Asbestos Work Permit Request

Please complete the Asbestos Work Permit two (2) weeks prior to the anticipated start of any work in order for processing and approval.

Notice: All work shall conform to federal, provincial and municipal standards, codes and guidelines and the requirements set forth in the Asbestos Management Program for the University of Winnipeg or any project specifications prepared. In the case of any conflict, the more stringent standards shall apply.

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

Facilities Contact* Required

Phone* Required

Email* Required

Start Date* Required

Completion Date* Required

Actual Completion Date* Required

Location of ACM Work* Required

Description of Work* Required

Work to be completed by:* Required

Work related to Project* Required

Procedure

What materials may be disturbed during work?* Required

Spray On Fireproofing
Textured Ceiling or Wall Finish
Plaster or Asbestos Containing Cement Panels
Contaminated Area (Drop-Ceiling, Crawlspace, Utility Chase)
Ceiling Tiles
Flooring
Doors
Pipe/Duct Insulation
Debris Clean up

Control Mechanisms

Indicate all controls considered:* Required

Evening Work
Day Work
Weekend Work
HVAC Shutdown
Air Monitoring
Bulk Sampling

Notifications

Notifications to be sent to:* Required

WSH Chairs (Type 3 Only)
Building tenants
Department Head/Dean

Name individuals to be contacted* Required

Add Supporting Documents

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

Files

Requester Info

Permit Date & Time

Location

Basic Information More information

Procedure More information

Control Mechanisms More information

Notifications More information

Add Supporting Documents

Basic Information

Procedure

Control Mechanisms

Notifications