Permit Request • CampusOptics

A Fire Protection Impairment Permit is required for any work involving the temporary disabling of fire protection or life safety systems to prevent false alarm activation on campus.

OFFICIAL NOTICE: PERMIT AND WORK REQUIREMENTS

Effective immediately, all routine work conducted between the hours of 7:30 a.m. and 3:30 p.m. shall require a minimum of twenty-four (24) hours’ advance notice.

Any work performed outside of standard permitting hours (after 3:30 p.m.) must be scheduled and coordinated in advance by the permit holder with the University of Memphis Facilities and Maintenance Department. This department retains responsibility for oversight and authorization of all work conducted outside normal permitting hours.

All required permits must be fully completed and prominently displayed in the affected work area, as well as on the appropriate fire alarm or sprinkler system panel, for the entire duration of the impairment.

For questions regarding permit requirements or completion, please contact Environmental Health and Safety (EHS) at EHS@memphis.edu or by telephone at 901-678-2829 during regular business hours (7:30 a.m. – 3:30 p.m.). EHS provides guidance on permit procedures and is responsible for permit approval only for after-hours work; EHS does not schedule or coordinate such work.

Failure to comply with these requirements may result in delays, work stoppage, or other administrative action.

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

Fire Watch Date & Time

Fire Watch Start Date* Required

Fire Watch Start Time* Required

Fire Watch End Date* Required

Fire Watch End Time* Required

Location

Name* Required

Additional Location Details

General Information

Company Name* Required

Company Supervisor* Required

Company Supervisor Phone Number* Required

Fire Sentry or Fire Watch Name* Required

Fire Sentry or Fire Watch Phone Number* Required

Impairment Information

Will this be a recurring impairment?* Required

If the impairment is recurring, what is the estimated time frame for the final impairments?* Required

Which fire protection systems are impaired (check all that apply)?* Required

What is the reason for the impairment?* Required

Add Supporting Documents

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

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