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Hot Works Procedures (Appendix I WafMart Stores Clot Work Permit Hot: Per i-nits will not be issued if sprinkler system is out of ser- vice Permit Issues io (Contract or person doing hot work): Cate, }1 ime Issued: Location of Work: 'Description_rk of Work _ _._..._.... Time Work Started:_ m_ . ........ _ .._ .m. . _ _ _�e � ..._ ,Time Permit Expiresm. The Contractor and the Fire Watch have taken the following precau- tions to performing Nat Work: I jVerified the sprinkler protection is in service .W .......... ........................... . ........ . . lFiammable and cornbustible materials removed 50ft (15m) from€ 1 =area [ l ................ ............ ......................... ...._..... ......... .... ............ Floor and wall openings within 50ft (15m) covered 10 lb type ABC fire extinguisher located within reach of the Fire !Watch ((Cutting and welding equipment in good condition s ; Trained Fire Watch present .mn I Fire Watch Verification: Fire Watch: i have read and understand n7y responsibilities � .Print Name: 'Fire Watch Signature: ;Date. Cussing the Permit: Time work' completed ;Contractor's Signature: Member of Facility Mgmt inspecting the site: (,Dote: dine: i s Have the Safety Teams Leader keep the closed permit in their Safety binder. Retain the document(s) as outlined in the Retention of Rec- ords Policy (PR-03). i • ---------- nm ....w.. d.. Hot Work Information and Responsibilities } • It is imperative that persons conducting Contract Welding/Hot Works follow all procedures. The contractor shall understand that failure to follow procedure or produce required documents can or will terminate their contract. • Our company strongly believes that fires caused by hot work have a significant adverse effect on our ability to do business. Be- ' cause of this, we have established procedures and trained our associates to help minimize this hazard. • As a contractor at this facility, you are a partner in our continued success in preventing losses. We encourage your suggestions on how hot work can be avoided by using alternative methods. if hot works cannot be avoided, you are expected to strictly follow our policy and procedures during all work conducted at this location. l • Facility Management at this location will assist you in following our procedures for hot work. If appropriate, management will Irk- troduce you to other workers in the area to discuss unique conditions that you should be aware of before your work begins. • Verify that you have read and understand our company's Hot Works policy/procedures by signing in the location provided below. Thank you for helping us improve our property and protect against potential losses. Print Name: ;Sign Name: 0706 - Zephyrhills, Florida - 16592140 February 16, 2017 01351-43