[Hotwork] Approved: Hot Work Permit Request - Facilities Services and Other Departments

[Tracy Kathleen Stark]

From: Hot Work Program <noreply at qemailserver.com>
Sent: Friday, October 22, 2021 11:18 AM
To: Tracy Kathleen Stark <tracy.stark at ucr.edu>
Subject: NEW Hot Work Permit Request - Facilities Services and Other Departments
Importance: High

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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: Jennifer Reising
DEPARTMENT: Botany and Plant Sciences
PHONE NUMBER: 9518275133
EMAIL: jreising at ucr.edu<mailto:jreising at ucr.edu>

PROJECT MANAGER/SUPERVISOR: Ken Grombacher
PHONE NUMBER: 951-827-4370
EMAIL: kenneth.grombacher at ucr.edu<mailto:kenneth.grombacher at ucr.edu>

PERSON PERFORMING HOT WORK: Carlos Medina-Rojas
COMPANY/DEPARTMENT: Scientific Services
PHONE NUMBER: 619-517-2688

PERSON PERFORMING FIRE WATCH:  Matt Ulrich
COMPANY/DEPARTMENT:  UC Riverside
PHONE NUMBER:  909-525-7744
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JOB DETAILS

JOB START DATE: 10/26/2021    8:30 AM
JOB END DATE: 10/26/2021   9:30 AM

LOCATION - BUILDING/FLOOR/ROOM: Genomics building 4th floor room 4112A ​

JOB DESCRIPTION:
Brazing refrigerant coil for deli fridge


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:
Does not apply

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): 10/26/2021

PERMIT EXPIRES (DATE): 10/27/2021

APPROVAL SENT TO FS (DATE): 10/25/2021

COMMENTS:

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Send work completion notice to hotwork at lists.ucr.edu<mailto: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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Recipient Data:
Time Finished: 2021-10-22 12:18:06 MDT
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