动火作业审批表(中英文版).docVIP

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.