Sprinkler Impairment Notification

    School Board
    Location Name
    Location Address
    Name of Person Responsible
    Email Address
    Copy To
    Phone Number

    Fire Protection Information

    Type of Protection
    Valve Number/Equipment Identifier
    Area Protected
    Reason for Impairment
    Number of Turns to Close
    Authorized By
    Fire Protection Equipment Operator

    Precautions Taken

    Emergency organization notifiedContinuous work authorizedPublic fire department notifiedOngoing patrol of areaHazardous operations stoppedHydrant connected to sprinkler riserHot work prohibitedPipe plugs on handSmoking restrictedFire hose laid outOther