HOT WORK PERMIT APPLICATION

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HOT WORK PERMIT APPLICATION
BEFORE INITIATING HOT WORK, CAN THIS JOB BE AVOIDED?
IS THERE A SAFER WAY?
This Hot Work Permit is required for any temporary operation involving
open flames or producing heat and/or sparks.
This includes, but is not limited to:
Brazing, Cutting, Grinding, Soldering, Torch-Applied Roofing and Welding.
A MINIMUM OF 24 HOURS NOTICE IS REQUIRED FOR PROCESSING.
AN APPROVED PERMIT WILL BE AVAILABLE FOR PICK UP AT CAMPUS SAFETY
THE NEXT BUSINESS DAY AND MUST BE DISPLAYED ON THE JOB SITE.
INSTRUCTIONS:
Complete ALL information
Return completed form to Environmental Health & Safety (fax 585-475-2966)
HOT WORK BEING DONE BY (check one):
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RIT EMPLOYEE
CONTRACTOR ___________________________________
CONTACT PHONE NUMBER: ____________________________________
DATE WORK WILL BE DONE: _______________________
RIT JOB NUMBER: ______________________
LOCATION/BUILDING AND FLOOR: _____________________________________
NATURE OF JOB: ____________________________________________________
NAME OF PERSON DOING WORK: ______________________________________
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