O&M Asbestos Notification

O&M Asbestos Notification

Fill in this form for any new O&M asbestos project. Contact EHS for asbestos confirmation prior to submitting this notification.

Priority of Work

Emergency work must be completed within 24 hours of submission.

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Work Order#

Department*

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Start Date*

Start Time

Stop Date*

Enter the proposed Stop Date

Stop Time

Enter the proposed Stop Time

Campus*

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Building*

Room numbers*

O&M Supervisor Names*

List all UT employees (First & Last name) who participate in removal of asbestos.

Closeout Contact Email Address*

This person is responsible for filling out the closeout information for the O&M project.

Material*

Select all that apply. If not in the drop down list, type in the material.

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Type

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Estimated Amount

Measurement

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