FIRE WATCH A 24 FIRE (4) (10) 24 WATCH FM-EHS (FCO), FM-EHS INSTRUCTIONS DUTIES (Applicant) 1. Do not proceed with the work, until deployment of qualified Fire PERSONNEL Watch is verified. 30 2. Complete and retain this permit. A. Company Name and Billing Address: Company Name 9-1-1 Company Address B. Date(s): Start: Start Date & Time End: End Date & Time C. Name of Person Responsible for Fire Watch: Name Contact Info (Cell & Location) D. Address where Fire Watch is Performed: E. Specific Location of the Fire Watch:: F. Purpose of Fire Watch being Performed: I verify the above location has been examined, the designated Fire 9-1-1 Watch personnel are qualified and informed of the duties of Fire Watch, and permission is requested to proceed with the work. (813) 974-2628 Signed: (Applicant) DESIGNATED Fax completed form to: (813) 974-9346 before start of work. Permit Expires: ( by FM-EHS FCO) Name: This permit is issued by University of South Florida Environmental, Facilities Management, Environmental, Health and Safety Department. This, and all permits, is subject to a permit fee. Jobs are subject to inspection and may be terminated at the discretion of the Fire Code Official if precautions are not in place. FM-EHS FM-EHS FCO Approval: PMG-18B & FM-EHS
A 24 (4) (10) 24 FM-EHS (FCO), FM-EHS INSTRUCTIONS (Applicant) FIRE WATCH DUTIES 1. Do not proceed with the work, until deployment of qualified Fire Watch is verified. 2. Complete and retain this permit. 30 9-1-1 9-1-1 (813) 974-2628 A. Company Name and Billing Address: Company Name Company Address B. Date(s): Start: Start Date & Time End: End Date & Time C. Name of Person Responsible for Fire Watch: Name Contact Info (Cell & Location) D. Address where Fire Watch is Performed: E. Specific Location of the Fire Watch:: F. Purpose of Fire Watch being Performed: I verify the above location has been examined, the designated Fire Watch personnel are qualified and informed of the duties of Fire Watch, and permission is requested to proceed with the work. Signed: (Applicant) DESIGNATED FIRE WATCH PERSONNEL Fax completed form to: (813) 974-9346 before start of work. Permit Expires: ( by FM-EHS FCO) Name: This permit is issued by University of South Florida Environmental, Facilities Management, Environmental, Health and Safety Department. This, and all permits, is subject to a permit fee. Jobs are subject to inspection and may be terminated at the discretion of the Fire Code Official if precautions are not in place. FM-EHS FM-EHS FCO Approval: PMG-18B & FM-EHS
pmg-18b.docx