REQUEST FOR OUTAGE
								Date:
To:
From:
In order to complete the following contract work:
We will require that the below listed system(s) be deactivated for the period specified:
	System			From			To
The system will be deactivated/locked out by: _____________________________ an
employee of ______________________________________, who has been properly
briefed on the application procedure.
							Construction Engineer
The outage is APPROVED as requested and all personnel concerned have been notified.
							Plan Engineer              Date
The requested outage is NOT APPROVED FOR THIS PERIOD REQUESTED. Resubmit your
request for the period of _______________________  to _________________________.
							Plan Engineer              Date