熱作業（電弧焊接）許可證

Arc Welding Hot Work Permit

請填寫預先工作檢查清單、許可證詳情，並由持牌焊工簽署。

許可證編號：000000

Workplace Pre Work Check 開工前檢查

To be completed by Licensed Welder 由持牌燒焊工填寫

(Please tick the box after checking 檢查後請在方格內✓)

1. No load voltage reducing device functional 自動降壓裝置操作正常

2. Welding rod/ electrode holder in good condition 焊枝鉗狀態良好

3. Electrode cable / ground cable without damage 焊線/回路電線沒有損壞

4. Earthling return clamp with deformation 電線回路鉗沒有變形

5. Power supply cable and plug without damage 供電線及插頭沒有損壞

6. Machine case without damage 焊機外殼沒有損壞

7. Machine is electrically grounded 機械已接上水線

8. Fire fighting equipment provided (e.g. Fire extinguisher, etc.) 提供消防設備(設置滅火筒等)

9. Ventilation was provided 提供足夠通風

10. Protection screen was used 使用保護屏障

11. Adequate and proper PPE worn 已穿著合適的PPE

12. Working area is suitable for Hot Work 現場適合進行熱工作

13. Flammable substances removed 易燃物料已移除

14. No one use flammable substances nearby 附近沒有人使用易燃物料

15. Other handtools and portable power driven tools used 使用其他手工具或電動工具

16. Use and Storage of hazardous substances 使用或貯放化學或其他危險物質

Company Name 公司名稱

Date of Application 申請日期

Nature of work 工作性質

Location 地點

Time Limit 工作時限

由到

Licensed Welder's name 持牌焊工姓名

Certificate no. 證書編號

Licensed Welder's signature & Date 申請人簽署及日期

點擊下方按鈕簽名

審批組別 Approval Group

Foreman / Site Agent's name 管工/地盤總管姓名

Foreman / Site Agent's signature 管工/地盤總管簽署及日期

點擊下方按鈕簽名

I am herewith to confirm there is no spark left at the works area. 本人在此確定工作範圍沒有火種留下

Licensed Welder's signature 申請人簽署及日期

點擊下方按鈕簽名

Foreman / Site Agent's name 管工/地盤總管姓名

Foreman / Site Agent's signature 管工/地盤總管簽署及日期

點擊下方按鈕簽名

*Welding works should only be carried out by the abovementioned welder 燒焊工作只可由上述焊工進行*

**New permit should be applied for altered workplace 改變工作場所必須重新申請新許可證**

***All cancelled permit must return to Safety team for record 所有已註銷的許可證必需交回安全部作紀錄***