Hot Work Fire Watch Form

The following questions must be answered by the contractor/employee on site.
Requirements
1. Anytime a Hot Work activity contains torching.
2. Anytime there is combustible material in the building construction within 35 feet of the hot work activity.
3. Anytime there is easily combustible material in the building, even if the material is more than 35 feet from the hot work activity.
4. Anytime there is a wall or floor opening less within 35 feet of the hot work activity.
5. Anytime combustible material is adjacent to the opposite side of the wall, ceiling, or roof, and is likely to be ignited.
Overview
1. Fire watch must occur for the full duration of hot work activity as well as 1 hour after the hot work activity has ended.
2. Fire watch must be conducted on entire hot work area.
3. The person conducting the fire watch must be trained to use a fire extinguisher.
4. The person conducting the fire watch is to be constrained to focusing solely on the fire watch.
5. The person conducting the fire watch must have the means of notifying the fire department if deemed necessary.
Project Information
Name of Person Doing Fire Watch:*
First Last
Phone Number of Person Doing Fire Watch:*
Email of Person Doing Fire Watch:*
Date of Hot Work:*
MM slash DD slash YYYY
Hot Work Permit Number (On Hot Work Tag):*
Project Name:*
Project Number:
Work Order Number:
Search for a Building*
Room Number(s) For Hot Work Activity:*
Hot Work Performed By:*
- UW Employee
- Contractor
Employee/Contractor Name:*
Contractor Company Name/Physical Plant Work Unit:*
Supervisor/Foreman Name:*
Supervisor/Foreman Phone Number:
Fire Watch Information
Time the Fire Watch was started:

: Hours

Minutes

AM/PM
Time the Fire Watch was completed:

: Hours

Minutes

AM/PM
Notes For The Fire Watch:
I hereby certify that the information provided on this form is accurately described and correct.
By submitting this form you will receive an email containing the information listed above. Would you like to send this information to additional email addresses?*
- Yes
- No
Additional Email #1
Additional Email #2
Additional Email #3
Additional Email #4
Additional Email #5
Signature of Person Completing Form:*
Name
This field is for validation purposes and should be left unchanged.

Hot Work Fire Watch Form

Project Information

Fire Watch Information