Belte r r a Cor p or at ion S afety M an ual D oc I D C H S M BE L 2 0 1 7 Pa g e 5 28 of 53 8 HOT WOR KS PERM IT Doc u m e n t Identif icat ion F R M 051 P age Nu m b e r 1 of 3 Doc u m e n t C r e ation Dat e Ma y 2 2015 Im p le m e n tat ion Dat e J une 30 2015 This Hot W ork Per mi t i s re quire d fo r a n y op e ra ti o ns i nvolvi ng ope n fla mes or pr oduc in g he a t andor spa rks a nd whe n c a rr ied out outs ide of the maintena nc e shop or instruc ti ona l ar e a s wh e re Hot W ork is r outi ne l y pe rf orme d This i nc ludes but i s not l im it e d to B ra isi ng C utt ing G rinding S older in g a nd W e ldi ng In A n E m e rg e n cy Ca ll Te lep h o n e is lo ca t e d a t Valid o n ly fo r w o rk d e s c rib e d o n t h e p e rm it P e rm it va li d f o r D a te Tim e P e rm it e xp ir e s Da te Tim e Numb e r o f W o rkers W o rk D e scri p tio n W o rk L o ca tio n S h ift S u p e rvi so r s Na m e S ign a t u re