[Hotwork] New Hot Work Permit Request - Construction

[Gavin Ketcheside]

From: Hot Work Program <noreply at qemailserver.com>
Sent: Monday, March 25, 2024 7:40 PM
To: Gavin Ketcheside <gavin.ketcheside at ucr.edu>
Subject: New Hot Work Permit Request - Construction

 [Graphic.php?IM=IM_8HvGTwJPt7awyvX]
HOT WORK PERMIT REQUEST
CONSTRUCTION AND LARGE RENOVATION PROJECTS
-----------------------------------------------------------------------------------------------------
UCR PROJECT MANAGER: TAMEESHA D. HAYES
PHONE: 951.500.9413
EMAIL: tameesha.hayes at ucr.edu<mailto:tameesha.hayes at ucr.edu>

PERMIT REQUESTED BY: sam William
DEPARTMENT/CONTRACTOR COMPANY: Cornerstone Renovation, INC
PHONE NUMBER: (626) 705 -5396
EMAIL: sam at csrinc1.com<mailto:sam at csrinc1.com>
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JOB DETAILS

JOB START DATE: 03/28/2024
JOB END DATE: 04/15/2024

LOCATION - BUILDING/FLOOR/ROOM: ground level

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):
 a welding procedure has been submitted

COMMENTS (WHY PRECAUTION(S) CANNOT BE PUT INTO PLACE):


 End of Request
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FIRE SAFETY APPROVAL
------------------------------------------------------------------------------------------------------

FIRE SAFETY APPROVAL: Gavin Ketcheside

PERMIT START (DATE): 3/28/24

PERMIT EXPIRES (DATE): 4/15/24

APPROVAL SENT TO REQUESTOR (DATE): 3/26/24

COMMENTS: Post permit in job trailer and/or job site for duration of permit. When work is completed,
Send work completion notice email below.

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 Send Work Completion Notice to hotwork at lists.ucr.edu<mailto: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: 2024-03-25 20:39:38 MDT
IP: 137.25.176.150
ResponseID: R_1lRHjDr5eFVWZSw
Link to View Results: Click Here<https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/Nx6XHl14frgR2DO56Q7PUwc2TlZxs5Zmmkn0%2EWW-xVBI4byXXi9tGSYDBEshY6klEdDIsa%2EHCv0klxFSjoy7j82qA1RFsrpZLslzIz8n81LCSibNtbLVFYP-R41xkDmWaZWGyGr%2ERyOMoOcGXse%2EiPxICYMf2EjqIEqk2k13nkY4OqnqbAb9-JPfRDOEKTOeqkns8bz1hRDBwUal9FTi-razqbI2E3DN9Ydx1s-dVYzLaYQuypK5u6GfE6xjY4nGz1VmNHhu2n1Rr7Sb1TM%2EIWXCqEnKeJ9N97Sferwgj2aQGzc%2EGrkSatV8-KmF7FgZN-ov6%2EBrbGhBFqfLrBKtcw>
URL to View Results: https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/Nx6XHl14frgR2DO56Q7PUwc2TlZxs5Zmmkn0%2EWW-xVBI4byXXi9tGSYDBEshY6klEdDIsa%2EHCv0klxFSjoy7j82qA1RFsrpZLslzIz8n81LCSibNtbLVFYP-R41xkDmWaZWGyGr%2ERyOMoOcGXse%2EiPxICYMf2EjqIEqk2k13nkY4OqnqbAb9-JPfRDOEKTOeqkns8bz1hRDBwUal9FTi-razqbI2E3DN9Ydx1s-dVYzLaYQuypK5u6GfE6xjY4nGz1VmNHhu2n1Rr7Sb1TM%2EIWXCqEnKeJ9N97Sferwgj2aQGzc%2EGrkSatV8-KmF7FgZN-ov6%2EBrbGhBFqfLrBKtcw
________________________________

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

OTHER PRECAUTIONS TAKEN:
   a welding procedure has been submitted

HOT WORK BEING PERFORMED BY:
   Contractor under Planning Design & Construction supervision (large construction projects)

JOB TIME FRAME:
   Start date   03/28/2024
   Start Time   7:00 AM
   End Date   04/15/2024
   End time   11:00 AM

LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)
   ground level

Project/WO Number:
   950590

FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:
   Name   TAMEESHA D. HAYES
   Phone Number   951.500.9413
   Email   tameesha.hayes at ucr.edu<mailto:tameesha.hayes at ucr.edu>

HOT WORK PERMIT REQUESTOR:
   Name   sam William
   Department/Contractor Company   Cornerstone Renovation, INC
   Phone Number   (626) 705 -5396
   Email Address   sam at csrinc1.com<mailto:sam at csrinc1.com>

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