• City of Salisbury MD HomepageCity of Salisbury MD

    • Home
    • Mayor’s Office
    • City Council
    • Departments
      • All Departments
      • Arts, Business & Culture
      • City Clerk
      • Field Operations
      • Finance
      • Fire
      • Housing and Community Development
      • Human Resources
      • Information Services
      • Infrastructure & Development
      • Police
      • Procurement
      • Water Works
    • Ask Now
    • Community Engagement
    • Report an Issue
    • Resident Services
    • Careers
    • News
    • Pay a Bill
    • Guides
    • Procurement Portal
    • City Charter & Municipal Codes
    • Boards & Commissions
    • Elections
    • Contact
      You are here: Home / Departments / Fire / Impairment Reporting

    Impairment Reporting

    Impairment Reporting Form

    "*" indicates required fields

    Reporting Party

    Name*
    Party Type*

    Property Information

    Address*

    Impairment Coordinator

    The impairment coordinator shall be responsible for verifying that the following procedures have been implemented: (1) The extent and expected duration of the impairment have been determined. (2) The areas or buildings involved have been inspected and the increased risks determined. (3) Recommendations to mitigate any increased risks have been submitted to management or the property owner or designated representative. (4) Where a fire protection system is out of service for more than 10 hours in a 24-hour period, the impairment coordinator shall arrange for one of the following: (a) Evacuation of the building or portion of the building affected by the system out of service (b) An approved fire watch (c) Establishment of a temporary water supply (d) Establishment and implementation of an approved program to eliminate potential ignition sources and limit the amount of fuel available to the fire (5) The fire department has been notified. (6) The insurance carrier, the alarm company, property owner or designated representative, and other AHJs have been notified. (7) The supervisors in the areas to be affected have been notified. (8) A tag impairment system has been implemented. (9) All necessary tools and materials have been assembled on the impairment site.
    Primary Contact Name*

    Impairment Information

    I am reporting a:*
    System(s) Affected*
    select all that apply
    MM slash DD slash YYYY
    Impairment Start Time*
    :
    MM slash DD slash YYYY
    Estimated End Time*
    :

    Mitigation Measures

    Fire Watch Implemented?*
    Building Occupants Notified?*
    Onsite Fire Watch Representative
    Impairment Resolution Procedure*
    Once an impairment has been resolved notify the Fire Marshal either by email via [email protected] or by calling the
    Salisbury Fire Department Administrative Headquarters at (410)548-3120 requesting the Fire Protection Impairment Line,
    extension 1811, and leaving a message.

    © 2025 · City of Salisbury Maryland · Privacy Policy · Non-Discrimination Policy