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3102 RUCKER AVE 2025-09-09
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3102 RUCKER AVE 2025-09-09
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8/22/2025 2:12:18 PM
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8/22/2025 2:12:18 PM
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Address Document
Street Name
RUCKER AVE
Street Number
3102
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Clearcreek <br /> �i <br /> �." 1 <br /> CONTRACTORS <br /> Env Iron men tall Glv11 <br /> HOT WORK PERMIT <br /> BEFORE INITIATING HOT WORK, ENSURE PRECAUTIONS ARE IN PLACE! <br /> MAKE SURE AN APPROPRIATE FIRE EXTINGUISHER IS READILY AVAILABLE! <br /> This Hot Work Permit is required for any operation involving open flames or producing heat and/ or <br /> sparks. This includes, but is not limited to: Brazing, Cutting, Grinding, Soldering, etc. <br /> INSTRUCTIONS REQUIRED PRECAUTIONS CHECKLIST <br /> 1. Verification below is to be completed by a ❑ Automatic Fire Detection Disabled (if inside)? <br /> Clearcreek employee. ❑ Available sprinklers, hose streams, and <br /> extinguishers are in service/operable? <br /> HOT WORK BEING DONE BY: ❑ Hot work equipment is in good repair? <br /> ❑ Clearcreek Employee Reauirements within 35 feet of work: <br /> ❑ SubContractor ❑ Flammable liquids, dust, lint, and oil deposits <br /> removed? <br /> ❑ Explosive atmosphere in area eliminated? <br /> Date: Job # ❑ Floors swept clean? <br /> Start Time: ❑ Combustible floors wet down, covered with damp <br /> sand or fire-resistant sheets? <br /> Location ❑ Remove other combustibles where possible or <br /> protect with fire-resistant tarps or metal sheets? <br /> Nature of Job / Object ❑ All wall and floor openings covered? <br /> ❑ Work area clear of equipment or materials that <br /> may be damaged by sparks? <br /> Name of Person Doing Hot Work Fire_ Watch / Hot Work area monitoring_ <br /> ❑ Fire watch will be provided during and for 30 <br /> I verify the above location has been examined, the minutes after work, including any breaks? <br /> precautions checked on the Required Precautions ❑ Fire watch is supplied with suitable extinguishers? <br /> Checklist have been taken to prevent fire, and ❑ Fire watch is trained in use of this equipment and <br /> permission is authorized for work. in sounding alarm? <br /> Signed: Other precautions taken: <br /> ❑ Confined space entry permit required? <br /> ❑ Ample ventilation or required respirator <br /> Date: Time: protection utilized? <br /> Air Monitoring: ❑ Lockout/tagout required? <br /> ❑ Required air monitoring is conducted <br /> ❑ Readings within acceptable range to conduct Permit Close-out (Initial with date and time): <br /> work Work area and all adjacent areas to which sparks <br /> and heat might have spread were inspected for at <br /> THIS PERMIT IS GOOD FOR least 30 minutes after the work was completed and <br /> were found fire safe. <br /> ONE DAY ONLY IN Signed: <br /> DESIGNATED WORK AREA Date: Time: <br />
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