PMC / Area In-charge Name & Sign)
_____________
Permit Closed At (Time)
_____________
Area inspected for smoldering fire 30 mins after work completion? (Y/N)
_____________
Housekeeping done, all equipment removed? (Y/N)
_____________
Closing Signature (Contractor Supervisor)
_____________
💡 Sample filled excerpt
Location: Basement-1, AHU Room #3. Work: Chilled water pipe welding. Checklist: Combustibles cleared - Y, Fire Extinguishers (2 nos DCP) - Y, Fire Watcher: Ramesh Kumar. Authorization: Approved by S. Verma (PMC Engineer). Valid from 10:00 AM to 05:00 PM.
⚖ Compliance notes
- Helps comply with Rule 36 (Fire Protection) of the BOCW (RECS) Central Rules, 1998.
- Provides a documented record for safety audits and inspections by statutory bodies like the Labour Department.
- Fulfills requirements of the project's HSE Plan and contractual safety obligations.
- Serves as a key control measure identified in the Hazard Identification & Risk Assessment (HIRA) for hot work activities.