Please note that all questions below are required. After filling in the form and once your request has been approved, you will be required to confirm the following on the day of the impairment:
-Notified EHS, PD, Facilities
-Notified Building Coordinator / Occupants
-Impairment Permit Posted
-Lockout / Tagout Reviewed
-Fire Watch Established (If Required)
-Hot Work Permit (If Required)
-Remove Fire Alarm / Devices
-Hazardous Operations Stopped