Permit Request • CampusOptics

Permits are only good for the days identified in this request. If additional lifts are needed beyond the dates listed below then a new permit will need to be submitted for review.

Please list all pertinent information related to this lift and upload a crane lift plan at the bottom of this form if this is for a crane lift.

Crane lift plan should include the following:

3D Lift Plan
Crane Certification
Crane Load Chart
Operator Certification
Job Hazard Analysis
Crane Hand Signals and Communications plan
Supporting Documentation

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

Aerial Lift Questions

Aerial Lift Type * Required

If using a crane, will the aerial lift swing over a University building?* Required

Please list dates of the lift if there are specific dates that the lift will be operational. * Required

Please identify the anticipated start and stop time of the lift . * Required

Please list the University of Delaware Point of Contact Name * Required

University of Delaware Point of Contact Phone Number * Required

University of Delaware Point of Contact Email Address* Required

Company Providing the Lift * Required

Names of aerial lift operators* Required

Please identify the make/model of the aerial lift. * Required

Please identify the weight of the objects that need to be lifted if using a crane

Please list any pertinent information related to this work. * Required

Add Supporting Documents

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

Files