[Hotwork] Approved Hot Work Permit Request - Facilities Services and Other Departments
Tracy Stark
tracy.stark at ucr.edu
Tue May 6 12:23:01 PDT 2025
Approved. Please respond when work is complete to close the permit. Thank
you.
*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 Tue, May 6, 2025 at 12:15 PM Hot Work Program <noreply at qemailserver.com>
wrote:
> [image: Graphic.php?IM=IM_8HvGTwJPt7awyvX]
>
> *HOT WORK PERMIT REQUEST FACILITIES SERVICES AND OTHER DEPARTMENTS*
>
> -----------------------------------------------------------------------------------------------------
> *HOT WORK IS BEING PERFORMED BY: *UC Riverside employee
>
> *PERMIT REQUESTOR:* Laszlo Nemeth
> *DEPARTMENT: *Sheet Metal shop
> *PHONE NUMBER:* 9518014081
> *EMAIL: *laszlo.nemeth at ucr.edu
>
> *PROJECT MANAGER/SUPERVISOR: *Cory Gryniuk
> *PHONE NUMBER: *(951) 743-6159
> *EMAIL: *cory.gryniuk at ucr.edu
>
> *PERSON PERFORMING HOT WORK: *Laszlo Nemeth
> *COMPANY/DEPARTMENT: *Sheet metal
> *PHONE NUMBER: *9516084081
>
> *PERSON PERFORMING FIRE WATCH: *Daniel Mandez
> *COMPANY/DEPARTMENT: *Sheets metal
> *PHONE NUMBER: *9518064082
>
> -----------------------------------------------------------------------------------------------------------------------------
> *JOB DETAILS*
>
> *JOB START DATE: *05/072025 6.00 AM
> *JOB END DATE: *05/08/2025 1:07 PM
>
> *LOCATION - BUILDING/FLOOR/ROOM*: Chapman Hall
>
> *JOB DESCRIPTION: *
> Cutting stainless steel duct work
>
>
> *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
>
> *OTHER PRECAUTION(S) TAKEN (IF APPLICABLE): *
>
>
> *COMMENTS (WHY PRECAUTION(S) CANNOT BE PUT INTO PLACE): *
>
>
>
>
>
> * End of Request
> -----------------------------------------------------------------------------------------------------------------------------
> EH&S Approval
> *
>
> *------------------------------------------------------------------------------------------------------*
>
> *EH&S APPROVAL: T. Stark *
>
> *PERMIT START (DATE): 05/07/25*
>
> *PERMIT EXPIRES (DATE): 05/09/25*
>
> *APPROVAL SENT TO FS (DATE): 05/06/25*
>
> *COMMENTS:*
>
>
> *------------------------------------------------------------------------------------------------------*
> *Send w**ork 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:* 2025-05-06 13:14:57 MDT
> *IP:* 169.235.64.133
> *ResponseID:* R_5Mnbiy3By12u8YF
> *Link to View Results:* Click Here
> <https://ucriverside.pdx1.qualtrics.com/apps/single-response-reports/reports/e6eKo70B_hRqH5PEGytdx_VOAXFDSO-a-PQg_uX6m2LoGuJzr02bdZQJ2NJXLxjv8qewztJzsF1wQD0ow717aJDATnXf52sGBeXnMJpskD52uL3cdVaXzWQepCBS7XA66_EYhzTml6XSvG1pCjFD-dbXJPjB-HY5OnTn-hCSUle6WFTHHAGUpWOJ20eyJUQ1Uk0SA1E2BGp7VaUTr9C-8E-YNJMPGI59Okmj9C_GlkZ0h2xQlLQUSmAGnfy4qBB9ygapLKZj8xShzVwpy6tqF9uB5QlxMZr8LcoiGai_nHnNa3JNyE4hins9utTuYpQqDgRGA_SJ_KpfSyptRZVxlw>
> *URL to View Results:*
> https://ucriverside.pdx1.qualtrics.com/apps/single-response-reports/reports/e6eKo70B_hRqH5PEGytdx_VOAXFDSO-a-PQg_uX6m2LoGuJzr02bdZQJ2NJXLxjv8qewztJzsF1wQD0ow717aJDATnXf52sGBeXnMJpskD52uL3cdVaXzWQepCBS7XA66_EYhzTml6XSvG1pCjFD-dbXJPjB-HY5OnTn-hCSUle6WFTHHAGUpWOJ20eyJUQ1Uk0SA1E2BGp7VaUTr9C-8E-YNJMPGI59Okmj9C_GlkZ0h2xQlLQUSmAGnfy4qBB9ygapLKZj8xShzVwpy6tqF9uB5QlxMZr8LcoiGai_nHnNa3JNyE4hins9utTuYpQqDgRGA_SJ_KpfSyptRZVxlw
> ------------------------------
>
> *Response Summary:*
>
> PLEASE SELECT PERMIT TYPE:
> Facilites maintenance and other small projects
>
> 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:
> , 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
>
> HOT WORK BEING PERFORMED BY:
> UC Riverside employee
>
> HOT WORK OPERATOR:
> Name Laszlo Nemeth
> Company/Department Sheet metal
> Mobile Phone Number (###-###-####) 9516084081
>
> FIRE WATCH:
> Name Daniel Mandez
> Company/Department Sheets metal
> Mobile Phone Number (###-###-####) 9518064082
>
> JOB TIME FRAME:
> Start date 05/072025
> Start Time 6.00 AM
> End Date 05/08/2025
> End time 1:07 PM
>
> LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)
> Chapman Hall
>
> Project/WO Number:
> 83733
>
> PROJECT/JOB DESCRIPTION:
> Cutting stainless steel duct work
>
> FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:
> Name Cory Gryniuk
> Phone Number (951) 743-6159
> Email cory.gryniuk at ucr.edu
>
> HOT WORK PERMIT REQUESTOR:
> Name Laszlo Nemeth
> Department/Contractor Company Sheet Metal shop
> Phone Number 9518014081
> Email Address laszlo.nemeth at ucr.edu
>
>
>
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