Recreational Fire Request

A minimum of two business days notice is required. If notice is not given, permit may not be approved.

For questions about this form please contact Fire & Life Safety at 919-515-2568.

A. Proposal

To be completed by the person responsible for carrying out the work.

Building(Required)

Specific area of recreational fire (e.g. Room 1501, basement)(Required)

The above location has been examined and the precautions listed on this form below have been complied with as indicated.

Nature of recreational fire(Required)

Nature of recreational fire: Other

Please describe

Describe the use case

Upload any site plans and related attachments to support your request

Drop files here or

Accepted file types: pdf, Max. file size: 195 MB, Max. files: 5.

Requestor Name(Required)

Requestor Phone Number(Required)

Requestor Email

Responsible Person(s)(Required)

This person(s) is required to be on-site while recreational fire is used for fire watch purposes.

B. Agreement

Start Date(Required)

Start Time(Required)

End Date(Required)

End Time(Required)

C. Fire Watch

Recreational fires shall be constantly attended until the fire is extinguished and the area has cooled. Outdoor fires should be a minimum of 50 feet from any structure, subject to increase by Fire & Life Safety. A minimum of one suitable fire extinguisher or other approved extinguishing equipment shall be available for immediate use.

I will comply

D. Procedure for recreational fire permits

This recreational fire permit is required for any outdoor or indoor open flame operations.
1.	NC State Fire and Life is reviewing this permit and the requester and responsible parties agree to the safety requirements and expectations as listed below.	4.	Upon completion of this permit application, a staff member from Fire & Life Safety will contact you.
2.	A permit is required prior to starting and is required for every occasion that an open flame is used in any form on NC State University property.	5.	A fire watch is required for the duration of an open flame. Fire & Life Safety may request further measures.
3.	A recreational fire permit should not be issued without considering the significance of any other permits to work in the vicinity, or adjacent manufacturing processes which may involve the use of flammable liquids or gasses.	6.	The reactional fire permit should be accessible on site for those who may wish to inspect the site, to ensure that conditions have been met and that the recreation is complete before the recreational fire permit expires.

E. Hot work permit checklist

Fire Protection

At least one suitable extinguisher will be immediately available. Personnel providing the fire watch are trained in their use.(Required)

I agree

Personnel involved with the activity and providing the fire watch are familiar with the means of escape and method of initiating an alarm/calling 911 or 919-515-3000 for emergency assistance.(Required)

I agree

F. Compliance

Fire & Life Safety has the authority to revoke a recreational fire permit at any time.

I agree to the above safety expectations and requirements of recreational fire. Failure to comply with the outlined safety expectations and work requirements will result in the revocation of the permit.(Required)

Please type your initials.

Recreational Fire Request

A. Proposal

B. Agreement

C. Fire Watch

D. Procedure for recreational fire permits

E. Hot work permit checklist

F. Compliance

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