[Hotwork] New Hot Work Permit Request - Construction

Thu Nov 21 19:31:25 PST 2024

Thanks, Gavin!

Tracy Stark
Safety Engineer
UC Riverside
Environmental Health & Safety
951-827-5118
tracy.stark at ucr.edu
________________________________
From: Gavin Ketcheside <gavin.ketcheside at ucr.edu>
Sent: Thursday, November 21, 2024 7:21:34 PM
To: Hot Work Program <hotwork at lists.ucr.edu>; Michael T Munoz <mtmunoz at mzncorp.com>; Dexter Galang <dexter.galang at ucr.edu>; Tracy K Stark <tracy.stark at ucr.edu>
Cc: Zachary Rehfeld <zachary.rehfeld at ucr.edu>
Subject: RE: New Hot Work Permit Request - Construction

From: Hot Work Program <noreply at qemailserver.com>
Sent: Thursday, November 21, 2024 3:18 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: Dexter Galang
PHONE: 951-288-8685
EMAIL: dexter.galang at ucr.edu<mailto:dexter.galang at ucr.edu>

PERMIT REQUESTED BY: Michael Munoz
DEPARTMENT/CONTRACTOR COMPANY: MZN Construction, Inc.
PHONE NUMBER: 5626945441
EMAIL: mtmunoz at mzncorp.com<mailto:mtmunoz at mzncorp.com>
-----------------------------------------------------------------------------------------------------------------------------

JOB DETAILS

JOB START DATE: 11/23/2024
JOB END DATE: 11/23/2024

LOCATION - BUILDING/FLOOR/ROOM: PDC Building, Roof Top

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: DCFM/Gavin Ketcheside

PERMIT START (DATE): 11/21/24

PERMIT EXPIRES (DATE): 11/23/24

APPROVAL SENT TO REQUESTOR (DATE): 11/21/24

COMMENTS: Send Work Completion Notice to hotwork at lists.ucr.edu<mailto:hotwork at lists.ucr.edu>

------------------------------------------------------------------------------------------------------

 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: 2024-11-21 16:18:18 MST
IP: 45.50.17.205
ResponseID: R_5RxtmTsKISIN04y
Link to View Results: Click Here<https://ucriverside.pdx1.qualtrics.com/apps/single-response-reports/reports/vXfTIXbInfIpbs0353aq-8zMcbo6uXC29vedJiLXlO3FIPPfzMT%2EOEqlSrO%2EtN5I6CTGVUDJD9IespTU7d5xLKcML4yzR4QFxZ0%2EV%2Ebinc436QDO7Ser84ISyY97oXKi1qwwSbKcoBZaD2Iu8Kx1e63%2EAO3rzC6llkqkij9w9wIrAK4t2UWfToUxrxFLaK%2Em6vJ1GmkLANoljTElg%2EK378Qw58RFmo6ZqY51%2EAIJ-vYiIgJItP3qQMm5bqB3b3ebK-FKz9IvIAvG-cgNLSjn7bbR4-J6ReUX%2EI1NIKBVVPpNTViju0XM%2EIUzA7bIt41%2EcvAjRVDg2yLiD-zveT-ycA>
URL to View Results: https://ucriverside.pdx1.qualtrics.com/apps/single-response-reports/reports/vXfTIXbInfIpbs0353aq-8zMcbo6uXC29vedJiLXlO3FIPPfzMT%2EOEqlSrO%2EtN5I6CTGVUDJD9IespTU7d5xLKcML4yzR4QFxZ0%2EV%2Ebinc436QDO7Ser84ISyY97oXKi1qwwSbKcoBZaD2Iu8Kx1e63%2EAO3rzC6llkqkij9w9wIrAK4t2UWfToUxrxFLaK%2Em6vJ1GmkLANoljTElg%2EK378Qw58RFmo6ZqY51%2EAIJ-vYiIgJItP3qQMm5bqB3b3ebK-FKz9IvIAvG-cgNLSjn7bbR4-J6ReUX%2EI1NIKBVVPpNTViju0XM%2EIUzA7bIt41%2EcvAjRVDg2yLiD-zveT-ycA

________________________________

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   11/23/2024
   Start Time   7:00 AM
   End Date   11/23/2024
   End time   1:00 PM

LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)
   PDC Building, Roof Top

Project/WO Number:
   110122

FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:
   Name   Dexter Galang
   Phone Number   951-288-8685
   Email   dexter.galang at ucr.edu<mailto:dexter.galang at ucr.edu>

HOT WORK PERMIT REQUESTOR:
   Name   Michael Munoz
   Department/Contractor Company   MZN Construction, Inc.
   Phone Number   5626945441
   Email Address   mtmunoz at mzncorp.com<mailto:mtmunoz at mzncorp.com>

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