Outage Request Form

Submit this form no later than 10 business (14 calendar) days prior to the requested date for HVAC, plumbing, or electrical outages. Fire alarm and sprinkler outages/tests require five business (seven calendar) days’ notice. Placing the fire alarm system in “test only” as a precautionary measure (where the bells are not expected to ring) can be coordinated through your project manager without submitting this form.

The time for outages is 8 a.m. – 3:30 p.m., Monday – Thursday. Outages may occur before 8 a.m. depending on the work to be performed. All outages need to be properly coordinated and approved.

Outages requested on shorter notice or with an earlier start time must be pre-approved by Facility Operations. If you need an emergency outage, please contact your project manager immediately.

JHU Project Manager(Required)

JHU PM Phone(Required)

Project Name(Required)

General Contractor(Required)

Superintendent(Required)

Email(Required)

Office Phone

Cell Phone(Required)

Emergency Phone(Required)

Trade Contractor

Contact Name

Cell Phone

Emergency Phone

Type(Required)

Please be specific as possible. You must submit a separate form for each type of outage, regardless of date and buildings affected.

Description of Outage(Required)

Location of Work(Required)

Where will the contractor be working during the outage?

Date, Start Time, and Duration of Outage(Required)

Be specific and provide a preferred date and time.

Buildings and/or Rooms Affected(Required)

Will this outage affect any process or specialized equipment?(Required)

Yes

If yes, please explain in detail:

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