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Response Summary:


A hot work permit is required for any temporary operation involving flames or the producing of heat and/or sparks. This includes, but is not limited to: brazing, cutting, grinding, soldering, thawing pipe, torch applied roofing, and welding.

Instructions:
  1. Complete the checklist below indicating that all precautions have been considered and will be taken whenever possible. 
  2. Once complete, the permit request will be sent to EH&S and/or the Fire Marshal for review. 
  3. If the request is complete and precautions are satisfactory to the reviewer, you will receive an approved hot work permit via email within 24 hours. If this is a rush request, complete the request form then call EH&S Safety at 951-827-5118.
 
After receiving the approved permit, it must be posted at the job site until hot work activity has been completed. When the job is finished, fill in the "Work Completion Notice" section at the bottom of the approved permit and email to hotwork@ucr.edu. Keep a copy of the permit for your records.
 
Q2. PLEASE SELECT PERMIT TYPE:
  • Facilites maintenance and other small projects
 
Q3. 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
 
Q4.
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
 
Q5. 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
 
Q6. WORK ON WALLS, CEILINGS, AND/OR ROOFS:
  • Does not apply
 
Q7. WORK ON ENCLOSED EQUIPMENT:
  • Does not apply
 
Q8. OTHER PRECAUTIONS TAKEN:

N/A

 
Q9. OTHER COMMENTS:

N/A

 
PLEASE COMPLETE ALL FIELDS BELOW
 
Q11. HOT WORK BEING PERFORMED BY:
  • UC Riverside employee
 
Q12.
HOT WORK OPERATOR:
Name

Daniel mendez
Company/Department

UC Riverside Sheetmetal shop
Mobile Phone Number (###-###-####)

9516084082
 
Q14. FIRE WATCH:
Name

Jesse

Company/Department

Ucr plumbing shop
Mobile Phone Number (###-###-####)

9516084087
 
Q15. JOB TIME FRAME:
Start date

05/03/2025
Start Time

7:30 am
End Date

05/04/2025
End time

8:29 AM
 
Q16. LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)

Plant research 1

 
Q36. Project/WO Number:

90070

 
Q17. PROJECT/JOB DESCRIPTION:

Weld 3” steam pipe

 
Q18. FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:
Name

Cory Gryniuk

Phone Number

9517436159
Email

Cory.Gryniuk@ucr.edu
 
Q19. HOT WORK PERMIT REQUESTOR:
Name

Daniel mendez
Department/Contractor Company

Sheetmetal shop
Phone Number

9516084082
Email Address

Dmendez@ucr.edu
 

Embedded Data:

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