[Hotwork] NEW Hot Work Permit Request - Facilities Services and Other Departments
Tracy Kathleen Stark
tracy.stark at ucr.edu
Wed Jun 3 08:39:12 PDT 2020
APPROVED
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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: Jessica Perez
DEPARTMENT: Botany and Plant Sciences
PHONE NUMBER: 951-827-5133
EMAIL: jessica.perez at ucr.edu
PROJECT MANAGER/SUPERVISOR: Mien Van de Ven
PHONE NUMBER: 951-523-9023
EMAIL: mien at ucr.edu
PERSON PERFORMING HOT WORK: Carlos Medina carlos at ss-plus.com
COMPANY/DEPARTMENT: Scientific Services Plus
PHONE NUMBER: 619-517-2688
PERSON PERFORMING FIRE WATCH: Matt Ulrich
COMPANY/DEPARTMENT: Botany & Plant Sciences
PHONE NUMBER: 951-827-4004
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JOB DETAILS
JOB START DATE: 06/03/2020 8:30 AM
JOB END DATE: 06/03/2020 4:00 PM
LOCATION - BUILDING/FLOOR/ROOM: Batchelor Hall Room 2164 (off the dock)
JOB DESCRIPTION:
Repair Growth Chamber
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:
Does not apply
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):
Spoke to Physical Plant who communicated with the Fire & Life Safety supervisor. They submitted a work order# 20W027813 on our behalf for the fire alarms to be looked at and monitored during the repair.
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: T. Stark
PERMIT START (DATE): 6/3/2020
PERMIT EXPIRES (DATE): 6/4/2020
APPROVAL SENT TO FS (DATE): 6/3/2020
COMMENTS:
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Send work completion notice to hotwork at lists.ucr.edu
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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:
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