COLD WORK PERMITMask InputCOLD WORK PERMITInsulated sandwich panel/ composite building panelsPermit to workNO WORK is permitted on Insulated Sandwich Panels (ISP) or any other composite building panels that have a combustible core material, without a Permit. NO HOT WORK IS TO BE UNDERTAKEN DIRECTLY ON THE PANELS.Date / TimeJOB # / refLocation/building and floorWork description and any special precautions neededDoes the work require penetrations of the non-combustible outer layers of the panel Yes NoIf yes, what tools will be used to cut the panels Required Precautions (Hot Work)Is any Hot Work (cutting, welding, grinding etc.) being carried out, or due to be carried out, within 10 metres of a nominated work site during the validity of the permit Yes NoIf Yes, has a Hot Work Permit been issued Yes NoHot Work job #/refRequired Precautions (Checklist) Production staff in the area concerned have been advised ISP/EIFS manufacturers product specification/technical manuals have been reviewed Work area has been checked and is clear of flammable or combustible materials No heat producing cutting/drilling equipment to be used directly on the panels Equipment being utilised for works is in good repair Fire extinguisher or hose reel available within the work area (with appropriately trained personnel) Equipment will not be mounted directly on the panels unless through-bolted and properly supported Electrical switches and fittings will not be recessed into the panel OperatorI understand that I am authorized to undertake works on Insulated Sandwich Panels in strict accordance with the required precautions.First NameLast NameSignature of Operator Sign Here AuthorisationI verify the above location has been examined, the precautions under the required precautions have been examined and permission is authorised for work. This permit is being issued by a person authorised to do so. The Authorised Nominee (if required) is appropriately experienced in risk assessment and site process hazards. If a contractor is undertaking the work - I have sighted the contractor’s insurances and acknowledge that they are current.First NameLast NameSignature of Issuer Signature of issuer Date / TimeFirst NameLast NameSignature of authorised Nominee Signature of issuer Date / TimePermit ExpirationA cold works permit is only valid for 8 hours, or no more than one shift. If the work will take more than 8 hours or one shift, a separate permit is required for each period. This cold works permit must also be prominently displayed on the job-site.Start Date / TimeExpiration Date / TimeFinal ChecksI have checked the location between thirty (30) and ninety (90) minutes after completion of the work and I am satisfied that the work has been carried out in a safe manner and there is no residual fire risk. All joint cover strips (vertical & horizontal) removed on the panel have been replaced All holes in the non-combustible outer layers have been fitted with a permanent cover and sealed (with non-combustible or fire-retardant materials) All penetrations through the panel have been fitted with a metal bush or collar and sealed There is no evidence of smoke or hot panel surfaces in the work area All rubbish and combustible waste materials have been removed (including excess ISP’s)Image Upload works completed - (OPTIONAL)Choose File Final check completed by Permit Issuer Authorised NomineeDate / TimeSubmit Form
