| Form Field Name |
Description |
| Contact name & phone: |
The name & phone number of the person requesting the outage and who will be the point of contact should problems arise. |
| Contact Person at Affected Location: |
The name & phone number of the person contacted at the affected location prior to the Outage. The person who knows about the Outage at the affected location.. |
| Work Order #: |
The WO number assigned to the outage. If one does not exist, and is needed, submit a work request to FS Work Management. |
| Shops Involved: |
The name of the shops that will assist with the outage or who will need to follow-up on systems due to the outage |
| Reason for Outage: |
The reason for the outage. Example: to replace leaking water valve, to rewire electrical vault, etc. |
| Type of Outage: |
Enter the type of outage. i.e., POWER, RO WATER, STEAM OUTAGE , etc. |
| Affected area/system: |
The area and/or systems that will be affected by the outage. |
| Buildings Affected: |
The name(s) of the building(s) that will be affected by the outage. |
| Start date & time: |
The date & time the outage begins. Use military time. Example: 1400 for 2:00pm |
| End date & time: |
The date & time the outage ends. Use military time. Example: 1400 for 2:00pm |
| Emergency systems? |
Will there be emergency systems available, such as… Heat during the winter? Ventilation? Will the elevators still work? Emergency lights? |
| Safety precautions: |
Usually a precautionary statement such as “Disconnect sensitive equipment”. |
| Additional notification? |
Are there individuals that require fax notification other than those departments routinely notified?
Routine notifications to: Environmental Health & Safety, Utilities, Design & Construction, University Dispatch, FS Work Management, & all M&O Shops |
| Other Information: |
Usually a statement such as, "Use other facilities as necessary". |
