[Hotwork] New Hot Work Permit Request - Construction
Gavin Ketcheside
gavin.ketcheside at ucr.edu
Thu Jun 15 09:56:48 PDT 2023
From: Hot Work Program <noreply at qemailserver.com>
Sent: Wednesday, June 14, 2023 2:15 PM
To: Gavin Ketcheside <gavin.ketcheside at ucr.edu>
Subject: New Hot Work Permit Request - Construction
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HOT WORK PERMIT REQUEST
CONSTRUCTION AND LARGE RENOVATION PROJECTS
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UCR PROJECT MANAGER: Fernando Nunez
PHONE: 9513125749
EMAIL: Fernando.nunez at ucr.edu<mailto:Fernando.nunez at ucr.edu>
PERMIT REQUESTED BY: Troy Nielsen
DEPARTMENT/CONTRACTOR COMPANY: Doug Nielsen Construction, INC.
PHONE NUMBER: 19515360687
EMAIL: dnielsenconstruction at gmail.com<mailto:dnielsenconstruction at gmail.com>
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JOB DETAILS
JOB START DATE: 06/19/2023
JOB END DATE: 06/19/2023
LOCATION - BUILDING/FLOOR/ROOM: Webber Elevator Machine room
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:
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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FIRE SAFETY APPROVAL
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FIRE SAFETY APPROVAL: Gavin Ketcheside
PERMIT START (DATE): 6/19/23
PERMIT EXPIRES (DATE): 6/19/23
APPROVAL SENT TO REQUESTOR (DATE): 6/15/23
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:
________________________________
Recipient Data:
Time Finished: 2023-06-14 15:15:03 MDT
IP: 23.114.212.129
ResponseID: R_UWr9gpBM9pFIt7b
Link to View Results: Click Here<https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/GhDbbvSgidgRZ7P1tYaw-xPBUcPZ1ukMFU436JLVDrW6pMUMhxBW9k4N2bnmAu61ryXA2488FyyVXks3G2AT5hjJMru7%2EgsURfvUND%2E585wuDb-Xao8ZOtiF5vakQkyOjtf-p2SoawRj3YH595N7NDhIgEFv1Rl4fzVPuyIY1YkFRV7ZFCB3ua2mUwgw8GXTHorldIYetPH1YaynHpGe4Zz0Iqax8Irw-KKEbektFfxk7Ou5rXM4jPtGt92NY8H0sw727toCIUNnIsIF1qNckMkQGwe2RURUXrj10GgqWGxHZ-aQPkKtDbPhbbV9m6Rt>
URL to View Results: https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/GhDbbvSgidgRZ7P1tYaw-xPBUcPZ1ukMFU436JLVDrW6pMUMhxBW9k4N2bnmAu61ryXA2488FyyVXks3G2AT5hjJMru7%2EgsURfvUND%2E585wuDb-Xao8ZOtiF5vakQkyOjtf-p2SoawRj3YH595N7NDhIgEFv1Rl4fzVPuyIY1YkFRV7ZFCB3ua2mUwgw8GXTHorldIYetPH1YaynHpGe4Zz0Iqax8Irw-KKEbektFfxk7Ou5rXM4jPtGt92NY8H0sw727toCIUNnIsIF1qNckMkQGwe2RURUXrj10GgqWGxHZ-aQPkKtDbPhbbV9m6Rt
________________________________
Response Summary:
PLEASE SELECT PERMIT TYPE:
Construction and large renovation Projects (PD&C managed)
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:
Does not apply
HOT WORK BEING PERFORMED BY:
Contractor under Planning Design & Construction supervision (large construction projects)
JOB TIME FRAME:
Start date 06/19/2023
Start Time 7:00 AM
End Date 06/19/2023
End time 5:00 PM
LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)
Webber Elevator Machine room
Project/WO Number:
112029
FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:
Name Fernando Nunez
Phone Number 9513125749
Email Fernando.nunez at ucr.edu<mailto:Fernando.nunez at ucr.edu>
HOT WORK PERMIT REQUESTOR:
Name Troy Nielsen
Department/Contractor Company Doug Nielsen Construction, INC.
Phone Number 19515360687
Email Address dnielsenconstruction at gmail.com<mailto:dnielsenconstruction at gmail.com>
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