Hot Work Request Form

Request for Hot Work

Vessell and Contact Information

Requesting Agent
MM slash DD slash YYYY
MM slash DD slash YYYY

1. Description of Work

2. Marine Chemist Requirement

Hazard Assessment

Does the work occur in or near spaces that contain or previously contained:

  • Flammable/combustible liquids
  • Flammable gases/cryogenic liquids
  • Cargo tanks, fuel tanks, voids, confined/enclosed spaces
  • Piping/systems that carry flammables
  • Hazardous vapor or oxygen-deficient areas
If ANY apply Marine Chemist Certificate REQUIRED
Marine Chemist Name
Max. file size: 64 MB.

3. Safety Checklist (Best Practices)

Checklist

Important Note:

Hot work may not delay vessel departure after main cargo operations are completed unless Harbormaster approval is granted.

Wind Energy

 

Liquid Bulk

 

Open Storage / Warehouse

 

Dry bulk

 

Intercoastal Waterways

 

Breakbulk

 

Cargo Docks

 

General Cargo / Dry Bulk