Permit Request • CampusOptics

This is the Hot Work Permit Form. This form must be completed before hot work activity. You must receive approval from EHS before hot work commences.

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Campus, Building, or Outdoor Area* Required

Additional Location Details

Hot Work be performed in the next 72 hours?* Required

Type of Hot Work Activity* Required

Scope of Hot Work Activity* Required

Contractor Company Name/NSU Physical Plant Work Unit* Required

Hot Work To be Performed By* Required

Name of Person Conducting the Hot Work* Required

Phone number of on-site contact* Required

Outside business hours?* Required

Organize a work area Fire Watch* Required

Fire System Impairment?* Required

NSU SOC Dispatch notified?* Required

Post Work Fire Watch organized?* Required

Is a building wide Fire Watch needed?* Required

Contact Fire Life Safety Manager* Required

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

Files