Labeled and Listed - NEC and OSHA - Mike Holt Enterprises 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Step 1 – Hazard Clearance. The Principal Investigator (PI) or Lab Designate must assert that the equipment or facility has been cleaned and hazards abated. Ensure all cleaning is performed by knowledgeable lab staff.
3. Fill in the specifics of the work request, including building, room number, item or equipment to be serviced, requestor name, contact number, and a description of the problem or service requested.
4. In Step 2 – Departmental Coordinator/EHS Sign Off, forward the completed form for on-site inspection. Ensure to print names and obtain signatures from relevant parties.
5. For Step 3, forward the request to Physical Plant once Step 2 is completed. Include necessary email addresses and complete either the electronic Work Request or Requisition for New Work as specified.
6. Finally, in Step 4 - On Site Meeting Prior to Work, ensure an agreement is reached regarding the area being free of hazards. Collect signatures and dates from all involved parties.

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