Permit Request • CampusOptics

Complete this form at least 24-48 hours prior to the proposed start time for your work on a hazardous building material. DO NOT START WORK UNTIL THE PERMIT HAS BEEN APPROVED.

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

Basic Information

List the names of all BCIT employees performing the work task.* Required

Supervisor name* Required

Select all the impacted materials that apply.* Required

Asbestos
Lead
Respirable Crystalline Silica

Indicate the Work Order Number for the job.* Required

Work-Specific Documentation

Indicate the specific hazardous building material(s) that will be impacted.* Required

Describe the overall scope of the work.* Required

Indicate which Safe Work Procedure(s) will be followed.* Required

Asbestos - Low Risk: Waste transport, removing single intact floor tile, placing nail/screw into wall (no back removal or pilot holes).
Asbestos - Mod Risk: Impacting up to 10 square-feet drywall.
Asbestos - Mod Risk: Removing a single asbestos-containing ceiling tile.
Asbestos - Mod Risk: Removing up to 10 square feet of vinyl floor tiling.
Asbestos - Mod Risk: Changing HEPA vacuum bag.
Lead - Low-Mod: Drilling, Sanding, Scraping, and Changing HEPA Vac
Lead - Low-Risk: Cutting, drilling with HEPA shroud, waste transport
OTHER - Attach work procedure and risk assessment to this request.

Describe the visual barrier that will be in place for your work area.* Required

Who will perform the post-work inspection?* Required

Add Supporting Documents

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