[Hotwork] New Hot Work Permit Request - Construction
Troy Nielsen
dnielsenconstruction at gmail.com
Thu Jun 15 10:29:38 PDT 2023
Good morning all,
I just realized that the 19th is a Holiday for you guys and im not sure we
are allowed to work on this for this day. Can we move the permit to the
20th or do I need to resubmit? We would be planning to do the work starting
at 8am.
Thanks,
Troy Nielsen
Doug Nielsen Construction, INC
(951)536-0687
On Thu, Jun 15, 2023 at 9:56 AM Gavin Ketcheside <gavin.ketcheside at ucr.edu>
wrote:
>
>
>
>
> *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
>
>
>
> [image: Graphic.php?IM=IM_8HvGTwJPt7awyvX]
> *HOT WORK PERMIT REQUEST*
> * CONSTRUCTION AND LARGE RENOVATION PROJECTS *
>
> -----------------------------------------------------------------------------------------------------
> *UCR PROJECT MANAGER: *Fernando Nunez
> *PHONE: *9513125749
> *EMAIL: *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
>
> -----------------------------------------------------------------------------------------------------------------------------
>
> *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*
> *
> -----------------------------------------------------------------------------------------------------------------------------*
> *FIRE SAFETY APPROVAL *
>
>
>
> *------------------------------------------------------------------------------------------------------*
>
> *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:*
>
>
> *------------------------------------------------------------------------------------------------------*
>
> *Send Work Completion Notice to** hotwork at lists.ucr.edu
> <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:* 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
>
> HOT WORK PERMIT REQUESTOR:
> Name Troy Nielsen
> Department/Contractor Company Doug Nielsen Construction, INC.
> Phone Number 19515360687
> Email Address dnielsenconstruction at gmail.com
>
>
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