Cold Work Permit Template

Utilize the Cold Work Permit Template to assess safety protocols, equipment readiness, and environmental conditions to ensure safe cold work activities.

Cold Work Permit Template



Cold Work Permit Template

2. Employee


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3. Contractor


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4. Is the induction completed?


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5. Where is the location/building and floor?


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6. What is the work description?


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7. What is the name of the person doing the work?


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8. Does the work require penetration of the non-combustible outer layers of the panels?


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9. If yes, what tools are used to cut the panels?


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10. Is any Hot Work (cutting, welding, grinding, etc.) carried out, or due to be carried out, within ten (10) meters of the nominated work site during the validity period of the permit?


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11. If yes, is a hot work permit completed?


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Permit Expiration

1. What is the start date?


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2. What is the start time?


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3. What is the expiration date?


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4. What is the expiration time?


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Required Precautions

1. Are available sprinklers, fire hoses, and fire extinguishers in service, and are there no active/current fire protection impairments? 


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2. Are production staff in the area concerned advised?


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3. Are the manufacturer's product specifications/technical manuals reviewed?


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4. Is the work area checked and clear of flammable or combustible materials?


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5. Is no heat-producing cutting/drilling equipment used directly on the panels?


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6. Is a fire extinguisher or hose reel available within the work area (with appropriately trained personnel)?


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7. Is the equipment not mounted directly on the panels unless it is through-bolted and properly supported?


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8. Are electrical switches and fittings not recessed into the panel?


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9. Is fire-resistant sheeting or metal sheeting suspended beneath hot work, including the mezzanine?


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Final Checks

1. Are all joint cover strips (vertical & horizontal) removed on the panel replaced?


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2. Are all holes in the non-combustible outer layers fitted with a permanent cover and sealed with non-combustible or fire-retardant materials?


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3. Are all penetrations through the panel fitted with a metal bush or collar and sealed?


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4. Is there no evidence of smoke or hot panel surfaces in the work area?


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5. Are all rubbish and combustible waste materials removed (including excess ISPs)?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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