HOT WORK
P.T.W. Number:
RISK ASSESSMENT & HOT WORK PERMIT Section 1 – Risk Assessment Document the hazards and analyse the risks associated with the hot work activities to be undertaken.
Location of hot wok! BAC Area / Location: Special access restrictions (due to the task involving a specific welding type or the the location being a hazardous area confined space etc!:
Reason fo hot wok! "ork activity description: Likely ignition source source type(s!:
Flame (welding, soldering, brazing, etc)
Spark or slag (grinding, cutting, friction tools, welding, etc)
ot !b"ect (metal surface, plate, etc)
!ther# Add an an additi additional onal page if the the space below is insufficient# insufficient#
Ha"a# i#entification$ isk ana%sis an# conto% meas'e se%ection! S(ecific Hot Wok Iss'es! (tick appropriate)
$he hot work is to be solely undertaken by a contracted party !% &' personnel and a detailed work method statement risk assessment has been previously prepared, reviewed by &' * is attached to this Form. $he hot work is to be solely undertaken by &' personnel as per the specific hot work issues detailed below.
Attach #oc'mentation & (ocee# to Section ) on the fo%%owin* (a*e+ ,om(%ete the Risk Assessment -e%ow+
Risk Assessment Guide
Step 1 – Consider Consequences What are the consequences of this hazard occurring? Consider what is the most probable consequence (below) with respect respect to to this this work work hazard hazard..
)*treme Criticl &,or &inor +nsi$ni0icnt
&ultiple fatalities or permanent in'uries Single fatalit or permanent in'ur &edical treatment or lost time in'ur ,irst aid treatment %ncident or near miss - no treatment
Step 2 – Consider Likelihood What is the likelihood (below) of the hazard consequence in Step 1 occurring.
(lmost Certin LikelPossible nlikel- / !re
%s e$pected to occur in most circumstances Will probabl occur at least once *+ent might occur at some time *+ent not e$pected to occur or onl in e$ceptional circumstances
Step 3 – Clculte !isk 1. ake Step 1 rating and select the correct column. !. ake Step ! rating and select the correct line. ". #se the risk score where the two ratings cross on the matri$ below. " # "i$h% S # Serious% & # &edium% L # Lo' Consequences +ns &in &, Crit )*t o (lmost Certin & S " " " o h i l & & S " " e d Likel k i Possible L & & S S ) nlikel- / !re L L & & S
Ha"a#
,onto%s
Res(onsi-%e Pat
Risk Assessment
(+ist the hazards relating to the work)
(+ist the controls to manage each of the hazards)
(+ist the role, contractor, competency *or prescribed occupation responsible for implementing the controls)
(ith controls in place# igh, Serious, -edium or +ow)
Risk Assessment Pesonne%! %isk 'ssessment ompleted by#
ame#
/mployer#
Date#
ame#
/mployer#
Date#
ame#
/mployer#
Date# .esion 1 – Pa*e 1 of /
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HOT WORK
P.T.W. Number:
RISK ASSESSMENT & HOT WORK PERMIT Section ) – Hot Wok Pemit 's per per the method method of hot work and and locatio location n described described in Section $, $, identify control re0uirements in the relevant parts below.
0enea% Hot Wok I*nition ,onto%s 1dentify those 2es NA ,onto% Fire e2tinguishers supplied by the workgroup contractor are to be llocated ocated immediately ad"acent to general hot the hot work area and within 34m (building fi2ed location fire e2tinguishers are not to be relied upon) work and atch mats or boards are to be positioned over grid5mesh, flooring, grates to catch sparks or slag ignition controls ombustible and flammable materials or fuel sources are re0uired to be cleared from the area (consider a 36m area around the hot work where practicable and include surfaces below * above the work area) re0uired to Drains, cable racks, electrical cables and other heatfire sensitive items are to be covered be (consider a 36m area and use fireproof blankets, catch boards and approved covers as applicable) undertaken ' water water hose hose is to be run to to the "ob locat location ion and and primed primed ready for use use as part of the (where appropriate for work locations outdoors and in areas clear of electrical e0uipment) hot work# ' Fire Fire atcher atcher is re0uire re0uired d to watch watch the area area during during andor andor post post work work to monitor monitor fire fire risk, risk, sparks, sparks, slag, (identify as yes or not applicable)
hot ob"ects (consider for work that is arc welding, o2y5cutting or likely to present an ignition hazard post work, and for work in hazardous areas, in confined spaces, outdoors, in windy conditions)# During ork, andor 7ost ork for a time period of
S(ecific Hot Wok I*nition ,onto%s
2es
NA
$he hot work is to be undertaken on or ad"acent to plant that will re0uire an isolation (such as services, pipes, tanks, pressure vessels)
' fi2ed fi2ed fire fire protec protection tion or detecti detection on system system will need to be taken taken out of service (approval is re0uired for the impairment and the Fire System +og &ook is
$he nature of the work re0uires specific respiratory protection to be worn
$he nature of the work re0uires specific controls to be implemented to protect gas leads or other sensitive plant items involved in the work $he hot work involves arc5welding whereby specific controls relating to ensuring electrical safety will be re0uired
minutes If 2es$ Inc%'#e A##itiona% ,onto% 3etai%s to -e 4se#!
to be filled in 8 see also BAC Authorisation below9 Authorisation below9 approval contacts include# 'irside 'irside !peratio !perations ns group# group# :;4< :4=>9 :4=>9 • $erminal 'sset -anager# :;4< :>?=9 • $erminals !perations * Facilitation -anager# :;4< :4<;9 • /ngineering @roup -anager# :;4< :43=9 • Atility Services -anager# :;4< :>6? •
$he work area will re0uire specific cleaning, purging, ventilating or pre5 work atmospheric monitoring (due to flammablee2plosive vapours, dusts, li0uids or solid residues in the work area location)
$he work area will re0uire pre5work cleaning, stripping, surface preparation, or atmospheric monitoring during works(as a result of surfaces coatings that may create harmful emissions when heated or cut)
A##itiona% Hot Wok ,onto%s within ,onfine# S(aces ontrols#
' (ot 'pplicable)
2es
NA
/2traction fan inlet is to be located as close as practicable to the contamination source
ontaminants are to be e2pelled from the space (so that they cannot be recirculated and will not harm other workers)
+ocate e0uipment outside the space where p racticable (such as gas cylinders, hoses, e tc unless involved with respiratory devices)
's arc5w arc5welding elding activitie activities s are to be suspende suspended d for substantia substantiall periods, periods, power power sources sources will need to be de5energis de5energised, ed, electrodes removed from holders and holders placed so that accidental contact or arcing cannot occur 's gas gas welding weldingcut cutting ting activ activities ities are to to be suspended suspended for subst substantial antial periods, periods, torch torch and cylinder cylinder valves valves are are to be closed with the torch and hose connections removed from the space and depressurised
Pemit Re5'est! $his acknowledgement signifies a formal re0uest to commence commence hot works. 's the person re0uesting this permit, 1 hereby certify that# 1 am competent to coordinate this hot work in accordance with the previous %isk 'ssessment * ot ork 7ermit details9 • 1 shall undertake to implement all planned and necessary controls to ensure safe hot work methods9 and • 1 shall monitor the hot work hazards and control methods throughout the hot work. •
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HOT WORK
P.T.W. Number:
RISK ASSESSMENT & HOT WORK PERMIT
Section / – Im(%ementation Hot Woks A'thoisation ("ork Coordinator in %irect Control!: $he procedures, control measures and precautions appropriate for the safe e2ecution of hot work have been implemented and the persons re0uired to work have been advised of and understand the re0uirements of the %isk 'ss essment * ot ork 7ermit.
ame#
onstraints#
Signature#
Date#
$ime#
Date#
$ime#
$his 'uthorisation is valid until the following occurs, or the date and time shown#
