[Hotwork] APPROVED Hot Work Permit Request - Facilities

[Tracy Stark]

Please post or have copy on device available at the worksite.

*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:*


*Tracy Stark*
Safety Engineer
UCR Environmental Health & Safety
tracy.stark at ucr.edu
(951) 827-5118
Book time with me on Zoom or in-person here.
<https://calendar.app.google/ARaUNPsZHLaZngta9>


On Wed, Jul 16, 2025 at 9:32 AM Hot Work Program <noreply at qemailserver.com>
wrote:

>  [image: Graphic.php?IM=IM_8HvGTwJPt7awyvX]
>
> *HOT WORK PERMIT REQUEST FACILITIES PROJECTS        *
>
> -----------------------------------------------------------------------------------------------------
> *UCR PROJECT MANAGER: *Cory
> *PHONE: *9518277362
> *EMAIL: *Cory.gryniuk at ucr.edu
>
> *PERMIT REQUESTED BY: *Ryan
> *DEPARTMENT/CONTRACTOR COMPANY: *Sheet metal
> *PHONE NUMBER: *9516084061
> *EMAIL: *Rmcginni at uce.edu
>
> -----------------------------------------------------------------------------------------------------------------------------
> *JOB DETAILS*
>
> *JOB START DATE: *07/16/2025
> *JOB END DATE: *07/18/2025
>
> *LOCATION - BUILDING/FLOOR/ROOM*: Bachelor basement 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:*
> 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:*
> , Enclosed equipment is cleaned of all combustibles
> , Containers have been purged of flammable liquids and vapors
> , Pressurized vessels, piping, and other equipment removed from service,
> isolated, and vented
> , Does not apply
>
> *OTHER PRECAUTION(S) TAKEN (IF APPLICABLE):*
>
>
> *COMMENTS (WHY PRECAUTION(S) CANNOT BE PUT INTO PLACE):*
>  Welding
>
>
> * End of Request*
>
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