Permit Request • CampusOptics

Requestors fill out all required information indicated by the red * the in first 5 sections. All other sections will be filled out by the Permit Authorizer.

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Name* Required

Additional Location Details

Requestor Information (To be Filled out by Requestor)

Company* Required

Permit Request Info (To be Filled out by Requestor)

RIT Job Number* Required

RIT Contact* Required

Work to be Performed* Required

Cutting
Grinding
Welding
Brazing
Torch applied roofing
Soldering
Other

If Other, Please Describe

Person Performing Hot Work* Required

Person Performing Fire Watch* Required

Required Precautions (To Be Filled out by Permit Authorizer)

The fire pump is in operation and switched to automatic.

Control valve to water supply for sprinkler system are open.

Extinguishers are in service/operable.

Hot work equipment is in good working condition

Cover smoke detection while work is in progress to prevent accidental alarms.

Uncover smoke detection daily before leaving job site.

Requirments within 35 ft. of hot work (To be filled out by Permit Authorizer)

Shield combustible construction using approved welding pads, blankets and curtains.

Remove combustibles or shield nonremovable combustibles using approved welding pads, blankets and curtains.

Isolate potential sources of flammable gas, ignitable liquid or combustible dust/lint (e.g., shut down equipment)

Remove ignitable liquid, combustible dust/lint and combustible residues.

Shut down ventilation and conveying systems.

Remove combustibles and consider a second fire watch on opposite side of floor, wall, ceiling or room when openings exist or thermally conductive materials pass through.

Is work on a combustible roof? If yes, treat as a “Hot Work High-Risk Area” and provide ADDITIONAL REQUIRED PRECAUTIONS below.

Hot work on/in closed equipment, ductwork and piping (To be filled out by Permit Authorizer)

Isolate equipment from service.

Remove ignitable liquid and purge flammable gas/vapor.

Prior to work, and/or during work, monitor for flammable gas/vapor.

LEL reading(s):

Remove combustible dust/lint or other combustible materials.

Is work on/in equipment with nonremovable combustible linings or parts? if yes, treat as a “Hot Work High-Risk Area” and provide ADDITIONAL REQUIRED PRECAUTIONS below.

Fire Watch/fire monitoring the hot work area (To be filled out by Permit Authorizer)

Perform a continuous fire watch during hot work.

Perform a continuous fire watch following hot work completion for

Perform fire monitoring following fire watch completion for

ADDITIONAL REQUIRED PRECAUTIONS:

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files

Requester Info

Permit Date & Time

Location

Requestor Information (To be Filled out by Requestor) More information

Permit Request Info (To be Filled out by Requestor) More information

Required Precautions (To Be Filled out by Permit Authorizer) More information

Requirments within 35 ft. of hot work (To be filled out by Permit Authorizer) More information

Hot work on/in closed equipment, ductwork and piping (To be filled out by Permit Authorizer) More information