动火作业许可证.doc

1、Hot Work Permit动火作业许可证NO/许可证号： Contractor/焊接供应商：Hot work location/焊接地点：From To/起止时间：Hot work content/焊接对象：Welder/焊工姓名：Monitor name/监护人姓名(甲方)：Safety measures Monitor/动 火 作 业 安 全 措 施Yes/是No/否/无Safety measures/安全必备内容Monitor/监护人(乙方)Have two valid extinguishers within 5m配备两瓶以上合格灭火器在5米范围内 焊接设备和工具处于正常状态 We

2、lding equipment status is OKNo flammable/explosive materials within 5m清除半径5米范围内的易燃、易爆品 Fireproof seperation for flammable materials若半径5米范围内的易燃、易爆品不能撤离，用防火布或湿木板隔离 No flammable liquid/gas left inside清除被施工物体内的易燃液体或气体 Ethyne container is 5m away from the oxygen container乙炔瓶和氧气瓶相距5米以上 Ehyne/oxygen contai

3、ner is 10m away from fire乙炔瓶和氧气瓶距明火点10米以上 Welder and monitor are familiar with extinguisher use焊工和监护人都会使用灭火器 Monitor has done safety check before hot work监护人做好动火前、中、后的安全检查 Welder has valid welding certificate焊工持有合格的焊工证 All Ehyne must equip fire reflow stop. Ehyne/oxygen must be fixed enough.动火作业所需的乙

4、炔瓶必须都配置回火防止器.乙炔瓶和氧气瓶必须固定 The operators should familiar with the evacuation rote作业人员熟悉逃生路线 Fire happens, call monitor center: ZhengGuang ext.6828350, NanXin ext.6828353一旦火警发生，必须立即报告保安监控中心：正光内线6828350,南星内线6828353 Other safety measure/其它安全措施：Receive department comments/动火接待部门意见：Involved area department

5、 comments/动火区域部门审批意见：Safety member comments/安全组审批意见：Notes/备注：1. Hot Work Permit must be borrowed from FM safety member and put on site after application approval;动火申请得到批准后，在厂区FM安全组领取“临时动火证”，放在动火现场；2. If hot work content change, re-application is a must;焊接对象变动时，需重新申请及领取“临时动火证”；3. Application must be

6、issued at least one day before work start. Emergent hot work also must get approval in advance;一般临时动火至少提前一个工作日审批，紧急临时动火，需获得厂区FM安全组批准。4. Hot Work Permit must attach valid welding certificate. The permit period limited within three day.动火申请需附上焊工证原件，其有效期限最长为三天。5. The form apply to internal operate此申请表同样适用于公司内部动火作业。FRM-V55 91-A010-01A