[Hotwork] Fwd: NEW APPROVED Hot Work Permit Request - Facilities Services and Other Departments
Tracy Kathleen Stark
tracy.stark at ucr.edu
Mon Aug 31 06:30:02 PDT 2020
Permit approved.
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Send work completion notice to hotwork at lists.ucr.edu
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Select reply all and complete the below information before sending.
JOB COMPLETED ON (Please specify DATE and TIME):
SUBMITTED BACK TO EH&S (DATE):
SUBMITTED BY:
________________________________
Tracy Stark
Safety Engineer
UC Riverside
Environmental Health & Safety
951-827-5118
tracy.stark at ucr.edu
________________________________
From: Hot Work Program <noreply at qemailserver.com>
Sent: Sunday, August 30, 2020 4:29 PM
To: Tracy Kathleen Stark
Subject: NEW Hot Work Permit Request - Facilities Services and Other Departments
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HOT WORK PERMIT REQUEST
FACILITIES SERVICES AND OTHER DEPARTMENTS
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HOT WORK IS BEING PERFORMED BY: Contractor under UC Riverside Facilities Services or other department supervision (small renovation or repairs)
PERMIT REQUESTOR: Viji Santhakumar
DEPARTMENT: MCSB
PHONE NUMBER: ---
EMAIL: vijp
PROJECT MANAGER/SUPERVISOR: Not Sure
PHONE NUMBER: --
EMAIL: ---
PERSON PERFORMING HOT WORK: Abraham Almeida
COMPANY/DEPARTMENT: Thermofisher scientific
PHONE NUMBER: 562-305-9771
PERSON PERFORMING FIRE WATCH: Deepak Subramanian
COMPANY/DEPARTMENT: MCSB
PHONE NUMBER: 973-342-5853
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JOB DETAILS
JOB START DATE: 08/31/2020 9.00am
JOB END DATE: 9/4/2020 5:00 pm
LOCATION - BUILDING/FLOOR/ROOM: Spieth Hall, First Floor, Rm 1319
JOB DESCRIPTION:
Will need to remove old compressor from bottom deck; requires brazing torch and Minor electrical work.
THE FOLLOWING PRECAUTIONS HAVE BEEN ACKNOWLEDGED AND WILL BE IN PLACE WHENEVER POSSIBLE (FOR EXCEPTIONS - SEE COMMENTS BELOW)
General:
Available sprinklers, hose streams, and fire extinguishers are in service and operable
, Hot work equipment is in good repair
, Fire detection equipment protected from false activation
, PPE is used to protect workers from physical and chemical hazards while hot work is being performed
Within 35 feet (11 meters) of work:
Flammable liquids, dust, lint, and oily deposits are removed/cleaned
, Explosive atmosphere in area is eliminated
, Floors are swept and clean
, Combustible floors are wet down and/or covered with fire protection blankets
, Other combustibles are removed when possible or else covered with fire protection blankets or metal shields
, All wall and floor openings are covered
, Fire protection blankets are suspended beneath work
, Ducts and conveyors that might carry sparks to distant combustible materials are protected or shut down
Fire Watch/Hot Work area monitoring:
Fire watch will be provided during and for at least 30 minutes after work stops
(including lunch and break times)
, Fire watch is supplied with suitable fire extinguishers and fire fighting equipment
, Fire watch is trained in the use of fire extinguishing equipment and in sounding emergency alarm
, Additional fire watch may be required in adjoining areas, above, and/or below
, Fire watch will verify isolated fire detection equipment is returned to normal operation
Work on walls, ceilings and/or roofs:
Construction is non-combustible and without combustible covering or insulation
, Combustibles on both sides of walls, ceilings, and roofs are moved away
Work on enclosed equipment:
, Enclosed equipment is cleaned of all combustibles
, Containers have been purged of flammable liquids and vapors
, Pressurized vessels, piping, and other equipment removed from service, isolated, and vented
OTHER PRECAUTION(S) TAKEN (IF APPLICABLE):
COMMENTS (WHY PRECAUTION(S) CANNOT BE PUT INTO PLACE):
End of Request
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EH&S Approval
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EH&S APPROVAL: Tracy Stark
PERMIT START (DATE): 8/31/2020
PERMIT EXPIRES (DATE): 9/1/2020
APPROVAL SENT TO FS (DATE): 8/31/2020
COMMENTS:
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Send work completion notice to hotwork at lists.ucr.edu
------------------------------------------------------------------------------------------------------
Select reply and complete the below information before sending.
JOB COMPLETED ON (Please specify DATE and TIME):
SUBMITTED BACK TO EH&S (DATE):
SUBMITTED BY:
________________________________
Recipient Data:
Time Finished: 2020-08-30 17:29:37 MDT
IP: 99.56.41.248
ResponseID: R_1OOjLRkWVt8nac5
Link to View Results: Click Here<https://ucriverside.az1.qualtrics.com/CP/Report.php?SID=SV_ePfBAW2lq6Aze8R&R=R_1OOjLRkWVt8nac5>
URL to View Results: https://ucriverside.az1.qualtrics.com/CP/Report.php?SID=SV_ePfBAW2lq6Aze8R&R=R_1OOjLRkWVt8nac5
________________________________
Response Summary:
PLEASE SELECT PERMIT TYPE:
Facilites maintenance and other small projects
PRECAUTIONS CHECKLIST:Note: If necessary, please use the comments area below to further explain why a listed precaution cannot be taken in the manner described.
Available sprinklers, hose streams, and fire extinguishers are in service and operable
Hot work equipment is in good repair
Fire detection equipment protected from false activation
PPE is used to protect workers from physical and chemical hazards while hot work is being performed
WITHIN 35 FEET (11 METERS) OF HOT WORK SITE:
Flammable liquids, dust, lint, and oily deposits are removed/cleaned
Explosive atmosphere in area is eliminated
Floors are swept and clean
Combustible floors are wet down and/or covered with fire protection blankets
Other combustibles are removed when possible or else covered with fire protection blankets or metal shields
All wall and floor openings are covered
Fire protection blankets are suspended beneath work
Ducts and conveyors that might carry sparks to distant combustible materials are protected or shut down
FIRE WATCH/HOT WORK AREA MONITORING:
Fire watch will be provided during and for at least 30 minutes after work stops (including lunch and break times)
Fire watch is supplied with suitable fire extinguishers and fire fighting equipment
Fire watch is trained in the use of fire extinguishing equipment and in sounding emergency alarm
Additional fire watch may be required in adjoining areas, above, and/or below
Fire watch will verify isolated fire detection equipment is returned to normal operation
WORK ON WALLS, CEILINGS, AND/OR ROOFS:
Construction is non-combustible and without combustible covering or insulation
Combustibles on both sides of walls, ceilings, and roofs are moved away
WORK ON ENCLOSED EQUIPMENT:
, Enclosed equipment is cleaned of all combustibles
Containers have been purged of flammable liquids and vapors
Pressurized vessels, piping, and other equipment removed from service, isolated, and vented
HOT WORK BEING PERFORMED BY:
Contractor under UC Riverside Facilities Services or other department supervision (small renovation or repairs)
HOT WORK OPERATOR:
Name Abraham Almeida
Company/Department Thermofisher scientific
Mobile Phone Number (###-###-####) 562-305-9771
FIRE WATCH:
Name Deepak Subramanian
Company/Department MCSB
Mobile Phone Number (###-###-####) 973-342-5853
JOB TIME FRAME:
Start date 08/31/2020
Start Time 9.00am
End Date 9/4/2020
End time 5:00 pm
LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)
Spieth Hall, First Floor, Rm 1319
Project/WO Number:
3111803
PROJECT/JOB DESCRIPTION:
Will need to remove old compressor from bottom deck; requires brazing torch and Minor electrical work.
FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:
Name Not Sure
Phone Number --
Email ---
HOT WORK PERMIT REQUESTOR:
Name Viji Santhakumar
Department/Contractor Company MCSB
Phone Number ---
Email Address vijayas at ucr.edu
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