AON FIRE IMPAIRMENT PERMIT

CAUTION:

TEMPORARY IMPAIRMENT TO FIRE PROTECTION SYSTEMS

Pre-cautions must be in place

Fire Impairment Permit Procedure for use:

  1. Complete permit document
  2. Affix this section in affected area (must be visible)
  3. Ensure area supervisor certifies the permit.
  4. Remove permit when work is completed and fire systems have been certified as operational as per system and work area requirements.

All Fire Protection Impairments should be authorised, recorded and strictly controlled by Site Management. Significant impairments affecting 10% or more of fire systems or fire fighting water supplies and that are expected to exceed 8 hours (or overnight) should be reported to AON at least 48 hours in advance or as soon as practical. Notification should also be provided when provided when protection is restored.

Please AVOID simultaneous impairments (e.g. two sprinkler valves for one building). Please call Aon Risk Control on 0392113399 or
0424071191 (after hours) for more information.

Please submit impairments via Aon GPS

Or

Email:

Aon Fire Impairment Permit

To be completed by the Contractor OR Employee and approved prior to isolations.

Contractor’s Name:
Company:
Description of Work being conducted:
Site Area Affected: / Location:
Name of Site Representative: / Site Tel. No.:
Contractor Tel.:
Type of Equipment to be impaired:
Areas Affected:
Nature and Extent of Impairment:
Duration of Impairment:
Impairment Commences: / Impairment Restoration:
Date: / Time: / am / pm / Date: / Time: / am / pm
Pre-Cautions (Y, N or N/A)
1 / LocalFireBridge notified. / 5 / Have hazardous processes or Hot Work been banned during impairment.
2 / Site emergency fire organization notified and on standby. / 6 / Fire protection to be restored each night.
3 / Hydrants/hose reel system checked and operational. / 7 / Site management informed.
4 / Other fire equipment checked and confirmed in service (checked) / 8 / Other:
5 / Extra Security Patrols.
Site Representative Permit Approval
The work area and surrounds have been examined. Precautions have been taken. / Contractor Signature
Name: / Date: / Name: / Date:
Signature: / Signature:
Restoration (Y, N or N/A)
1 / Sprinkler valves re-opened fully and 50 mm drain and alarm test completed. / 4 / Other fire equipment (pumps, hydrant systems, smoke detection, etc) are fully restored and operational
2 / Sprinkler Valve locked open/power reconnected. / 6 / Local fire brigade notified.
3 / Sprinkler protection fully restored and system tested. / 7 / All alarms have been reinstated
Site Representative Final Check:
Work area and surrounds have been checked and hazards associated with the permit conditions have been checked. / Contractor Signature
Name: / Date: / Name: / Date:
Signature: / Signature:

Please submit impairments via Aon GPS oremail: