动火作业审批表(中英文版)
动火作业审批表
工程名称：施工单位：
申请动火单位动火班组动 Nhomakorabea部位动火作业级别及种类（用火、气焊、电焊）
动火作业
起止时间
由年月日时起
至年月日时止
动火原因、防火的主要措施和配备的消防器材；
1、动火原因；
2、防火措施；防火措施：
1、电焊、气割，严格遵守”十不烧”规程操作。
2、操作前应检查所有工具、电焊机、电源开关及线路是否良好，金属外壳应有安全可靠接地或接零，进出线应有完整的防护罩，进出线端应用铜接头焊牢。
作业人签名：监护人签名：年月日
3、消防器材；灭火器
申请人：监护人：年月日
审批意见：
同意按上述防火措施进行三级动火。
审批人签名：年月日
动火监护和作业后施工现场处理情况：
在施焊过程中监护人在旁不得离开，并备有相匹配的手持灭火器，或在必要时还需连接水管在旁守护。施焊作业完成后，应等施焊部位冷却，火星完全熄灭，关掉电焊机电源和移动电箱的开关后方可离开。
3、每台电焊机应有专用电源控制开关。开关的保险丝容量，应为该机的1.5倍，严禁用其它金属丝代替保险丝，完工后，切断电源。
4、清除焊渣时，面部不应正对焊纹，防止焊渣溅入眼内。
5、注意安全用电，电线不准乱拖乱拉，电源线均应架空扎牢。
6、焊割点周围和下方应采取防火措施，并应指定专人防火监护。
7、电焊时应正确使用防护面罩和专门手套进行操作。
动火作业审批表
动火原因：现场需进行电焊作业； 防火主要安全措施：1、作业人员必须进行三级安全教育，持有效证件上岗；2、选择安全作业地点、 作业前清理附近可燃物，10m 范围内不可存在可燃物品；3、电焊作业前检查电焊机、把线等器具， 确保各器具处于安全状态；4、动火作业前必须经过动火审批；5、作业地点必须配备消防器材。 消防器材配备：干粉灭火器
作业人(签名)： 签名
监护人(签名):
签名
说明：本表一式 2 份，由施工单位填写，用于归档和备查。
2022 年 7 月 21 日
动火作业审批表
工程名称 申请动火单位
动火部位
某某项目 某某单位
某某地点
施工单位
某某单位
动火班组
某某作业班组
动火作业级别及种类（用火、 气焊、电焊等）
二
级动火
电焊
动火作业 由
2022 年
7月
间 至
2022 年
7月
21
日 19 时 0 分止
动火原因、防火的主要安全措施和配备的消防器材:
监护人(签名)： 签名 审批意见:
申请人(签名)： 签名
2022 年 7 月 21 日
1、经审查，作业人员、机具、作业环境均符合相关作业要求，同意进行动火作业。 2、经审查，作业人员、机具、作业环境不符合相关作业要求，不允许进行动火作业。
审批人(签名)：签名 动火监护和作业后施工现 场处理情况：
2022 年 7 月 21 日
动火作业审批表(样表)(1)
工程名称：中南大学湘雅医院科研楼 施工单位：中建五局三公司
申请动火单位
机电部
动火班组
动火部位
动火作业级别及种类
1.动火人必须持有经审批的动火证，严格按操作规程动火。
2.动火前清楚周围10m的易燃、易爆物品，如有无法消除的易燃物必须采取可行的防火措施。
3.动火区域必须设专人看火，同时配备灭火器材。看火人随时关注动火区域及周边防火安全，不得随意离岗。
4.风力超过三级不得进行高空动火作业，高空作业动火正下方必须使用接火斗。
级动火
（用火、气焊、电焊）
动火人
看火人
动火作业
起止时间
由 年 月 日 时 分起
至 年 月 日 时 分止
动火原因
动火作业周边易燃易爆物品情况：无
防火的主要安全措施和配备的消防器材:灭火器
看火人（签名）
动火人（签名）
申请人
（签名）
审批意见：
审批人（签名） 年 月 日
动火监护和作业后施工现场处理情况：
动火人：（签名） 看火人（签名）
5.凡涉及到电，气焊等操作的明火作业，操作人员必须持证上岗。
6.动火完毕，必须对现场进行检查，确认无可复燃火灾隐患后方可离开。
7.审批人在现场检查动火证。
动火作业审批表(中英文版)
动火作业审批表Hot Work Approval Form分包单位Subcontractor: 时间Date:操作人员名单Operator作业内容Work Content动火位置Hot Work Position动火时间Hot work TimeFrom to安全检查及防护措施Safety Inspection and Preventive Measures 配备足够数量的灭火器材Enough fire fighting equipments are provided.是否Yes No 易燃品离火源10米以上Inflammables are at least 10m away from the fire source.是否Yes No 氧气瓶与乙炔瓶相距5米以上The distance between oxygen cylinder and acetylene cylinder is more than 5m. 是否Yes No作业前检查周边环境不可有易燃易爆物品Inflammables and explosives are forbidden nearby the hot work area. 是否Yes No作业完后要检查残渣余火熄灭Remaining fire is extinguished after the hot work is finished. 是否Yes No是否设有监火人员Fire monitor is provided. 是否Yes No申请人签名：Applicant: 动火作业人：Hot-work operator:监火人：Fire monitor:总包审核意见：Comment by Contractor:审核人：年月日Checked by: Date:注：1．本表一式二份，供动火单位及总包存档。
Remark: This form is in duplicate for Contractor and hot-work operating company.2．动火作业必须持有此表，接受SCP-JO及现场保安的核查。
动火作业审批表(动火证)
是口/否□
口否口
同意口 不同意□
动火人
监护人
签名： 时间：
是否对安全作业条件进行核实：安全工程师意见：
是 否
同意□
不同意□
签名：
是否批准作业，项目生产经理意见：
是
否
不同意□
同意□
时间：
签名：
工作结束确认人和结束时间：
签名：
备注
1、相同的动火部位、方式和人员动火审批手续续满24小时须重新办理。 2、动火部位、方式、人员其中任何要素发生改变时，须重新办理审批手续。
3
灭火器材配备齐全、完好，控制熔渣或火 花 的措施已到位
是口/否□
4
动火区域10米内易燃品、危险品已全部清除 是口/否□
5
动火区域难以移动的易燃物已采取有效的 防 火隔离措施
是口/否□
6
已按要求配备监护人，不得擅自离岗。 是口/否
7
气瓶防护帽、防震圈、回火阀齐全，与明火 距离10米以上，气管无老化、破损。
**项目管理表格
动火作业审批表
表格编号 TDQYJ1,WH119
工程名称 及编码
**项目**期
动火班组
动火时间 所属单位
动火部位 及方式
申请人
动火人员
监护人员
序号
主要安全措施
确认安全措施符合要求(签名)
1
动火人员持有效的资格证书，个人防护用 品穿戴齐全
2
动火人员已按规定接受相应安全教育和交 底
是口/否□
时间： 时间：
动火作业程序英文版
动火作业程序英文版（hot work program)Hot Work Permit ProgramThis program establishes written procedures to prevent fires resulting from temporary operations involving an open flame or that produce heat, sparks, or hot slag. This includes, but is not limite dto brazing, cutting, grinding, soldering, thawing pipes, torch applied roofing, and welding. This written program requires the issuance of a Hot Work Permit before beginning any hot work. ScopeThis program applies to University of New Hampshire employees and contractors who performor supervise hot work activities in existing buildings, new construction in existing buildings, and new construction attached to existing buildings.This program does not apply to areas that are specifically designed and equipped for such operations, e.g., designated welding areas.ResponsibilitiesDepartmentRecognize its responsibility for the safe use of cutting and welding equipment in their area; Establish designated areas for cutting and welding;Ensure hot work procedures are being implemented and followed in other than designated areas;Ensure that supervisors, cutters and welders, are suitably trained in the operation of the equipment and the safe use of the process2Supervisor/Project ManagerEnsure that all employees and contractors are following hot work procedure;Ensure that a hot work permit is issued prior to the start of work;Ensure that all cutting and welding equipment is in satisfactory condition and in good repair; Ensure that employees are suitably trained in the operation of the equipment and safe use of the process;Ensure that contractors follow University procedures.EmployeeFollow and use hot work procedures;Obtain a hot work permit prior to starting work;Ensure that all cutting and welding equipment is in satisfactory condition and in good repair; Attend and actively participate in training sessions; andProtect nearby personnel and passers by against heat, sparks, etc. when working in occupied buildings.Office of Environmental, Health and SafetyShall supply Hot Work Permit forms;Provide assistance with program implementation and administration;Provide assistance in training supervisors, employees, and project managers;Update Hot Work Program as neededProceduresHot work should not be performed if the work can be avoided or performed in a safer manner. When practical, objects to be welded, cut, or heated must be moved to a designated safe location,e.g., a designated welding area.31) A Hot Work Permit must be acquired before the hot work begins (Appendix A). A Hot Work Permit form can be obtained through:EH&S website: /ehs/occsafety/pf/Occupational Health and Safety Coordinator 862-47612) Both sides of the form must be filled out completely and all the precautions on the Hot Work Permit must be met prior to performing any hot work. The Hot Work Permit willbe issued by the project manager or supervisor, and is valid only for the date(s) and time specified on the permit. A copy of the permit must remain at the hot work location until the hot work is completed. A copy of the permit will be filed with the project manager or supervisor.3) All-new construction and whole-building renovations may be covered under a blanket hot work permit. However, the same precautions used during the initial permit issue must be reviewed prior to each hot work project.4) All personnel (employees, contractors, building occupants) must be suitably protected against hazards generated by the work, e.g., heat, sparks, fumes, welding rays, etc. This may include, but is not limited to, the use of personal protective equipment, shields, screens, or local exhaust ventilation.5) The Durham Fire Department (862-1426) must be notified as to the location, date & time of “hot work” procedures prior to the begin of work. If a blanket hot work permit will be issued for an all-new construction or whole-building renovation, this information must be supplied as well.6) If fire alarms need to be temporarily disarmed, contact the Facilites Support Center (FSC) at 862-1437. They will contact the fire system contractor for the University.7) When hot work is completed, the project manager or supervisor will call Durham Fire Department to advise them. Facilities Support Center must be advised as well tonotify the fire system contractor to turn the fire alarms back on. Any discharged extinguishers must be reported at the expiration of the permit.4Prohibited ConditionsA Hot Work Permit will not be issued if ANY of the following conditions exist:Sprinkler protection is impaired;Appropriate fire fighting equipment is not readily available;Combustible or flammable materials are within 35 feet and cannot be moved or protected; Floor and wall openings cannot be covered;Cutting or welding on pipes or other metals can conduct enough heat to ignite nearby combustible materials; orAny condition that could result in undue hazards by performing the work.Fire WatchMust not be actively engaged in any operation or work during Permit activityEnsure proper fire fighting equipment is readily available (i.e. appropriate extinguisher for type of operation and material)Locate the nearest fire alarm pull station;Inspect hot work area before any hot work is conducted;Extinguish a fire ONLY when it is safe to do so and within trained capabilities.NOTE: A Fire Watch is REQUIRED to remain in the area for 30 minutes after operations cease whenever protective measures are necessary for the following conditions:Considerable combustible material is within 35 feet of the point of operation;Considerable combustibles more than 35 feet away may be easily ignited by sparks;5Wall or floor openings within 35 feet expose combustibles in adjacent areas includingconfined spaces;Combustibles could be ignited by conduction or radiation through metal partitions, walls, ceilings, or roofs.Contractor WorkUniversity of New Hampshire project managers are responsible for ensuring that outside contractors follow proper hot work procedures when working on University property.6Appendix A University of New HampshireCutting –Welding –Hot WorkPermitDate ____/____/____Permit Expires ____/____/____Notified Durham Fire DepartmentBuilding/Location __________________________________________________________Floor/Department __________________________________________________________Time Started ____:____ am pm Time Completed ____:____ am pmWork to be accomplished ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________If working in the general area of a smoke detector which may be activated by this work, call the Facilities Support Center (862-1437) prior to beginning and at the end of this project. They will advise the alarm contractor who can take the device out of service for the duration of the project. In case of emergency on campus, call 911.Off campus, 911 or use alarm box located at __________________________________________ IMPORTANTPrecautions listed on the reverse side have been completed, therefore, permission is granted for t his work._________________________________________ ___________________________________ Signature TitleCampus Emergency Phone 911Off Campus Emergency Phone 911Durham Fire Department 862-1426Prevent Fires1. Prior to initiating project, advise Durham Fire Department.2. All welding/cutting operations carried on in confined space shall be ventilated to prevent accumulation of toxic substances or possible oxygen deficiency. (RSA 277 LAB 1403.82)3. Where impossible to provide such ventilation, airline respirators or hose masks, labeled approved by (MSHA) Mine Safety & Health Administration shall be used.4. In areas immediately hazardous to life, hose masks with blowers or self-contained breathing equipment labeled approved by MSHA shall be used.5. Where welding operations are conducted in confined spaces and welders/helpers are provided hose masks, hose masks with blowers or self-contained breathing equipment, a worker shall be stationed outside confined space to ensure safety of those working within.6. Flame or spark-producing equipment has been inspected and found in good repair.7. Sprinklers are in commission and will not be taken out of service while work is being performed.8. No combustible fibers, dusts, vapors, or gases of liquids in the area. Tanks and equipment previously containing such materials have been purged. Absence of gases or vapors has been verified by combustible gas detection instrument. If there is a possibility of a leak developing in nearby piping, equipment or tanks, the area will be continuously monitored.9. Work will be confined to the area of equipment specified on this permit. Blanket permits may beissued for all-new construction or whole-building renovation. However, all the precautions listedon this permit must be reviewed prior to each hot work project.10. Surrounding floors have been swept clean, and if combustible, wet down.11. Ample portable extinguishing equipment, i.e., as hand hose or extinguishers have been provid ed.12. All combustibles have been relocated 35 feet from the operation and remainder protected with metal guards or flame proofed curtains or covers (not ordinary tarpaulins).13. All floor and wall openings within 35 feet of operation have been tightly covered.14. Responsible personnel assigned to watch for dangerous sparks in work area, as well as floors above and below (Fire Watch RSA 277.1403.81)15. Arrangements made for patrol or area, including floors above and below, during lunch or rest period, and minimum or one half hour after work has been completed.16. Advise Durham Fire Department of project completion.。
动 火 作 业 审 批 表
监护人(签名)： 审批意见:
申请人(签名)：
年 月
日
审批人(签名)： 动火监护和作业后施工现场处理情况： 按动火安全技术措施方案处理
年
名):
年
月 日
动 火 作 业 审 批 表
GDAQ21203 工程名称: 申请动火单位 铁工 施工单位: 动 火 班 组 电焊工 2 级动火
动火作业级别及种类 动 火 部 位 六座二十一层柱钢筋
（用火、气焊、电焊等） 电焊动火 动 火 作 业 起 止 时 间 由 至 年 年 月 月 日 日 时 时 分起 分止
动火原因、防火的主要安全措施和配备的消防器材: 1.原因：二十一层柱钢筋绑扎现场，焊接钢筋 2.防火措施： 1）编制动火安全技术措施方案 2）焊工必须持有效证件上岗，正确使用劳动防护用品；作业时必须遵守“十不烧“原则 3）操作前检查焊割设备、工具是否完好，电源线有无破损，各类保护装置是否齐全有效； 4）清楚明火周围的可燃物品，按要求配备灭火器，有专人进行监护。 3.消防器材：干粉灭火器。
动火作业审批表
工程名 称:
申请动火单位
动火部位
动火作业
施工单 位:
动火班组
动火作业级别及种 类
（用火、气焊、电 焊等）
级动火
由
年
月
日
时
分起
起止时间
至
年
月
日
时
分止
动火原因、防火的主要安全措施和配备的消防器材:
动火原因：铁件气割、焊接、小型焊件制作 防火的主要安全措施和配备的消防器材： 1、动火人员必须身体健康，动火前必须先培训后上岗，并且要持有效相关证件，同时要检查动火现场有无易 燃易爆物品，对于那些不能移动的易燃易爆物品，要采取封闭隔绝措施； 2、监火人员要懂得相关防火知识，在监火期间必须配备干粉灭火器等灭火器材，不得离岗或私自脱岗； 3、作业人员在动火前，必须先检查本身的动火设备是否齐全有效，电焊机进出线是否老化，有无二次降压保 护装置，以防火灾、触电等事故； 4、高处电气焊接时，其下方要有挡板或接火斗，防止火星四溅引燃易燃物品，割下的金属烙件必须先用水冷 却后再放到地面上以防坠物坠落伤人； 5、不论是动火人员还是监火人员，必须做好自身的防护工作，在作业场所及其周边要及时发现火灾隐患，做 好相关的防范工作，下班后指派专人对施工周边进行检查,以防零星火种点燃.
监护人(签名)： 审批意见:
申请人(签 名)：
年月日
动火监护和作业后施工现场处理情况：
审批人(签名)：
作业人(签 名)：
监护人(签名):
年月日 年月日
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动火作业审批表
Hot Work Approval Form
分包单位Subcontractor: 时间Date:
操作人员名单Operator
作业内容
Work Content
动火位置
Hot Work Position
动火时间
Hot work Time
From to
安全检查及防护措施
Safety Inspection and Preventive Measures 配备足够数量的灭火器材
Enough fire fighting equipments are provided.
是否
Yes No 易燃品离火源10米以上
Inflammables are at least 10m away from the fire source.
是否
Yes No 氧气瓶与乙炔瓶相距5米以上
The distance between oxygen cylinder and acetylene cylinder is more than 5m. 是否Yes No
作业前检查周边环境不可有易燃易爆物品
Inflammables and explosives are forbidden nearby the hot work area. 是否Yes No
作业完后要检查残渣余火熄灭
Remaining fire is extinguished after the hot work is finished. 是否Yes No
是否设有监火人员
Fire monitor is provided. 是否Yes No
申请人签名：Applicant: 动火作业人：
Hot-work operator:
监火人：
Fire monitor:
总包审核意见：
Comment by Contractor:
审核人：年月日
Checked by: Date:
注：1．本表一式二份，供动火单位及总包存档。
Remark: This form is in duplicate for Contractor and hot-work operating company.
2．动火作业必须持有此表，接受SCP-JO及现场保安的核查。
The hot work must be equipped with this form and be checked by SCPJO and site security.
3.该审批表有效期为一天，否则即视为无证动火。
The period of validity for this form is one day. Any expiration would be treated as work without permit.。