[Hotwork] New Hot Work Permit Request - Construction
Gavin Ketcheside
gavin.ketcheside at ucr.edu
Wed Jan 3 07:17:16 PST 2024
From: Hot Work Program <noreply at qemailserver.com>
Sent: Thursday, December 14, 2023 7:13 AM
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: John Franklin
PHONE: 951-203-7910
EMAIL: John.franklin at ucr.edu<mailto:John.franklin at ucr.edu>
PERMIT REQUESTED BY: Ryan Keller
DEPARTMENT/CONTRACTOR COMPANY: Couts Heating & Cooling
PHONE NUMBER: 9518584305
EMAIL: Keller at couts.com<mailto:Keller at couts.com>
-----------------------------------------------------------------------------------------------------------------------------
JOB DETAILS
JOB START DATE: 12/15/2023
JOB END DATE: 4/1/24
LOCATION - BUILDING/FLOOR/ROOM: Aberdeen-Inverness Residence Hall Mechanical 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:
Does not apply
Work on enclosed equipment:
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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FIRE SAFETY APPROVAL
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FIRE SAFETY APPROVAL: Fire Marshal Gavin Ketcheside
PERMIT START (DATE): 12/15/23
PERMIT EXPIRES (DATE): 4/1/24
APPROVAL SENT TO REQUESTOR (DATE): 12/15/23
COMMENTS: Post a copy of this permit in jobsite trailer for duration of project.
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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: 2023-12-14 08:12:45 MST
IP: 174.243.240.253
ResponseID: R_6sh1R2p8KFmjnN3
Link to View Results: Click Here<https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/rf72Q8aRKKKpiF7dl3C2MBlDoGN-W8gd2%2EKrlqIqS7w7FGAKXsz-2kvYoGgrQXh6pQO5TWr5caliZMlt3f8OKxZ4yA7bU69JWwvVdR1zWLietKAz80RIJ45l4%2EWnCohsfdkb5BbgdidY3DgzQ5ErE003pJwyKGN8kOfQZuwT-FSKVbpeJCeqGrnQhYD1AdaG3hcoSg6a5RAOPIrZgEff5taNppFb5LCkNuaUj4uYma4eyEeUpvZWRxGnEXi%2ERpTLBZriNjFlBE8dFDWwbWRNIo7DEfo-ZwDYWOSXkIxExeRAW605nR5ADxEiSy7lo5p5sqO-FJeq%2EYJ0NEyiE0%2Etyg>
URL to View Results: https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/rf72Q8aRKKKpiF7dl3C2MBlDoGN-W8gd2%2EKrlqIqS7w7FGAKXsz-2kvYoGgrQXh6pQO5TWr5caliZMlt3f8OKxZ4yA7bU69JWwvVdR1zWLietKAz80RIJ45l4%2EWnCohsfdkb5BbgdidY3DgzQ5ErE003pJwyKGN8kOfQZuwT-FSKVbpeJCeqGrnQhYD1AdaG3hcoSg6a5RAOPIrZgEff5taNppFb5LCkNuaUj4uYma4eyEeUpvZWRxGnEXi%2ERpTLBZriNjFlBE8dFDWwbWRNIo7DEfo-ZwDYWOSXkIxExeRAW605nR5ADxEiSy7lo5p5sqO-FJeq%2EYJ0NEyiE0%2Etyg
________________________________
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:
Does not apply
WORK ON ENCLOSED EQUIPMENT:
Pressurized vessels, piping, and other equipment removed from service, isolated, and vented
HOT WORK BEING PERFORMED BY:
Contractor under Planning Design & Construction supervision (large construction projects)
JOB TIME FRAME:
Start date 12/15/2023
Start Time 6:00AM
End Date 4/1/24
End time 2:00AM
LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)
Aberdeen-Inverness Residence Hall Mechanical Room
Project/WO Number:
956402
FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:
Name John Franklin
Phone Number 951-203-7910
Email John.franklin at ucr.edu<mailto:John.franklin at ucr.edu>
HOT WORK PERMIT REQUESTOR:
Name Ryan Keller
Department/Contractor Company Couts Heating & Cooling
Phone Number 9518584305
Email Address Keller at couts.com<mailto:Keller at couts.com>
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