Operations Airside Escort Request Form

Your Name

Email Address

Phone Number

Company

Date/Time 

 

SECTION A:  TO BE COMPLETED BY PERSON REQUIRING ESCORT

PLEASE USE MAP BELOW TO DETERMINE WHICH TYPE OF AIRSIDE ESCORT THAT IS REQUIRED:

Escort being done by: OPERATIONS
SECURITY COMMSSIONAIRES
CONTRACTOR
Application Date:
Location or Area: 
Nature of work (describe):
Name of person requiring Airside Escort:
Phone Number:
Requested Date / Time / Duration of Work/Escort: Start    
End          
Hot Work Occur Throughout Permit Duration
General Contractor and Name of Person Responsible: 
Phone Number:
YLW Project Manager:
  Checking this box is confirmation that the YLW Project Manager has been fully advised of the work/escort planned.


OPERATIONS MUST BE AWARE THAT ESCORT IS TAKING PLACE. ESCORT HAS RADIO COMMUNICATION WITH OPERATIONS IN THE EVENT OF AN EMERGENCY

OPERATIONS MUST BE CONTACTED WHEN ESCORT IS COMPLETED (250) 807-4350

REQUIRED PRECAUTIONS CHECKLIST: To be Filled out by Contractor 

   MINIMUM 48 HOURS REQUEST NOTICE IS REQUIRED PRIOR TO START OF AIRSIDE ESCORT.
   Is a HOTWORK permit required? (Complete separate request).
   Contact Operations to confirm Airside Escort availability 250 807 4350 ext 0.
   Contact Operations prior to Airside Escort/work beginning.
   Contact Operations once Airside work/Escort is complete.

 

SECTION B:  TO BE REVIEWED BY AIRPORT OPERATIONS:

         a.    Verify precautions listed above (or do not proceed with work).

         b.    Confirm Operations Staffing availability (Overtime required?)

         c.    Update Schedules as needed.

         d.    Confirm Hot Work Permit is in place (If required).

         e.    Complete section below

         

Person Approving Airside Escort Request:                 

Approval Date:                                                     

Escort Expiry Date:                                             

Comments/Requirements:

IN THE EVENT OF A FIRE OR EMERGENCY - CONTACT AIRPORT OPERATIONS AT 250-807-4350 EXT 0 OR 911

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