University of Louisville

University of Louisville

Guest

University of Louisville

Trenching and Excavation Work Permit Permit Request

If unexpected or unmarked utilities are encountered or damaged:

  1. Immediately Stop Work
  2. Shut Down Equipment
  3. Move to a safe area
  4. Contact UofL Police Department @ (502) 852-6111 and your UofL Contact listed

University of Louisville Police Department (502) 852-6111

Louisville Metro Police, Fire, EMS

911

University of Louisville Dept. Environmental Health and Safety

(502) 852-6670

University of Louisville Supervisor Contact information:

Name: __________________________________________________ Phone Number: _______________________________

Requester Info

* Required
* Required
* Required
* Required

Permit Date & Time

* Required
* Required
* Required
* Required

Location

Information

* Required
* Required
* Required
* Required
* Required

Hazards Associated with this Work

* Required
* Required
* Required
* Required
* Required
* Required

Protections Against Identified Hazards

* Required
* Required
* Required
* Required
* Required
* Required
* Required
* Required
* Required

Analysis

* Required

Work Site Physical Characteristics

* Required
* Required
* Required
* Required

Contractor Performing Work

* Required
* Required

University of Louisville Representative Acceptance

* Required
* Required

Add Supporting Documents

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

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