Job/file number: ________________________________________________________________________
Location of work: ________________________________________________________________________
Description of work: ______________________________________________________________________
Authorized worker name(s) ________________________________________________________________
Fire watch name(s) ______________________________________________________________________
The above location has been inspected. The procedures below have been taken to prevent fire.
Permission is granted for this work.
Permit No. _______________________________ Date: _________________ Time: _________________
Expires on: _______________________________ Time: _____________ a.m./p.m.
Authorizing supervisor: ___________________________________________________________________
- Sprinklers are in service
- Cutting and welding equipment in good repair/inspected
Precautions within 35 ft. of work
- Floors swept clean of combustibles
- Combustible floors wet down, covered with damp sand or fire resistive material
- Flammable liquids removed
- Combustibles not removed protected with fire resistive tarpaulins or metal shields
- All wall and floor openings covered with fire resistant tarpaulins or metal shields
Work on walls or ceilings
- Fire resistive tarpaulins suspended beneath work
- Enclosed equipment cleaned of all combustibles
- Containers purged of flammable liquids or removed from area
- Combustibles moved away from other side of wall
- Construction is non-combustible including coverings or insulation
- Fire watch will be provided during and for at least 30 minutes after work is completed and during all breaks
- Fire watch is supplied with suitable extinguishers or charged small fire hose
- Fire watch has been trained in the use of fire fighting equipment and emergency procedures
The recommendation(s), advice and contents of this material are provided for informational purposes only and do not purport to address every possible legal obligation, hazard, code violation, loss potential or exception to good practice. The Hanover Insurance Company and its affiliates and subsidiaries (“The Hanover”) specifically disclaim any warranty or representation that acceptance of any recommendations or advice contained herein will make any premises, property or operation safe or in compliance with any law or regulation. Under no circumstances should this material or your acceptance of any recommendations or advice contained herein be construed as establishing the existence or availability of any insurance coverage with The Hanover. By providing this information to you, The Hanover does not assume (and specifically disclaims) any duty, undertaking or responsibility to you. The decision to accept or implement any recommendation(s) or advice contained in this material must be made by you.
171-0933 (2/14) LC 11-399