Kansas State University

Search K-State web, people, directories

Canvas
OrgSync
MyLibrary
KSIS
SSC
HRIS
Webmail

Status of ITS resources

Sign in to Connect

K-State home
»University Operations
»Environmental Health and Safety
»Fire safety
»Equipment Impairment Notice

Environmental Health and Safety

Home
Environmental
See all of Environmental Management
Fire
See all of Fire & Life Safety
Laboratory
See all of Laboratory Safety
Safety
See all of Safety
Radiation
- Radioactive Pickup Request
See all of Radiation and Laser Safety
Sanitation
See all of Sanitation and Food Safety

Fire and Life Safety
Common Citations
- Door Wedges
Emergency, Prevention and Life Safety Codes
Equipment Impairment Notice
Fire and Life Safety Policy
Fire Extinguishers
Fire Log
Fire Watch
Fireworks and Pyrotechnics
Hot Work permits
- Hot Work policy
Inspections
Life Safety Equipment Testing Schedule

Environmental Health and Safety
108 Edwards Hall
1810 Kerr Dr.
Kansas State University
Manhattan, KS 66506

785-532-5856
785-532-1981 fax
safety@k-state.edu

Fire Protection Equipment Impairment Notice

If you see this don't fill out this input box.

Date

Fire Alarm or Fire Sprinkler System

Select one

Fire Alarm

Fire Sprinkler

Reporting person's name*

Reporting person's email*

Phone

Are you the contact person? (If yes, skip the next two questions)

Yes

No

Contact person's name

Person conducting fire watch

Phone

Local Information (where will the impairment occur?)

Building Name

City

Phone

Location of Impairment (Entire building or area affected)

Nature of Impairment

Cause of impairment

Anticipated completion date/time

Printable Form

Equipment Impairment Notice (pdf)

Contact us
Emergency
Statements and disclosures
Accessibility

Kansas State University
Manhattan, KS 66506
785-532-6011
© Kansas State University
Updated: 3/2/21