Permit Request • CampusOptics

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

AHU Reclassification

Does Hot Work need to be performed within the confined space?* Required

Yes - Contact EHS for risk assessment prior to work.
No - Proceed

Inspection of unit interior fans, motors, dampers, coils, piping, valves and other components* Required

Yes
No

Cleaning of the unit interior fans, motors, dampers, coils, piping, valves and other components* Required

Yes
No

Replacement of belts, filters, and other components* Required

Yes
No

Lubrication of fans, motor, and other components* Required

Yes
No

Adjustment of dampers, and other components* Required

Yes
No

Electrical inspection, maintenance and installation activities (No work)* Required

Yes
No

Other similar maintenance activities (preventative or corrective) that DO NOT create potential atmospheric hazards (i.e. Hot Work) or other serious safety or health hazards* Required

Yes
No

Checking "Yes" you certify that you are only performing the tasks selected above. * Required

Add Supporting Documents

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

Files

Requester Info

Permit Date & Time

Location

AHU Reclassification More information

Add Supporting Documents

AHU Reclassification