Request Fire Protection System Impairment Information about the CWRU employee requesting the fire protection system impairment Your Name: Phone Number Email Speedtype? Speedtype numbers are used only for fines (please see the fines tab for clarification). Contractor Information Company Name Contractor Name Contractor Phone Number General Information Start Date Start Date: Date Start Date: Time End Date End Date: Date End Date: Time Building Room Construction Information Are you doing construction or related work? Yes No Device Location (good examples: Rm 385, Basement Mechanical Room, 1st Floor Hallway by room 115) Do not request the entire floor, entire building, or any other large area unless you have contacted University Fire and Life Safety at 216-368-0021 first. A fire watch will be needed. Device Number Description of Work Which will be affected fire alarm system fire sprinkler alarm fire pump system hood suppression system Other… Enter other… Hot Work information Will Hot Work Be Conducted Yes No Contact Information (if different from the above) Company Name Contractor Name Phone Number All hot work must be signed off by an EHS inspector each day. Please contact 216-368-0021 to schedule an inspection. Fire Protection Information Are you testing a fire protection system? Yes No Area To Be Tested What is to be tested fire alarm hood system sprinkler system fire pump Other… Enter other… Has the fire department been notified? Yes No CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank Save
Request Fire Protection System Impairment Information about the CWRU employee requesting the fire protection system impairment Your Name: Phone Number Email Speedtype? Speedtype numbers are used only for fines (please see the fines tab for clarification). Contractor Information Company Name Contractor Name Contractor Phone Number General Information Start Date Start Date: Date Start Date: Time End Date End Date: Date End Date: Time Building Room Construction Information Are you doing construction or related work? Yes No Device Location (good examples: Rm 385, Basement Mechanical Room, 1st Floor Hallway by room 115) Do not request the entire floor, entire building, or any other large area unless you have contacted University Fire and Life Safety at 216-368-0021 first. A fire watch will be needed. Device Number Description of Work Which will be affected fire alarm system fire sprinkler alarm fire pump system hood suppression system Other… Enter other… Hot Work information Will Hot Work Be Conducted Yes No Contact Information (if different from the above) Company Name Contractor Name Phone Number All hot work must be signed off by an EHS inspector each day. Please contact 216-368-0021 to schedule an inspection. Fire Protection Information Are you testing a fire protection system? Yes No Area To Be Tested What is to be tested fire alarm hood system sprinkler system fire pump Other… Enter other… Has the fire department been notified? Yes No CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank Save
